Inflammation over a long period of time can sometimes result in a build-up of calcium deposits within the rotator cuff tendons. 0000032990 00000 n 0000051747 00000 n 343 0 obj <> endobj 0000052936 00000 n 0000033923 00000 n 0000042825 00000 n 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 - … "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. It often goes unrecognized in the treatment of shoulder conditions such as impingement syndrome, rotator cuff tendinosis and shoulder instability. 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 … Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. 0000005293 00000 n Improve posture . The towel stretch, crossbody stretch and the sleeper stretch will stretch the posterior shoulder. 0000049267 00000 n 0000009542 00000 n trailer 0000027980 00000 n Indications for Treatment: Subacromial impingement with rotator cuff tendinopathy is a very common condition If shoulder pain is throwing off your game, it’s likely that one muscle of your rotator cuff is to blame. Equipment needed: Chair,towel, pillow, light weights. Repeat 3 time. Rock from yourback foot to your front foot. 2004. In some cases, the pain in your shoulder occurs because of some other region of the body that works with the shoulder. 0000048328 00000 n Improve posture . q Bendforward at the hips so that your arm hangs down freely. q Bendforward at the hips so that your arm hangs down freely. Shoulder impingement rehab protocol. 0000025306 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: Return to neutral. 0000033127 00000 n Increase periscapular and shoulder strength and endurance. 0000048934 00000 n 0000013994 00000 n 0000035930 00000 n 0000051606 00000 n This shoulder impingement rehab guide will teach you effective strategies to treat it for good. Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 0000036148 00000 n 0000017119 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 To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. Hold each repetition 5 to 10 seconds. 0000046463 00000 n 0000053505 00000 n Re-establish muscular balance . Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. 0000034097 00000 n Hold the position for 10 seconds and return to starting position. 0000038165 00000 n 0000021471 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. 0000022455 00000 n Let your arm move in a circle, first clockwise, then 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. 0000028823 00000 n 0000018496 00000 n 0000050538 00000 n After 72 hours, ice the shoulder after activity or exercise. 0000013546 00000 n 0000052360 00000 n Goals . 0000026345 00000 n I Ice You should rest from all activities that cause shoulder pain. 0000052057 00000 n 0000048141 00000 n 0 0000042688 00000 n h�bbd``b`�$V �m@��$�`�I�,] �.�{D��0�)�be �y "$�R�$��@�� �O@"�H��f`bd|�``��a�k� �6] endstream endobj 344 0 obj <. 0000047068 00000 n Rotate the arm clockwise x 10 then anticlockwise x 10. 0000042461 00000 n 0000028364 00000 n Rehabilitation Protocol for Shoulder Impingement I. 0000032769 00000 n Often your first step towards gaining shoulder pain relief is to understand your body and push yourself to exercise. o Normalize!arthrokinematics!of!shoulder!complex! 51 214 Frequency: 3 sets of 10 reps. 2-3 times a day. 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. 0000030305 00000 n xref 0000035412 00000 n 0000013773 00000 n 0 0000023827 00000 n 0000030664 00000 n 0000021165 00000 n 0000031825 00000 n Begin with gentle stretching. 7 Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair UWSPORTSMEDICINE.ORG 0000048793 00000 n 0000053080 00000 n Your physician will have ordered x-rays to check the bones in your 0000034641 00000 n Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … shoulder blade and ball and socket joint. ROM and stretching exercises should be performed daily. 0000039575 00000 n • ‘Square’ your shoulder blades back. Set scapula by pushing back of shoulder against the wall. 0000043191 00000 n 0000041356 00000 n %PDF-1.5 %���� Impingement Rehabilitation Protocol I. 0000049441 00000 n 0000035764 00000 n 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. 0000035243 00000 n 0000040720 00000 n 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. 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. 0000040994 00000 n 0000037515 00000 n • Hints 0000038876 00000 n ... patient’s case and sound clinical judgment on the part of the rehab professional. 0000051916 00000 n 0000024716 00000 n By design and necessity, it is incomplete, to allow for individualization of the 0000051000 00000 n the tendon. <]>> 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 . 0000043861 00000 n 0000049902 00000 n 0000024580 00000 n 3. The stress is essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius. 2004. 0000039438 00000 n 0000024950 00000 n Hold for 15 seconds. Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. 0000013131 00000 n 84(9):832-848. 0000051321 00000 n Frequency: 3 sets of 10 reps. 2-3 times a day. 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. 0000005213 00000 n At least 20 minutes at a time, 4-5 times per day. 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. 0000009781 00000 n Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. 0000045409 00000 n 0000038726 00000 n 0000053361 00000 n Education of patient regarding head and shoulder posture. Use 1–2 pound(s) Do 3 sets of 12. 0000024340 00000 n 0000026575 00000 n 0000041630 00000 n 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 Resolve shoulder pain. 0000039221 00000 n Impingement may result from structural causes such as bony deformation of the acromion, or as a functional result of shoulder instability and weakness. 0000046600 00000 n 0000050820 00000 n 0000047395 00000 n 0000036448 00000 n 0000051141 00000 n 0000034857 00000 n Hold each stretch for 15 seconds, rest for 15 seconds, and repeat 5 times. 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. Repetitions 4 each side Days per week 0000046927 00000 n “Neutral position” of the back, shoulders, and spine should be maintained during standing, sitting, and lifting activities. 0000022897 00000 n 0000043528 00000 n 0000024204 00000 n Do not move further than this. Patient education & avoidance of aggravating activities . Strengthening exercises should be performed 3 times a week. Equipment needed: Chair,towel, pillow, light weights. Avoidance: • The elimination of any activity that causes an increase in symptoms 0000021777 00000 n %PDF-1.4 %âãÏÓ The pain – … 0000025665 00000 n Shoulder lateral rotation Sitting. 0000034234 00000 n o Retard!muscular!atrophy! 0000050223 00000 n 0000023121 00000 n 2004. 0000045884 00000 n 0000023589 00000 n 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. 0000043665 00000 n Patient education & avoidance of aggravating activities . 0000016443 00000 n 0000028686 00000 n 0000040494 00000 n Normalize range of motion . If the patient can achieve the target then progress to the next exercise. 0000030442 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. 0000048656 00000 n Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 0000031022 00000 n Note: The following list of exercises and treatment options is an approximate order of progression. Goal: Increase/maintain shoulder range of motion. 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. 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. 0000044805 00000 n 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. Phys Ther. 0000008161 00000 n 0000028552 00000 n Improve ROM Without Aggravating Injury . 0000040350 00000 n 0000032595 00000 n 0000009857 00000 n 0000044468 00000 n Phys Ther. Instructions: Home­based exercise plus weekly physical therapy visits Perform exercises daily for 6 weeks Include patient education on posture, pathology, and ergonomics Phase I: 0000053646 00000 n Protocol Arthroscopic decompression is normally the result of the clinical diagnosis of shoulder impingement syndrome. 0000022685 00000 n Protect Injured Tissue . This can cause shoulder pain and weakness in the joint. 0000031465 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. 0000030168 00000 n 0000041977 00000 n 0000035026 00000 n The bursa and rotator cuff can get inflamed if the shoulder is injured i.e. The protocol is divided into phases, which are adaptable based on the individual and special circumstances. o Retard!muscular!atrophy! 1. Appointment: Your first therapy appointment should be within 5-7 days after your surgery. 0000035627 00000 n SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. alphabet from A-Z No 10 AND 11 ARE MORE ADVANCED SO DO THEM AS . 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