The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Total shoulder arthroplasty hemiarthroplasty protocol. 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. This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise. Strengthening exercises mammoth orthopedic institute. Rom is desired degrees of range of motion of movement. 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. This is an interactive guide to help you find relevant patient information for your shoulder problem. 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. Strength is the second component of shoulder rehabilitation and consists of dumbbell, tubing, and functional exercises. Passive range of motion in all planes as tolerated. Postoperative shoulder protocols 812 1 ben rubin, m. Advance to home program or self directed gym program, teaching pnf patterns, upright rows, shoulder strengthening and endurance. 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.
Rehabilitation guidelines for open latarjet anterior shoulder. Rotator cuff and shoulder conditioning program introduction 1 additional notes. 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. Frozen shoulder adhesive capsulitis brett sanders, md center for sports medicine and orthopaedic 2415 mccallie ave.
All active exercises should be carefully monitored to minimize substitution or compensation. Patients with additional surgery will progress at different rates. Diagnosis is based on clinical examination and medical history and a key alerting feature is restriction of shoulder movement in all directions. Th e full recovery from these procedures occurs after 69 months. 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. Anterior stabilization capsulorrhaphy with or without labral repair postoperative shoulder protocol basic guidelines 1. 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. Total shoulder arthroplastyhemiarthroplasty protocol. Stand with arm at side, elbow straight, and palm against side.
Achieving the criteria of each phase should be emphasized more than the approximate duration. 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. Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks pain control. Rotator cuff and shoulder rehabilitation exercises.
Rehabilitation protocols southeast georgia health system. Apply ice, or the cooling unit, to the shoulder as it will be quite helpful. Raise arm to the side, palm down, until arm reaches 90. Rehabilitation guidelines for shoulder debridement, decompression and distal clavicle excision the shoulder is made up of three bones. The following list of exercises and treatment options is an approximate order of progression. 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. Bending over at the waist and balancing with the good arm let the stiff side relax and swing with gravity.
These protocols are listed by diagnosis, so clinicians who are providing patient care may reference the applicable protocol to help rehabilitate their patient. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. The patient before you is participating in a study to determine the effectiveness of physical therapy in. Duke wyre shoulder vest brace or sully shoulder stabilizer for sport 61107 revised. Any forceful pushing, pulling or lifting activities should continue to be avoided. The tendon can often become frayed or partially torn. Rehabilitation guidelines for shoulder debridement. Rotator cuff and shoulder rehabilitation exercises pdf handout.
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 head of the upper arm bone humerus is the ball and a circular depression glenoid in the shoulder bone scapula is the socket. 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. Plateletrich plasma protocol 1 release physical therapy 202 9746621. Shoulder arthroscopic capsular release rehabilitation phase two. Use of the operated arm you may now safely use the arm for most normal daily activities. Department of rehabilitation services reverse total. 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. Flexibility is the first component of shoulder rehabilitation and consists of range of motion rom, static stretching, and dynamic stretching. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. 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. 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. 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.
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. 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. Ideally, only patients with loss of active and passive external rotation of the involved shoulder with a normal xray would be. Rehabilitation guidelines for open latarjet anterior. 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. Rehabilitation protocol for total shoulder arthroplasty. Rehabilitation protocol for reverse shoulder arthroplasty. Specific interventions should be based on the needs of the individual and. This handout and these exercises are only a general template and should be supplemented by the physical therapy program prescribed by your doctor. Use at all times except showering bathing modalities. 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. The patient before you is participating in a study to determine the effectiveness of physical therapy in treating rotator cuff tears.
Arthroscopic labrum repair of the shoulder slap anatomy. To make the exercise harder you can step away so the band is tight then recommence your exercises. 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. Adhesive capsulitis protocols ucsf sports medicine rehab. Shoulder tendonitis brett sanders, md center for sports medicine and orthopaedic 2415 mccallie ave. One part of the scapula, called the glenoid fossa, is coupled with the humerus to make up the socket of the shoulder. Because the head of the humerus much larger than the. These should be performed in flexion, extension, abduction, internal and.
Pendulum exercises bend forward at the waist, back parallel to ground is ideal. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible. Copy and paste this html code into your webpage to embed. Do not perform exercises that increase your pain during or after the exercise. 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.
For this reason the shoulder is the most mobile joint in the body. 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. 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. 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. Anterior stabilization postoperative shoulder protocol. It is not intended to be a substitute for appropriate. There are several exercises that can help reduce shoulder pain and improve your range of motion. Reverse total shoulder arthroplasty rehab protocol 1 rehabilitation guidelines for standard reverse total shoulder arthroplasty rtsa note. The shoulder rehabilitation protocol consists of two major components. Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury.
Nonsurgical shoulder impingement rehabilitation protocol ramin r. Control pain and edema normal rom, proprioception, strength. Rotator cuff and shoulder conditioning program orthoinfo aaos. To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Soft tissue mobilization to surrounding tissues, effleurage for edema. Revision surgery or cases involving bonegrafting procedures may undergo modifications to the below guideline. 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. By design and necessity, it is incomplete, to allow for individualization of the.
Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair. Rehabilitation guidelines for standard reverse total. This analogy is used because the articular surface of the round humeral head upper most part of. Cole, md, mba range of motion immobilizer exercises phase i 04 weeks 02 weeks. Allow involved arm to hang down, perpendicular to the floor. 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. Rehabilitation guidelines for standard reverse total shoulder. Rehabilitation after total shoulder arthroplasty activities and advice for in the hospital and while at home. Throwers ten exercise program university of florida. Nonsurgical shoulder impingement rehabilitation protocol. Shoulder rehabilitation western orthopaedic clinic. Regular physical therapy visits are valuable for giving you feedback on your progress and helping to ensure you are doing exercises properly. Shoulder labral repair rehabilitation protocol labral repairs are limited by the inherent limitation of softtissue healing to bone. Sling is worn 34 weeks, immobilizer at night avoid internal rotation position.
The socket portion of the joint is not naturally deep. Strengthening the muscles that support your shoulder will help keep your. This site complies with the honcode standard for trustworthy health information. Nonoperative shoulder rehabilitation protocol ben rubin, m. Progress to independent rehabilitation program by 10 weeks ube forward and retro. Bankart repair rehabilitation protocol arthroscopicopen this protocol was developed for patients who have had a bankart repair. 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 protocol for total shoulder arthroplasty and. Strengthening the muscles that support your shoulder will help keep your shoulder joint stable. Scapular stabilization ucsf sports medicine rehab resource.
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. Shoulder arthroscopic capsular release rehabilitation. Roll shoulder back and down and maintain this position. Adhesive capsulitis protocols ucsf sports medicine.