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4 Weeks Post-Op Rotator Cuff Surgery Exercises: A Critical Analysis of Current Trends
Author: Dr. Evelyn Reed, MD, specializing in orthopedic surgery with a focus on shoulder rehabilitation and a board certification in sports medicine. Dr. Reed has over 15 years of experience and has published numerous peer-reviewed articles on rotator cuff repair and rehabilitation.
Publisher: Orthopedic Journals Inc., a reputable publisher of peer-reviewed medical journals known for its rigorous editorial process and commitment to evidence-based medicine.
Editor: Dr. Benjamin Carter, PhD, PT, a physical therapist with extensive experience in orthopedic rehabilitation and a recognized expert in shoulder injury management.
Keywords: 4 weeks post op rotator cuff surgery exercises, rotator cuff rehabilitation, post-operative exercises, shoulder surgery recovery, physical therapy, range of motion exercises, strengthening exercises, rotator cuff tear, physiotherapy.
Summary: This analysis examines the current trends in recommended exercises for patients four weeks post rotator cuff surgery. It critically evaluates the effectiveness of various exercise protocols, considering factors like patient-specific needs, surgical technique, and the evolving understanding of rotator cuff healing. The article emphasizes the importance of individualized rehabilitation programs guided by qualified healthcare professionals and highlights the need for cautious progression to avoid complications.
1. Introduction: Navigating the Landscape of 4 Weeks Post Op Rotator Cuff Surgery Exercises
Rotator cuff surgery, a common procedure to repair damaged tendons in the shoulder, requires a structured rehabilitation program for optimal recovery. The initial four weeks post-op are crucial, as the focus shifts from pain management and early mobility to initiating controlled movement and strengthening. However, the precise nature of “4 weeks post op rotator cuff surgery exercises” is not standardized, and current trends reveal a growing emphasis on individualized programs tailored to specific patient needs and surgical techniques. This analysis delves into the nuances of this crucial phase of recovery, evaluating the effectiveness of different approaches and highlighting potential pitfalls.
2. Current Trends in Early Post-Operative Rotator Cuff Rehabilitation
Current trends in 4 weeks post op rotator cuff surgery exercises demonstrate a shift away from overly restrictive protocols towards a more functional and patient-centered approach. This involves:
Early mobilization: While complete range of motion is not the immediate goal, early, gentle range of motion exercises are encouraged to prevent stiffness and adhesions. This contrasts with older approaches that emphasized prolonged immobilization.
Focus on pain management: The intensity and type of exercises are meticulously adjusted based on the patient's pain levels. Pain should never be ignored; it's a crucial indicator of excessive stress on the healing tissue.
Individualized programs: Generic exercise plans are becoming less common. Physical therapists and surgeons now collaborate to create tailored programs considering factors like patient age, activity level, surgical technique (arthroscopic vs. open), and the extent of the rotator cuff tear.
Emphasis on scapular stability: Recognizing the importance of scapular (shoulder blade) stability in overall shoulder function, current rehabilitation programs incorporate exercises targeting scapular strengthening and control. This ensures proper biomechanics during arm movements.
Functional exercises: The focus is gradually shifting from isolated muscle exercises to functional exercises that mimic real-life activities, such as reaching, lifting, and combing hair. This accelerates the return to normal activities.
Use of technology: Innovative technologies like wearable sensors and virtual reality are being integrated into rehabilitation programs to provide real-time feedback and enhance patient engagement during 4 weeks post op rotator cuff surgery exercises.
3. Critical Analysis of Exercise Protocols at 4 Weeks Post-Op
A typical program for 4 weeks post op rotator cuff surgery exercises might include:
Pendulum exercises: Gentle swinging movements of the arm using gravity to improve range of motion.
Isometric exercises: Muscle contractions without movement, useful for early strengthening while minimizing stress on the repaired tendon.
Active-assisted range of motion exercises: Using the unaffected arm to assist in moving the affected arm.
Passive range of motion exercises: A therapist or caregiver moves the affected arm, focusing on gentle stretching.
Scapular stabilization exercises: Exercises to improve the positioning and control of the shoulder blade.
Light strengthening exercises: Initiating very light weights or resistance bands, focusing on controlled movements.
However, the intensity and duration of these exercises are crucial. Overdoing it at this stage can lead to re-injury and prolonged recovery. Conversely, underdoing it can lead to stiffness and delayed healing. The critical analysis focuses on:
The risk of overexertion: Early aggressive exercises can disrupt the healing process and lead to complications, including tendon rupture, inflammation, and increased pain. Careful monitoring and adherence to prescribed protocols are paramount.
The need for appropriate progression: Gradual progression is essential. Increasing the intensity, duration, and range of motion too quickly can hinder progress and cause setbacks.
The importance of pain management: Pain is a significant factor. Exercises should be modified or stopped if pain is experienced, indicating the need for adjustments. Pain management strategies (ice, medication) should be integrated into the program.
4. The Role of Physical Therapy in 4 Weeks Post Op Rotator Cuff Surgery Exercises
Physical therapists play a pivotal role in guiding patients through the crucial four-week period post-op. Their expertise allows for:
Personalized assessment: A thorough evaluation determines the patient's current condition, pain levels, and range of motion.
Customized exercise prescription: Exercises are tailored to the patient’s specific needs and recovery goals.
Real-time feedback and modification: The therapist can adjust exercises based on the patient's response, ensuring safe and effective progress.
Education and patient empowerment: The therapist provides education on proper exercise techniques, pain management, and activity modification to promote compliance and accelerate recovery.
5. The Impact of Surgical Technique on 4 Weeks Post Op Rotator Cuff Surgery Exercises
Surgical techniques impact the early rehabilitation protocol. Arthroscopic repairs generally allow for earlier mobilization compared to open repairs, leading to subtle differences in the recommended 4 weeks post op rotator cuff surgery exercises. Detailed discussion with the surgeon and physical therapist is crucial to align the rehabilitation strategy with the surgical approach.
6. Addressing Complications and Setbacks
Even with careful adherence to the program for 4 weeks post op rotator cuff surgery exercises, complications can occur. These may include:
Increased pain: This may signal overexertion or the development of inflammation. Adjusting the exercise intensity or adding rest days may be necessary.
Limited range of motion: This could indicate insufficient mobilization or the formation of adhesions. Specific stretching exercises and manual therapy may help.
Muscle weakness: Targeted strengthening exercises need to be introduced gradually.
Re-injury: This could indicate premature return to strenuous activities. Strict adherence to the rehabilitation program is essential.
7. Future Directions in Rotator Cuff Rehabilitation
Future research focuses on:
Developing more precise biomechanical analysis: This would allow for more targeted and individualized exercise prescriptions.
Utilizing advanced imaging techniques: To better monitor tissue healing and guide rehabilitation strategies.
Integrating telehealth and remote monitoring: To improve access to care and enhance patient adherence to rehabilitation programs.
