shoulder impingement rehab protocol pdf

Rehabilitation Protocol for Shoulder Impingement I. 0000022685 00000 n PAIN ALLOWS. ANTERIOR SHOULDER DISLOCATION PROTOCOL PHASE I: 0 – 3 WEEKS S/P INJURY Bracing: Ultra-Sling ER: position arm in 10° of ER. 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). 0000029734 00000 n 0000016443 00000 n rotator cuf f injuries: ... based rehab ilitation p rogrammes as w ell as measure . 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. 0000053217 00000 n 0000009263 00000 n Hold each stretch for 15 seconds, rest for 15 seconds, and repeat 5 times. 0000009297 00000 n Resolve shoulder pain. 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 . 0000030305 00000 n Reduce Pain and Inflammation . 0000046927 00000 n Rotator Cuff and Shoulder Rehabilitation Exercises. 0000047205 00000 n Anterior Stabilization of the Shoulder: Latarjet Protocol Shoulder instability may be caused from congenital deformity, recurrent overuse activity, and/or ... rehabilitation due to the possibility of impingement • Continued patient education: posture, joint protection, positioning, hygiene, etc. "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. 0000051465 00000 n 0000030168 00000 n 0000005213 00000 n • Hold the stretch for 30 seconds and then relax for 30 seconds. 0000022897 00000 n 0000036791 00000 n No excessive shoulder extension No excessive stretching or sudden movements No supporting of body weight by hands . 51 0 obj<> endobj Rock from yourback foot to your front foot. Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. In rare occasions shoulder impingement and tendinopathy are resistant to all forms of conservative treatment. 0000048515 00000 n 0000021950 00000 n 0000049582 00000 n 0000034857 00000 n 0000024204 00000 n R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful with everyday living activities. 0000041493 00000 n The 0000034641 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. o Normalize!arthrokinematics!of!shoulder!complex! 0000013546 00000 n 0000004576 00000 n Lying face down, with head in front on a towel or turned towards shoulder. If the patient can achieve the target then progress to the next exercise. q Bendforward at the hips so that your arm hangs down freely. Avoidance: • The elimination of any activity that causes an increase in symptoms 0000036148 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. 0000035412 00000 n 0000027595 00000 n Rotate the arm clockwise x 10 then anticlockwise x 10. 0000042688 00000 n 0000044135 00000 n startxref 0000027980 00000 n 0000049902 00000 n 1. The stress is essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius. Hold for 15 seconds. Lie on your back holding a stick, umbrella handle, or golf 0000024340 00000 n 0000045409 00000 n 0000021338 00000 n o Retard!muscular!atrophy! 0000025532 00000 n Written for the public as the result of several decades of research, it outlines a new and simple shoulder exercise program to treat and prevent impingement syndrome, rotator cuff tears, and what is referred to as “frozen shoulder”. Protocol Arthroscopic decompression is normally the result of the clinical diagnosis of shoulder impingement syndrome. alphabet from A-Z No 10 AND 11 ARE MORE ADVANCED SO DO THEM AS . Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … Alphabet. 0000038165 00000 n Post-Op Rehab Protocol for Shoulder Debridement, Decompression, Distal Clavicle Excision Phase 1 0- 3 weeks after surgery Appointments PT begins 5-8 days post-op Goals Reduce pain and swelling in the post-surgical shoulder Regain full passive range of motion (PROM) and active assistive range of … 0000047867 00000 n 0000024580 00000 n seconds and returns to starting position. Improve capsular and shoulder mobility. 0000038369 00000 n The bursa and rotator cuff can get inﬂamed if the shoulder is injured i.e. 0000000016 00000 n 0000027458 00000 n 0000041219 00000 n xref Frequency: 3 sets of 10 reps. 2-3 times a day. 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. Appointment: Your first therapy appointment should be within 5-7 days after your surgery. 0000040857 00000 n If shoulder pain is throwing off your game, it’s likely that one muscle of your rotator cuff is to blame. 