Your pt will likely prescribe exercises for you to do as a part of your rehab program for your shoulder labrum tear. Normal strength in shoulder 455 sane rating score of 85%. Following, the procedure for a rotator cuff injury, you will be assigned physical therapy at a trained facility and athome shoulder stretches to help you return to normal. Progress to independent rehabilitation program by 10 weeks ube forward and retro moseley scapulothoracic pres. Shoulder tendonitis brett sanders, md center for sports medicine and orthopaedic 2415 mccallie ave.
Rom is desired degrees of range of motion of movement. Many of the exercises focus on muscles of the shoulders, chest and upper back. Support your injured shoulder by the elbow and raise to the. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. This shoulder rehabilitation program focuses on strengthening the muscles that support your shoulder to help keep your shoulder joint stable, relieve pain and.
Degree of shoulder instabilitylaxity acute versus chronic condition length of time immobilized strengthrange of motion rom status performanceactivity demands the rehab program is outlined in three phases. Rehabilitation program of the shoulder physiopedia. The selected one for you will be taught by your physiotherapist. C level i is when you do the exercises slowly and move your arm or leg as far as you can through the exercise movement. If at any time you are uncertain about what to do, or you have new or increasing pain. Resting from painful activities and analgesics may help with pain control. Shoulder rehabilitation scapulae setting these exercises can be done in a number of different positions shown below. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your shoulders. If at any time you are uncertain about what to do, or you have new or increasing pain, please consult your physician or therapist.
The first stage will be aimed at protecting your surgical repair or injury by keeping your movements within a safe range. Total shoulder arthroplasty hemiarthroplasty protocol. The shoulder rehabilitation protocol consists of two major components. The shoulder is a ballandsocket joint that connects the upper arm bone to the shoulder blade. A full dislocated shoulder rehabilitation program is essentail for optimum recovery and especially for preventing shoulder dislocations recurring. Shoulder rehabilitation treatment includes activity modification, stretching, and strengthening the affected limb. Exercises for shoulder muscle and joint problems nhs inform. Return to throwing program 7 down from throwing for a period of time, he should drop back one to two phases or more in the throwing program from where he experienced pain.
The rx3 shoulder pain rehabilitation program is organized in 3 phases based on how far along in recovery you are. In addition, all exercises included are specific to the thrower and are designed to improve strength, power and endurance of the shoulder complex musculature. Shoulder exercises wing ftp server university of western states. The shoulder p rehab program protect your shoulders power your performance.
Repeat x 3 this exercise is difficult only do if able 10. Scapular stabilization ucsf sports medicine rehab resource. This handout and these exercises are only a general template and should be supplemented by the physical therapy program prescribed by your doctor. These video shows the whole movement so dont worry if you cant do it all. The rotator cuff is made up of four muscles supraspinatus, infraspinatus, subscapularis, and teres minor and their tendons. The pain usually felt at the tip of the shoulder and referred or radiated down the arm occurs when the arm is lifted overhead or twisted.
As a result, the structures bursa, rotator cuff tendons,and ligaments become irritated and painful. Credit for these exercises goes to credit for these images goes to. Performing the exercises two to three days a week will. This video should not be used as a substitute for regular physical therapy. Reading orthopaedic centre shoulder and elbow surgery.
This protocol focuses only on the strengthening component of a shoulder rehabilitation program. Muscle weakness and stiffness of the shoulder joint result too often due to delayed initiation of a program. These exercises are intended for the initial strengthening of acute shoulder problems, andor longterm rehabilitation for. Derby shoulder instability rehabilitation programme derby. Nov 18, 2019 if you have a shoulder labrum tear, you may benefit from physical therapy to help control your shoulder pain and improve the way you are able to use your arm. Keeping your elbows straight, and your arms hanging down, raise your arms up to ear level, with your palms are facing down.
Suggested criteria for transition to independent hep. Shoulder tendinitis is a common overuse injury in sports such as swimming, baseball and tennis where the arm is used in an overhead motion. A thorough postoperative shoulder exercise program is essential for adequate recovery after shoulder surgery. Considerations for the reverse shoulder arthroplasty rehabilitation program. The patient before you is participating in a study to determine the effectiveness of physical therapy in treating rotator cuff tears. Reverse total shoulder replacement rehabilitation guidelines.
