Advance to home program or self directed gym program, teaching pnf patterns, upright rows, shoulder strengthening and endurance. Chattanooga, tn 423 6242696 shoulder tendinitis is a common overuse injury in sports such as swimming, baseball and tennis where the arm is used in an overhead motion. Shoulder arthroscopic capsular release rehabilitation phase two. Rehabilitation protocols southeast georgia health system. Soft tissue mobilization to surrounding tissues, effleurage for edema. Postoperative rehabilitation is essential after latarjet anterior shoulder stabilization. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical.
Rehabilitation guidelines for standard reverse total shoulder. Sling is worn 34 weeks, immobilizer at night avoid internal rotation position. Reverse total shoulder arthroplasty rehab protocol 1 rehabilitation guidelines for standard reverse total shoulder arthroplasty rtsa note. Appointments no pt for 3 weeks, unless otherwise specified by md rehabilitation goals modalities to control pain and swelling protect fracture site maintain rom in surrounding joints prevent deconditioning.
Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair. Anterior stabilization capsulorrhaphy with or without labral repair postoperative shoulder protocol basic guidelines 1. Any forceful pushing, pulling or lifting activities should continue to be avoided. Rehabilitation guidelines for shoulder debridement. Rehabilitation after total shoulder arthroplasty activities and advice for in the hospital and while at home. The shoulder moon group is a multicenter orthopaedic outcomes network, a consortium of institutions working together to bring patients the best possible care with disorders of the shoulder. You may monitor this 12 xmonth and make adjustments. This site complies with the honcode standard for trustworthy health information. Phase i 0 to 7 days after prp procedure physical therapy no physical therapy at this time as physical therapy begins 7 to 10 days after procedure precautions immobilization of the joint o injection to shoulder.
Cole, md, mba range of motion immobilizer exercises phase i 04 weeks 02 weeks. Progress to independent rehabilitation program by 10 weeks ube forward and retro. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral head replacement, hhr. Achieving the criteria of each phase should be emphasized more than the approximate duration. Anterior stabilization postoperative shoulder protocol. Passive range of motion in all planes as tolerated. Allow involved arm to hang down, perpendicular to the floor.
The shoulder rehabilitation protocol consists of two major components. Apply ice, or the cooling unit, to the shoulder as it will be quite helpful. The following list of exercises and treatment options is an approximate order of progression. Rehabilitation guidelines for open latarjet anterior. Use at all times except showering bathing modalities. Roll shoulder back and down and maintain this position. Nonoperative shoulder rehabilitation protocol ben rubin, m. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket. Throwers ten exercise program university of florida. The tendon can often become frayed or partially torn. Ideally, only patients with loss of active and passive external rotation of the involved shoulder with a normal xray would be.
To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Patients with additional surgery will progress at different rates. Copy and paste this html code into your webpage to embed. Shoulder rehabilitation exercises usually begin in the early stages with mobility exercises, and progress to isometric or static shoulder exercises before dynamic, then functional or sports specific exercises. This analogy is used because the articular surface of the round humeral head upper most part of. Shoulder tendonitis center for sports medicine and. Shoulder arthroscopic capsular release rehabilitation. One part of the scapula, called the glenoid fossa, is coupled with the humerus to make up the socket of the shoulder.
Regular physical therapy visits are valuable for giving you feedback on your progress and helping to ensure you are doing exercises properly. Rotator cuff and shoulder conditioning program introduction 1 additional notes. These should be performed in flexion, extension, abduction, internal and. Plateletrich plasma protocol 1 release physical therapy 202 9746621. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Strengthening the muscles that support your shoulder will help keep your shoulder joint stable. This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible. The head of the upper arm bone humerus is the ball and a circular depression glenoid in the shoulder bone scapula is the socket. Rehabilitation guidelines for proximal humerus fracture non operative 2 p a g e phase ii continued precautions dc sling x 3 weeks if cleared by md aarom to 90 degrees forward flexion and 40 degrees er suggested therapeutic exercises arom cervical, elbow, wrist and hand pendelums gripping exercises scapular pnf. Background o the scapula is the base of support to shoulder joint and all movements of the upper extremity o poor scapular stabilization can contribute to a variety of upper quadrant syndromes such as.
This handout and these exercises are only a general template and should be supplemented by the physical therapy program prescribed by your doctor. Total shoulder arthroplasty hemiarthroplasty protocol. Chattanooga, tn 423 6242696 if youre having trouble lifting your arm above your head, reaching across your body or behind your back, and have limited motion in your shoulder, it may be an early symptom of frozen shoulder. Bending over at the waist and balancing with the good arm let the stiff side relax and swing with gravity.
