Denards rehabilitation protocols arthroscopic shoulder surgery. Shoulder labral repair rehabilitation protocol labral repairs are limited by the inherent limitation of softtissue healing to bone. In this condition, the rotator cuff tendon becomes pinched under the anterior aspect of the acromion during elevation of the upper extremity. A pillow behind the operative shoulder and elbow can often provide relief.
Sling your sling is not necessary except for comfort, unless dr. Arthroscopic labral repair protocol type ii, iv, and complex tears. Because the head of the humerus much larger than the. This is summary of the evaluation and rehabilitation of a patient following an arthroscopic acromioplasty. For the first three weeks after surgery, you should see the physical. Rehabilitation guidelines for shoulder arthroscopy the shoulder is made up of three bones. Shoulder arthroscopy rehab protocol shoulder impingement rehab protocol. Shoulder surgery postoperative care and rehabilitation protocol dr. Shoulder arthroscopy with posterior labral repair rehabilitation protocol general notes as tolerated should be understood to include with safety for the surgical procedure. This protocol is a guideline for your postop rehab. If any of these occur, decrease activity level and ice. Please contact the uwmc shoulder and elbow team with any questions. Click through the list of surgical procedures on the left to view our suggested rehab protocol for each one. Acromioclavicular ac joint symptoms are another common shoulder problem.
Shoulder arthroscopy and stabilization of multidirectional instability mdi rehabilitation protocol general notes. Th e full recovery from these procedures occurs after 69 months. Click here to download pdf arthroscopic shoulder surgery. Postop rehab protocol for shoulder arthroscopy rotator cuff repair phase 1 0 6 weeks after surgery goals protect the surgical repair minimize pain and swelling achieve staged range of motion goals maintain tone of scapular muscles as well as normal scapular position and mobility. Shoulder arthroscopic labral debridement rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. For patients who underwent arthroscopic distal clavicle excision, avoid. Treatment algorithm for progressing the rehabilitation program for a patient that has had a total shoulder arthroplasty. The socket portion of the joint is not naturally deep. This section includes information on rehabilitation protocols for patients, physiotherapists or anyone looking for rehabilitation advice and guidelines. Use an elastic stretch band of comfortable resistance. This is where the nerves that control feeling in your shoulder and arm are located.
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. Acromioclavicular ac joint symptoms are another common shoulder problem, resulbng from both direct injury to the ac joint and rotator cu. One part of the scapula, called the glenoid fossa, is coupled with the humerus to make up the socket of the shoulder figure 1. Petre would like to thank the doctors at the steadman clinic and the staff at howard head sports medicine in vail colorado for the creation of this rehab protocol. We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. Manual technique to restore capsular length if necessary and indicated by. Begin active and manual scapula strengthening exercises.
The american society of shoulder and elbow therapists consensus statement on rehabilitation following arthroscopic rotator cuff repair. Mathes arthroscopic shoulder surgery is done to examine the shoulder. Arthroscopic rotator cuff repair protocol brigham and womens. Total shoulder arthroplastyhemiarthroplasty 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. 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. Shoulder arthroscopy rehab protocol the stone clinic. 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 subacromial decompression. This protocol provides you with general guidelines for the rehabilitation of. General shoulder arthroscopy postoperative rehabilitation protocol. These rehabilitation protocols are based on current studies detailing healing time and the risk of stiffness after arthroscopic shoulder surgery. You should make appointments to begin physical therapy the day after your arthroscopic capsular release. Rehabilitation guidelines for shoulder arthroscopy, openarthroscopic biceps tenodesis the intent of this protocol is to provide the clinician with a general guideline of the postoperative course of the patient that has undergone the above stated procedure. Home program, two times daily for fifteen minutes per session.
Rehabilitation after shoulder arthroscopy phase two. The shoulder rehabilitation protocol consists of two major components. Infraspinatus and teres minor you should feel this exercise at the back of your shoulder and into your upper back equipment needed. Rotator cuff repair protocol boston shoulder institute. 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. Rehabilitation protocol after shoulder arthroscopy dr laith jazrawi. One part of the scapula, called the glenoid fossa, is coupled with the humerus to make up the socket of the shoulder. The path to regaining range of motion, strength and function can require a. These tissues can get caught between the glenoid and the humerus or the humerus and the acromion which can cause pain and catching with shoulder movement.