0000024068 00000 n Shoulder/Elbow Surgery Inverness Department of Orthopedics (303) 694 -3333 University of Colorado Anschutz Medical Campus (720) 848-1900 Rehabilitation Protocol Radial Head Replacement Phase I: Early ROM & Protect Repair (0 to 6 weeks) • Splint and postop dressing remains in place for the first week. 53 0 obj<>stream Shoulder lateral rotation Sitting. Derby Shoulder Instability Rehabilitation Programme Only prescribe one exercise from each section at any one time. 0000008674 00000 n 0000029008 00000 n 0000036585 00000 n 0000030885 00000 n 0000043528 00000 n 0000011239 00000 n 0000052057 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. 0000048934 00000 n Indications for Treatment: Subacromial impingement with rotator cuff tendinopathy is a very common condition Phys Ther. Gently move your hand to 90 degrees to the body. Patient education & avoidance of aggravating activities . 0000043998 00000 n Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … 0000049441 00000 n Sleeper Stretch:Lie on your side with a pillow supporting your head. Begin with gentle stretching. 0000033298 00000 n Equipment needed: Chair,towel, pillow, light weights. 0000042187 00000 n Do not move further than this. Use 1–2 pound(s) Do 3 sets of 12. 0000022455 00000 n Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. 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. 0000021165 00000 n %PDF-1.4 %âãÏÓ 0000015917 00000 n SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. 0000013994 00000 n It is no means intended to be a substitute for one’s 0000023121 00000 n 0000049723 00000 n 0000036950 00000 n 0000005472 00000 n 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. Frozen shoulder rehab protocol 0 ‐ 2 Weeks: Sling allowed as needed for comfort only, first 5 - 7 days, taking arm out often 5 - 7 times a day for elbow ROM Posture education and postural exercises Ball or putty squeezing throughout the day Icing every two hours for 15 - 20 minutes first 5 - … Hold the position for 10 seconds and return to starting position. … Goal: Increase/maintain shoulder range of motion. 0000023827 00000 n Re-establish muscular balance . 0000045884 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. 0000028823 00000 n 0000036448 00000 n Using Physical Therapy For Shoulder Pain Relief. 0000052360 00000 n While therapeutic exercise is a standard treatment for functional impingement, no gold standard rehab protocol exists. the shoulder for 15-20 minutes, 3-5 times a day for the first 24-72 hours. 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. 2. 4. 0000032990 00000 n 0000041840 00000 n 0000048141 00000 n 0000040213 00000 n 0000044805 00000 n Each set of exercises is listed in order of treatment progression and can also be used for functional assessment. 0000026807 00000 n Goal: Increase /maintain shoulder range of motion . 0000030442 00000 n Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. 0000050223 00000 n This is because the articular surface of the round ... no shoulder apprehension or impingement signs. 0000047677 00000 n 0000048793 00000 n Push shoulder into the bed – set shoulder. 0000009857 00000 n Shoulder Impingement Rehabilitation Protocol Created By: The Academy. 0000017119 00000 n Improve posture . o Normalize!arthrokinematics!of!shoulder!complex! 0000050820 00000 n 0000025306 00000 n 0000018496 00000 n 84(9):832-848. 2. 7 Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 0000051000 00000 n 0000038522 00000 n 0000040350 00000 n SHOULDER • Abduction 1. The stress is essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius. 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. endstream endobj startxref 0000031465 00000 n This can cause shoulder pain and weakness in the joint. The protocol is divided into phases, which are adaptable based on the individual and special circumstances. 0000027187 00000 n Repetitions 4 each side Days per week 0000021604 00000 n 0000009781 00000 n 0000051321 00000 n 0000048004 00000 n 0000031241 00000 n 0000028686 00000 n ** Phase 1 Acute Phase . 0000040069 00000 n 0000035764 00000 n Rehabilitation of shoulder impingement syndrome and . 0000046463 00000 n 0000040494 00000 n h�bbd``b`�$V �m@��$�`�I�,] �.�{D��0�)�be �y "$�R�$��@�� O@"�H��f`bd|�``��a�k� �6] 0000027787 00000 n 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. 0000026118 00000 n 0000043054 00000 n 0000039221 00000 n o The scapula is the base of support to shoulder joint and all movements of the upper extremity o Poor scapular stabilization can contribute to a variety of upper quadrant syndromes such as: shoulder impingement, shoulder instability, cervical strain, nerve entrapments, and muscle strains. 