Musculoskeletal and Orthopedic Rehabilitation Flashcards

A patient with osteoporosis is being discharged after a vertebral compression fracture. Which activity instruction is MOST appropriate?

Answer: Avoid spinal flexion exercises; focus on extension and balance

Spinal flexion increases anterior vertebral loading and fracture risk in osteoporosis; extension exercises and balance training are the safer rehabilitation approach.

Which assessment finding in a patient with a long leg cast MOST warrants immediate notification of the physician?

Answer: Pallor, pulselessness, and paresthesias distal to the cast

The 5 Ps (pain, pallor, pulselessness, paresthesias, paralysis) indicate compartment syndrome or neurovascular compromise requiring emergent intervention.

A patient with a rotator cuff repair is at 6 weeks post-surgery. Which activity is APPROPRIATE at this stage?

Answer: Pendulum exercises and passive ROM within prescribed limits

At 6 weeks post rotator cuff repair, passive ROM and gentle pendulum exercises are typically appropriate while the healing tendon is protected from active resistance.

A patient with gout is admitted to the rehabilitation unit with an acute flare. Which nursing intervention is PRIORITY during an acute attack?

Answer: Rest the affected joint, apply ice, and administer prescribed anti-inflammatory medication

Acute gout management centers on joint rest, ice application, and anti-inflammatory medications (NSAIDs, colchicine, or corticosteroids) to reduce inflammation.

When teaching weight-bearing precautions after a femur fracture, the CRRN distinguishes 'toe-touch weight bearing' (TTWB). Which description is CORRECT?

Answer: Foot contact for balance only, with minimal weight transfer (approximately 10–15% body weight)

TTWB (also called touch-down weight bearing) allows only foot contact for balance with minimal weight transfer, protecting fracture or surgical sites during early healing.

A patient with fibromyalgia is starting a rehabilitation program. Which exercise approach has the STRONGEST evidence for improving symptoms?

Answer: Low-impact aerobic exercise such as water aerobics or walking

Low-impact aerobic exercise (aquatic therapy, walking, cycling) is the most evidence-supported intervention for reducing pain, fatigue, and depression in fibromyalgia.