B. Throwing Activity: start 4 months post-op. Follow functional progression per IAM
protocol. Full throwing status at 6-8 months.
C. Contact Activities: can start at 4 months post-op.
This protocol provides you with general guidelines for the rehabilitation of the Arthroscopic Slap
Repair patient. Specific changes in the program will be made by the physician as appropriate for
an individual patient. If you have any questions regarding the progress of the patient, the
physician should be contacted.
D.
2.
C.
This protocol provides you with general guidelines for the rehabilitation of the Arthroscopic
Subacromial Decompression patient. Specific changes in the program will be made by the
physician as appropriate for an individual patient. If you have any questions regarding the
progress of the patient, the physician should be contacted.
BANKART REHABILITATION
(Arthroscopic or Open)
ROM elbow
A. Strengthening Exercises
1.
Isometric Exercises
2.
Isotonic Exercises
GOAL:
3.
*PRECAUTIONS:
*VISITS:
*PRECAUTIONS:
*VISITS:
2. Patient should experience only minimal pain with exercises or occurring later in
day.
B.
*PRECAUTION:
*VISITS:
*VISITS:
1 time every 2 weeks (max) only if patient is having
significant difficulty.
This protocol provides you with general guidelines for the rehabilitation of the rehabilitation of
the rotator cuff repair shoulder patients. Specific changes in the program will be made by the
physician as appropriate for an individual patient. If you have any questions regarding the
progress of the patient, the physician should be contacted.
CONSERVATIVE MULTI-DIRECTIONAL
CAPSULAR INSTABILITY
2 oz (butter knife)
4 oz (tuna can)
8 oz (soup can)
1# weight
2# weight, etc.
A. Exercises
may remove brace for dressing and hygiene, but position of arm must be
maintained. (No writing unless patient uses a clipboard)
ROM elbow
Home Program:
3.
A. Strengthening Exercises
1. Isometrics
- start at 4 weeks post-op
pain-free only
to be performed in <0 IR
1. Isotonics
This protocol provides you with general guidelines for the rehabilitation of the Posterior
Shoulder Rehabilitation patient. Specific changes in the program will be made by the physician
as appropriate for an individual patient. If you have any questions regarding the progress of the
patient, the physician should be contacted.
4 oz (tuna can)
8 oz (soup can)
1# weight
2# weight, etc.
a. Goals
0. General Rehab Candidate: 1-4% of body weight x 25 reps
1. Progress weight as tolerated painfree
2. Massive Tears: Full AROM without weight
1. If unable to perform exercises against gravity, then instruct patient to do
supine AROM without weight; progressing to using weights supine and
AAROM against gravity (wand exercises).
General Information
A. Minimal to no pain performing exercises. Fatigue is ok.
B. Call MD if patient not responding to treatment.
This protocol provides you with general guidelines for the rehabilitation of the conservative
rotator cuff tear program. Specific changes in the program will be made by the physician as
appropriate for an individual patient. If you have any questions regarding the progress of the
patient, the physician should be contacted.
*4-6 visits over 6 weeks. Emphasis is on a high repetition, low weight program.
I. Modalities
A. Ice following exercises
B. TFM for tendonitis
C. NO phonophoresis/iontophoresis
D. Ultrasound (rarely indicated)
I. ROM (2 times per day) if limited
A. Codmans prior to exercises.
B. AAROM in all movements full ROM if tolerated - ACCEPT minimal pain
only!!
C. Work especially on internal rotation in sidelying position.
D. Wall climbs
I. Strengthening ALL EXERCISES PAINFREE ROM ONLY perform once per day,
4 days per week
A. Isotonic exercises per shoulder exercise sheet - 1-8 as tolerated.
1. To be performed with free weights only (NO THERABAND).
Except IR to be performed with theraband if needed.
a. Repetitions 20-50 reps before adding/progressing weights
b. Start against gravity without weight progress as tolerated to
2 oz (butter knife)
4 oz (tuna can)
8 oz (soup can)
1# weight
2# weight, etc.
1. Goals
a. Thrower/Pitcher: 5-8% of body weight x 50 reps
b.
c. B.
tolerated.
d. C.
I. General Information
A. Minimal to no pain during or after exercises.
B. Call MD if patient not responding to treatment.
This protocol provides you with general guidelines for the rehabilitation of the shoulder
impingement syndrome patient. Specific changes in the program will be made by the physician
as appropriate for an individual patient. If you have any questions regarding the progress of the
patient, the physician should be contacted.
C.
Start against gravity without weight as in Stage II, progress as tolerated to:
- 2 oz (butter knife)
- 4 oz (tuna can)
- 8 oz (soup can)
- 1# weight
- 2# weight, etc.
B.
B.
This protocol provides you with general guidelines for the rehabilitation of the Total
Replacement Shoulder patient. Specific changes in the program will be made by the physician as
appropriate for an individual patient. If you have any questions regarding the progress of the
patient, the physician should be contacted.