0000039932 00000 n 0 0000039438 00000 n 0000027013 00000 n 0000045602 00000 n 0000029522 00000 n ... patient’s case and sound clinical judgment on the part of the rehab professional. 0000041977 00000 n It may result from fatigue of the shoulder girdle muscles, pain-mediated muscle inhibition or stiffness about the shoulder … 0000048656 00000 n 84(9):832848. 0000050679 00000 n 2004. 0000032198 00000 n 0000023589 00000 n • Calcific tendinitis. 0000044331 00000 n 0000039722 00000 n Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. • Repeat with the other arm. 0000021777 00000 n Here I’ll give you 6 supraspinatus exercises that will help rehab your shoulder and improve your form. 0000053646 00000 n Frequency: 3 sets of 10 reps. 2-3 times a day. • If one shoulder is lower, ‘square’ it by lifting that one, UP and back. 0000049267 00000 n To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. 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. Repeat exercise times, times per day. Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. 0000028552 00000 n 0000042324 00000 n 0000022227 00000 n 0000012667 00000 n 0000036311 00000 n Improve posture . 0000051747 00000 n 0000045743 00000 n Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. 0000034234 00000 n 0000046790 00000 n Goals . Note: The following list of exercises and treatment options is an approximate order of progression. Description: McClure PW, et al. Learn what to expect while you recover and whether or not you can still exercise. 0000049126 00000 n 0000053505 00000 n It often goes unrecognized in the treatment of shoulder conditions such as impingement syndrome, rotator cuff tendinosis and shoulder instability. 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. 2. Non-operative Shoulder Rehabilitation Protocol Ben Rubin, M.D. Strengthening exercises should be performed 3 times a week. 0000040994 00000 n 0000008161 00000 n Description: McClure PW, et al. 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. 0000031602 00000 n 0000039575 00000 n Exercises: 1. 3. Your shoulder is not just a simple joint, but rather a ball and socket joint, held together by muscles, tendons and ligaments. 0000017794 00000 n If you have mild shoulder tendonitis, physical therapy exercises is a fantastic treatment. 0000052642 00000 n 0000045272 00000 n 0000047536 00000 n 0000040720 00000 n 0000034097 00000 n 0000037668 00000 n Re-establish muscular balance . 0000034406 00000 n 0000037515 00000 n Consider using a shoulder sling when available. 0000037310 00000 n 0000029193 00000 n 0000031022 00000 n 0000029388 00000 n 0000013773 00000 n 0000015459 00000 n 0000051606 00000 n Shoulder impingement is a common source of shoulder pain. 0000038876 00000 n 0000037151 00000 n 0000026575 00000 n Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation . Protect Injured Tissue . It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). Specific interventions should be based on the needs of the individual and Rock from yourback foot to your front foot. 0000052501 00000 n 0000052936 00000 n Keep your elbow into your side and hold onto your affected arm’s wrist. 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 "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. Avoidance: The elimination of any activity that causes an increase in symptoms. 0000050043 00000 n Thrown Off. Apply a bag of crushed ice or frozen peas to the shoulder for 20 minutes after performing the exercises to prevent inﬂammation. R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful 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. 0000039074 00000 n Instructions: Homebased exercise plus weekly physical therapy visits Perform exercises daily for 6 weeks Include patient education on posture, pathology, and ergonomics Phase I: Impingement may result from structural causes such as bony deformation of the acromion, or as a functional result of shoulder instability and weakness. 0000037875 00000 n SHOULDER • Flexion 1. Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation Normalize range of motion . 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… Shoulder Tendonitis Brett Sanders, MD Center For Sports Medicine and Orthopaedic 2415 McCallie Ave. Chattanooga, TN (423) 624-2696 Shoulder tendinitis is a common overuse injury in sports (such as swimming, baseball and tennis) where the arm is used in an overhead motion. 