Shoulder rehabilitation treatment includes activity modification, stretching, and strengthening the affected limb. You may note that these protocols are more conservative than you have seen in your experience or heard from friends. T physical therapy, protocols, shoulder rehabilitation he first total shoulder arthroplasty tsa was performed by jules emile pean in 1893 for the purpose of treating tuberculous arthritis of the shoulder. The rehabilitation protocols of academic orthopaedic. Shoulder rehabilitation protocol general shoulder rehabilitation exercises. This subsection of our website contains rehabilitation programs or protocols designed for shoulder problems which may be treated without surgery. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Th e full recovery from these procedures occurs after 69 months. Reverse total shoulder replacement rehabilitation guidelines.
Participants began a physical rehabilitation program 2 weeks after the shoulder dislocation, which was confirmed by a referring physician. Achilles tendon repair and rehab pdf anterior cruciate ligament more about uw health sports rehabilitation acl rehabilitation. Reverse shoulder arthroplasty rsa shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain. Relieve pain and inflammation normalize range of motion. This site complies with the honcode standard for trustworthy health information. Pdf physical therapy protocols for arthroscopic bankart. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Rotator cuff bursitis tendonitis rehabilitation protocol.
Rehabilitation following rotator cuff repair keys to success rehabilitation following rotator cuff repair immobilization vs immediate motion peltz et al. Always be sure to ice your shoulder after you complete your exercises. Rehabilitation protocol for shoulder impingement i. In total there are 177 newly revised and expanded protocols for nonoperative and postoperative rehabilitation of the shoulder, elbow, hip, knee, foot, and ankle, plus exercise handouts and interval return to sport programs. The shoulder rehabilitation protocol consists of two major components. Specific interventions should be based on the needs of the individual and. Postoperative shoulder protocols 812 1 ben rubin, m. Rotator cuff and shoulder conditioning program orthoinfo aaos. Denards rehabilitation protocols open shoulder surgery these rehabilitation protocols are based on current studies detailing healing time and the risk of stiffness after open shoulder surgery. Rotator cuff repair protocol boston shoulder institute. Rehabilitation protocol for total shoulder arthroplasty. Shoulder exercises for bankart rehabilitation protocol. Here are some videos explaining shoulder and arm exercises which you may find useful.
Many of the protocols listed refer to specific exercises. Rom is desired degrees of range of motion of movement. Strengthening the muscles that support your shoulder will help keep your. Shoulder rehabilitation western orthopaedic clinic. Previous shoulder injury o immobilization o diabetes o thyroid problems progression 1st stage freezing stage. Abduction bracesling, remove sling only to bathe and to complete exercises. The intent of this protocol is to provide the clinician with a. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the ohio state sports medicine physical therapy team and sometimes, other healthcare providers. Phase i immediate post surgical phase meets criteria for progression to phase ii. Ankle and foot fusions and bone grafts rehabilitation protocol. Shoulder replacement rehabilitation program johns hopkins. Flexibility is the first component of shoulder rehabilitation and consists of range of motion rom, static stretching, and dynamic stretching. Same exercise but rotate the arm outwards and inwards. Rehabilitation following total shoulder arthroplasty.
Postoperative rehabilitation protocols shoulder shoulder arthroscopy general slap or anterior labral repair posterior labral repair rotator cuff repair cc ligament reconstruction latarjet procedure pec tendon repair pec tendon transfer total shoulder or reverse shoulder arthroplasty knee knee arthroscopy general knee microfracture or oats meniscus repair meniscus root repair mpfl. During this time, range of motion exercises are started to prevent the shoulder from getting stiff and losing mobility. Shoulder rehabilitation guidelineadhesive capsulitis resectionmua adhesive capsulitis involves a limitation of range of motion secondary to glenohumeral capsular tightening and scarring. Rehabilitation guidelines after surgery, sports medicine.
This protocol should be used as a guide during your rehabilitation after surgery. Shoulder arthroscopic capsular release rehabilitation. J orthop res 10 after a short period of immobilization, increased activity is detr imental to both tendon mechanical properties and shoulder joint. Rehabilitation of ankle and foot injuries in athletes. This rehabilitation program has been distilled from seven level 1 or.
