This 4phase program will expose you to various scapula and shoulder strengthening and stabilization exercises supported by science. Rehabilitation after rotator cuff repair of the shoulder. P protection the first phase of rehabilitation begins with flexibility. Squeeze your shoulder blades together to separate the band. Increase strength and mobility in your shoulders for improved performance many swimmers have missed some amount of time away from the water due to some type of shoulder injury, either minor or severe. Shoulder extension in prone do not move shoulder past the plane of the body e. 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. Physical therapy for reverse total shoulder replacement. Electromyographical assessment of passive, active assistive, and active shoulder rehabilitation exercises. Move your elbow, fingers and hand several times a day. After the warmup, do the stretching exercises shown on page 1 before moving on to the strengthening exercises. Impingement syndrome rotator cuff tendinitis, bursitis.
Stand comfortably with your feet shoulder width apart. You can change the dressing to a smaller one to allow the cold therapy to reach the shoulder. Irer in scaption plane and flex 90125 rhythmic stabilization in supine. Unless your doctor feels that you have adhesive capsulitis or frozen shoulder, these exercises should not cause pain. Shoulder rehabilitation western orthopaedic clinic. Early post surgery rehab first 6 weeks after surgery. Passive supine rom elevation and external rotation see cover page.
Slowly pinch your shoulder blades scapulae together as if supporting a stick between them. Shoulder flexion lying down slide 1 of 6, shoulder flexion lying down, lie on your back, holding a. The socket portion of the joint is not naturally deep. Starting position shoulder retraction step 1 horizontal shoulder abduction step 2 external shoulder rotation w thumbup step 3 start with shoulder protracted hanging off the edge of the table starting position, then retract shoulder step 1.
Do these exercises as soon as your healthcare provider says you can. Shoulder strengthening exercises are appropriate for patients with a variety. Rotator cuff exercises shoulder injury rehab ask doctor. Stretching and strengthening the muscles of the shoulder and scapula. Rehabilitation protocol for reverse shoulder arthroplasty. Seated row dynamic exercises continue phase ii exercises progressive resistive exercises 1 3 lb.
Apply cold to the shoulder for 20 minutes at a time as needed to reduce pain and swelling. Rotator cuff sprain and strains home university health. B forward elevation using a door or c against the wall. Your therapist will individually tailor and modify your exercise regime to best suit you because no one is the same. Sit comfortably with your feet shoulder width apart. Building strength and endurance page 2 of 34 to complete the rehabilitation program, additional activities and exercises should target thoracolumbar core stability, proprioceptive input, and motor control. Nonsurgical shoulder impingement rehabilitation protocol ramin r. If the scapula doesnt move well, it puts a lot of pressure on the rotator cuff and related muscles, which can cause strain.
Keeping your arm at shoulder height, pull your arm across your chest until you feel a gentle stretch in the back of your shoulder. Anterior deltoid exercises for patients with massive rotator. Some shoulders are too tight and others arent strong or stable enough. Throwers ten exercise program university of florida. Roll your shoulders up, then back, and then down in a smooth, circular motion. This is the same position as the pendulum exercise. No resisted rotator cuff strengthening exercises until weeks. Do this exercise for 5 minutes, 5 to 7 times each day even while your shoulder is still tender from an injury or surgery. Before doing the following exercises, warm up with 5 to 10 minutes of low impact activity, like walking or riding a stationary bicycle. Postoperative rotator cuff repair sport medicine centre. Find your balance and with the other part of the band in each hand, bring the band up to shoulder height up at a 45 degree angle with the thumb side of your hand facing up. Postop rehab protocol for shoulder debridement, decompression, distal clavicle excision phase 1 0 3 weeks after surgery appointments pt begins 58 days postop goals reduce pain and swelling in the postsurgical shoulder regain full passive range of motion prom and active assistive range of.
