endobj 0000040213 00000 n 0000017794 00000 n 0000036585 00000 n Normalize range of motion . 0000023351 00000 n 3 - 5 times a day, perform the following series of exercises The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers. The protocol is divided into phases, which are adaptable based on the individual and special circumstances. 0000027787 00000 n ... patient’s case and sound clinical judgment on the part of the rehab professional. R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful with everyday living activities. 0000037668 00000 n 388 0 obj <>stream 0000041977 00000 n 0000030442 00000 n SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. 0000027013 00000 n 0000039932 00000 n 0000015917 00000 n Improve posture . 51 214 0000011239 00000 n 0000053361 00000 n Arthroscopic Rotator Cuff Repair Protocol: 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 rotator cuff repair. It may result from fatigue of the shoulder girdle muscles, pain-mediated muscle inhibition or stiffness about the shoulder … Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 0000049902 00000 n endstream endobj startxref 0000041493 00000 n 0000051321 00000 n 0000040494 00000 n 0000052057 00000 n 0000032198 00000 n 0000041356 00000 n 0000025532 00000 n • Hold it for 10 seconds, repeat 10 times. 0000021471 00000 n rehabilitation guidelines for Shoulder arthroscopy posttraumatic degenerative disease of the AC joint and shoulder impingement syndrome.4 Chronic impingement and/or inflammation of the long head of the biceps (Figure 1) can also be a pain generator in the shoulder… 3. rotator cuf f injuries: ... based rehab ilitation p rogrammes as w ell as measure . A systematic review of the literature was performed to evaluate the role of exercise in treating rotator cuff impingement and to synthesize a standard evidence-based rehabilitation protocol. Physiotherapy Protocols 403 - 233 Nelson’s Crescent New Westminster BC V3L0E4 _____ Subacromial Decompression/AC Resection: Postoperative Protocol Arthroscopic decompression is normally the result of the clinical diagnosis of shoulder impingement syndrome. 0000053646 00000 n Using a broom or rod, grasp the end with hand 1 and the other end with hand 2 Use hand 2 to passively raise hand 1 up until a stretch is felt. Impingement may result from structural causes such as bony deformation of the acromion, or as a functional result of shoulder instability and weakness. Equipment needed: Chair,towel, pillow, light weights. 2004. Hold each repetition 5 to 10 seconds. 0000016443 00000 n Use at all times except showering / bathing Modalities: Cryotherapy 3x/ day TENS if c/o pain NMES PROM: None at Glenohumeral joint Therapeutic Exercise: Wrist / … 0000052201 00000 n 0000048141 00000 n 0 0000037310 00000 n Phys Ther. Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. Standard of Care: Shoulder Impingement ICD 9 Codes: 726.10 - Rotator cuff syndrome of shoulder and allied disorders 840 - Sprains and strains of shoulder and upper arm Case Type / Diagnosis: Shoulder impingement. P. a. s. s. i. v. e. A. b. d. u. c. t. i. o. n. 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 . Hold each stretch for 15 seconds, rest for 15 seconds, and repeat 5 times. The shoulder pain. Shoulder Impingement Rehabilitation Protocol Created By: The Academy. 0000037515 00000 n 0000029388 00000 n 0000026575 00000 n SHOULDER • Abduction 1. SAD (Subacromial Decompression) Protocol Phase I (post-op until week 2) Protective phase ‐ Sling use for 0‐7 days as needed (or as directed by MD) ‐ Elbow and hand ROM and hand squeezing exercises ‐ Passive, AAROM, and AROM exercises as symptoms allow (starting with Passive. 0000008161 00000 n the shoulder for 15-20 minutes, 3-5 times a day for the first 24-72 hours. 0000049126 00000 n 0000033127 00000 n 0000036950 00000 n 0000029522 00000 n startxref 0000037151 00000 n 0000043861 00000 n 0000036148 00000 n 0000009542 00000 n Avoidance: • The elimination of any activity that causes an increase in symptoms 0000038369 00000 n Exercises . The pain – … Rock from yourback foot to your front foot. 4. Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … The towel stretch, crossbody stretch and the sleeper stretch will stretch the posterior shoulder. Hold the position for 10 seconds and return to starting position. 0000052642 00000 n Apply a bag of crushed ice or frozen peas to the shoulder for 20 minutes after performing the exercises to prevent inflammation. 0000052936 00000 n 0000038522 00000 n 0000035764 00000 n 0000029734 00000 n Patient education & avoidance of aggravating activities . Shoulder Stretching: Stretching should be done daily. 0000027187 00000 n 0000046077 00000 n Rehabilitation Protocol for Total Shoulder Arthroplasty and Hemiarthroplasty This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. Increase periscapular and shoulder strength and endurance. SUBACROMIAL IMPINGEMENT OF THE SHOULDER Combined Sections Meeting 2006 San Diego, CA February 1-5 2006 Mark R. Bookhout, PT, MS, FAAOMPT President, Physical Therapy Orthopedic Specialists, Inc. Minneapolis, MN Course Description: This three hour presentation will present six functional factors that may cause subacromial impingement of the shoulder. o Retard!muscular!atrophy! 0000051465 00000 n Repeat 3 time. 0000039722 00000 n and patients wit h shoulder impingement, sign ifi cant d ecre ases in supras pinat us and i nf raspin atus act ivit y in subjec ts wit h impingement were found. 0000047395 00000 n Frequency: 3 sets of 10 reps. 2-3 times a day. Inflammation over a long period of time can sometimes result in a build-up of calcium deposits within the rotator cuff tendons. Let your arm move in a circle, first clockwise, then 0000038012 00000 n Do not move further than this. 0000034097 00000 n 0000036311 00000 n 0000028552 00000 n 0000009857 00000 n 0000023589 00000 n 0000039575 00000 n 0000009297 00000 n I Ice You should rest from all activities that cause shoulder pain. Conservative Shoulder Rehab Principles of shoulder rehabilitation – do’s & don’ts he entire success of shoulder rehabilitation relies on normal scapular function – including scapular muscle strength and scapulo-humeral rhythm. %%EOF 0000013773 00000 n 0000005472 00000 n 0000032372 00000 n 0000041630 00000 n 0000048793 00000 n 0000021338 00000 n … SAD (Subacromial Decompression) Protocol Phase I (post-op until week 2) Protective phase ‐ Sling use for 0‐7 days as needed (or as directed by MD) ‐ Elbow and hand ROM and hand squeezing exercises ‐ Passive, AAROM, and AROM exercises as symptoms allow (starting with Passive. Goal: Increase /maintain shoulder range of motion . Impingement Rehabilitation Protocol I. Resolve shoulder pain. Patient education & avoidance of aggravating activities . 0 0000005213 00000 n Rock from yourback foot to your front foot. Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. This shoulder impingement rehab guide will teach you effective strategies to treat it for good. 84(9):832­848. Note: The following list of exercises and treatment options is an approximate order of progression. Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. 0000028171 00000 n Shoulder impingement problems hurt because the tissues are getting pinched between the ball of the shoulder joint (humeral head) and the roof of the bone over the top of the shoulder (acromion). 0000050679 00000 n Appointment: Your first therapy appointment should be within 5-7 days after your surgery. %PDF-1.5 %���� %PDF-1.4 %âãÏÓ 0000047867 00000 n 0000043665 00000 n In rare occasions shoulder impingement and tendinopathy are resistant to all forms of conservative treatment. • Do not let your back arch, breathe! Each set of exercises is listed in order of treatment progression and can also be used for functional assessment. 0000043387 00000 n xref 0000043528 00000 n PAIN ALLOWS. Always practice good posture throughout the day. 0000049582 00000 n 0000050397 00000 n 0000025083 00000 n … q Bendforward at the hips so that your arm hangs down freely. It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). 