Aquatic strengthening exercise program the strengthening part of the aquatic exercise program helps you get stronger as the exercises progress. Same exercise but rotate the arm outwards and inwards. Set scapula by pushing back of shoulder against the wall. Johns hopkins shoulder surgery arthroscopic acromioplasty. Therapy services patient information poole hospital. Each case can be very different depending on the goals of the patient, the age of the. Wilk, pt, dpt,fapta 2016 kevin e wilk, pt, dpt,fapta 2016 baseball sports medicine conference faculty disclosure. Degree of instability and the effect of their functions. Strengthening the muscles that support your shoulder will help keep your. Following a wellstructured conditioning program will also help you return to sports and other recreational activities.
Frozen phase in the frozen phase, the shoulder becomes tighter, the pain becomes less and the patient is more comfortable. Pdf postrehabilitation strength and conditioning of the shoulder. Impingement syndrome rotator cuff tendinitis, bursitis. The pain is caused by compression of thestructures within the shoulder as you raise your arm. Nonoperative rehabilitation when designing a rehabilitation program for patients with an unstable shoulder glenohumeral joint instability, its important that the follow key factors should be considered. It provides stability and strength for the shoulder joint, anchoring the humerus upper arm bone to the scapula shoulder blade so that movements of the arm can occur in a. Treatment algorithm for progressing the rehabilitation program for a patient that has had a total shoulder arthroplasty. Pull tubing down and across your body to the opposite side of leg. Stand with your feet shoulder width apart or in a comfortable position for you.
Current concepts in the evaluation and treatment of the shoulder in overhead throwing athletes, part 2. The shoulder prehab program is a physical therapist developed, stepbystep program to help you minimize pain and optimize shoulder function. Derby shoulder instability rehabilitation programme. Elevatethearmsusingthehealthyarmtoguidethe injuredarm. Strengthening exercises this handout illustrates some strengthening exercises for the shoulder. Always be sure to ice your shoulder after you complete your exercises.
The program is for anyone looking to bulletproof their shoulders for life. Questions regarding the progress of any specific patient are encouraged, and should be directed to dr. These videos are designed to help maximize your recovery following shoulder surgery. Through a series of videos, the torbay shoulder exercise programme will help you to regain shoulder function after injury or an operation. Throwers ten exercise program diagonal pattern d2 extension involved hand will grip tubing handle overhead and out to the side. Rotator cuff sprain and strains university of california. Whether youre an average joe, fit fiona, weekend warrior, athlete, or superhero parent, you can benefit from this program. Bending over at the waist and balancing with the good arm let the stiff side relax and swing with gravity. Treatment should be modified based on the condition of the rotator cuff. Bronson cardiac rehabilitation home exercise program guidelines 2. When designing a rehabilitation program for patients with an unstable shoulder glenohumeral joint instability, its important that the follow key factors should be considered.
Throwers ten exercise program university of florida. Return to throwing program boston shoulder institute. Rotator cuff and shoulder rehabilitation exercises pdf handout. Rotate the arm clockwise x 10 then anticlockwise x 10. Grip tubing handle while other end of tubing is fixed. Sixweek physical rehabilitation protocol for anterior. Participants began a physical rehabilitation program 2 weeks after the shoulder dislocation, which was confirmed by a referring physician. 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.
This is summary of the evaluation and rehabilitation of a patient following an arthroscopic acromioplasty. Reverse total shoulder arthroplasty rehab protocol 8 progress to gentle resisted flexion, elevation in standing as appropriate. Flexibility is the first component of shoulder rehabilitation and consists of range of motion rom, static stretching, and dynamic stretching. Typically the patient is on a home exercise program at this stage. Rehab program the athlete should throw first, perform the hitting progression program second if position player, rehab exercises third, and finally finish with the strength and. There are two levels of difficulty to this strengthening program. Shoulder rehabilitation western orthopaedic clinic. Supine exercises should be done with a small rolled towel placed behind the elbow to avoid shoulder hyperextension and anterior capsular stretch. You should strive to do your home exercise program at least 34 times per day, every day. Most of the shoulder movement occurs where the ball at the top of your arm bone. Make sure to rest from all painful activities until swelling subsides. Jobes shoulder exercises memorial hermann health system. 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. Four muscles attach to the bones of the shoulder joint, and these form the rotator cuff.
A supraspinatus fullempty can in the scapular plane below shoulder level b shoulder flexion c shoulder abduction d shoulder extension e shoulder rows in supine f serratus punch in supine push up plus program g shoulder shrugs h forearmelbow strengthening. Shoulder labrum tear exercise program verywell health. They should be performed within your comfort zone unless otherwise instructed. In particular, scapular stabilization shoulder blade is important for producing the normal movement patterns required in the shoulder joint to return to full fitness and prevent future injury. Rotator cuff and shoulder conditioning program orthoinfo aaos. Raise arm to side, rotating palm up as arm reaches 900. As a result, it is essential to incorporate strengthening and stretching exercise routine as soon as possible after. It is essential that he or she follow this rehabilitation program very closely.
