Ssp shoulder rehab pdf

This is because the articular surface of the round humeral head is approximately. Shoulder rehabilitation western orthopaedic clinic. Nonsurgical shoulder impingement rehabilitation protocol ramin r. The shoulder surgery program ssp, through its association with the host hospital participating in the medicare and medicaid program, is expected to comply with current cop s. Tie a knot in the end of the tubing and shut the knot in the door at shoulder height. It is also a very useful guide to clinical decision making and determining those patients which will respond well to the. Effects of a home exercise programme on shoulder pain and. 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. Rotator cuff and shoulder rehabilitation exercises orthoinfo aaos.

Department of rehabilitation services physical therapy arthroscopic rotator cuff repair protocol. The ssmp or shoulder symptom modification procedure aims to look at rotator cuff pain in a simplified way and follows a scheme of four different. Gill instructs you to continue using it use it for comfort. Patellar dislocation conservative and operative rehabilitation pdf download lateral retinacular release of the patella pdf download distal osteotomy for patellar realignment and rehabilitation pdf download patellar tendon rupture and rehabilitation pdf download patella open reduction and internal fixation pdf download.

Shoulder arthroscopic capsular release rehabilitation phase one. However, unlike the hip joint, the socket of the shoulder joint is extremely shallow, and thus inherently unstable. The programme for primary impingement, rotator cuff tears and arthritis is designed as a twophase therapy. It is not intended to be a substitute for clinical decision. The tendon can often become frayed or partially torn. We make it easy and teach you how to strengthen your shoulders and keep them healthy for anything life throws at you. Strength is the second component of shoulder rehabilitation.

Phase i immediate post surgical phase meets criteria for progression to phase ii. Stretching exercises for shoulder impingement syndrome. Large rotator cuff repair protocol the intent of this protocol is to provide the clinician with instruction, direction, rehabilitative guidelines and functional goals for all rotator cuff repair procedures. Shoulder rehabilitation scapulae setting these exercises can be done in a number of different positions shown below. Full text get a printable copy pdf file of the complete article 4. Make sure to rest from all painful activities until swelling subsides. Rehabilitation following total shoulder arthroplasty reg b. Specific interventions should be based on the needs of the individual and. This will decrease excessive stress to the anterior joint capsule. Sling your sling is not necessary except for comfort, unless dr.

Shoulder extension exerciselying prone or standing bending at the waist. Repeat x 3 this exercise is difficult only do if able 10. 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. How to discriminate between acute traumatic and chronic. Rehabilitation guidelines for anterior shoulder reconstruction with open bankart repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee figure 1. Rehabilitation guidelines for standard reverse total.

Before beginning a subacromial bursitis rehabilitation program it is important to be aware that the athletes chance of the injury recurring is increased by any of the following. Shoulder and neck pain and dysfunction are among some of the most common complaints of the overhead athlete and deskbound worker alike. Shoulder rehab protocols sports medicine orthopedic surgeon. A systematic approach to shoulder rehabilitation george m. Neuromuscular testing and rehabilitation of the shoulder. The shoulder p rehab program is for anyone looking to bulletproof their shoulders for life. Rotate the arm clockwise x 10 then anticlockwise x 10. Whether youre an average joe, fit fiona, weekend warrior, athlete, or superhero parent, you can benefit from this program. Rehabilitation guidelines for type i and type ii rotator. Jan 06, 2017 ssmp shoulder symptom modification procedure.

Meyers, md from orthopaedic research of virginia, richmond, virginia careful examination of the shoulder is an essential component in forming a diagnosis of problems in this area. Aromaarom cervical spine, elbow, wrist, and hand 4. This order form contains a large variety of options to fulfill various patient needs. Shoulder rehabilitation treatment includes activity modification, stretching, and strengthening the affected limb. True function of the rotator cuff dynamic decompression of the humeral head by providing balance of the upper pull of the deltoids steer and stabilize the humerus to the glenoid result smooth rotational movement to allow shoulder elevation. Rehabilitation of shoulder instability 2017 1 shoulder stabilization in athletes when can i play kevin e. 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.

After 72 hours, ice the shoulder after activity or exercise. Shoulder tendonitis brett sanders, md center for sports medicine and orthopaedic 2415 mccallie ave. Periscapular submax pain free isometrics in scapular plane 5. The rehab program is limited for the first 6 weeks after surgery to allow the subscapularis tendon. Numerous clinical examples of successful rehab for impingement andor glenohumeral instability problems can be provided upon request, especially with recalcitrant and or biomechanically unaware clients who have poor capacity for skill relearning. 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. Rotator cuff repair protocol south shore orthopedics. 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. The shoulder is a wonderfully complex joint that is made up of the ball and socket. Total shoulder arthroplasty post op rehabilitation patient name.

Australian and new zealand society for geriatric medicine. Bending over at the waist and balancing with the good arm let the stiff side relax and swing with gravity. The general treatment for a variety of shoulder procedures involves protection of the repair, stretchingmobilizing tight or restricted structures, strengthening the. Uw health sports rehabilitation rehabilitation guidelines for type i and type ii rotator cuff repair and isolated subscapularis repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to that of a golf ball on a tee.