0000026118 00000 n 0000038726 00000 n 0000029193 00000 n At least 20 minutes at a time, 4-5 times per day. 0000004576 00000 n If shoulder pain is throwing off your game, it’s likely that one muscle of your rotator cuff is to blame. 0000053217 00000 n 0000024950 00000 n 0000048934 00000 n Shoulder impingement is a common source of shoulder pain. 0000021777 00000 n Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. Shoulder joint poSterior capSule Stretch Gently pull elbow of involved shoulder over chest with opposite hand as shown until a stretch is felt in shoulder. 0000040350 00000 n Phys Ther. h�b```f``Z������� �� ,@Q���=��wC%Es�J�(i�x~�h�K���-�� ��� &� ӋD���!������& i���Y�p)�821���!��,����@4r10Ҍ@t77�## �tQ�xAF�f�*v� ��*: 0000045272 00000 n 0000049441 00000 n 53 0 obj<>stream ** Phase 1 Acute Phase . ANTERIOR SHOULDER DISLOCATION PROTOCOL PHASE I: 0 – 3 WEEKS S/P INJURY Bracing: Ultra-Sling ER: position arm in 10° of ER. 0000051141 00000 n 3. Instructions: Home­based exercise plus weekly physical therapy visits Perform exercises daily for 6 weeks Include patient education on posture, pathology, and ergonomics Phase I: SUBACROMIAL IMPINGEMENT OF THE SHOULDER Combined Sections Meeting 2006 San Diego, CA February 1-5 2006 Mark R. Bookhout, PT, MS, FAAOMPT President, Physical Therapy Orthopedic Specialists, Inc. Minneapolis, MN Course Description: This three hour presentation will present six functional factors that may cause subacromial impingement of the shoulder. seconds and returns to starting position. 2. 365 0 obj <>/Filter/FlateDecode/ID[<4A4E3F3BA7CB234F94F7D87A37576B23><7ABB4B68D9A2F54499B0AE6B22F14F8A>]/Index[343 46]/Info 342 0 R/Length 104/Prev 66714/Root 344 0 R/Size 389/Type/XRef/W[1 2 1]>>stream 0000027980 00000 n To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. 0000023121 00000 n "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. 0000032595 00000 n 0000022227 00000 n 0000029008 00000 n 0000029948 00000 n 0000031602 00000 n 0000042324 00000 n 0000028364 00000 n 0000000016 00000 n Rotator Cuff and Shoulder Rehabilitation Exercises. 2004. 0000052792 00000 n 0000052501 00000 n 0000048328 00000 n 0000025306 00000 n h�bbd``b`�$V �m@��$�`�I�,] �.�{D��0�)�be �y "$�R�$��@�� �O@"�H��f`bd|�``��a�k� �6] Conservative Shoulder Rehab Principles of shoulder rehabilitation – do’s & don’ts he entire success of shoulder rehabilitation relies on normal scapular function – including scapular muscle strength and scapulo-humeral rhythm. Goals . Re-establish muscular balance . 2004. “Neutral position” of the back, shoulders, and spine should be maintained during standing, sitting, and lifting activities. 0000005293 00000 n 0000034641 00000 n • Hints 0000050043 00000 n Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … 0000044805 00000 n Here I’ll give you 6 supraspinatus exercises that will help rehab your shoulder and improve your form. 0000053796 00000 n 0000023827 00000 n 0000048515 00000 n Learn what to expect while you recover and whether or not you can still exercise. 0000047677 00000 n It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). 0000051606 00000 n 7 0000015459 00000 n Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. 0000036791 00000 n Consider using a shoulder sling when available. 0000043054 00000 n 0000031465 00000 n Avoidance: The elimination of any activity that causes an increase in symptoms. 0000030305 00000 n Methods: A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n=8) or conventional therapy (n=6). 0000034234 00000 n Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. 0000027321 00000 n In some cases, the pain in your shoulder occurs because of some other region of the body that works with the shoulder. 0000018496 00000 n A systematic review of the literature was performed to evaluate the role of exercise in treating rotator cuff impingement and to synthesize a standard evidence-based rehabilitation protocol. 