Get instant access to the training zone watch the video instruction for your rehab exercises and learn ways to modify it for pain 3. Rotator cuff and shoulder rehabilitation exercises. Not straight over head but not straight out to the side, in a diagonal motion. When your symptoms are less acute you can begin strengthening the rotator cuff and the muscles that provide stability. This program will bulletproof your shoulders for anything life throws at. Slowly pull down on the pulley with your good arm, so that your affected arm raises forwards and upwards without any effort. Volume 28, number 3, pages 6265 rehab tips scapula stabilization rehab exercise prescription jason brumitt,mspt,scs,atc. It will reduce your pain and improve both the range of movement and your arm function. Do not perform exercises that increase your pain during or after the exercise. Lean over and do pendulum exercises for 3 to 5 minutes every 1 to 2 hours. When you have tight chest muscles it can pull your shoulder joint into a. These exercises must be done for at least 12 weeks and must always be performed starting lying down to begin with.
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. Each one is easy to perform so you wont have to jump through any hoops to start the steps. This handout illustrates some basic range of motion exercises for the shoulder. Biceps tenodesis rehabilitation boston sports medicine. Rotator cuff exercises shoulder injury rehab ask doctor jo. These exercises are recommended by us for you to perform on your own to regain your shoulder range of motion.
Shoulder passive range of motion seated or standing phase 1 shoulder passive range of motion seated or standing phase 1 the following is your personalized exercise program prescribed by your physical therapist. Slide your hand down your leg as you let the weight of your arm gently stretch your side muscles. Progress to light isotonic dumbbell exercises external rotation. Shoulder flexor and extensor see figure in appendix scapular strengthening exercises the shoulder blade scapula is one of the main bones of the shoulder joint. Let your arm move in a circle, first clockwise, then counterclockwise. This may feel like less shoulder motion than before, but this is the normal way that the shoulder works.
Follow the 30day fix program follow a daily program that will steadily improve your shoulder strength and mobility in 5. For any strengthening exercises where your arms start at or stretch from your sides, the motion. Lie on your stomach, supporting your body with your forearms. After a burn injury to your shoulder, your skin will tighten in an attempt to close and heal the wounds as. Vive shoulder pulley over door rehab exerciser for rotator cuff recovery arm rehabilitation exercise system for frozen physical therapy, flexibility stretching strengthener, range of motion 4. Nonsurgical shoulder impingement rehabilitation protocol. A comprehensive guide to shoulder exercise therapy the shoulder exercise book is a patientspecific booklet to assist patients and therapists through their rehabilitation period. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Rehabilitation protocol for total shoulder arthroplasty and. Following you will find a list of detailed exercises that research has shown will help with shoulder. They should be performed within your comfort zone unless otherwise instructed. Postop rehab protocol for shoulder debridement, decompression, distal clavicle excision phase 1 0 3 weeks after surgery appointments pt begins 58 days postop goals reduce pain and swelling in the postsurgical shoulder regain full passive range of motion prom and active assistive range of motion aarom. Usually, the pendulum exercise, tabletop slides and supine neutral external rotation stretches are the easiest to do and the most pain free.
Exercises can be done daily or on alternating days. In all exercises during phase one and phase two, caution must be applied in placing undue stress on the anterior joint capsule as dynamic joint stability is restored. Shoulder separation and acromioclavicular joint injury. Shoulder rehabilitation scapulae setting these exercises can be done in a number of different positions shown below. As you have less pain, try bending over a little farther to do this exercise. Shoulder range of motion exercises johns hopkins division of shoulder surgery department of orthopaedic surgery created 9262017 edward g. Allow gravity or your opposite arm to lift and move the involved shoulder. For each exercise perform 1 set of 10 repetitions 1 2 daysweek.
Scapular stabilizer strengthening closedchain strengthening exercises. Nov 08, 2020 repeat the exercise on the back shoulder. This will increase the amount of movement at your shoulder. Reverse shoulder arthroplastyrtsa rehabilitation protocol. Passive shoulder pendulum prom er with cane elbow at side to 20 degrees only x 8 weeks prom ir to side at 45 degrees abduction prom shoulder flexion with slight ir prom shoulder abduction prom but no stretching shoulder isometrics. In patients with minor ruptures, strengthening is occasionally started in this phase, otherwise strengthening starts in phase iii. After you get back the full range of motion in your shoulder, your. Anatomical and biomechanical framework for shoulder arthroplasty rehabilitation. Learn more about shoulder replacement rehabilitation following shoulder replacement surgery here. Shoulder exercises wing ftp server university of western states. Here in this video i talk about shoulder impingement exercises full rehabilitation program resist.