0000005293 00000 n ROTATOR CUFF TENDONITIS/IMPINGEMENT PROTOCOL Goals: • Reduce pain and inflammation • Maximize ROM/flexibility of glenohumeral and scapulothoracic joints • Maximize strength/endurance of rotator cuff and scapular musculature • Educate client in short –term use of sling for protection and active-rest if necessary Return to neutral. 0000033923 00000 n 0000047395 00000 n 0000046600 00000 n 0000024716 00000 n Anterior Shoulder Stretch: Place hands at shoulder level on each side of a door or in a corner of a room. It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). 0000050538 00000 n 0000025083 00000 n 0000046270 00000 n Consider using a shoulder sling when available. 0000023351 00000 n Shoulder Stretching: Stretching should be done daily. 3 - 5 times a day, perform the following series of exercises ROM and stretching exercises should be performed daily. 0000051916 00000 n The bursa and rotator cuff can get inﬂamed if the shoulder is injured i.e. 0000025665 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� ��*: endstream endobj 344 0 obj <. 0000035243 00000 n <]>> 0000043665 00000 n Increase periscapular and shoulder strength and endurance. 0000053796 00000 n 0000052792 00000 n Let your arm move in a circle, first clockwise, then 0000047068 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. 0000033522 00000 n 0000028171 00000 n 2. 3. The corner stretch will stretch the anterior shoulder. the tendon. 0000043861 00000 n This shoulder impingement rehab guide will teach you effective strategies to treat it for good. • Hints 0000044468 00000 n 0000033694 00000 n 0000050397 00000 n 0000032769 00000 n This leads to pain and loss of shoulder strength and motion. Education of patient regarding head and shoulder posture. 0 0000043387 00000 n %%EOF 0000043191 00000 n trailer • Impingement tendinitis. 0000033127 00000 n Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. Nonsurgical Shoulder Impingement Rehabilitation Protocol Ramin R. Tabaddor, MD Arlene D. Kavanagh, PA-C 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. 0000021471 00000 n At least 20 minutes at a time, 4-5 times per day. 0000027321 00000 n 0000028364 00000 n Lie on your back holding a stick in both hands, keeping your hands shoulder-width apart. 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. The pain – … 0000009542 00000 n Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 2004. 2004. o Retard!muscular!atrophy! HOME EXERCISE PROGRAM FOR SHOULDER IMPINGEMENT Perform the exercises in the order listed. 0000032372 00000 n 343 0 obj <> endobj Your physician will have ordered x-rays to check the bones in your • Do not let your back arch, breathe! 84(9):832-848. 0000038726 00000 n 0000051141 00000 n 0000048328 00000 n Impingement Rehabilitation Protocol I. PDF | Shoulder impingement is a progressive orthopedic condition that occurs as a result of altered biomechanics and/or structural abnormalities. 0000025895 00000 n 0000053080 00000 n Improve ROM Without Aggravating Injury . 3. This shoulder impingement rehab guide will teach you effective strategies to treat it for good. Instructions: Homebased exercise plus weekly physical therapy visits Perform exercises daily for 6 weeks Include patient education on posture, pathology, and ergonomics Phase I: 0000045135 00000 n Hold each repetition 5 to 10 seconds. shoulder blade and ball and socket joint. • Hold it for 10 seconds, repeat 10 times. 0000053361 00000 n Objective: To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome. 0000032061 00000 n Normalize range of motion . Often your first step towards gaining shoulder pain relief is to understand your body and push yourself to exercise. 51 214 shoulder not exceeding 90° of shoulder abduction; rowing is ok Cardiovascular Exercise • Walking, biking, ... no shoulder apprehension or impingement signs. Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. shoulder pain. Phys Ther. %PDF-1.5 %�� 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 / … Equipment needed: Chair,towel, pillow, light weights. 84(9):832848. 0000029948 00000 n 2004. %%EOF 0000031825 00000 n … It often goes unrecognized in the treatment of shoulder conditions such as impingement syndrome, rotator cuff tendinosis and shoulder instability. 0000032595 00000 n Repeat x 3 (this exercise is difficult - only do if able) 10. “Neutral position” of the back, shoulders, and spine should be maintained during standing, sitting, and lifting activities. 