The success of your new shoulder depends on your rehab. Considerations for the reverse shoulder arthroplasty rehabilitation program many different factors influence the postoperative reverse shoulder arthroplasty rehabilitation outcome, including surgical approach, concomitant repair of the rotator cuff, arthroplasty secondary to. This rehabilitation program has been distilled from seven level 1 or. What you can do painin your shoulder is often a symptom of shoulder impingement. It is not intended to be a substitute for appropriate. It is possible to overlap phases phase onetwo, phase twothree depending on the progress of each individual. Pull down with good arm to raise the injured shoulder. Johns hopkins shoulder surgery arthroscopic acromioplasty rehabilitation program johns hopkins shoulder surgeons introduction. Anterior deltoid exercises for patients with massive rotator cuff tears.
Exercises impingement syndrome rotator cuff tendinitis, bursitis these are some of the initial exercises you may start your rehabilitation program with until you see your physician, physical therapist, or athletic trainer again or until your symptoms are resolved. Complete throwing program 3 sleeper stretches use table, wall or floor sleeper stretches are designed to increase the internal rotation in your shoulder by stretching the posterior rotator cuff. Shoulder aches and pains often times get neglected until its too late, turning a minor fixable ache into a debilitating issue and chronic pain. You are training and strengthening your deltoid muscle in order to. Shoulder tendonitis center for sports medicine and. Volleyball programs if functional and isokinetic strength is 90% vs. It will teach you how to build a strong foundation for your shoulders to enhance your fitness performance and progress. A complete program incorporates many other types of exercises. Rehabilitation after total shoulder arthroplasty activities and advice for in the hospital and while at home.
Crosses in the air once the shoulder can reach 90 degrees with the elbow pointing to the ceiling, try straighten the elbow and point your finger to the ceiling image 7. This program is meant as a guide and should be supervised by your physical therapist or athletic trainer until the athlete is. 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. Grip tubing handle while the other end of tubing is fixed. Progress to independent rehabilitation program by 10 weeks. Specific changes in the program will be made by the physician as appropriate for the individual patient. First find the phase you need in the program document section and read the full program description, so that you have a complete understanding of the rehab. Pdf fundamental principles of shoulder rehabilitation. Rehabilitation guidelines for standard reverse total. This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. Flexibility is the first component of shoulder rehabilitation and. Flexible tissue is more tolerant of the stresses placed.
Wyre shoulder vest brace or sully shoulder stabilizer for. Rotator cuff and shoulder rehabilitation exercises. These exercises can help to get you moving normally, and safely, if youve a muscle or joint problem affecting your shoulder. Reading orthopaedic centre v5 1 anterior deltoid strengthening exercises the aim of the following exercises is to strengthen the deltoid muscle which sits over the top and outer aspect of your upper arm to assist in lifting your arm above shoulder height and to reduce pain. The shoulder p rehab program is on our very own p rehab app that is a 16week long program to maximize your shoulder health for life. Bulletproof your shoulders, free program included the. Hold spine in neutral, core activated and shoulder down away from your ears. After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Bronson cardiac rehabilitation home exercise program. The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. Credit for these exercises goes to credit for these images goes to handout created by jl zaremski 2015. Tubing, external rotation standing with involved elbow fixed at side, elbow bent to 900 and involved arm across the front of the body. Rehabilitation of shoulder in the overhead thrower kevin e. As a result of prolonged overuse and wear and tear, the muscles arising from the shoulder blade and attaching to the top of your humerus arm bone the rotator cuff muscles have become completely torn massive rotator cuff tear.
Stability exercises for the shoulder are an important part of the rehabilitation process. Theralase laser medical advisory board litecure laser consultant alterg medical advisory board intelliskin usa medical advisory board. Similar to your stretching program, the strengthening exercises should not cause significant pain. Strengthening exercises mammoth orthopedic institute. Rotator cuff and shoulder rehabilitation exercises orthoinfo aaos. Nonsurgical shoulder impingement rehabilitation protocol. Torbay shoulder exercise programme torbay and south. Apply ice, or the cooling unit, to the shoulder as it will be quite helpful. Lateral raises to 900 standing with arm at side, elbow straight, and palm against side. Other shoulder conditions might also require surgery to rectify. 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. Rehabilitation protocol for reverse shoulder arthroplasty. Slowly lower the arms to the starting position and repeat. Lie prone on the table, with your shoulders off of the end of the table.
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