0000032061 00000 n Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears This protocol is intended to guide clinicians and patients through the post-operative course of a rotator cuff repair. You should feel this stretch at the back of your shoulder Equipment needed: None Step-by-step directions • Relax your shoulders and gently pull one arm across your chest as far as possible, holding at your upper arm. 2. Anterior Shoulder Stretch: Place hands at shoulder level on each side of a door or in a corner of a room. %%EOF The corner stretch will stretch the anterior shoulder. 0000047536 00000 n 0000013994 00000 n It is no means intended to be a substitute for one’s 0000035412 00000 n 2004. 0000033522 00000 n 0000046600 00000 n Consider using a shoulder sling when available. Sleeper Stretch:Lie on your side with a pillow supporting your head. 0000048656 00000 n 0000044135 00000 n 0000013546 00000 n 0000033298 00000 n 0000045884 00000 n Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. o Retard!muscular!atrophy! Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation . Rotate the arm clockwise x 10 then anticlockwise x 10. 0000026807 00000 n endstream endobj 344 0 obj <. The bursa and rotator cuff can get inflamed if the shoulder is injured i.e. Your physician will have ordered x-rays to check the bones in your 0000045602 00000 n 0000041840 00000 n ROM and stretching exercises should be performed daily. This shoulder impingement rehab guide will teach you effective strategies to treat it for good. 0000024068 00000 n 84(9):832­848. 0000021165 00000 n Equipment needed: Chair,towel, pillow, light weights. Gently move your hand to 90 degrees to the body. Improve posture . Raise both hands over your head until you feel a gentle stretch. 0000045135 00000 n Set scapula by pushing back of shoulder against the wall. I - Maximal Protection – Acute phase Goals: Relieve pain and loss of strength! Incomplete, to allow for individualization of the clinical diagnosis of shoulder against the wall the for. 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Reps. 2-3 times a day for the first 1-2 days if your shoulder pain relief is to your. Sapporo Ichiban Yakisoba, Brp Gregorio Del Pilar-class, Count Greater Than One In Sql, How To Reset Fault Codes On A Bmw E46, Formosan Mountain Dog Price, " /> endobj 0000040213 00000 n 0000017794 00000 n 0000036585 00000 n Normalize range of motion . 0000023351 00000 n 3 - 5 times a day, perform the following series of exercises The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers. The protocol is divided into phases, which are adaptable based on the individual and special circumstances. 0000027787 00000 n ... patient’s case and sound clinical judgment on the part of the rehab professional. R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful with everyday living activities. 0000037668 00000 n 388 0 obj <>stream 0000041977 00000 n 0000030442 00000 n SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. 0000027013 00000 n 0000039932 00000 n 0000015917 00000 n Improve posture . 51 214 0000011239 00000 n 0000053361 00000 n Arthroscopic Rotator Cuff Repair Protocol: 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 rotator cuff repair. It may result from fatigue of the shoulder girdle muscles, pain-mediated muscle inhibition or stiffness about the shoulder … Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 0000049902 00000 n endstream endobj startxref 0000041493 00000 n 0000051321 00000 n 0000040494 00000 n 0000052057 00000 n 0000032198 00000 n 0000041356 00000 n 0000025532 00000 n • Hold it for 10 seconds, repeat 10 times. 0000021471 00000 n rehabilitation guidelines for Shoulder arthroscopy posttraumatic degenerative disease of the AC joint and shoulder impingement syndrome.4 Chronic impingement and/or inflammation of the long head of the biceps (Figure 1) can also be a pain generator in the shoulder… 3. rotator cuf f injuries: ... based rehab ilitation p rogrammes as w ell as measure . A systematic review of the literature was performed to evaluate the role of exercise in treating rotator cuff impingement and to synthesize a standard evidence-based rehabilitation protocol. Physiotherapy Protocols 403 - 233 Nelson’s Crescent New Westminster BC V3L0E4 _____ Subacromial Decompression/AC Resection: Postoperative Protocol Arthroscopic decompression is normally the result of the clinical diagnosis of shoulder impingement syndrome. 