Shoulder Phase I 2013 compressed - Hirahara, MD isometrics 1-2x 10 reps: flex, ext, ER IR, and ABD...
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RESULTS PHYICAL THERAPY RESULTS PHYSICAL THERAPY OF CARMICHAEL RESULTS PHYSICAL THERAPY OF MURIETA 916) 362-7962 (916) 362-7963 fax (916) 536-9130 (916) 536-9317 fax (916) 354-0719 (916) 354-1187 fax 9500 Micron Ave #106 • 6403 Coyle Ave. ste. 350 7281 Lone Pine Drive D106 · P.O. Box 955 Sacramento, CA 95827 Carmichael, CA 95608 Rancho Murieta, CA 95683 www.resultstherapy.com Arthroscopic Shoulder Rehabilitation Phase I (1-3 weeks post-op) Goal: • Maintain integrity of the repair • Initiate safe and gradual passive range of motion • Initiate sub maximal isometric exercises • Diminish pain and inflammation • Decrease muscle tightness and spasms Precautions: • No lifting of objects • No functional use of affected hand • No driving • Minimal computer work 15-20 minutes • no greater than 2 hours total (AFFECTED arm must be in sling) Sling: All diagnoses below are required to wear sling x 4 weeks post-op unless specified • Rotator Cuff Tear Partial (small to medium) • Rotator cuff tear Large or Complete • Capsulolabral reconstruction • SLAP repair • PASTA Repairs RANGE OF MOTION 10 days post-op: All above procedures Flexion and Scaption to 90 Pulleys, and non-swinging pendulums STRENGTH: All procedures begin @ 3 weeks post-op sub-max isometrics 1-2x 10 reps: flex, ext, ER IR, and ABD (except for massive rotator cuff tears) THERAPIST: • Initial evaluation • PROM in Flexion, Scaption, and ABDuction and gentle short range IR/ER @ 0 of ABD • Soft tissue mobilization to upper, mid and lower trap • Decrease pain modalities Activities: No functional use of the involved arm
Transcript of Shoulder Phase I 2013 compressed - Hirahara, MD isometrics 1-2x 10 reps: flex, ext, ER IR, and ABD...
RESULTS PHYICAL THERAPY RESULTS PHYSICAL THERAPY OF CARMICHAEL RESULTS PHYSICAL THERAPY OF MURIETA (916) 362-7962 (916)362-7963 Fax (916)354-0719 (916) 354-1187 Fqx (916) 362-7962 (916) 362-7963 fax (916) 536-9130 (916) 536-9317 fax (916) 354-0719 (916) 354-1187 fax 9500 Micron Ave #106 • 6403 Coyle Ave. ste. 350 7281 Lone Pine Drive D106 · P.O. Box 955 Sacramento, CA 95827 Carmichael, CA 95608 Rancho Murieta, CA 95683 www.resultstherapy.com
Arthroscopic Shoulder Rehabilitation
Phase I (1-3 weeks post-op) Goal:
• Maintain integrity of the repair • Initiate safe and gradual passive range of motion • Initiate sub maximal isometric exercises • Diminish pain and inflammation • Decrease muscle tightness and spasms
Precautions:
• No lifting of objects • No functional use of affected hand • No driving • Minimal computer work 15-20 minutes • no greater than 2 hours total (AFFECTED arm must be in sling)
Sling: All diagnoses below are required to wear sling x 4 weeks post-op unless specified
• Rotator Cuff Tear Partial (small to medium) • Rotator cuff tear Large or Complete • Capsulolabral reconstruction • SLAP repair • PASTA Repairs
RANGE OF MOTION 10 days post-op: All above procedures Flexion and Scaption to 90 Pulleys, and non-swinging pendulums STRENGTH: All procedures begin @ 3 weeks post-op
sub-max isometrics 1-2x 10 reps: flex, ext, ER IR, and ABD (except for massive rotator cuff tears) THERAPIST:
• Initial evaluation • PROM in Flexion, Scaption, and ABDuction and gentle short range IR/ER @ 0 of ABD • Soft tissue mobilization to upper, mid and lower trap • Decrease pain modalities
Activities: No functional use of the involved arm
RESULTS PHYICAL THERAPY RESULTS PHYSICAL THERAPY OF CARMICHAEL RESULTS PHYSICAL THERAPY OF MURIETA (916) 362-7962 (916)362-7963 Fax (916)354-0719 (916) 354-1187 Fqx (916) 362-7962 (916) 362-7963 fax (916) 536-9130 (916) 536-9317 fax (916) 354-0719 (916) 354-1187 fax 9500 Micron Ave #106 • 6403 Coyle Ave. ste. 350 7281 Lone Pine Drive D106 · P.O. Box 955 Sacramento, CA 95827 Carmichael, CA 95608 Rancho Murieta, CA 95683 www.resultstherapy.com
Standing Pulley Flexion Pulley Scaption “V” Pulley External Rotation
Pulley Flexion Pulley Scaption “V” Pendulum
SUB-MAXIMAL ISOMETRICS Directions: perform 1-2x/day
2 sets x 10-12 reps Push very lightly against the wall hold for 2-3 seconds
Flexion Abduction
External Rotation Internal Rotation
