presented by Haideh V. Plock
Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.
Haideh V. Plock, PT, DPT, OCS, ATC, FAAOMPT
Haideh graduated with a double major in Kinesiology and Psychology from the University of California, Los Angeles in 1991. Upon completion of her Master’s in Physical Therapy from Boston University in 1993, she accepted a position at the Kerlan-Jobe Orthopedic Clinic. She worked there for the next 11 years specializing in orthopedic and sports related…Read full bio
1. Tissue Healing
When developing a rehabilitation program that follows a surgical procedure, you must take into account the structures involved and the basic physiologic adaptations following the procedure. Overall healing time and healing progression must be considered for different tissue including soft tissues and bone.
2. Post-Surgical Considerations
In this chapter, you will encounter an individual who has undergone a surgical procedure and needs to establish trackable subjective and objective baselines as well as the history specific to this individual's surgical course.
3. Anterior Cervical Discectomy and Fusion
Anterior cervical discectomy and fusion may be warranted in cases of cervical radiculopathy, cervical myelopathy, or in cases of persistent and/or severe axial neck pain due to spondylosis or degeneration that have failed conservative interventions. An understanding of the principles of tissue healing in addition to knowledge of the procedure performed is vital in development of a rehabilitation program following anterior cervical discectomy and fusion.
4. Lumbar Microdiscectomy and Fusion
Degenerative or pathologic changes of the intervertebral disc can lead to impingement of neural structures in the lumbar region. Cases that do not respond to conservative treatment may require a microdiscectomy procedure. The degenerative cascade can also lead to severe and disabling low back or leg pain. In these cases, as well as in cases of instability or possible neurologic injury, lumbar fusion may be indicated. Consideration of healing principles as well as the procedure done are necessary to determine the appropriate rehabilitation course.