Internal and external rotation equal to contralateral side, with the arm positioned in less than 90 of abduction. This site complies with the honcode standard for trustworthy health information. Rehabilitation of shoulder in the overhead thrower kevin e. To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Ssmp shoulder symptom modification procedure youtube. Rotator cuff and shoulder conditioning program orthoinfo aaos. Anterior shoulder dislocationsubluxation nonoperative treatment. Although operative versus nonoperative treatment of. David lintner specializes in arthroscopic surgery of the knee and shoulder and is active in teaching orthopedic surgeons the latest techniques. 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. Shoulder arthroscopy rehab protocol the stone clinic. Same exercise but rotate the arm outwards and inwards. Always be sure to ice your shoulder after you complete your exercises. This analogy is used because the articular surface of the round humeral head upper most part of the arm is approximately four times.

Improve range of motion of the shoulder and prevent adhesions from forming 2. Set scapula by pushing back of shoulder against the wall. Stretching exercises this handout illustrates some basic range of motion exercises for the shoulder. Knowledge of how the scapular muscles influence function at the shoulder builds a strong foundation for the clinician to develop rehabilitation programs for the shoulder. The exercises illustrated and described in this document should be performed only after instruction by your physical therapist or dr. Kevin e wilk, pt, dpt,fapta shoulder stabilization in athletes. During this time, range of motion exercises are started to prevent the shoulder from getting stiff and losing mobility. We are taking broscience to the next level, providing research and evidence based shoulder exercises to prehab the shoulders for longevity. Shoulder pain results in over three million visits to physicians each year. Rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a total shoulder arthroplasty tsa and hemiarthroplasty. Rehabilitation following total shoulder arthroplasty. Electromyographic analysis of specific exercises for scapular control in early phases of shoulder rehabilitation. The pune shoulder rehabilitation programme psrp has been designed to ensure complete patient compliance and at the same time providing optimal rehabilitation in the minimum time interval.

Rehabilitation after arthroscopic bankart repair and anterior. Shoulder pain elbowupper arm pain wrist pain hand pain hipupper leg pain kneelower leg pain anklefoot pain jaw pain joint swellingstiffness arthritis rheumatoid arthritis general fatigue muscular incoordination visual disturbances dizziness cancer tumor present high blood pressure heart attack chest pains stroke angina kidney stones kidney. Swimming biomechanics, swimmers shoulder, swimming rehabilitation and much more with jenni brozena appeared first on swimming science. Total shoulder arthroplasty hemiarthroplasty protocol. As an individuals progress is variable and each will possess various pre. Theralase laser medical advisory board litecure laser consultant alterg medical advisory board. Revision surgery or cases involving bonegrafting procedures may undergo modifications to the below guideline. Of these visits, rotator cuff disease is the most common cause 1. Ac joint injury rehabilitation acj injuries are common due to falls on the point of the shoulder such as in falling of a bicycle and often result in a step deformity of the acj due to rupturing of the ligaments that support this structure. Shoulder impingement can have many symptoms and there are many shoulder impingement tests and exercises that. For the small percentage of individuals who fail the shoulder screen or after 30 days dont have the results they expected we offer a full, money back guarantee.

Chronic shoulde r pain and suspicio n of rotator cuff. Rehabilitation after total shoulder arthroplasty activities and advice for in the hospital and while at home. The exercises may be suggested for a condition or for. Subacromial shoulder pain ssp 2 is a term that is used to 36 describe the clinical presentation of pain and impairment of shoulder movement and. Clinical guidelines for stroke management 2010 the following organisations have provided valuable input into the development of this document and the national stroke foundation gratefully acknowledges their endorsement of the clinical guidelines for stroke management 2010. Anterior deltoid exercises for patients with massive rotator cuff tears. Ebraheims educational animated video describes shoulder impingement syndrome. To summarize, nonoperative rehabilitation of shoulder instability has many subtle variations.

Supraspinatus tendinopathy is a common and disabling condition that becomes more prevalent after middle age12 and is a common cause of shoulder pain34. This shoulder rehabilitation program focuses on strengthening the muscles that support your shoulder to help keep your shoulder joint stable, relieve pain and. Total shoulder replacement protocol sports and ortho. Other shoulder conditions might also require surgery to rectify. Apply ice, or the cooling unit, to the shoulder as it will be quite helpful. Descriptions and section notes, such as optional or required, are. However, limited studies on shoulder kinesthesia 1 3 15,3 1,32, 35,36,43 exist, and few provide clinically useful and easily applicable testing and interpretation 50,70. Tip squeeze your shoulder blades together as you pull. Theralase laser medical advisory board litecure laser consultant alterg medical advisory board intelliskin usa medical advisory board. Kinesthetic testing usually in volves the following techniques. After years of testing and improving crossover symmetry, we know that nearly every person who implements crossover sees results. Shoulder impingement syndrome everything you need to know.

