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Appendix 3-A: Management and

Physical Therapy Interventions

for Fractures

Michele P. West

Note: This appendix was created as a guide for the physical therapist-these tables are not all-inclusive. Specific fracrure classification systems are used only if they are universal or very commonly used;

otherwise, fractures are listed by general type such as nondisplaced or

displaced, closed or open, or stable or unstable. The authors encourage the therapist to consult other resources for specific fracture patterns or eponyms not described here. T he weight-bearing starus is provided as an estimate in the setting of a localized fracture; therefore, be sure to follow physician mandated orders for weight-bearing, ROM, and exercise, especially if there is a secondary fracture or associated soft tissue injury. Finally, it is inherent that patienrJ family education is a part of each treatment session; thus it is not specifically listed in this appendix.

"Gentle ROM" as it appears in this appendix, is defined as activeassisted range of motion techniques that are within the parient's tolerance. Tolerance is determined in part by the subjecrive report of pain as well as objective limitations of muscle guarding and pattern of

motion.

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