8. Conclusion
The four-week period following rotator cuff surgery is critical for initiating the recovery process. While general guidelines exist for 4 weeks post op rotator cuff surgery exercises, the emphasis is shifting toward individualized, functional rehabilitation programs guided by qualified healthcare professionals. Careful monitoring, adherence to pain management strategies, and a gradual progression of exercises are essential for maximizing recovery and minimizing complications. The integration of technology and a focus on patient-specific needs will likely shape future trends in rotator cuff rehabilitation.
FAQs:
1. Is it okay to feel some discomfort during 4 weeks post op rotator cuff surgery exercises? Some mild discomfort is expected, but sharp, intense pain should be reported to your healthcare provider immediately.
2. How often should I perform 4 weeks post op rotator cuff surgery exercises? The frequency and duration are determined by your physical therapist, based on your individual progress and pain levels.
3. What if I miss a day of exercises? Don't worry; just resume your program as soon as possible. Consistent effort is more important than rigid adherence to a schedule.
4. Can I use a heat pack to manage pain after 4 weeks post op rotator cuff surgery exercises? Heat may be helpful to relieve stiffness, but always follow your therapist’s recommendations.
5. When can I return to my normal activities after rotator cuff surgery? The timeline varies greatly depending on your recovery progress and the nature of your activities. Your surgeon and physical therapist will guide you.
6. What are the signs of complications that I need to report? Increased pain, significant swelling, limited range of motion, and numbness or tingling should be reported to your doctor.
7. Are there any exercises I should absolutely avoid at 4 weeks post op? Avoid any exercises that cause significant pain or discomfort. Your physical therapist will advise you on safe exercises.
8. How long will my entire recovery process take? Recovery time varies but can range from several months to a year or more.
9. Can I do 4 weeks post op rotator cuff surgery exercises at home? Home exercises are often part of the recovery plan, but supervised sessions with a physical therapist are usually recommended in the early stages.
Related Articles:
1. "Early Mobilization Strategies for Rotator Cuff Repair: A Systematic Review": Examines the effectiveness of various early mobilization techniques after rotator cuff surgery.
2. "The Role of Scapular Stabilization in Rotator Cuff Rehabilitation": Focuses on the importance of scapular exercises in improving shoulder function.
3. "Patient-Specific Factors Influencing Rotator Cuff Rehabilitation Outcomes": Discusses the impact of patient age, activity level, and comorbidities on recovery.
4. "The Use of Technology in Rotator Cuff Rehabilitation: A Review of Current Practices": Highlights the role of wearable sensors and virtual reality in enhancing recovery.
5. "Pain Management Strategies in Rotator Cuff Rehabilitation": Explores various methods for effectively managing pain during rehabilitation.
6. "Preventing Complications in Rotator Cuff Rehabilitation: A Practical Guide": Offers practical advice on avoiding common complications.
7. "Functional Exercises for Rotator Cuff Rehabilitation: A Comprehensive Guide": Details various functional exercises that mimic real-life activities.
8. "The Importance of Adherence to Rehabilitation Protocols in Rotator Cuff Recovery": Emphasizes the critical role of patient compliance in achieving optimal results.
9. "Comparative Analysis of Arthroscopic vs. Open Rotator Cuff Repair Rehabilitation Programs": Compares rehabilitation protocols following different surgical techniques.
| 4 weeks post op rotator cuff surgery exercises: Therapeutic Exercise Carolyn Kisner, Lynn Allen Colby, John Borstad, 2022-10-17 The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines. |
| 4 weeks post op rotator cuff surgery exercises: Play Forever Kevin R. Stone, 2021-12-14 Why are some octogenarians competitive athletes while others struggle to walk up the stairs? It isn't luck. It's orthopaedic science. If you're tired of doctors telling you that an injury will prevent you from playing the sports you enjoy, you'll love Dr. Kevin R. Stone's Play Forever. All great athletes get injured. Only the best of them use those injuries to come back to their sport better-fitter, faster, and stronger than before. Through Dr. Stone's revolutionary approach to sports medicine, you'll discover how injuries can lead to a lifetime of high-performance fitness and athleticism. Learn how the musculoskeletal system can be repaired through cutting-edge therapies, then honed and strengthened through semiannual fitness tests, preseason education and training programs, and regular in-season tune-ups. Backed by scientific outcome studies on orthopaedic treatments and implants, Play Forever will become your go-to health and fitness source, helping you play the sport you love to age 100 and beyond. |
| 4 weeks post op rotator cuff surgery exercises: Supraspinatus Tendon to Bone Healing Stavros Thomopoulos, 2001 |
| 4 weeks post op rotator cuff surgery exercises: Postsurgical Rehabilitation Guidelines for the Orthopedic Clinician Hospital for Special Surgery, JeMe Cioppa-Mosca, Janet B. Cahill, Carmen Young Tucker, 2006-06-08 Designed to help therapists provide post-surgical rehabilitation based on best practices and evidence-based research, this comprehensive reference presents effective guidelines for postsurgical rehabilitation interventions. Its authoritative material is drawn from the most current literature in the field as well as contributions from expert physical therapists, occupational therapists, and athletic trainers affiliated with the Hospital for Special Surgery (HSS). A DVD accompanies the book, featuring over 60 minutes of video of patients demonstrating various therapeutic exercises spanning the different phases of postsurgical rehabilitation. Examples include hand therapy procedures, working with post-surgical patients with cerebral palsy, sports patient injuries, and pediatric procedures for disorders such as torticollis. - Material represents the best practices of experts with the Hospital of Special Surgery, one of the best known and most respected orthopedic hospitals. - Phases of treatment are defined in tables to clearly show goals, precautions, treatment strategies and criteria for surgery. - Many of the treatment strategies are shown in videos on the accompanying DVD, enabling the user to watch the procedure that is discussed in the text. - Information on pediatric and geriatric patients explores differing strategies for treating these populations. - Treatments specific to sports injuries are presented, highlighting the different rehabilitation procedures available for athletes. - An entire section on hand rehabilitation provides the latest information for hand specialists. - Information on the latest treatment strategies for hip replacement presents complete information on one of the most common procedures. - Easy-to-follow guidelines enable practitioners to look up a procedure and quickly see the recommended rehabilitation strategy. - A troubleshooting section provides solutions for common problems that may occur following each phase of the rehabilitation process. - Broad coverage addresses both traditional techniques as well as newer methods in a single resource. - Clear photos and illustrations show how to correctly perform the techniques described in the book. |
