Which physical therapy intervention is often prioritized following an ORIF of a radial head fracture?

• A. Strengthening exercises
• B. Joint mobilization
• C. Range of motion exercises
• D. Proprioceptive training

Answer: (B)

Following an open reduction and internal fixation (ORIF) of a radial head fracture, joint mobilization is often prioritized in physical therapy interventions. This approach is essential for several reasons.

First, after a surgical procedure like an ORIF, there is a risk of joint stiffness and decreased range of motion due to pain, swelling, and immobilization. Joint mobilization techniques can help restore mobility to the involved joint by applying specific movements that facilitate synovial fluid circulation, improve joint nutrition, and reduce pain. This is particularly vital for a joint that has undergone surgical intervention, as the surrounding tissues can become tight.

Joint mobilization can also help address any potential adhesions that may develop post-surgery. As the scar tissue forms, it can limit movement; joint mobilizations can assist in breaking down these adhesions and improving the overall functional range of motion.

In the context of the other options, while strengthening exercises, range of motion exercises, and proprioceptive training are all important components of rehabilitation, they typically follow after adequate joint mobility has been restored. Strengthening, for example, generally requires a certain level of pain-free range of motion and strength to be effective, and proprioceptive training is more beneficial after some baseline mobility and strength have