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Student Research Conference
Physical Therapy Interventions Following a Split Thickness Skin Graft Procedure for a Chronic Non-healing Diabetic Pedal Ulcer: A Case Report
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Student Research Conference
Details
Title
Physical Therapy Interventions Following a Split Thickness Skin Graft Procedure for a Chronic Non-healing Diabetic Pedal Ulcer: A Case Report
Usage & Reproduction Rights
http://rightsstatements.org/vocab/InC/1.0/
Type
Video recordings
URI / Handle
http://hdl.handle.net/1961/muislandora:3028
Created
2016-01-01T00:00:00Z
Abstract
Background: The utilization of free flap skin grafting procedures for non-healing wounds has been well established in existing literature as a safe and effective intervention. However, there has been little investigation regarding the implementation of early physical therapy mobilization interventions in the acute setting following free flap skin grafting procedures. Objectives: To explore the efficacy of various physical therapy interventions available immediately following free flap skin graft procedure within prescribed post-operative precautions for a patient with a complex past medical history. Methods: A 59-year-oldAfrican American male with a complex social and medical history with multiple failed surgical debridements for a non-healing diabetic foot ulcer was evaluated and treated in the acute hospital setting following split thickness skin graft surgery. Interventions including bed mobility, balance and transfer training and ambulation with assistive device were administered once daily over the course of 12 days post-operatively to address functional mobility deficits prior to discharge. Results:Initial evaluation of the patient revealed poor compliance to prescribed non-weight bearing precautions and post-operative dangle protocol,requiring maximal assistance and maximal verbal cuing for all functional mobility tasks. Further interventions resulted in the patient performing mobility tasks including transfers and ambulation with assistive device with supervision within non-weight bearing precautions prior to his discharge to the acute rehab setting. Conclusion: Despite initial poor compliance and a complex medical history, early mobilization following split thickness skin graft procedure can be safe and effective for improving functional mobility deficits while maintaining the integrity of the healing surgical graft site.
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