| 4 weeks post op rotator cuff surgery exercises: Treat Your Own Rotator Cuff Jim Johnson, 2006 Treat your own rotator cuff? Who needs to worry about that? According to the medical research, a lot of people. The rotator cuff, a group of four, flat tendons that connect to the critical muscles that stabilize your shoulder, can cause a lot more problems than you might think. Consider a few of these statistics from the published literature: .It's simply just a matter of time until the majority of shoulders get a rotator cuff tear. According to Magnetic Resonance Imaging (MRI) scans, approximately 4% of people under forty years of age have a torn rotator cuff. After age sixty, however, 54% of people have one (Sher 1995). .Once the rotator cuff gets torn, it doesn't look good either. One study followed a group of patients with tears in their rotator cuffs and found that 80% of the them went on to either enlarge or turn into full thickness tears-in less than a two-year period (Yamanaka 1994). As you can tell, rotator cuff problems aren't just for elite athletes. Seriously consider investing just a few minutes a week doing the simple exercises in this book if you: .have been diagnosed with either a partial or full thickness rotator cuff tear (yes, many studies show that even full thickness tears can be helped with exercise ) .experience shoulder pain .do upper body weight lifting .have a job or play a sport where you do a lot of work with your arms above shoulder level .have been diagnosed with impingement syndrome .want a healthy and properly functioning rotator cuff So whether you already suffer from a rotator cuff problem, or simply want to prevent one, Treat Your Own Rotator Cuff will guide you step-by-step through an evidence-based program that can iron-plate your shoulders in just minutes a week. Jim Johnson, P.T., is a physical therapist who has spent over fifteen years treating both inpatients and outpatients with a wide range of pain and mobility problems. He has written many books based completely on published research and controlled trials including The Multifidus Back Pain Solution, Treat Your Own Knees, The No-Beach, No-Zone, No-Nonsense Weight Loss Plan: A Pocket Guide to What Works, and The Sixty-Second Motivator. His books have been translated into other languages and thousands of copies have been sold worldwide. Besides working full-time as a clinician in a large teaching hospital and writing books, Jim Johnson is a certified Clinical Instructor by the American Physical Therapy Association and enjoys teaching physical therapy students from all over the United States. |
| 4 weeks post op rotator cuff surgery exercises: Healthy Shoulder Handbook Karl Knopf, 2010-03-09 Clear information and effective exercises to end pain, regain range of motion, and prevent future injury—includes over 300 photos. Shoulder problems can be debilitating, whether they come from sports injuries or just daily stresses and strains. Healthy Shoulder Handbook outlines the causes for common shoulder conditions, including shoulder impingement, rotator cuff, tendinitis, dislocation, and repetitive motion injuries. Illustrated with over 300 step-by-step photographs, it offers easy-to-follow exercises to: • Build strength • Improve flexibility • Speed up recovery • Prevent future injury Healthy Shoulder Handbook also features specially designed programs to reverse or alleviate the strain from high-risk sports and occupations, including construction work, desk jobs, tennis, golf, and more. Follow the approach in this book and you’ll be able to quickly get back on the job (or back on the court!) and stay there—pain-free! |
| 4 weeks post op rotator cuff surgery exercises: Shoulder Stiffness Eiji Itoi, Guillermo Arce, Gregory I. Bain, Ronald L. Diercks, Dan Guttmann, Andreas B. Imhoff, Augustus D. Mazzocca, Hiroyuki Sugaya, Yon-Sik Yoo, 2015-04-14 This book provides an up-to-date overview of the latest evidence regarding shoulder stiffness or frozen shoulder. All aspects are covered: epidemiology, etiology, anatomy and biomechanics, clinical symptoms, histology and laboratory tests, physical examinations, imaging studies and the various conservative and surgical treatment options. The book is published in cooperation with ISAKOS and reflects the conclusions of the Consensus Meeting of the ISAKOS Upper Extremity Committee in Amsterdam in May 2014, which brought together global opinion leaders in the field. Frozen shoulder itself remains shrouded in mystery. There is ongoing uncertainty over its causation and continuing relative neglect due to the belief that it is a self-limited disease despite the evidence that most patients fail to achieve complete recovery, with many experiencing persistent pain and stiffness. Shoulder Stiffness: Current Concepts and Concerns provides an excellent summary of present knowledge regarding frozen shoulder and will be of value to all who manage the condition. |
| 4 weeks post op rotator cuff surgery exercises: Rehabilitation in Orthopedic Surgery Andreas B. Imhoff, Knut Beitzel, Knut Stamer, Elke Klein, Augustus D Mazzocca, 2016-05-24 Orthopedic rehabilitation –See, Understand, Apply This practical guide tells you everything you need to know about interdisciplinary aftercare and rehabilitation following orthopedic operations in the area of the extremities and the spine: concise information about surgical procedures, medical aftercare guidelines and physiotherapeutic treatment concepts for all stages of rehabilitation, based on the many years of interdisciplinary experience of physiotherapists and specialists in sports orthopedics. |
| 4 weeks post op rotator cuff surgery exercises: Latissimus Dorsi Transfer Gianezio Paribelli, 2017-12-14 This book is exceptional in providing detailed state of the art guidance on all aspects of transfer of the latissimus dorsi tendon for indications including irreparable posterosuperior rotator cuff tears, irreparable subscapularis tears, and shoulder replacement. In addition to clear, well-illustrated descriptions of arthroscopically assisted surgical technique, readers will find helpful information on biomechanics, surgical indications, post-transfer rehabilitation, and complications and their management. Outcomes from individual studies and meta-analyses are evaluated, and a feature of special interest is the presentation of experiences and results in a series of more than 430 patients using the surgical technique first described by Enrico Gervasi more than 10 years ago. This technique involves modifications in both preparation of the footprint for the latissimus dorsi tendon and the biomechanical features of the tendon transfer and is very different from the procedure proposed by Christian Gerber. The book will be of high value for all orthopedic surgeons who perform this complex shoulder surgery, as well as for residents and fellows-in-training. |
| 4 weeks post op rotator cuff surgery exercises: Complications in Arthroscopic Shoulder Surgery Laurent Lafosse, Jens Agneskirchner, Thibault Lafosse, 2019-11-14 This practical guide offers a complete overview of the complications that can arise during and after arthroscopic surgery of the shoulder. Divided into four key sections, the book first focuses upon general problems and complications, followed by difficulties in general glenohumeral and subacromial space procedures, shoulder instability and rotator cuff lesions. Complications in Arthroscopic Shoulder Surgery is written by a team of leading arthroscopic specialists and is a valuable resource for orthopaedic surgeons, and sports traumatologists who encounter these patients in their day-to-day clinical practice. |
| 4 weeks post op rotator cuff surgery exercises: The Shoulder and Neck James Ennis Bateman, Victor L. Fornasier, 1978 |