The tendon can often become frayed or partially torn. Rehabilitation following reverse shoulder arthroplasty. Considerations for the postoperative rotator cuff repair rehabilitation program. Rehabilitation guidelines for shoulder debridement. Biceps tenodesis without rtc repair decompression with or without distal clavicle resection. The moon shoulder group is part of the multicenter orthopaedic outcomes network. However, there is no consensus concerning the rehabilitation protocol following surgery. Rehabilitation protocol for rotator cuff repair massachusetts. It is essential that he or she follow this rehabilitation program very closely. Shoulder exercises for bankart rehabilitation protocol the exercises illustrated and described in this document should be performed only after instruction by your physical therapist or dr. Click here to download pdf shoulder arthroscopic capsular release rehabilitation phase one. Shoulder labral repair rehabilitation protocol labral repairs are limited by the inherent limitation of softtissue healing to bone. For the first 48 hours following surgery ice for 30 minutes.
Duke wyre shoulder vest brace or sully shoulder stabilizer for sport 61107 revised. Physical therapy standards of care brigham and womens. Rotator cuff repair postoperative rehabilitation protocol orthoindy. Pendulum exercise bend over at the waist and let the arm hang down. Standardized, consensus and evidence derived postoperative shoulder rehabilitation guidelines for patients following arthroscopic bankart, arthroscopicminiopen rotator cuff repairs and total shoulder arthroplasty have been developed by a multidisciplinary team of physical therapists, orthopedic surgeons and physicians known as surge shoulder and elbow research group of edmonton. Control pain and edema normal rom, proprioception, strength. Use of a sling for 12 weeks postop unless otherwise indicated.
Each case can be very different depending on the goals of the patient, the age of the. Make sure to rest from all painful activities until swelling subsides. The rehabilitation program will gradually progress to. If your shoulder symptoms do not improve with these exercises, then please notify our office. Denards rehabilitation protocols open shoulder surgery. For patients who are recovering from shoulder surgery, please refer to the following protocols as advised by your physical therapist. Shoulder rehabilitation protocols the stone clinic. Moon shoulder group first met in may 2004, and has grown to include more than. Background stretching exercises o typically between ages of 40 65 o thickening of the capsule around the shoulder causes. Posterior stabilizationmdi postoperative shoulder protocol.
Progress to independent rehabilitation program by 10 weeks ube forward and retro. Uw health s sports medicine sports rehabilitation physical therapists and athletic trainers in madison, wisconsin, help injured athletes return to health and return to sport. Outcomes after arthroscopic bankart repair can be highly dependent on compliance and participation in physical therapy. Rehabilitation is vital to regaining motion, strength and function of the shoulder after arthroscopic surgery. Postoperative rotator cuff repair rehabilitation protocol. Rehabilitation protocol for ulnar collateral ligament reconstruction palmaris longus graft, gracilis graft phase i. Please only do these exercises if you have been advised to do so by. Total shoulder replacement protocol sports and ortho. The elimination of any activity that causes an increase in. When this process is addressed with manipulation under anesthesia or. Immediate postop 03 weeks after surgery rehabilitation goals protect healing tissue decrease paininflammation protect graft site. 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.
Shoulder immobilizer worn in gunslinger position for 46 weeks, neutral for mdi 3. Department of rehabilitation services physical therapy arthroscopic rotator cuff repair protocol. Internal rotation, external rotation, abduction, extension and curls. Posterior stabilizationmdi capsulorrhaphy with or without labral repair postoperative shoulder protocol basic guidelines. Rehabilitation protocol for ulnar collateral ligament. 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.
Ohio state physicians and physical therapists work collaboratively to develop best clinical practices for postsurgical rehabilitation. Rehabilitation programs are discussed for ankle sprains, plantar fasciitis, achilles tendonitis, and turf toe. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic assistedminiopen rotator cuff repair. Nonsurgical shoulder impingement rehabilitation protocol. Shoulder arthroscopy rehab protocol the stone clinic. Treatment algorithm for progressing the rehabilitation program for a patient that has had a total shoulder arthroplasty. Shoulder rehabilitation protocols bankart repair rehabilitation protocol broken collarbone rehab protocol. Sixweek physical rehabilitation protocol for anterior. A physiotherapist should be consulted throughout to teach and individually modify the exercises. Pull down with good arm to raise the injured shoulder. The patient before you is participating in a study to determine the effectiveness of physical therapy in treating rotator cuff tears. Rehabilitation protocol for reverse shoulder arthroplasty.
Rehabilitation protocols ohio state sports medicine. To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. While many patients experience significant improvement in symptoms with these exercises, not all patients will improve. Nonsurgical shoulder impingement rehabilitation protocol ramin r. Minnesota orthopedic sports medicine institute, twin. Flexibility is the first component of shoulder rehabilitation and. Denards rehabilitation protocols arthroscopic shoulder surgery these rehabilitation protocols are based on current studies detailing healing time and the risk of stiffness after arthroscopic shoulder surgery. Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks pain control.
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