Reverse total shoulder replacement rehabilitation guidelines. Rehabilitation protocol for shoulder impingement i. Pendulum exercise bend over at the waist and let the arm hang down. This rehabilitation program has been distilled from seven level 1 or. Rehabilitation is vital to regaining motion, strength and function of the shoulder after arthroscopic surgery. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Internal rotation, external rotation, abduction, extension and curls.
Phase i immediate post surgical phase meets criteria for progression to phase ii. 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. 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. Rehabilitation guidelines for shoulder debridement. Treatment algorithm for progressing the rehabilitation program for a patient that has had a total shoulder arthroplasty. Strengthening the muscles that support your shoulder will help keep your.
Rotator cuff bursitis tendonitis rehabilitation protocol. This subsection of our website contains rehabilitation programs or protocols designed for shoulder problems which may be treated without surgery. Rehabilitation of ankle and foot injuries in athletes. Biceps tenodesis without rtc repair decompression with or without distal clavicle resection. Shoulder rehabilitation western orthopaedic clinic. Postoperative rotator cuff repair rehabilitation protocol.
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. Reverse shoulder arthroplasty rsa shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain. 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. Previous shoulder injury o immobilization o diabetes o thyroid problems progression 1st stage freezing stage. The rehabilitation protocols of academic orthopaedic. Denards rehabilitation protocols open shoulder surgery. Rehabilitation following reverse shoulder arthroplasty. Rehabilitation following total shoulder arthroplasty. Physical therapy standards of care brigham and womens. 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. Immediate postop 03 weeks after surgery rehabilitation goals protect healing tissue decrease paininflammation protect graft site.
The elimination of any activity that causes an increase in. J orthop res 10 after a short period of immobilization, increased activity is detr imental to both tendon mechanical properties and shoulder joint. Rehabilitation protocols ohio state sports medicine. The shoulder rehabilitation protocol consists of two major components. Relieve pain and inflammation normalize range of motion. Rehabilitation protocol for ulnar collateral ligament. Rehabilitation programs are discussed for ankle sprains, plantar fasciitis, achilles tendonitis, and turf toe. Rehabilitation protocol for rotator cuff repair massachusetts. Make sure to rest from all painful activities until swelling subsides. Rehabilitation following rotator cuff repair keys to success rehabilitation following rotator cuff repair immobilization vs immediate motion peltz et al. Rotator cuff and shoulder conditioning program orthoinfo aaos. Rotator cuff repair postoperative rehabilitation protocol orthoindy.
It is essential that he or she follow this rehabilitation program very closely. Pdf physical therapy protocols for arthroscopic bankart. Shoulder immobilizer worn in gunslinger position for 46 weeks, neutral for mdi 3. Shoulder rehabilitation protocols the stone clinic. Rotator cuff and shoulder rehabilitation exercises. Shoulder rehabilitation protocols bankart repair rehabilitation protocol broken collarbone rehab protocol. Always be sure to ice your shoulder after you complete your exercises. 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. 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. Participants began a physical rehabilitation program 2 weeks after the shoulder dislocation, which was confirmed by a referring physician. Pull down with good arm to raise the injured shoulder. The intent of this protocol is to provide the clinician with a. Considerations for the postoperative rotator cuff repair rehabilitation program. Control pain and edema normal rom, proprioception, strength.
Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks pain control. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Duke wyre shoulder vest brace or sully shoulder stabilizer for sport 61107 revised. 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.
While many patients experience significant improvement in symptoms with these exercises, not all patients will improve. Specific interventions should be based on the needs of the individual and. The tendon can often become frayed or partially torn. 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. Progress to independent rehabilitation program by 10 weeks ube forward and retro. Nonsurgical shoulder impingement rehabilitation protocol ramin r. You may note that these protocols are more conservative than you have seen in your experience or heard from friends. 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. Department of rehabilitation services physical therapy arthroscopic rotator cuff repair protocol. Same exercise but rotate the arm outwards and inwards. Flexibility is the first component of shoulder rehabilitation and consists of range of motion rom, static stretching, and dynamic stretching. The moon shoulder group is part of the multicenter orthopaedic outcomes network. Postoperative shoulder protocols 812 1 ben rubin, m.
Background stretching exercises o typically between ages of 40 65 o thickening of the capsule around the shoulder causes. Abduction bracesling, remove sling only to bathe and to complete exercises. Shoulder rehabilitation treatment includes activity modification, stretching, and strengthening the affected limb. Minnesota orthopedic sports medicine institute, twin. Many of the protocols listed refer to specific exercises. We are a group of surgeons and researchers from around the united states who work together to do high quality research on conditions involving the shoulder in hopes of improving care for our patients and advancing scientific knowledge. Achilles tendon repair and rehab pdf anterior cruciate ligament more about uw health sports rehabilitation acl rehabilitation. The patient before you is participating in a study to determine the effectiveness of physical therapy in treating rotator cuff tears. During this time, range of motion exercises are started to prevent the shoulder from getting stiff and losing mobility. Each case can be very different depending on the goals of the patient, the age of the. When this process is addressed with manipulation under anesthesia or. Use of a sling for 12 weeks postop unless otherwise indicated. However, there is no consensus concerning the rehabilitation protocol following surgery. For patients who are recovering from shoulder surgery, please refer to the following protocols as advised by your physical therapist.
Nonsurgical shoulder impingement rehabilitation protocol. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. This protocol should be used as a guide during your rehabilitation after surgery. Flexibility is the first component of shoulder rehabilitation and. Here are some videos explaining shoulder and arm exercises which you may find useful. 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. 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 material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. For the first 48 hours following surgery ice for 30 minutes. Click here to download pdf shoulder arthroscopic capsular release rehabilitation phase one.
A physiotherapist should be consulted throughout to teach and individually modify the exercises. The rehabilitation program will gradually progress to. Rotator cuff repair protocol boston shoulder institute. Shoulder arthroscopy rehab protocol the stone clinic. Ankle and foot fusions and bone grafts rehabilitation protocol. Rehabilitation protocol for reverse shoulder arthroplasty. Rom is desired degrees of range of motion of movement. Shoulder labral repair rehabilitation protocol labral repairs are limited by the inherent limitation of softtissue healing to bone. Shoulder arthroscopic capsular release rehabilitation. Rehabilitation protocol for total shoulder arthroplasty. Shoulder exercises for bankart rehabilitation protocol. This site complies with the honcode standard for trustworthy health information.
Posterior stabilizationmdi capsulorrhaphy with or without labral repair postoperative shoulder protocol basic guidelines. Shoulder rehabilitation protocol general shoulder rehabilitation exercises. 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. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at bwh. Ohio state physicians and physical therapists work collaboratively to develop best clinical practices for postsurgical rehabilitation. Sixweek physical rehabilitation protocol for anterior. Outcomes after arthroscopic bankart repair can be highly dependent on compliance and participation in physical therapy. Moon shoulder group first met in may 2004, and has grown to include more than. The rehabilitation program was 6 weeks in duration and required the participants to engage in progressive resistive loadsduration using elastic bands and weights 5 days per week. Shoulder replacement rehabilitation program johns hopkins. Th e full recovery from these procedures occurs after 69 months. Please only do these exercises if you have been advised to do so by. Rehabilitation protocol for ulnar collateral ligament reconstruction palmaris longus graft, gracilis graft phase i. Total shoulder replacement protocol sports and ortho.
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