Find pdfs of our most common rehabilitation protocols. It is not a big operation to repair a torn rotator cuff, but the rehabilitation. The purpose of this statement is to aid clinical decision making during the rehabilitation of patients after arthroscopic. Postoperative instructions shoulder arthroscopy and rotator. Rehabilitation protocol for rotator cuff repair massachusetts. Post operative arthroscopic subacromial decompression. The intent of this protocol is to provide the clinician with a. The tendon can often become frayed or partially torn. Improve range of motion of the shoulder and prevent adhesions from forming 2. Rehabilitation protocol after arthroscopic rotator cu. Biceps tenodesis protocol the intent of this protocol is to provide the clinician with a guideline of the post operative rehabilitation course of a patient that has undergone a biceps tenodesis for.
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 subacromial. Clv pt arthroscopic rotator cuff repair small rehab protocol. This site complies with the honcode standard for trustworthy health information. Postoperative instructions shoulder arthroscopy and. Gill instructs you to continue using it use it for comfort. You will go to the recovery room and generally will be discharged after 12 hours. Madison, wi 53718 rehabilitation guidelines for anterior shoulder reconstruction with arthroscopic bankart repair the anatomic configuration of the shoulder. This illustrated guide includes exercises and activities designed to restore muscle strength and mobility to your shoulder following shoulder surgery. Rehabilita0on is vital to regaining mo0on, strength and func0on of the shoulder. Rotate the arm clockwise x 10 then anticlockwise x 10. Are there differences between an arthroscopic and open rotator cuff repair. Arthroscopic rotator cuff repair protocol boston shoulder institute. Physical therapy standards of care brigham and womens. Mathes arthroscopic shoulder surgery is done to examine the shoulder joint and to do surgery such as clean up the joint, fix the rotator.
Treatment should be modified based on the condition of the rotator cuff. Use of a sling for 12 weeks postop unless otherwise indicated. The sports physical therapy service is an integral part of the sports medicine center and the department of. Posterior labral repair physical therapy protocol phase i. As tolerated should be understood to include with safety for the surgical procedure. Flexibility is the first component of shoulder rehabilitation and consists of range of motion rom, static stretching, and dynamic stretching.
For this reason the shoulder is the most mobile joint in the body. Rehabilitation protocol after shoulder arthroscopy 333 38th st. Rehabilitation protocol week 0 3 aarom advance to arom as tolerated when pain free with pulley and cane with emphasis on elevation in the plane of the scapula and external rotation. Nonsurgical shoulder impingement rehabilitation protocol ramin r. Some movement occurs between the shoulder blade and chest wall.
We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of. Verma or either physician assistant supersede the instructions below and should be followed. 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. The intent of this protocol is to provide the therapist and patient with guidelines for the postoperative rehabilitation course after arthroscopic rotator cuff repair. The american society of shoulder and elbow therapists consensus statement on rehabilitation following arthroscopic rotator cuff repair charles a. Shoulder rehabilitation western orthopaedic clinic. The shoulder is designed to give a large amount of movement. Shoulder arthroscopic capsular release rehabilitation phase one. Instruct patient in pulley use sitting or standing. Shoulder arthroscopy rehab program your postop rehabilitation can be more important in your recovery than the surgery itself. Department of rehabilitation services post operative arthroscopic subacromial decompression protocol the intent of this protocol is to provide the clinician with a guideline for the postoperative rehabilitation course of a patient that has undergone an arthroscopic.
Rehabilitation guidelines for shoulder arthroscopy uw health. Rehabilitation guidelines after surgery, sports medicine. Arthroscopic acromioplasty protocol weeks 02 use a sling at all times, day and night. Shoulder arthroscopy postoperative physical therapy protocol general considerations. Total shoulder arthroplasty hemiarthroplasty protocol. However, the labrum and rotator cuff also can become torn from gradual wear and tear of the shoulder. These exercises are intended for the initial strengthening of acute shoulder problems, andor longterm rehabilitation for massive rotator cuff tears and other conditions resulting in longterm severe weakness. Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair. Bankart and slap repair post operative pt protocol revised. Victoria bc v8z 0b9 tel 250 940 4444 fax 250 385 9600 page 1 june 2017 v1s. Lean forward slightly creating a stretch in your shoulder. Arthroscopic acromioplasty rehabilitation protocol introduction impingement syndrome is a common cause of chronic shoulder pain.