There are several exercises that can help reduce shoulder pain and improve your range of motion. Rehabilitation guidelines for open latarjet anterior shoulder stabilization the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee. Supraspinatus supporting the shoulder joint infraspinatus supporting the shoulder joint subscapularis front of shoulder biceps front of upper arm triceps back of upper arm length of program. All active exercises should be carefully monitored to minimize substitution or compensation. Postoperative protocols orif proximal humerus fractures general rehabilitation guidelines tuberosities are repaired and bony healing must occur before stress is applied to rotator cuff tendons precautions no external rotation past 40 deg for 6 weeks no active internal rotation for 6 weeks. Rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a total shoulder arthroplasty tsa and hemiarthroplasty. Postoperative shoulder protocols 812 1 ben rubin, m.
Pendulum exercises bend forward at the waist, back parallel to ground is ideal. Rom is desired degrees of range of motion of movement. Specific interventions should be based on the needs of the individual and. These protocols are listed by diagnosis, so clinicians who are providing patient care may reference the applicable protocol to help rehabilitate their patient. By design and necessity, it is incomplete, to allow for individualization of the. Bankart repair rehabilitation protocol arthroscopicopen this protocol was developed for patients who have had a bankart repair. Frozen shoulder adhesive capsulitis brett sanders, md center for sports medicine and orthopaedic 2415 mccallie ave.
Dec 21, 2018 shoulder rehabilitation exercises usually begin in the early stages with mobility exercises, and progress to isometric or static shoulder exercises before dynamic, then functional or sports specific exercises. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Shoulder arthroplasty the shoulder is a ball and socket joint that enables you to raise, twist, bend and move your arms forward, to the sides and behind you. Department of rehabilitation services reverse total. Shoulder tendonitis brett sanders, md center for sports medicine and orthopaedic 2415 mccallie ave. Shoulder labral repair rehabilitation protocol labral repairs are limited by the inherent limitation of softtissue healing to bone. Th e full recovery from these procedures occurs after 69 months. The socket portion of the joint is not naturally deep. The patient before you is participating in a study to determine the effectiveness of physical therapy in treating rotator cuff tears. Use of the operated arm you may now safely use the arm for most normal daily activities. Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks pain control.
Flexibility is the first component of shoulder rehabilitation and consists of range of motion rom, static stretching, and dynamic stretching. Nonsurgical shoulder impingement rehabilitation protocol ramin r. Rotator cuff and shoulder rehabilitation exercises pdf handout. Rehabilitation guidelines for open latarjet anterior shoulder. Adhesive capsulitis protocols ucsf sports medicine. Shoulder rehabilitation western orthopaedic clinic. Latarjet protocol the intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a latarjet procedure for anterior.
Arthroscopic labrum repair of the shoulder slap anatomy. Shoulder stability in healthy individuals is achieved through the structural integrity of the noncontractile nonmuscle shoulder stabilizers ligaments, capsule and labrum and function of the rotator cuff and scapular muscles. The patient before you is participating in a study to determine the effectiveness of physical therapy in. Nonsurgical shoulder impingement rehabilitation protocol. Rotator cuff and shoulder conditioning program orthoinfo aaos. Rehabilitation protocols the protocols listed below were developed by southeast georgia health system physicians and therapists and are intended for use by clinicians and patients alike. Rotator cuff and shoulder rehabilitation exercises. It is not intended to be a substitute for appropriate. To make the exercise harder you can step away so the band is tight then recommence your exercises. Sling allowed as needed for comfort only, first 5 7 days, taking arm out often 5 7 times a day for elbow rom posture education and postural exercises ball or putty squeezing throughout the day icing every two hours for 15 20 minutes first 5 7 days, 3 times a day thereafter. Rotator cuff and shoulder rehabilitation exercises to ensure that this program is safe and effective for you, it should be performed under your doctors supervision.
The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total. This is an interactive guide to help you find relevant patient information for your shoulder problem. Scapular stabilization ucsf sports medicine rehab resource. Kavanagh, pac this protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. Total shoulder arthroplastyhemiarthroplasty protocol. Revision surgery or cases involving bonegrafting procedures may undergo modifications to the below guideline. Strengthening exercises mammoth orthopedic institute.
Rehabilitation guidelines for shoulder debridement, decompression and distal clavicle excision the shoulder is made up of three bones. Diagnosis is based on clinical examination and medical history and a key alerting feature is restriction of shoulder movement in all directions. Rehabilitation guidelines for standard reverse total. Raise arm to the side, palm down, until arm reaches 90. Strength is the second component of shoulder rehabilitation and consists of dumbbell, tubing, and functional exercises. Control pain and edema normal rom, proprioception, strength. The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. For this reason the shoulder is the most mobile joint in the body. Do not perform exercises that increase your pain during or after the exercise. Rehabilitation protocol for total shoulder arthroplasty. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Stand with arm at side, elbow straight, and palm against side. Because the head of the humerus much larger than the.