Hold the elastic band with arm at a height of shoulder level and elbow straight. Consider using a shoulder sling for the first 1 2 days if your shoulder is painful with everyday living activities. Raise one arm over your head, and then lean to the other side. Hold spine in neutral, core activated and shoulder down away from your ears.
The shoulder p rehab program is a physical therapist developed, stepbystep program that teaches you how to optimize your shoulder health. Many of the same exercises we prescribe for high level training with our professional athletes have their roots in the e. Instruct to don and doff sling or shoulder immobilizer shoulder should be completely immobilized at all times except to change instruct on proper use of ice or polarcare 2030 minutes at a time, several times per day especially after exercises pendulum exercises passive forward elevation to 90 deg passive er to 30 deg. Physiotherapy department rehabilitation after shoulder. C5c5,d willamette falls hospital,oregon city,oregon erikmeira,pt,cscs elite physicaltherapy and sports medicine, portland,oregon summary the athletic shoulder is susceptible to repetitive overuse injuries in sports. Rotator cuff and shoulder conditioning program orthoinfo. Our latest edition of the shoulder exercise book shoulder rehabilitation. Nonoperative rehabilitation for full thickness rotator cuff tears. Rom, static stretch, and dynamic stretch shoulder injuries are very common in the collegeaged population. Take hold of one handle in each hand at head height. Stretching exercises this handout illustrates some basic range of motion exercises for the shoulder.
Shoulder replacement rehab phase 1 shoulder replacement. Customize your equipment select the proper resistance level and attachment for use at home, the gym, or office 2. Stand or lie on your back, grasping your elbow as shown in the diagram. Strengthening exercises mammoth orthopedic institute. To protect, repair and maintain your range of motion, it is important for you to do the following during this time period.
After 7 to 10 days, if the shoulder is improving and the exercises do not worsen the pain, the remaining exercises can be gradually added. Strengthening and optimal movements for painful shoulders. For each exercise perform 2 sets of 10 repetitions 23 daysweek when performing exercises, you should not experience pain during or after the exercise. Start at one set of 1215 reps and progress to 2 sets. Exercises after burn injury to your shoulder metro north hospital. For all these exercises, your elbow should be bent to a right angle and your arm should not move. Static strengthening exercises static shoulder exercises work the muscles in the shoulder without moving the shoulder itself. Apply ice to the shoulder as tolerated to reduce pain and swelling.
Supraspinatus, full can in the scapular plane below shoulder level b. Shoulder replacement this handout has information about your reverse total shoulder replacement and the exercises you will need to do after your surgery. Shoulder flexion lying down slide 1 of 6, shoulder flexion lying down, for this exercise, you will. Conduct exercises 23 times daily phase 1 exercises.
Shoulder arthroplasty and its effect on strain in the subscapularis muscle. Then slowly let the affected arm come down, controlling the movement with the. Align exercise shoulder under the overhead band in the doorway. Standing grasp the stick with both hands behind your back, push backward with the good arm supplying the power.
Pull band downward across the body toward the opposite knee in a slow controlled motion. The following exercises should be done three to five times a day to strengthen your deltoid muscle. E internal rotation with crossbody adduction, f behind the back against a counter and g with a towel. Begin the pendulum exercise several times a day pendulum exercise. These rotator cuff exercises can help strengthen or rehab your rotator cuff. Role of the kinetic chain in shoulder rehabilitation. Roll shoulder back and down and maintain this position. The selected one for you will be taught by your physiotherapist. Improve shoulder flexion lifting the arm forwards and above your head starting position. One useful strategy is to take the program of 810 recommended exercises and divide them in half, doing one group on one day e. Adhesive capsulitis protocols ucsf sports medicine. Arom exercises if the operation report states that arom exercises should be started later.
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