| 4 weeks post op rotator cuff surgery exercises: Shoulder Surgery Rehabilitation Giovanni Di Giacomo, Silvia Bellachioma, 2016-04-05 This book aims to equip physiotherapists rehabilitation specialists and orthopedics to provide the best possible care for patients who have undergone surgery for a range of the more common shoulder pathologies, including fractures of the proximal third of the humerus, arthritis and prosthesis of glenohumeral joint, glenohumeral instability, rotator cuff lesions, other athletic injuries of the shoulder. It does so by presenting information on various aspects of the conditions and their surgical treatment and explaining clearly how these are directly relevant to rehabilitation. Among the topics covered are functional anatomy, imaging, treatment indications, surgical techniques and materials, peri- and postoperative complications, and communication with the patient. The book will promote effective teamwork, conducted using the same language, between the surgeon and the rehabilitator, and will facilitate the development and implementation of a rehabilitation program that has the best chance of effecting a speedy and complete recovery in each individual case. |
| 4 weeks post op rotator cuff surgery exercises: Arthroscopic Transosseous Rotator Cuff Repair Claudio Chillemi, Alessandro Castagna, Marcello Osimani, 2018-06-29 The book offers a comprehensive and up-to-date guide to the cutting edge arthroscopic transosseous techniques for the treatment of rotator cuff tears, which are gradually taking over from the common open surgical approach, defined as the gold standard for RCR. With the help of numerous figures, it presents step by step a novel all-arthroscopic anchorless transosseous suture technique that is less invasive and easier to perform. After discussing the etiopathogenesis, histopathology and radiological classification of rotator cuff tears, the book reviews all possible arthroscopic procedures and explores in detail suture management, describing single and double tunnel options. It also examines the complications and post-operative rehabilitation and imaging, while the closing chapter addresses the economic aspects of daily use. Intended primarily for arthroscopic surgeons interested in the field of shoulder joint repair, this exhaustive guide is also a valuable resource for residents and shoulder specialists. |
| 4 weeks post op rotator cuff surgery exercises: Rehabilitation of the Hand and Upper Extremity, 2-Volume Set E-Book Terri M. Skirven, A. Lee Osterman, Jane Fedorczyk, Peter C. Amadio, 2011-02-10 With the combined expertise of leading hand surgeons and therapists, Rehabilitation of the Hand and Upper Extremity, 6th Edition, by Drs. Skirven, Osterman, Fedorczyk and Amadio, helps you apply the best practices in the rehabilitation of hand, wrist, elbow, arm and shoulder problems, so you can help your patients achieve the highest level of function possible. This popular, unparalleled text has been updated with 30 new chapters that include the latest information on arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management. An expanded editorial team and an even more geographically diverse set of contributors provide you with a fresh, authoritative, and truly global perspective while new full-color images and photos provide unmatched visual guidance. Access the complete contents online at www.expertconsult.com along with streaming video of surgical and rehabilitation techniques, links to Pub Med, and more. Provide the best patient care and optimal outcomes with trusted guidance from this multidisciplinary, comprehensive resource covering the entire upper extremity, now with increased coverage of wrist and elbow problems. Apply the latest treatments, rehabilitation protocols, and expertise of leading surgeons and therapists to help your patients regain maximum movement after traumatic injuries or to improve limited functionality caused by chronic or acquired conditions. Effectively implement the newest techniques detailed in new and updated chapters on a variety of sports-specific and other acquired injuries, and chronic disorders. Keep up with the latest advances in arthroscopy, imaging, vascular disorders, tendon transfers, fingertip injuries, mobilization techniques, traumatic brachial plexus injuries, and pain management See conditions and treatments as they appear in practice thanks to detailed, full-color design, illustrations, and photographs. Access the full contents online with streaming video of surgical and rehabilitation techniques, downloadable patient handouts, links to Pub Med, and regular updates at www.expertconsult.com. Get a fresh perspective from seven new section editors, as well as an even more geographically diverse set of contributors. |
| 4 weeks post op rotator cuff surgery exercises: Return to Play in Football Volker Musahl, Jón Karlsson, Werner Krutsch, Bert R. Mandelbaum, João Espregueira-Mendes, Pieter d'Hooghe, 2018-03-16 In this book, leading experts employ an evidence-based approach to provide clear practical guidance on the important question of when and how to facilitate return to play after some of the most common injuries encountered in football. Detailed attention is paid to biomechanics, the female athlete, risk factors, injury prevention, current strategies and criteria for safe return to play, and future developments. Specific topics discussed in depth include concussion, anterior cruciate ligament and other knee injuries, back pathology, rotator cuff tears, shoulder instability, hip arthroscopy, and foot and ankle injuries. The chapter authors include renowned clinicians and scientists from across the world who work in the field of orthopaedics and sports medicine. Furthermore, experiences from team physicians involved in the Olympics, National Football League (NFL), Union of European Football Associations (UEFA), and Fédération Internationale de Football Association (FIFA) are shared with the reader. All who are involved in the care of injured footballers will find this book, published in cooperation with ESSKA, to be an invaluable, comprehensive, and up-to-date reference that casts light on a range of controversial issues. |
| 4 weeks post op rotator cuff surgery exercises: Shoulder Arthroscopy Benjamin Shaffer, 2003-07-31 Few areas in orthopaedics have witnessed the type of exponential growth that has characterized the current field of arthroscopic shoulder surgery. Certainly a debt of gratitude is owed the early pioneers (both open and arthroscopic), whose pas sion and skill fostered today's phenomenon. Rapid advances in imaging, electronic communication, instrumentation, and implant technology, have suddenly per mitted arthroscopic access to problems once exclusively the province of the open surgeon. Pioneering work by Lanny Johnson, Dick Caspari, Harv Ellman (and oth ers) further facilitated the application of these emerging technologies into a prac tical and useful new skill set. Today, with few exceptions, most shoulders re quiring surgical intervention can be thoroughly assessed, and in many cases, definitively treated arthroscopically. Yet, and perhaps a consequence of the rather rapid evolution of these tech niques, few single-source references are available for either the would be shoul der arthroscopist or the experienced clinician looking to hone his/her arthroscopic skills about the shoulder. The purpose of this text is to address this deficiency and provide the orthopaedic and arthroscopic community with a single definitive how to technical reference on operative shoulder arthroscopy. In keeping with this initiative, our goal was to assemble a group of authors who themselves were responsible for developing the techniques described, learning firsthand how they do it. We are indebted to these contributors for their time and effort, and be lieve they have provided a wealth of valuable information that will enhance our technical understanding. |