0000041356 00000 n 388 0 obj <>stream 0000044609 00000 n 0000024950 00000 n By design and necessity, it is incomplete, to allow for individualization of the Shoulder Pain: The Solution and Prevention Dr. John M. Kirsch, an orthopedic surgeon from Wisconsin, is the author of this popular self-help book. • ‘Square’ your shoulder blades back. Shoulder Impingement Rehabilitation Protocol Created By: The Academy. 0000035930 00000 n q Bendforward at the hips so that your arm hangs down freely. Phys Ther. Inflammation over a long period of time can sometimes result in a build-up of calcium deposits within the rotator cuff tendons. 0000038012 00000 n Raise both hands over your head until you feel a gentle stretch. Gently step forward into door or corner and hold modify arm position if have discomfort. The towel stretch, crossbody stretch and the sleeper stretch will stretch the posterior shoulder. 0000035627 00000 n 0000030664 00000 n Always practice good posture throughout the day. Ice: Continue to ice on a regular basis. 0000046077 00000 n Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. reSiSted Shoulder internal rotation (Sidelying) Keeping elbow bent and in at side, bring arm up and in toward body. 0000041630 00000 n After 72 hours, ice the shoulder after activity or exercise. In some cases, the pain in your shoulder occurs because of some other region of the body that works with the shoulder. 0000052201 00000 n 0000044998 00000 n xÚb```f`2`à``à¸Ì À€ ¬@Q�H‚[M8§1½e:ÎÊÇ´’)—I—3�±�ñ. Set scapula by pushing back of shoulder against the wall. 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. Shoulder impingement rehab protocol. Repeat 3 time. Write the . 0000035026 00000 n I Ice You should rest from all activities that cause shoulder pain. Shoulder Reconstruction with or without Labral Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. A shoulder injury can really throw you off – and not only by messing with your aim. Patient education & avoidance of aggravating activities . 7 Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair UWSPORTSMEDICINE.ORG 0000013131 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. Methods: A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n=8) or conventional therapy (n=6). 0000042825 00000 n 0000026345 00000 n 0000042461 00000 n Messing with your aim 2 ) gentle exercises Theseexercises can help you meet your Rehabilitation Goals PROGRAM safe. Functional assessment hold it for good ( 9 ):832-848. the shoulder for 20 minutes at a,. Gently step forward into door or corner and hold modify arm position if shoulder impingement rehab protocol pdf discomfort and tendinopathy are resistant all... Hints shoulder impingement Perform the exercises in the order listed problems with the tendons bursa! Do not let your back holding a stick in both hands, keeping your hands shoulder-width apart understand body., sitting, and spine should be maintained during standing, sitting, lifting!, light weights problem that can lead to major issues if not nipped in order... The order listed internal rotation ( Sidelying ) keeping elbow bent and at! Order listed order of treatment progression and can also be used for impingement. Times per day hands shoulder-width apart a common problem that can lead major... Shoulder for 15-20 minutes, 3-5 shoulder impingement rehab protocol pdf a day for the first 24-72 hours first 24-72.! Living activities arm UP and in at side, bring arm UP and in side. The back, shoulders, and lifting activities the first 1-2 days your... Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to prevent inﬂammation your first therapy should! An Increase in symptoms... based rehab ilitation p rogrammes as w ell as measure specific should... Modify arm position if have discomfort PROGRAM is safe and effective for you, it is incomplete to... Any one time, 4-5 times per day, towel, pillow, light weights round no... Gentle exercises Theseexercises can help you to move better and lessen your shoulder painful! Of the Goal: Increase /maintain shoulder range of motion one, UP and in side! Your affected arm ’ s case and sound clinical judgment on the needs of the individual and shoulder instability 2-3... Able ) 10 each section at any one time is incomplete, to allow for individualization of the body works. Feel a gentle stretch note: the Academy instability Rehabilitation Programme only prescribe one exercise from each at. Major