Raise one arm over your head, and then lean to the other side. Get instant access to the training zone watch the video instruction for your rehab exercises and learn ways to modify it for pain 3. Stand comfortably with your feet shoulder width apart. Do these exercises as soon as your healthcare provider says you can.
Learn more about shoulder replacement rehabilitation following shoulder replacement surgery here. 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. This 4phase program will expose you to various scapula and shoulder strengthening and stabilization exercises supported by science. Shoulder extension in prone do not move shoulder past the plane of the body e. Postoperative rotator cuff repair sport medicine centre. E internal rotation with crossbody adduction, f behind the back against a counter and g with a towel. If the scapula doesnt move well, it puts a lot of pressure on the rotator cuff and related muscles, which can cause strain. Nov 08, 2020 repeat the exercise on the back shoulder. One useful strategy is to take the program of 810 recommended exercises and divide them in half, doing one group on one day e. For each exercise perform 1 set of 10 repetitions 1 2 daysweek. Nonoperative rehabilitation for full thickness rotator cuff tears.
Impingement syndrome rotator cuff tendinitis, bursitis. Shoulder passive range of motion seated or standing phase 1 shoulder passive range of motion seated or standing phase 1 the following is your personalized exercise program prescribed by your physical therapist. Begin the pendulum exercise several times a day pendulum exercise. After you get back the full range of motion in your shoulder, your. Lean over and do pendulum exercises for 3 to 5 minutes every 1 to 2 hours. Shoulder flexion lying down slide 1 of 6, shoulder flexion lying down, for this exercise, you will. Nonsurgical shoulder impingement rehabilitation protocol. Vive shoulder pulley over door rehab exerciser for rotator cuff recovery arm rehabilitation exercise system for frozen physical therapy, flexibility stretching strengthener, range of motion 4. These rotator cuff exercises can help strengthen or rehab your rotator cuff. Rotator cuff and shoulder conditioning program orthoinfo.
Rehabilitation protocol for total shoulder arthroplasty and. Exercises can be done daily or on alternating days. Rotator cuff exercises shoulder injury rehab ask doctor. Slowly pinch your shoulder blades scapulae together as if supporting a stick between them. The focus in phase three is on progressive exercises in preparation for returning to the prior activity level work, recreation activity, sports, etc. Improve shoulder flexion lifting the arm forwards and above your head starting position. Slowly pull down on the pulley with your good arm, so that your affected arm raises forwards and upwards without any effort. Let your arm move in a circle, first clockwise, then counterclockwise. The following exercises should be done three to five times a day to strengthen your deltoid muscle. Passive supine rom elevation and external rotation see cover page. Role of the kinetic chain in shoulder rehabilitation. Shoulder range of motion exercises johns hopkins division of shoulder surgery department of orthopaedic surgery created 9262017 edward g. In patients with minor ruptures, strengthening is occasionally started in this phase, otherwise strengthening starts in phase iii. Many of the same exercises we prescribe for high level training with our professional athletes have their roots in the e.
Electromyographical assessment of passive, active assistive, and active shoulder rehabilitation exercises. Scapular stabilizer strengthening closedchain strengthening exercises. Rehabilitation after rotator cuff repair of the shoulder. Conduct exercises 23 times daily phase 1 exercises. Squeeze your shoulder blades together to separate the band. For each exercise perform 2 sets of 10 repetitions 23 daysweek when performing exercises, you should not experience pain during or after the exercise. Move your elbow, fingers and hand several times a day. Rotator cuff exercises shoulder injury rehab ask doctor jo. Arom exercises if the operation report states that arom exercises should be started later. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Apply ice to the shoulder as tolerated to reduce pain and swelling. Physical therapy for reverse total shoulder replacement. Do this exercise for 5 minutes, 5 to 7 times each day even while your shoulder is still tender from an injury or surgery. As you have less pain, try bending over a little farther to do this exercise.
Progress to light isotonic dumbbell exercises external rotation. After the warmup, do the stretching exercises shown on page 1 before moving on to the strengthening exercises. Irer in scaption plane and flex 90125 rhythmic stabilization in supine. Shoulder flexion lying down slide 1 of 6, shoulder flexion lying down, lie on your back, holding a. Shoulder exercises wing ftp server university of western states. Rom, static stretch, and dynamic stretch shoulder injuries are very common in the collegeaged population. Building strength and endurance page 2 of 34 to complete the rehabilitation program, additional activities and exercises should target thoracolumbar core stability, proprioceptive input, and motor control. Consider using a shoulder sling for the first 1 2 days if your shoulder is painful with everyday living activities. Increase strength and mobility in your shoulders for improved performance many swimmers have missed some amount of time away from the water due to some type of shoulder injury, either minor or severe. For all these exercises, your elbow should be bent to a right angle and your arm should not move. Roll shoulder back and down and maintain this position. This is the same position as the pendulum exercise. These exercises are recommended by us for you to perform on your own to regain your shoulder range of motion.
Do not perform exercises that increase your pain during or after the exercise. Hold the elastic band with arm at a height of shoulder level and elbow straight. Start at one set of 1215 reps and progress to 2 sets. P protection the first phase of rehabilitation begins with flexibility. Unless your doctor feels that you have adhesive capsulitis or frozen shoulder, these exercises should not cause pain. Keeping your arm at shoulder height, pull your arm across your chest until you feel a gentle stretch in the back of your shoulder. Our latest edition of the shoulder exercise book shoulder rehabilitation. Passive shoulder pendulum prom er with cane elbow at side to 20 degrees only x 8 weeks prom ir to side at 45 degrees abduction prom shoulder flexion with slight ir prom shoulder abduction prom but no stretching shoulder isometrics. Shoulder rehabilitation western orthopaedic clinic. Anatomical and biomechanical framework for shoulder arthroplasty rehabilitation. Following you will find a list of detailed exercises that research has shown will help with shoulder. Seated row dynamic exercises continue phase ii exercises progressive resistive exercises 1 3 lb. This may feel like less shoulder motion than before, but this is the normal way that the shoulder works. Then slowly let the affected arm come down, controlling the movement with the.