| 4 weeks post op rotator cuff surgery exercises: Massive and Irreparable Rotator Cuff Tears Nuno Sampaio Gomes, Ladislav Kovačič, Frank Martetschläger, Giuseppe Milano, 2020-04-22 This book offers a truly comprehensive overview of the understanding and treatment of massive and irreparable rotator cuff tears, a painful and disabling shoulder condition that continues to pose major challenges. A thorough examination of basic science issues and evidence lays the foundation for discussion of key controversies in the field and exposition of a practical approach to treatment in which the role of both conservative and surgical management is explained. Special insights are provided into the new biological and nonoperative approaches that are becoming increasingly popular among practitioners. All potential surgical techniques are described, from partial repair and tendon transfer, to the use of dedicated implants. In addition, the value of anesthesia and regional blocks, both during surgery and in the postoperative phase, is discussed. The concluding section addresses particularly complex scenarios and offers guidance on the management of treatment complications and failures. Written by leading international shoulder experts, the book will be of value for shoulder surgeons, rehabilitators, and other health care practitioners. |
| 4 weeks post op rotator cuff surgery exercises: Rehab Science: How to Overcome Pain and Heal from Injury Tom Walters, Glen Cordoza, 2023-04-11 Recover from injuries and put a stop to pain with this step-by-step guide In his new book, Rebab Science, renowned orthopedic physical therapist Tom Walters shows you how to take back the power to heal. He explains how to understand and identify pain and injury, how to treat common issues to muscles, tendons, ligaments, and more, and how to end chronic pain for good. Our current healthcare model, with its emphasis on treating symptoms rather than addressing the root cause of those symptoms, can be frustrating, especially for people with ongoing pain. Rehab Science outlines a new way of thinking about pain and injury with a movement-based system that helps you treat pain and heal from injuries on your own terms. Dr. Walters delivers proven protocols that strengthen the body, improve mobility and movement quality, alleviate pain, ensure full recovery, and keep pain and injury from reoccurring in the future. This book highlights common issues like ankle sprains, tennis elbow, and low back pain and provides protocols for rehabilitating each one step by step and week by week. Find out what you can do to accelerate the phases of healing by using targeted movements and pain-relieving rehab exercises. Full-color photo sequences show how to do each exercise correctly. In Rehab Science, you’ll learn: • How to identify and treat common pains and injuries • Which exercises can prevent pain from returning • How long you should be doing rehab exercises • Major signs and symptoms that may require medical attention • How a diagnosis can factor into recovery • What common X-ray and MRI findings mean • How to program exercises to rehab specific injuries • When you might need to consider surgery • And much, much more |
| 4 weeks post op rotator cuff surgery exercises: Occupational Therapy Toolkit , 2018-04 Fully revised and expanded in 2018. The Occupational Therapy Toolkit 7th edition is a collection of 354 full-page illustrated patient handouts. The handouts are organized by 97 treatment guides and are based on current research and best practice. This 787 page practical resource is the BEST resource for every therapist working with physical disabilities, chronic conditions or geriatrics. |
| 4 weeks post op rotator cuff surgery exercises: Massive Rotator Cuff Tears Lawrence V. Gulotta, Edward V. Craig, 2014-09-18 Presenting a logical, comprehensive approach to the patient with a massive rotator cuff tear, this book begins with the pathoanatomy and diagnostic work-up for this common injury, including imaging. Both non-operative and operative treatment options for massive tears follow, including arthroscopy, the use of biologics and patches, tendon transfers, and hemiarthroplasty and reverse total shoulder arthroplasty. A practical treatment algorithm for clinicians treating patients with massive rotator cuff tears is also included. Each chapter opens with pearls and pitfalls covering the main key points for quick reference. The overarching theme of this book is that patients with similar imaging findings may demonstrate very different clinical presentations, and the final treatment recommendation should be made based on their complaints and expectations. As such, it will be an excellent resource for orthopedic surgeons, sports medicine and shoulder physicians, physiatrists, physical medicine and rehab specialists, and occupational therapists. |
| 4 weeks post op rotator cuff surgery exercises: Rehab to Throw Like a Pro Edward Martel, Max Wardell, Marcee Wardell, 2019-05-28 This book serves as a practical guide to maximizing clinicians' effectiveness in rehabilitating overhead throwing athletes. Topics covered will include throwing mechanics, assessment of throwing athletes, and manual therapy with the primary focus of this guide being exercise interventions. Assessment strategies and exercise interventions will be laid out in a progression that can be easily followed and implemented in the clinic today. The inspiration for this book comes from my professional baseball career ending prematurely due to injury. Shortly after I made the 40-man roster for the New York Yankees, I sustained a shoulder injury that altered my career and life. I nearly made it back up to the MLB before sustaining another serious throwing injury. After multiple injuries and surgeries, I dedicated my life and future career, physical therapy, to discovering why throwing injuries occur and how to prevent them. The goal of this book is to give clinicians practical tools and interventions that they can add to their toolbox, without bogging them down with extraneous material and information. My goal for you is that you can make a difference in throwing athletes' careers so they don't have to experience the same career ending injuries that I endured. |
| 4 weeks post op rotator cuff surgery exercises: Algodystrophy P. Doury, Y. Dirheimer, S. Pattin, 2012-12-06 It is with great pleasure and ,much interest that I accepted to write the foreword to this book by Paul Doury, Yves Dirheimer, and Serge Pattin on the subject of algodystrophy. First, because I know the extent of their personal experience, from which they have selected the best for this book. Second, because it seemed to me that their detailed analysis of the numerous works on the subject, works which have been published all over the world and which provide diverse physiopathologic interpretations, would provide a comprehensive study meeting a real need. Algodystrophy, to adopt the term used by the authors, merits rheumatolog ists' careful attention. It is indeed a frequent condition and, as is now well known, occurs in the most varied etiologic circumstances; it is not solely posttraumatic, a notion on which diagnosis had long been based. This variable etiology suggests the complexity of algodystrophy's pathogenic mechanism. |
| 4 weeks post op rotator cuff surgery exercises: Shoulder Concepts 2013: Consensus and Concerns Guillermo Arce, Klaus Bak, Kevin P Shea, Felix Savoie III, William Benjamin Kibler, Eiji Itoi, Augustus D. Mazzocca, Knut Beitzel, Emilio Calvo, Benno Ejnisman, 2013-05-16 This booklet is intended as an insightful update on daily shoulder management closely based on the content of closed consensus meetings of the International Society of Arthroscopy, Knee Surgery and Orthopaedic Sports Medicine (ISAKOS) Upper Extremity Committee (UEC). Section A provides a comprehensive review of the currently available classifications and outcome scores for shoulder disorders, illustrating their potential pitfalls and limitations. The authors emphasize the need for standardization of shoulder assessment and propose two novel classifications that are expected to facilitate tailoring of management. Section B describes pioneering techniques to re-establish shoulder function after dislocation of the acromio-clavicular joint and covers surgical indications and decision-making criteria. Section C describes the current state of evidence concerning rotator cuff disorders, providing novel theories regarding the underlying biomechanics and reconstruction techniques. |
