Introduction

Fracture of bone tissue significantly impacts function and participation in daily activities. Rehabilitation from fracture is a multi-disciplinary approach involving careful coordination with the health care team, patient, and involved family members. Patients often experience barriers within their home and work environments that were previously unnoticed. In this lesson, we will review the pathology and physiology of fractures, appreciate the science basis for post-operative precautions, and apply this knowledge to effective rehabilitation strategies.

The content of this lesson is derived from

Cameron, MH, Monroe LG (2007): Physical Rehabilitation, Elsevier Mosby: St Louis, MO.

Dutton, M (2019). Orthopaedics for the Physical Therapist Assistant, 2nd Ed Jones & Bartlett Learning: Burlington, MA

Oregon Department of Human Services

Objectives

After completing this lesson, students will:

  • Describe fractures and their subtypes using the proper terminology
  • Identify local, systemic, and psychosocial factors affecting fracture healing and rehabilitation
  • Recognize fractures commonly seen in adults and children
  • Discuss mechanisms of fracture and how these relate to fracture patterns and soft tissue injury
  • Define mechanisms of fracture repair
  • Select and apply evidence-based interventions for patients with fractures
  • Appropriately respond to a medical emergency or compromise during a case simulation
  • Select an appropriate intervention based on the phases of rehabilitation for a case simulation
  • Select an appropriate method of assessing treatment outcome for a case simulation
  • Appreciate the role of the PTA in identifying and reporting child abuse and neglect