0000053646 00000 n Using a broom or rod, grasp the end with hand 1 and the other end with hand 2 Use hand 2 to passively raise hand 1 up until a stretch is felt. Impingement may result from structural causes such as bony deformation of the acromion, or as a functional result of shoulder instability and weakness. Equipment needed: Chair,towel, pillow, light weights. 2004. Hold each repetition 5 to 10 seconds. 0000016443 00000 n Use at all times except showering / bathing Modalities: Cryotherapy 3x/ day TENS if c/o pain NMES PROM: None at Glenohumeral joint Therapeutic Exercise: Wrist / … 0000052201 00000 n 0000048141 00000 n 0 0000037310 00000 n Phys Ther. Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. Standard of Care: Shoulder Impingement ICD 9 Codes: 726.10 - Rotator cuff syndrome of shoulder and allied disorders 840 - Sprains and strains of shoulder and upper arm Case Type / Diagnosis: Shoulder impingement. P. a. s. s. i. v. e. A. b. d. u. c. t. i. o. n. 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 . Hold each stretch for 15 seconds, rest for 15 seconds, and repeat 5 times. The shoulder pain. Shoulder Impingement Rehabilitation Protocol Created By: The Academy. 0000037515 00000 n 0000029388 00000 n 0000026575 00000 n SHOULDER • Abduction 1. SAD (Subacromial Decompression) Protocol Phase I (post-op until week 2) Protective phase ‐ Sling use for 0‐7 days as needed (or as directed by MD) ‐ Elbow and hand ROM and hand squeezing exercises ‐ Passive, AAROM, and AROM exercises as symptoms allow (starting with Passive. 0000008161 00000 n the shoulder for 15-20 minutes, 3-5 times a day for the first 24-72 hours. 0000049126 00000 n 0000033127 00000 n 0000036950 00000 n 0000029522 00000 n startxref 0000037151 00000 n 0000043861 00000 n 0000036148 00000 n 0000009542 00000 n Avoidance: • The elimination of any activity that causes an increase in symptoms 0000038369 00000 n Exercises . The pain – … Rock from yourback foot to your front foot. 4. Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … The towel stretch, crossbody stretch and the sleeper stretch will stretch the posterior shoulder. Hold the position for 10 seconds and return to starting position. 0000052642 00000 n Apply a bag of crushed ice or frozen peas to the shoulder for 20 minutes after performing the exercises to prevent inflammation. 0000052936 00000 n 0000038522 00000 n 0000035764 00000 n 0000029734 00000 n Patient education & avoidance of aggravating activities . Shoulder Stretching: Stretching should be done daily. 0000027187 00000 n 0000046077 00000 n Rehabilitation Protocol for Total Shoulder Arthroplasty and Hemiarthroplasty This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. Increase periscapular and shoulder strength and endurance. SUBACROMIAL IMPINGEMENT OF THE SHOULDER Combined Sections Meeting 2006 San Diego, CA February 1-5 2006 Mark R. Bookhout, PT, MS, FAAOMPT President, Physical Therapy Orthopedic Specialists, Inc. Minneapolis, MN Course Description: This three hour presentation will present six functional factors that may cause subacromial impingement of the shoulder. o Retard!muscular!atrophy! 0000051465 00000 n Repeat 3 time. 0000039722 00000 n and patients wit h shoulder impingement, sign ifi cant d ecre ases in supras pinat us and i nf raspin atus act ivit y in subjec ts wit h impingement were found. 