Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair. Brace abduction bracesling, remove sling only to bathe and to complete exercises. Arthroscopic rotator cuff repair protocol brigham and womens. When you have completed the strengthening exercises, repeat the stretching exercises to end the program. Rotator cuff repair postoperative rehabilitation protocol orthoindy. Large rotator cuff repair protocol fowler kennedy sport.
The intent of this protocol is to provide the clinician with a. Many different factors influence the postoperative rotator cuff repair rehabilitation outcome, including rotator cuff tear size, type of repair, tissue quality, number of. Exercises, combined with periods of rest, ice, and heat and taking nonsteroidal. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Rotator cuff repair protocol boston shoulder institute. Rotator cuff repair postoperative rehabilitation protocol. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. 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 an arthroscopic assistedminiopen rotator cuff repair. Exercises, combined with periods of rest, ice, and heat and taking nonsteroidal antiinflammatory drugs nsaids, resolve most rotator cuff problems. Elbow range of motion see restrictions on cover page. It is no means intended to be a substitute for ones clinical decision making regarding the progression of a patients postoperative course. It is normal for you to feel aching, mild discomfort or stretching sensations when you do these exercises.
This protocol should be used as a guide during your rehabilitation after surgery. Intense or longlasting pain of more than half an hour should not occur. Rotator cuff repair protocol b initial 5 days prephysical therapy surgeon instructed pendulum exercises use of sling ice and analgesia week 06 goals. If pain, weakness, and stiffness in your shoulder see figure in appendix are related to problems with your rotator cuff, a doctor will usually first recommend nonsurgical treatment. Elbow therapists consensus statement on rehabilitation following arthroscopic rotator cuff repair. Rotator cuff repair protocol south shore orthopedics. Rotator cuff repair protocol page2 range of motion phase 1 phase 2 phase 3 phase 4 neck, hand and wrist range of motion elbow range of. The rotator cuff is a group of four muscles that stabilize the shoulder. Rehabilitation protocol for rotator cuff repair massachusetts. Famous physical therapists bob schrupp and brad heineck demonstrate the 10 best rotator cuff exercises for strengthening your shoulder from beginner to advanced. If reducing the level of your exercise does not improve these symptoms, please discuss the problem with. It is important that the operative shoulder remains passive or relaxed during these exercises to protect the rotator cuff andor shoulder repair. Pictures courtesy of simpleset, used with permission.
Rotator cuff and shoulder conditioning program orthoinfo aaos. When you injure these muscles, exercising it is the best way to recover. Exercises you can do at home exercises are a very important part of treatment for a rotator cuff disorder. Tear size largemassive tear or 1 tendon repair difficult to achieve full rom, caution with arom and resisted exercises with chroniclarge tears. 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. It is useful to use painkillers or icepacks to reduce pain before you exercise. Talk to your doctor or physical therapist if you have. Arthroscopic rotator cuff arc clinical trial rotator cuff home exercise program table of contents general instructions 1 passive motion exercises 2 active assisted range of motion exercises 3 active range of motion exercises 6 isometric exercises 8 resisted exercises 9 rotator cuff strengthening exercises 11 shoulder stretches. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection. Most of the above exercises can begin the day after surgery or prp injection. This is a general conditioning program that provides a wide range of exercises.
To ensure that the program is safe to ensure that the program is safe and effective for you, it should be performed under your doctors supervision. No resisted rotator cuff strengthening exercises until weeks. Abduction bracesling, remove sling only to bathe and to complete exercises. Postoperative rotator cuff repair rehabilitation protocol. After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a. Rotator cuff and shoulder rehabilitation exercises. Rotator cuff repair postsurgical rehabilitation protocol postop days 1 21 immobilizer with abductor pillow x 46 weeks even while sleeping place pillow under shoulder arm while sleeping for comfort hand squeezing exercises elbow and wrist active motion arom with shoulder in neutral position at side supported pendulum exercises shoulder shrugs scapular. Shoulder rotator cuff repair oxford university hospitals. The rotator cuff heals very slowly and must be protected during this time.
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