Arthroscopic rotator cuff repair small tear rehab protocol craig l. Set scapula by pushing back of shoulder against the wall. Ohio state physicians and physical therapists work collaboratively to develop best clinical practices for postsurgical rehabilitation. Arthroscopic labrum repair of the shoulder slap anatomy. Arthroscopic and open rotator cuff repair rehabilitation protocol week 1 2 shoulder sling and swathe full time day and night. Sports medicine physical therapy rehabilitation protocols.
Rehabilitation protocol after shoulder arthroscopy. Biceps tenodesis protocol boston shoulder institute. During this time, range of motion exercises are started to prevent the shoulder from getting stiff and losing mobility. During this time, range of motion exercises are started to prevent the shoulder. Protection weeks 0 to 6 goals allow healing of sutured capsule initiate early protection range of motion retard muscular atrophy decrease pain. The ball at the top of your arm bone humerus fits into the shallow socket glenoid which is part of the shoulder blade scapula. Rehabilitation protocol after arthroscopic rotator cuff repair. Repeat x 3 this exercise is difficult only do if able 10. This protocol provides the rehabilitation specialist with general guidelines for the rehabilitation. Aerobic conditioning throughout the rehabilitation process. If an object of appropriate height is not available, stand with your back to a door frame and grasp the.
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. Control pain and edema normal rom, proprioception, strength. However, most shoulder movements are at the ball and socket joint. The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. Rehabilitation guidelines for shoulder arthroscopy debridement please note that these instructions are general guidelines to be followed. This is summary of the evaluation and rehabilitation of a patient following an arthroscopic.
Johns hopkins shoulder surgery arthroscopic acromioplasty. Nonsurgical shoulder impingement rehabilitation protocol. Rehabilitation is vital to regaining motion, strength and function of the shoulder after arthroscopic surgery. Shoulder arthroscopy and stabilization of multidirectional.
An open surgery, which involves the deltoid, should be protected with prom for a least 3 weeks. Total shoulder replacement protocol sports and ortho. Shoulder arthroscopic labral debridement rehabilitation. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical. Arthroscopic subacromial decompression protocol sports and. Arthroscopic labral repair protocol, ii, iv, and complex tears. 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. All of the exercises should be performed with slow and controlled motion.
It is not intended to be a substitute for appropriate. Rehabilitation guidelines for shoulder arthroscopy, open. Shoulder arthroscopy may be performed using regional nerve blocks which numb your shoulder and arm. The rehabilitation program will gradually progress to. Achilles tendon repair and rehab pdf anterior cruciate ligament more about uw health sports rehabilitation acl rehabilitation.
You may have to sleep in a semierect position or in a recliner for several days. Department of rehabilitation services physical therapy arthroscopic rotator cuff repair protocol. Minimal to no pain during or after exercises, although fatigue is ok. Once the dressing is removed on the first or second day, ice is applied for 20minute periods 34 times per day. Rehabilitation protocols ohio state sports medicine. Robertsons office if you are having a problem with your shoulder or need clarification regarding the rehab protocol. 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. Scapular exerciseselevation with shrugs, depression, protraction, retraction with manual resistance. 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. Phase i immediate post surgical phase meets criteria for progression to. While the postop dressing is in place, icing should be done continuously.
This numbing medicine is injected in the base of your neck or high on your shoulder. Maintenance of good postural positioning when performing all exercises. Remember, everybody is different and this often has to be individualized based on how it goes or things specific for your surgery. Internal rotation stand with your back to an object, such as a counter or doorknob, placing your hand on the object.
It has been updated and modified to accurately reflect the needs of dr. It is designed for rehabilitation following shoulder arthroscopic. Associate professor department of orthopaedic surgery. It is no means intended to be a substitute for ones. Rehabilitation after arthroscopic labrum repair of the shoulder slap phase 0. Shoulder arthroscopic capsular release rehabilitation. Rehabilitation guidelines for shoulder debridement. Johns hopkins shoulder surgery arthroscopic acromioplasty rehabilitation program johns hopkins shoulder surgeons introduction.
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