0000047395 00000 n Frequency: 3 sets of 10 reps. 2-3 times a day. Inflammation over a long period of time can sometimes result in a build-up of calcium deposits within the rotator cuff tendons. Let your arm move in a circle, first clockwise, then 0000038012 00000 n Do not move further than this. 0000034097 00000 n 0000036311 00000 n 0000028552 00000 n 0000009857 00000 n 0000023589 00000 n 0000039575 00000 n 0000009297 00000 n I Ice You should rest from all activities that cause shoulder pain. Conservative Shoulder Rehab Principles of shoulder rehabilitation – do’s & don’ts he entire success of shoulder rehabilitation relies on normal scapular function – including scapular muscle strength and scapulo-humeral rhythm. %%EOF 0000013773 00000 n 0000005472 00000 n 0000032372 00000 n 0000041630 00000 n 0000048793 00000 n 0000021338 00000 n … SAD (Subacromial Decompression) Protocol Phase I (post-op until week 2) Protective phase ‐ Sling use for 0‐7 days as needed (or as directed by MD) ‐ Elbow and hand ROM and hand squeezing exercises ‐ Passive, AAROM, and AROM exercises as symptoms allow (starting with Passive. Goal: Increase /maintain shoulder range of motion . Impingement Rehabilitation Protocol I. Resolve shoulder pain. Patient education & avoidance of aggravating activities . 0 0000005213 00000 n Rock from yourback foot to your front foot. Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. This shoulder impingement rehab guide will teach you effective strategies to treat it for good. 84(9):832­848. Note: The following list of exercises and treatment options is an approximate order of progression. Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. 0000028171 00000 n Shoulder impingement problems hurt because the tissues are getting pinched between the ball of the shoulder joint (humeral head) and the roof of the bone over the top of the shoulder (acromion). 0000050679 00000 n Appointment: Your first therapy appointment should be within 5-7 days after your surgery. %PDF-1.5 %���� %PDF-1.4 %âãÏÓ 0000047867 00000 n 0000043665 00000 n In rare occasions shoulder impingement and tendinopathy are resistant to all forms of conservative treatment. • Do not let your back arch, breathe! Each set of exercises is listed in order of treatment progression and can also be used for functional assessment. 0000043387 00000 n xref 0000043528 00000 n PAIN ALLOWS. Always practice good posture throughout the day. 0000049582 00000 n 0000050397 00000 n 0000025083 00000 n … q Bendforward at the hips so that your arm hangs down freely. It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). 0000026118 00000 n 0000038726 00000 n 0000029193 00000 n At least 20 minutes at a time, 4-5 times per day. 0000004576 00000 n If shoulder pain is throwing off your game, it’s likely that one muscle of your rotator cuff is to blame. 0000053217 00000 n 0000024950 00000 n 0000048934 00000 n Shoulder impingement is a common source of shoulder pain. 0000021777 00000 n Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. Shoulder joint poSterior capSule Stretch Gently pull elbow of involved shoulder over chest with opposite hand as shown until a stretch is felt in shoulder. 0000040350 00000 n Phys Ther. h�b```f``Z������� �� ,@Q���=��wC%Es�J�(i�x~�h�K���-�� ��� &� ӋD���!������& i���Y�p)�821���!��,����@4r10Ҍ@t77�## �tQ�xAF�f�*v� ��*: 0000045272 00000 n 0000049441 00000 n 53 0 obj<>stream ** Phase 1 Acute Phase . ANTERIOR SHOULDER DISLOCATION PROTOCOL PHASE I: 0 – 3 WEEKS S/P INJURY Bracing: Ultra-Sling ER: position arm in 10° of ER. 0000051141 00000 n 3. Instructions: Home­based exercise plus weekly physical therapy visits Perform exercises daily for 6 weeks Include patient education on posture, pathology, and ergonomics Phase I: SUBACROMIAL IMPINGEMENT OF THE SHOULDER Combined Sections Meeting 2006 San Diego, CA February 1-5 2006 Mark R. Bookhout, PT, MS, FAAOMPT President, Physical Therapy Orthopedic Specialists, Inc. Minneapolis, MN Course Description: This three hour presentation will present six functional factors that may cause subacromial impingement of the shoulder. seconds and returns to starting position. 2. 365 0 obj <>/Filter/FlateDecode/ID[<4A4E3F3BA7CB234F94F7D87A37576B23><7ABB4B68D9A2F54499B0AE6B22F14F8A>]/Index[343 46]/Info 342 0 R/Length 104/Prev 66714/Root 344 0 R/Size 389/Type/XRef/W[1 2 1]>>stream 0000027980 00000 n To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. 0000023121 00000 n "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. 0000032595 00000 n 0000022227 00000 n 0000029008 00000 n 0000029948 00000 n 0000031602 00000 n 0000042324 00000 n 0000028364 00000 n 0000000016 00000 n Rotator Cuff and Shoulder Rehabilitation Exercises. 