Traditionally, patients were advised to restrict post-operative activity as this was believed to reduce the risk of disc reherniation and progressive instability. Lumbar Laminectomy Physical Therapy Prescription The intent of this protocol is to provide guidelines for rehab. We know with an extremely high level of confidence that our current spinal evaluation protocol can safely rule out spine injuries; therefore, the Medical Direction and Practice Board has no intention of changing it. No news of record malpractice settlements, either. Increase distance by 1‐2 miles by six week check‐up. Several years ago, Maine dropped the MOI criteria from its statewide spinal clearance protocols, primarily because MOI is such an inaccurate predictor of injury. Lumbar Fusion Protocol Patient Name:_____ Surgery date: _____ Initiate home walking program. If any of the following occur, contact Dr. Poulter and hold off on physical therapy: • Any signs of infection Monday to Friday - 8am to 4:30pm. Gyms, hair salons and movie theaters are among businesses that can operate, with restrictions. Maine is committed to providing their visitors with the most risk-free vacation that is possible during a pandemic. https://balancedback.com/blog/permanent-restrictions-after-spinal-fusion Starting on Monday, May … Source Spinal Motion Restriction in the Trauma Patient - A Joint Position Statement. Restaurants must adhere to strict sanitation and social distancing guidelines. Maine's goal is to provide one of the safest places for people to travel year round. Phone: (207) 626-3860 Fax: (207) 287-6251 TTY: (888) 524-7900 TDD: (207) 287-3659 Email: maine.ems@maine.gov To view PDF or Word documents, you will need the free document readers. • Hawaii: Gov. Maine towns are beginning to reopen beaches that were closed or had restrictions implemented due to the coronavirus outbreak. We want visitors and residents to be able to enjoy all Maine has to offer in a safe and healthy way. 2018 Aug 9:1-3. doi: 10.1080/10903127.2018.1481476. None of the 2015 protocol updates make any changes to how Maine EMS providers evaluate spine … Thus far, no one has seen an inordinately high number of quadriplegics tooling around Bangor or Portland in their motorized wheelchairs. Additional padding under the shoulders may be necessary in young children to avoid substantial cervical spine flexion due to the increased head size to body ratio compared to adults. Gentle neural mobilization is included for However, this practice would often delay patients return to work. There are five commonly used protocols for ruling out possible spine injuries in the field: the Canadian C-spine Rule (CCR), the National Emergency X-Radiography Utilization Study (NEXUS) low-risk criteria (NEXUS), the modified Nexus criteria, the State of Maine criteria (also based on the NEXUS criteria), and the Wilderness Medical Society (WMS) algorithm (a combination of the CCR and NEXUS). It’s not intended as a substitute for clinical decision making. All exercises are fully supported and neutral spine is strictly maintained. For those of you planning a trip outside of your home state during the Covid-19 pandemic, CNN Travel has put together a US travel guide so you know what you're in for before you go. Prehosp Emerg Care. Lumbar microdiscectomy is the most commonly performed spinal surgery procedure, with over 300,000 cases performed annually in the United States alone. A travel enforcement operation at airports across the state helps ensure travelers are following the state's travel restrictions.