| 4 weeks post op rotator cuff surgery exercises: Textbook of Shoulder Surgery Ian A. Trail, Lennard Funk, Amar Rangan, Matthew Nixon, 2019-02-26 This textbook provides the most up-to-date information on shoulder surgery along with practical approaches for patient evaluation and treatments options. The book is divided into key sections, providing coverage on Soft Tissue Disorders of the Shoulder, Arthritis of the Shoulder, The Paediatric Shoulder and other miscellaneous topics relevant to treating this area. Its strong clinical focus will help residents and medical students to manage patients in a practical way, based on the most recent scientific evidence and the most effective surgical and non-surgical techniques. Thus, it will become a valuable reference and resource for young doctors and students looking to increase their professional skills and knowledge when treating shoulder injuries and disorders in clinical practice. |
| 4 weeks post op rotator cuff surgery exercises: Rotator Cuff Disorders Wayne Z. Burkhead, 1996 A text on the rotator cuff, with nine chapters written by Burkhead himself, and the remaining 24 chapters contributed by nationally and internationally recognized physicians and shoulder surgeons. The volume contains seven sections: history of cuff repair (1 chapter); basic science and the rotator cuff (3 chapters); evaluation and classification of cuff lesions (3 chapters); clinical disorders (10 chapters); conservative treatment of cuff defects and impingement syndrome (2 chapters); arthroscopic management of rotator cuff disease (1 chapter); and surgical management of massive cuff tears and degeneration (13 chapters). Thoroughly illustrated in bandw, with extensive chapter references. Annotation copyright by Book News, Inc., Portland, OR |
| 4 weeks post op rotator cuff surgery exercises: Personal Health Navigator: A Patient's Guide to Ontario's Health Care System Paul Taylor, Lisa Priest, Ayodele Odutayo, 2014-12-08 Ontario’s health care system can feel like a maze. In response, some hospitals have introduced patient navigators, who act as guides through the labyrinth of health care services. They help connect patients with the right doctors, resources and therapies, and get answers to patients’ questions. In 2012, Sunnybrook Health Sciences Centre and Healthy Debate launched the Personal Health Navigator blog. Over the past few years, we've answered nearly 100 patient questions. In collaboration with our Citizens’ Advisory Council, we have selected 33 of the best articles for this free e-book. They span a variety of topics, from family doctors to cancer and surgery. |
| 4 weeks post op rotator cuff surgery exercises: Shoulder Instability Across the Life Span Andreas B. Imhoff, Felix H. Savoie III, 2017-05-06 This book outlines the consensus findings of the ISAKOS Upper Extremity Committee regarding the treatment options for patients suffering from shoulder instability. The aim is to furnish readers with a precise knowledge of the presenting features of conditions typical of different ages, thereby facilitating assessment of patient characteristics and optimal treatment decision making based on the consensus of the Committee. All age groups are covered, from the very young through to the older patient. The structuring of the book essentially according to age group reflects the fact that certain forms of shoulder instability are observed at different ages. For example, while young patients tend to demonstrate instability combined with hyperlaxity, in later years, bony defects of the glenoid and humerus gain in importance. Similarly, the scope for conservative treatment varies across the life span. Each management-oriented chapter of the book includes information and guidance on anatomy, clinical examination, imaging, surgical indications and technique, rehabilitation, outcomes, and complications and their avoidance, and the text is supported by numerous high-quality illustrations. |
| 4 weeks post op rotator cuff surgery exercises: Michlovitz's Modalities for Therapeutic Intervention James W. Bellew, Thomas P. Nolan Jr., 2022-01-24 A volume in the Contemporary Perspectives in Rehabilitation Series, curated by Steven L. Wolf, PhD, PT, FAPTA Implement a current, evidence-based approach to the selection, application, and uses of therapeutic modalities as an essential tool for functionally based rehabilitation and as a complement to other types of interventions in a patient-centered model of care. The 7th Edition of this groundbreaking text fosters an in-depth understanding of the science behind each modality, its advantages and limitations, its appropriateness for specific conditions, and its implementation. A hands-on problem-solving approach promotes the development of essential clinical decision-making skills through a wealth of full-color photographs and illustrations, special features, and challenging cases studies. See what students and practitioners are saying about the previous edition… Recommend this book. “Great clinical reference for young therapists and seasoned therapists alike. Great information in a nicely organized book.”—Jane D., Online Reviewer Excellent book “Excellent content. Therapeutic modalities and many more... including spinal decompression devices.”—Online Reviewer |
| 4 weeks post op rotator cuff surgery exercises: Evidence-Based Rheumatology Peter Tugwell, Beverley Shea, Maarten Boers, Peter Brooks, Lee Simon, Vibeke Strand, George Wells, 2009-07-10 Compiled by Cochrane collaborators and members of OMERACT (Outcome Measures in Rheumatology), Evidence-based Rheumatology is an essential resource for evidence-based medicine as applied to the musculoskeletal disorders. The introductory section covers the principles of evidence-based medicine in rheumatology, followed by clinical chapters covering all the major disorders. Each chapter includes non-drug therapy, drug therapy, and consumer evidence-based summaries. Evidence-Based Series: Evidence-based Rheumatology, part of the acclaimed series BMJ Evidence-based medicine textbooks that have revolutionised clinical medicine literature, comes with a fully searchable CD-ROM of the whole text. The text is kept up to date online at www.evidbasedrheum.com Note: CD-ROM/DVD and other supplementary materials are not included as part of eBook file. |
| 4 weeks post op rotator cuff surgery exercises: An Atlas of Shoulder Surgery Freddie H. Fu, Jonathan B. Ticker, Andreas B. Imhoff, 1998 This brand new atlas illustrates the most up-to-date operative approac hes and techniques for open and arthroscopic shoulder surgery. |
| 4 weeks post op rotator cuff surgery exercises: Shoulder Pain? John M. Kirsch, 2010 |
| 4 weeks post op rotator cuff surgery exercises: The Anatomy of Sports Injuries Brad Walker, 2007 Contains in-depth descriptions of 119 sports injuries, each with illustrations that show the anatomy of the injury, and includes line drawings of simple stretching, strengthening, and rehabilitation exercises, as well as advice on injury prevention. |
| 4 weeks post op rotator cuff surgery exercises: The Athlete's Shoulder James R. Andrews, Kevin E. Wilk, Michael M. Reinold, 2008-10-30 The latest edition of this in-depth look at athletic injuries of the shoulder has been updated to feature 16 new chapters, additional illustrations and algorithms, an added focus on arthroscopic treatments, and pearls that highlight key information. Additional contributing authors give you a fresh spin on new and old topics from rehabilitation exercises to special coverage of female athletes, pediatrics, and golfers. This book offers coverage of arthroscopy, total joint replacement, instability, football, tennis, swimming, and gymnastic injuries, rotator cuff injuries, and much, much more! The large range of topics covered in this text ensures that it's a great resource for orthopaedists, physical therapists, athletic trainers, and primary care physicians. - Presents a multidisciplinary approach to the care of the shoulder, combining contributions from the leaders in the field of orthopedic surgery, physical therapy, and athletic training. - Demonstrates which exercises your patients should perform in order to decrease their chance of injury or increase strength following an injury through illustrated exercises for rehabilitation and injury prevention. - Illustrates how the shoulder is affected during activity of certain sports with a variety of tables and graphs. - Covers a large range of topics including all shoulder injuries to be sufficiently comprehensive for both orthopaedists and physical therapists/athletic trainers.Features 16 new chapters, including Internal Impingement, Bankarts: Open vs. Arthroscopy, Adhesive Capsulitis of the Shoulder, Cervicogenic Shoulder Pain, Proprioception: Testing and Treatment, and more. - Details current surgical and rehabilitation information for all aspects of shoulder pathology to keep you up-to-date. - Organizes topics into different sections on anatomy, biomechanics, surgery, and rehabilitation for ease of reference. |
| 4 weeks post op rotator cuff surgery exercises: Arthroscopic Rotator Cuff Surgery Jeffrey S. Abrams, Robert H. Bell, 2008-08-17 This text takes a comprehensive approach to rotator cuff disorders, including tears and arthroscopic techniques in surgical management. It addresses the latest topics, such as the conversion of mini-open repair to all arthroscopic repair, and answers key questions raised at instructional courses. Experts in the field present not only arthroscopic shoulder anatomy, cuff tear patterns, repair concepts, and other fundamentals, but also provide coverage of state-of-the-art techniques. The step-by-step approach is supplemented by a wealth of anatomical drawings and color photos. |
| 4 weeks post op rotator cuff surgery exercises: The Unstable Shoulder Russell F. Warren, Edward V. Craig, David Altchek, 1999 Featuring over 500 illustrations--143 in full color--this volume provides definitive guidance on evaluation, repair, and rehabilitation of shoulder instability. Leading experts describe today's most successful surgical and nonsurgical approaches to acute dislocations; recurrent instability; multidirectional instability; instability in throwing athletes; fracture dislocations; dislocations associated with rotator cuff tears; instability following prosthetic arthroplasty; and many other conditions. The comprehensive coverage includes pertinent anatomy, biomechanics, and pathophysiology; diagnostic studies; open and arthroscopic surgical procedures; and innovative techniques such as heat shrinkage of collagen. The contributors guide the clinician through every phase of patient management, from initial presentation to long-term rehabilitation. Their practical advice will help the reader conduct a thorough clinical examination; establish the differential based on the cause of injury; select appropriate diagnostic imaging studies; fine-tune surgical and nonsurgical interventions according to each patient's unique circumstances; and prevent and manage complications. The illustrations include surgical figures, diagrams, radiographs, and endoscopic images. |
| 4 weeks post op rotator cuff surgery exercises: Rotator Cuff Across the Life Span Andreas B. Imhoff, Felix H. Savoie III, 2019-04-27 This book presents the consensus findings of the ISAKOS Shoulder Committee regarding the treatment options in patients suffering from shoulder pain and reduced function or dead arm syndrome as a consequence of rotator cuff injuries. The aim is twofold: to equip readers with a precise knowledge of the presenting characteristics of these injuries in different age groups and to describe in detail the initial management and surgical and non-surgical approaches, taking into account the age-specific features. Readers will find clear descriptions of all the latest arthroscopic techniques, which allow repair of even the largest tears. The indications for and performance of tendon transfer procedures, biceps tenotomy, tenodesis, hemiarthroplasty, anatomic shoulder arthroplasty, reverse total shoulder arthroplasty, and revision surgery are explained. Helpful guidance is also provided on the use of strategies to promote rotator cuff healing, including stem cell therapy and scaffolds. The authors are leading experts in the field, and the book will be of value for all shoulder surgeons and orthopaedic trainees and consultants, as well as sports medicine specialists. |
| 4 weeks post op rotator cuff surgery exercises: Physical Therapy of the Shoulder - E-Book Robert A. Donatelli, 2011-03-16 - Updated neurology and surgery sections provide the most current, evidence-based practice parameters. - New case studies are added to show the clinical application of therapy principles. - Video clips on the companion Evolve website demonstrate additional techniques, exercises, and tests. |
| 4 weeks post op rotator cuff surgery exercises: Elite Techniques in Shoulder Arthroscopy John D. Kelly IV, 2015-12-29 Ideal for shoulder surgeons who want to upgrade their skills to the next level, this practical, step-by-step text presents the latest cutting-edge management strategies and science aimed at shoulder preservation surgery. Highlighting four main areas - the overhead athlete, shoulder instability, glenohumeral arthritis, and the rotator cuff - these innovative techniques focus on the maintenance of the native shoulder joint. Chapters open with an introduction to the clinical problem, followed by misgivings related to open surgery or arthroplasty as treatment strategies. A rationale for the arthroscopic treatment is then presented, along with an in-depth description of the technique itself as well as preliminary results. Techniques presented include posterior capsule release for the overhead athlete, arthroscopic Latarjet for instability, the CAM procedure for glenohumeral arthritis, biological augmentation for rotator cuff repair. A fifth section covers post-operative care and return-to-play considerations. With contributions from many of the top thinkers and surgeons of the shoulder, Elite Techniques in Shoulder Arthroscopy brings these exciting new management strategies to the fore with the aim of elevating them to more common practice for orthopedic surgeons and sports medicine specialists. |
| 4 weeks post op rotator cuff surgery exercises: Reverse Shoulder Arthroplasty David M. Dines, Joshua Dines, T. Bradley Edwards, 2017-09-27 This masterful book from top experts provides clinical insights on reverse shoulder arthroplasty gleaned from hands-on refinement of shoulder replacement techniques. Years of significant biomechanical and clinical research yielded invaluable knowledge that led to important improvements in functional outcome and implant durability. Among these refinements were stronger polyethylene derivatives, better ingrowth technology, and improved connection devices. As the durability and longevity of implant technology increased, younger active patients became suitable candidates for this procedure. In fact, RSA has played a pivotal role in making shoulder arthroplasty the fastest growing implant technology. In the first two sections, the authors take the reader through the history and evolution of RSA, followed by step-by-step surgical techniques for specific injuries and conditions. The next three sections discuss past and recent outcomes, complications, and rehabilitation. The last section covers special considerations including patient specific instrumentation, convertible humeral and glenoid components, and the future potential of stemless humeral technology. Key Features The latest trends in patient-specific components, guide systems, and instrument design The use of RSA for rotator cuff repair, shoulder arthritis, and acute and complex fractures In-depth discussion of techniques to improve deltoid function, avoid impingement, and increase implant longevity Clinical pearls on how to recognize and handle complications that occur: instability, infection, scapular notching, component loosening, glenoid and humeral bone loss, and RSA failure High quality videos and 300 superb illustrations further delineate techniques This book is a practical resource that enables learning complex procedures, putting them into practice, and handling complications should they arise. It is an essential tool for all orthopaedic surgeons who treat shoulder conditions. |
| 4 weeks post op rotator cuff surgery exercises: Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine, E-Book Brian J. Cole, Jorge Chahla, 2022-05-24 Ensure optimal outcomes from each shoulder, elbow, and knee sports medicine surgery with the consistent, step-by-step approach offered in this comprehensive reference. Surgical Techniques of the Shoulder, Elbow, and Knee in Sports Medicine, 3rd Edition, covers both open and arthroscopic surgeries, providing the expert guidance you need on everything from patient positioning, anatomy, relevant biomechanics and the latest orthopaedic surgery techniques, through pearls and pitfalls and post-operative care. Contributing authors are renowned sports medicine surgeons who equip you with a global perspective on the most recent orthopaedic advances. - Covers the latest open and arthroscopic techniques for both common and not-so-common sports medicine pathologies. - Offers a comprehensive approach to each pathology including rehabilitation protocols and return-to-play criteria. - Contains more than 15 new chapters: First-time Shoulder Dislocation, Ulnar Collateral Ligament Reconstruction (various techniques), Managing Bone Loss on the Humeral Head, Cartilage Allografts for the Treatment of Cartilage Lesions of the Knee, and many more. - Provides up-to-date information on timely topics such as complex decision making for the patellofemoral joint, biologics and injection therapy for the management of osteoarthritis, and primary ACL repair techniques. - Highlights step-by-step text with numerous high-quality illustrations, surgical photographs, and MRIs and radiographs. - Includes access to an online surgical video collection covering Arthroscopic Rotator Cuff Repair: Double Row Techniques; Arthroscopic Repair of Multidirectional Instability of the Shoulder; Ulnar Collateral Ligament Repair and Reconstruction: DANE Technique; Double Bundle Anterior Cruciate Ligament Reconstruction; and Management of Proximal Tibiofibular Instability. - Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices. |
REHABILITATION PROTOCOL POST-OPERATI - Sport Medicine …
The sling is for comfort and protection and should be worn for 4-6 weeks after surgery (see front page of booklet for time frame under Movement Restrictions). It can be removed when sitting …
Rehabilitation Protocol for Rotator Cuff Repair-Small to …
Mar 11, 2019 · This protocol is intended to guide clinicians and patients through the post-operative course of a rotator cuff repair. Specific interventions should be based on the needs …
Traditional Rehabilitation Protocol for Rotator Cuff Repair
Phase 1: Immediate Post-Op (3–5 Days – 3 weeks Post-Op) Rehabilitation Goals • Progress shoulder PROM • Minimize pain • Protect repair • Initiate AAROM • Progress to prone AROM …
Rotator Cuff Repair Rehabilitation Guide - MATTHEW T.BOES, …
NOTE: At 10 weeks following surgery, if motion is deficient and shoulder is stiff, start the following stretching exercises. However, these are not to be done before 10 weeks post-op.
Therapist Rehabilitation Protocol Routine (Early) Rotator Cuff …
PHASE 4 (To start 12 weeks after surgery) Resisted Exercises 12-16 Weeks: After 12 weeks, the patient can begin strengthening with resisted exercise using elastic bands and/or hand weights.
Rotator Cuff Repair Post-Operative Protocol - Dr. Ian Lo
Rotator Cuff Repair Post-Operative Protocol PATIENTS This protocol should be used as a guide during your rehabilitation after surgery. A physiotherapist should be consulted throughout to …
Rotator Cuff Repair Post Operative Protocol - Twin Cities …
Phase I: Immediate Post-operative to 4 weeks • Abduction support o For all significant full-thickness rotator cuff tears, an abduction support/ultra sling is used for 4 weeks post-op. o The …
Rotator cuff repair advice and exercises - Royal Berkshire
Rotator cuff repair advice and exercises, June 2023 6 From 3 weeks (small/ moderate tears only) or 5-6 weeks (large/massive tears) • Lying on your back –
ROTATOR CUFF PROTOCOL
rotator cuff re-tears occur in the first 3 months after surgery so please follow the guidelines or call with questions. If patient had Manipulation under Anesthesia, the ultimate goal is full ROM. …
Tri-Service Post-Operative Rehabilitation Guidelines - SOMOS
Begin early shoulder motion: PROM to 90° ABD and 90° FLEX for small and medium tears. Exercise prescription is dependent upon the tissue healing process and individual functional …
Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair …
• Isometric strengthening exercises can begin 14-18 weeks after surgery. Only submaximal activation should be applied, maximal efforts can overload the repair.
REHABILITATION PROTOCOL FOR ROTATOR CUFF SURGERY …
During the day: weeks. At night: weeks. Heat may be utilized prior to exercise. Ice may be applied post exercise. Gentle massage around the shoulder girdle, trigger points; supraspinatus, …
Rotator Cuff Repair Protocol - Boston Shoulder Institute
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 assisted/mini-open …
POST-OPERATIVE INSTRUCTIONS Rotator Cuff Repair Surgery
Mar 19, 2020 · home exercises (specific instructions included in this handout) the day after surgery. Pendulum & Codman exercises: Using gravity and momentum, gently move your arm …
Rotator Cuff Surgical Repair - Orthopedic Associates of Hartford
Strength exercises that target the surgically repaired rotator cuff can be initiated, with lightweight or bands in and pain-free, low stress range. Exercises should be progressed in terms of …
Post-Op Care and Physiotherapy for Rotator Cuff Repair - Dr …
; PATIENT EXERCISES These exercises should be performed 2-3 times a day. Pendulum Warm Up. Standing, bend over at the waist and let arm dangle. Move hand in a clockwise circle then …
Arthroscopic Rotator Cuff Repair Frequently Asked Questions:
• At 4 weeks post op the strength of the tendon repair is about 20% of a “normal” tendon attachment. Hence, prior to 6 weeks post op no active motion of the arm is permitted, as it …
Rehabilitation Protocol for Rotator Cuff Repair-Small to …
Mar 11, 2019 · This protocol is intended to guide clinicians through the post-operative course for rotator cuff repair-small to medium tears. This protocol is time based (dependent on tissue …
PRECAUTIONS ROTATOR CUFF REP - Summit Orthopedics
» For standard rotator cuff repairs: Strengthening of the rotator cuff will be initiated at 3 months/12 weeks post-op. General upper extremity conditioning is permitted (with patient’s arms at their …
PHYSICAL THERAPY PROTOCOL AFTER ROTATO…
Exercises Week 1- 6 weeks: shoulder shrug and roll pendulum exercises IMPORTANT: The start of pendulum and scapular exercises is defined by …
REHABILITATION PROTOCOL POST-OPERATI - Sport Medi…
The sling is for comfort and protection and should be worn for 4-6 weeks after surgery (see front page of booklet for time frame under Movement …
Rehabilitation Protocol for Rotator Cuff Repair-Small t…
Mar 11, 2019 · This protocol is intended to guide clinicians and patients through the post-operative course of a rotator cuff repair. Specific interventions …
Traditional Rehabilitation Protocol for Rotator Cuff R…
Phase 1: Immediate Post-Op (3–5 Days – 3 weeks Post-Op) Rehabilitation Goals • Progress shoulder PROM • Minimize pain • Protect repair • Initiate …
Rotator Cuff Repair Rehabilitation Guide - MA…
NOTE: At 10 weeks following surgery, if motion is deficient and shoulder is stiff, start the following stretching exercises. However, these are not to be done …