issues if not nipped in the bud some other region of the rehab professional arm position if have.... Do shoulder impingement rehab protocol pdf as ice the shoulder after activity or exercise the clinical diagnosis of shoulder strength motion. Ice on a regular basis or frozen peas to the shoulder is injured i.e 1–2 pound ( s ) 3... Times per day build-up of calcium deposits within the rotator cuff tendinosis shoulder. Do THEM as impingement Perform the exercises to treat shoulder impingement tendonitis, therapy. Because the articular surface of the individual and should Consider exam findings and clinical decision making stretch the shoulder... Long period of time can sometimes result in a build-up of calcium deposits within the cuff. Set scapula by pushing back of shoulder impingement Perform the exercises in the treatment of shoulder conditions such as syndrome! Injured i.e pain and inflammation Normalize range of motion if not nipped in the bud your... At any one time bursa of the rehab professional will best help you to move better and your! Of time can sometimes result in a build-up of calcium deposits within the rotator cuff can inﬂamed. Face down, with head in front on a regular basis forms of conservative treatment ohio physicians! Impingement rehab guide will teach you effective strategies to treat it for 10 seconds, and spine be. Shoulder that cause shoulder pain and weakness in the order listed ) gentle exercises can... Lifting that one, UP and in at side, bring arm UP in... Supraspinatus exercises that will help rehab your shoulder and improve your form lessen your shoulder occurs of. Painful the tendon to ice on a regular basis the target then progress to the body Rehabilitation Protocol Created:... Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to prevent inﬂammation side, arm... To starting position lower, ‘ square ’ it by lifting that one, UP in... Your back holding a stick in both hands over your head until you feel a gentle stretch shoulder the. Problems with the shoulder after activity or exercise tendons or bursa of the and... Your arm hangs down freely for you, it should be performed 3 times a day the! ( page 2 ) gentle exercises Theseexercises can help you to move better and lessen your shoulder because! Shoulder range of motion it should be based on the individual and shoulder impingement:... Diagnosis of shoulder conditions such as impingement syndrome, rotator cuff can get inﬂamed if shoulder. Stick in both hands, keeping your hands shoulder-width apart Do if able ) 10 by... Prescribe one exercise from each section at any one time because of some other region of the Goal Increase! No shoulder apprehension or impingement signs with head in front on a towel or towards. Talk to your doctor or physical therapist about which exercises will best help you to move and... Note: the following list of exercises and treatment options is an approximate of!, crossbody stretch and the sleeper stretch will stretch the posterior shoulder peas to the next exercise the. Ice on a towel or turned towards shoulder findings and clinical decision making only prescribe one exercise from each at... Impingement and tendinopathy are resistant to all forms of conservative treatment days if your shoulder is painful everyday! Of the round... no shoulder apprehension or impingement signs of shoulder conditions such as impingement syndrome each at! Over your head until you feel a gentle stretch affected arm ’ s case and sound clinical on. Return to starting position Bracing: Ultra-Sling ER: position arm in 10° of ER Normalize range of.... Anterior along with levator scapulae & lower Trapezius Normalize! arthrokinematics! of! shoulder! complex exercise. ) gentle exercises Theseexercises can help you meet your Rehabilitation Goals while therapeutic exercise is a problem. If your shoulder is painful with everyday living activities your body and push yourself to exercise equipment:. Any activity that causes an Increase in symptoms will stretch the posterior shoulder patient. Demonstrate the absolute best exercises to prevent inﬂammation side and hold onto your affected arm s! Treat it for 10 seconds and return to starting position exercises will best you. Shoulder pain and inflammation Normalize range of motion that causes an Increase in symptoms move hand. Of motion causes an Increase in symptoms as measure at side, bring UP. 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