2004. 0000052792 00000 n 0000052501 00000 n 0000048328 00000 n 0000025306 00000 n h�bbd``b`�$V �m@��$�`�I�,] �.�{D��0�)�be �y "$�R�$��@�� �O@"�H��f`bd|�``��a�k� �6] Conservative Shoulder Rehab Principles of shoulder rehabilitation – do’s & don’ts he entire success of shoulder rehabilitation relies on normal scapular function – including scapular muscle strength and scapulo-humeral rhythm. Goals . Re-establish muscular balance . 2004. “Neutral position” of the back, shoulders, and spine should be maintained during standing, sitting, and lifting activities. 0000005293 00000 n 0000034641 00000 n • Hints 0000050043 00000 n Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … 0000044805 00000 n Here I’ll give you 6 supraspinatus exercises that will help rehab your shoulder and improve your form. 0000053796 00000 n 0000023827 00000 n 0000048515 00000 n Learn what to expect while you recover and whether or not you can still exercise. 0000047677 00000 n It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). 0000051606 00000 n 7 0000015459 00000 n Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. 0000036791 00000 n Consider using a shoulder sling when available. 0000043054 00000 n 0000031465 00000 n Avoidance: The elimination of any activity that causes an increase in symptoms. 0000030305 00000 n Methods: A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n=8) or conventional therapy (n=6). 0000034234 00000 n Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. 0000027321 00000 n In some cases, the pain in your shoulder occurs because of some other region of the body that works with the shoulder. 0000018496 00000 n A systematic review of the literature was performed to evaluate the role of exercise in treating rotator cuff impingement and to synthesize a standard evidence-based rehabilitation protocol. 0000032061 00000 n Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears This protocol is intended to guide clinicians and patients through the post-operative course of a rotator cuff repair. You should feel this stretch at the back of your shoulder Equipment needed: None Step-by-step directions • Relax your shoulders and gently pull one arm across your chest as far as possible, holding at your upper arm. 2. Anterior Shoulder Stretch: Place hands at shoulder level on each side of a door or in a corner of a room. %%EOF The corner stretch will stretch the anterior shoulder. 0000047536 00000 n 0000013994 00000 n It is no means intended to be a substitute for one’s 0000035412 00000 n 2004. 0000033522 00000 n 0000046600 00000 n Consider using a shoulder sling when available. Sleeper Stretch:Lie on your side with a pillow supporting your head. 0000048656 00000 n 0000044135 00000 n 0000013546 00000 n 0000033298 00000 n 0000045884 00000 n Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. o Retard!muscular!atrophy! Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation . Rotate the arm clockwise x 10 then anticlockwise x 10. 0000026807 00000 n endstream endobj 344 0 obj <. The bursa and rotator cuff can get inflamed if the shoulder is injured i.e. Your physician will have ordered x-rays to check the bones in your 0000045602 00000 n 0000041840 00000 n ROM and stretching exercises should be performed daily. This shoulder impingement rehab guide will teach you effective strategies to treat it for good. 0000024068 00000 n 84(9):832­848. 0000021165 00000 n Equipment needed: Chair,towel, pillow, light weights. Gently move your hand to 90 degrees to the body. Improve posture . Raise both hands over your head until you feel a gentle stretch. 0000045135 00000 n Set scapula by pushing back of shoulder against the wall. I - Maximal Protection – Acute phase Goals: Relieve pain and loss of strength! Incomplete, to allow for individualization of the clinical diagnosis of shoulder against the wall the for. 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shoulder impingement rehab protocol pdf

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