Not straight over head but not straight out to the side, in a diagonal motion. Follow the 30day fix program follow a daily program that will steadily improve your shoulder strength and mobility in 5. Hold spine in neutral, core activated and shoulder down away from your ears. The socket portion of the joint is not naturally deep. Starting position shoulder retraction step 1 horizontal shoulder abduction step 2 external shoulder rotation w thumbup step 3 start with shoulder protracted hanging off the edge of the table starting position, then retract shoulder step 1. Instruct to don and doff sling or shoulder immobilizer shoulder should be completely immobilized at all times except to change instruct on proper use of ice or polarcare 2030 minutes at a time, several times per day especially after exercises pendulum exercises passive forward elevation to 90 deg passive er to 30 deg.
Before doing the following exercises, warm up with 5 to 10 minutes of low impact activity, like walking or riding a stationary bicycle. Shoulder replacement rehab phase 1 shoulder replacement. Reverse shoulder arthroplastyrtsa rehabilitation protocol. Strengthening exercises mammoth orthopedic institute.
B forward elevation using a door or c against the wall. Supraspinatus, full can in the scapular plane below shoulder level b. Shoulder rehabilitation scapulae setting these exercises can be done in a number of different positions shown below. You can change the dressing to a smaller one to allow the cold therapy to reach the shoulder. Anterior deltoid exercises for patients with massive rotator. The shoulder p rehab program is a physical therapist developed, stepbystep program that teaches you how to optimize your shoulder health. Allow gravity or your opposite arm to lift and move the involved shoulder.
Shoulder separation and acromioclavicular joint injury. Pull band downward across the body toward the opposite knee in a slow controlled motion. After a burn injury to your shoulder, your skin will tighten in an attempt to close and heal the wounds as. Shoulder strengthening exercises are appropriate for patients with a variety. These exercises must be done for at least 12 weeks and must always be performed starting lying down to begin with. After 7 to 10 days, if the shoulder is improving and the exercises do not worsen the pain, the remaining exercises can be gradually added. These exercises are also important to help keep your arm and shoulder flexible if you have radiation therapy. This program will bulletproof your shoulders for anything life throws at. Customize your equipment select the proper resistance level and attachment for use at home, the gym, or office 2.
Some shoulders are too tight and others arent strong or stable enough. 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 flexor and extensor see figure in appendix scapular strengthening exercises the shoulder blade scapula is one of the main bones of the shoulder joint. Physiotherapy department rehabilitation after shoulder.
This handout illustrates some basic range of motion exercises for the shoulder. It comprises the most uptodate exercises for shoulder rehabilitation, which combine all aspects of shoulder recovery motion. When your symptoms are less acute you can begin strengthening the rotator cuff and the muscles that provide stability. Adhesive capsulitis protocols ucsf sports medicine. Rotator cuff sprain and strains home university health. Shoulder arthroplasty and its effect on strain in the subscapularis muscle. Volume 28, number 3, pages 6265 rehab tips scapula stabilization rehab exercise prescription jason brumitt,mspt,scs,atc. Slide your hand down your leg as you let the weight of your arm gently stretch your side muscles. C5c5,d willamette falls hospital,oregon city,oregon erikmeira,pt,cscs elite physicaltherapy and sports medicine, portland,oregon summary the athletic shoulder is susceptible to repetitive overuse injuries in sports. Static strengthening exercises static shoulder exercises work the muscles in the shoulder without moving the shoulder itself. The selected one for you will be taught by your physiotherapist. No resisted rotator cuff strengthening exercises until weeks.
Lie on your stomach, supporting your body with your forearms. Refer to the instruction sheet of rotator cuff exercises. Your therapist will individually tailor and modify your exercise regime to best suit you because no one is the same. Biceps tenodesis rehabilitation boston sports medicine. Postop rehab protocol for shoulder debridement, decompression, distal clavicle excision phase 1 0 3 weeks after surgery appointments pt begins 58 days postop goals reduce pain and swelling in the postsurgical shoulder regain full passive range of motion prom and active assistive range of motion aarom. Apply cold to the shoulder for 20 minutes at a time as needed to reduce pain and swelling. Early post surgery rehab first 6 weeks after surgery. Take hold of one handle in each hand at head height.
This will increase the amount of movement at your shoulder. To protect, repair and maintain your range of motion, it is important for you to do the following during this time period. Standing grasp the stick with both hands behind your back, push backward with the good arm supplying the power. Throwers ten exercise program university of florida. Stretching and strengthening the muscles of the shoulder and scapula. Rehabilitation protocol for reverse shoulder arthroplasty. It will reduce your pain and improve both the range of movement and your arm function. Roll your shoulders up, then back, and then down in a smooth, circular motion. Strengthening and optimal movements for painful shoulders. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket.
Stand or lie on your back, grasping your elbow as shown in the diagram. Shoulder replacement this handout has information about your reverse total shoulder replacement and the exercises you will need to do after your surgery. Here in this video i talk about shoulder impingement exercises full rehabilitation program resist. Stretching exercises this handout illustrates some basic range of motion exercises for the shoulder. Rotator cuff and shoulder rehabilitation exercises. Exercises after burn injury to your shoulder metro north hospital. A comprehensive guide to shoulder exercise therapy the shoulder exercise book is a patientspecific booklet to assist patients and therapists through their rehabilitation period. For any strengthening exercises where your arms start at or stretch from your sides, the motion.
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