Use an elastic stretch band of comfortable resistance. Complaints of anteriorlateral pain, compensatory shoulder shrugging with overhead motion, gross functional disabilities, constant achiness in the shoulder, night pain, pain that wakes that patient during sleep, and patient age of 40 or greater may be indicative of a rotator cuff tear. Shoulder arthroscopic capsular release rehabilitation. The role of the scapula in the rehabilitation of shoulder. Thirty healthy subjects were included in this study, and 16 shoulder girdle. Scapula strengthening exercises early shoulder rehab. Hold spine in neutral, core activated and shoulder down away from your ears. The rehabilitation program will gradually progress to. Rehabilitation protocol for total shoulder arthroplasty. 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.

The most effective exercise for strengthening the supraspinatus. Wilk, dpt, pt,fapta kevin e wilk, pt, dpt,fapta 2017 chicago sports medicine symposium faculty disclosure. Pull down with good arm to raise the injured shoulder. Unless your doctor feels that you have adhesive capsulitis or frozen shoulder, these exercises should not cause pain. Nonsurgical shoulder impingement rehabilitation protocol. When new or revised requirement s are published, the shoulder surgery program ssp is expected to demonstrate compliance in a time frame. Rotator cuff repair protocol boston shoulder institute. Effects of 6week program on shoulder tightness, pain and disability status. 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.

Shoulder shrug exerciseavoid traction in the glenohumeral joint between. If they have an unstable shoulder joint where there is a lot of movement and weakness in the joint for example from previous injury or a shoulder dislocation. Grasp the end of the rod with hand 1 and the other end with hand 2 use hand 2 to passively raise hand 1 up to the side until a stretch is felt. You may remove the sling whenever you wish and gently move the elbow, wrist and fingers. Canner, mdt the treatment of posterior shoulder instability can be a frustrating experience for both the patient and the clinician. He also specializes in injuries to throwers shoulders and elbows, having written more than thirty scientific articles about acl injuries, throwers injuries, and other sports medicine issues. Time management clinical outcomes outline mentor program phase one 1. Treatment algorithm for progressing the rehabilitation program for a patient that has had a total shoulder arthroplasty. Rehabilitation guidelines for shoulder debridement. You can also do this against a wall, like a wall pushup.

Wilk, pt, dpt,fapta 2016 kevin e wilk, pt, dpt,fapta 2016 baseball sports medicine conference faculty disclosure. Holding tubing connected to a door knob at waist level, face away from the door, keep your elbow straight and pull your arm forward. This video shows four simple scapula strengthening exercises that can be done in early phases of postoperati. Dynamic stretching are stretches that are pain free and held for 15 seconds and repeated 1015 reps. Shoulder rehabilitation protocol general shoulder rehabilitation exercises. Subjects were instructed to perform progressive resistance strengthening exercises three days per week for two muscle groups. 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. Millett, md, msc3 total shoulder arthroplasty tsa is a standard operative treatment for a variety of disorders of the. Therapy services patient information poole hospital. Apply ice to the shoulder to reduce pain and swelling.

R rest consider using a shoulder sling for the first 12 days if your shoulder is painful. Infraspinatus and teres minor you should feel this exercise at the back of your shoulder and into your upper back equipment needed. They should be performed within your comfort zone unless otherwise instructed. The shoulder joint is a ball and socket joint, similar to the hip joint. The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral. This may include physical therapy, antiinflammatory medication, rest, and. There is a need for welldesigned level i and level ii trials to elucidate the optimal rotator cuff repair rehabilitation protocol.

Rehabilitation program of the shoulder physiopedia. I ice you should rest from all activities that cause shoulder pain. The rotator cuff covers the shoulder joint and joint capsule. Shoulder glenohumeral and acromioclavicular joint osteoarthrosis. Shoulder strengthening exercises 2010 2 scapular protraction lie on your back and, while holding a small dumbbell in front of you, push the shoulder forward while keeping your arm as still as possible.

Avoid the shoulder extended position by preventing arm movement beyond the plane of the body. The ssmp was described by jeremy lewis in 2009 and is a very useful and logical approach to the assessment of patients with rotator cuff and subacromial pathology. To email via a webbased application, please save as and attach the pdf to your email. Rehabilitation is vital to regaining motion, strength and function of the shoulder after arthroscopic surgery. In all patients, standardized radiographs were obtained in the true anteroposterior view in neutral rotation and in the axillary and supraspinatus ssp outlet views. Implementation of overhead activity, a key component of many professional sports, requires an effective and balanced activation of the shoulder girdle muscles, particularly during forceful external rotation er motions. Reverse total shoulder arthroplasty rehab protocol 1 rehabilitation guidelines for standard reverse total shoulder arthroplasty rtsa note. Strengthening exercises such as isometric exercises should be considered in order to work out the shoulder girdle musculatures. Rotator cuff and shoulder rehabilitation exercises. It is also a very useful guide to clinical decision making and determining those patients which will respond well to the correct rehabilitative programme. To simplify my thought process, i always think of these 6 key factors before i decide what i want to focus on for each person. Here are some examples of exercises for you to try. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals.