Diagnosis

Precaution/Contraindication

Status post THR, posterior-lateral approach

No adduction, internal rotation, flexion greater than 90 degrees (no crossing legs)

Typically positioned in supine and sitting with abduction pillow or knee separator

Status post spinal surgery and/or acute spinal pain

"Log roll" for bed mobility with emphasis on no trunk rotation forces (no twisting); postion of comfort is Semi-Fowlers (HOB elevated, hips and knees flexed)

Spinal cord injury

May need to have rigid brace on prior to any mobility; no traction (pulling) forces on extremities during acute healing phases; Avoid friction/shearing forces during position changes which may result in abrasions and skin breakdown

Osteoporosis

Excessive forward flexion in trunk may result in spinal compression fracture; risk for spontaneous fracture with weight bearing in cases of prolonged bed rest or paralysis

Hemiplegia

No pulling on flaccid (unresponsive) limb, especially the upper extremity, due to risk of shoulder impingement and subluxation from repetitive strain