You will follow-up with Dr. Robertson 10 -14 days after surgery. Rotator Cuff Physical Therapy protocol has been developed for the patient following a rotator cuff surgical procedure. Patient will perform the following exercises as instructed by physician, starting on day of surgery: pendulum exercises, shoulder shrugs, elbow flexion/extension, and grip strengthening. ROTATOR CUFF REPAIR PHYSICAL THERAPY PROTOCOL (+/- SUBSCAPULARIS REPAIR) (+/- MINI OPEN BICEPS TENODESIS) Dr. Domb would like to personally thank you in advance for taking care of our mutual patient post-operatively. Physical Therapy Protocols Below you will find links to physical therapy protocols for various surgical procedures. To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. Conservative treatment is effective for many rotator cuff injuries and comprises injecting corticosteroid (or sodium hyaluronate) into the subacromial space and physical therapy to increase the strength of residual muscles and ameliorate shoulder stiffness. Background: The following is an outlined progression for rehab. Relax. Diminish pain and inflammation . Wear sling as recommended by physician. Anterior total hip arthroplasty (ATHA) is an elective procedure to relieve pain and restore function to a joint with end-stage arthritis. Physical Therapy Protocols | OrthoVirginia 703-277-2663 Physical Therapy Protocols Find detailed physical therapy protocols below for your procedure. Ankle Rehab - Ankle Arthroscopy with Microfracture of Talar Dome. Purpose: To assess the effectiveness of a specific nonoperative physical therapy program in treating atraumatic full-thickness rotator cuff tears using a multicenter prospective cohort study design. Rotator Cuff Repair Post-Op Protocol (Medium 2-5cm) Remove sling for light activity and home exercise program as indicated by therapist. Do 3 sets / 10 reps. hand towards your belly. General non-surgical shoulder physical therapy - rotator cuff tendinitis, rotator cuff tear, subacromial impingement, bursitis, AC joint arthritis, frozen shoulder, scapular dysfunction. Postoperative Lysis of Adhesions and Manipulation. When . Keep incision clean and dry. Internal / External Rotation against resistance. Physical Therapy 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. Next press the inside of your forearm against a wall (B) for 20 seconds. Press the outside of your forearm against a wall (A) for 20 seconds. Phase I: Days 1 to 28 Days 1 to 6 . Anatomy and Biomechanics . Rehab to Include: Shoulder PROM in clinic and at home for flexion, ABD, IR, ER (rotation 0-45 ABD). Maintain integrity of repair. Physical therapy has a beneficial effect in the treatment of rotator cuff tears, when it's part of a treatment program. Shoulder Motion. Knee Rehab - ACL with BTB Autograft. Improve the way you sit and stand (your posture) to help reduce pain. This surgery typically requires four stages of physical therapy as you recover. Rotator Cuff and Shoulder Rehabilitation Exercises. o Patient health, physical condition and goals/objective will determine if strengthening above 90 is appropriate Add lat pulls to gym strengthening program; very gradual progression with pressing and overhead activity Continue with closed chain quadruped perturbations; add open chain as strength permits Most rotator cuff tears can be repaired surgically by reattaching the torn tendon(s) to the humerus. Minimize pain and inflammatory response; Achieve ROM goals; Establish stable scapula; Weeks 0 to 8. Horizontal Rows Secure theraband around a stable object, like a pole Patient can either kneel or stand . For small tears of the rotator cuff, physical therapy should begin between 2 weeks post-op. General Post-Operative Guidelines For medium tears (1-3 cm) of the rotator cuff, physical therapy should begin between at 2 weeks post-op. Rotator Cuff Post-Operative Rehabilitation Protocol General Considerations: This protocol is a guideline only; actual progression will be based on clinical presentation. Brace Abduction brace/sling, remove sling only to bathe and to complete exercises. Keep your back straight and bend forward slightly at the waist. Passive Range of Motion: Pendulum exercises Active Range of Motion: Cervical, elbow, fingers and hand. Continue to ice as needed and/or indicated throughout rehabilitation. It is not a big operation to repair a torn rotator cuff, but the rehabilitation time can be long depending on the size of the tear and the quality of the tendons/muscles. Learn exercises to strengthen your shoulder muscles. SLUCare Sports Medicine and Shoulder Surgery specialists developed the following physical therapy protocols for SLUCare clinicians to use when recommending treatment and rehab for SLUCare patients. specific changes in the program will be made by the physician as appropriate for the individual patient. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH. No lifting, sudden movements, or supporting of body weight with hand. Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair - Large to Massive Tears This protocol is intended to guide clinicians and patients through the post-operative course for arthroscopic rotator cuff repair surgery with large to massive sized tears. ACL reconstruction with allograft . Do not initiate rotator cuff strengthening until 12 weeks and until night pain has subsided and overall pain level is low; Phase II progressive strengthening If you have been diagnosed with a rotator cuff tear, physical therapy protocol can help to: Strengthen your shoulder muscles Decrease pain Improve functionality And if you do choose to have surgery, physical therapy exercises after rotator cuff surgery can help you recover faster so you can get back to your normal activities as soon as possible. ROTATOR CUFF REPAIR PROTOCOL P. 3 . Physical therapy protocol for massive rotator cuff repair Phase I protective phase) Goals. Rehabilitation Protocol for Small to Moderate Rotator Cuff Tear: Summary Table Post -op Phase/Goals Range of Motion Therapeutic Exercise Precautions Days 1 - 7 -Wear sling during the day and at night -Remove sling for showering/bathing -Remove sling 4 to 5 times per day for gentle elbow, forearm, wrist and finger exercises Use the protocols below for rehabilitation after your procedure or injury. At Patient may also be allowed to begin activity such as stationery . Recovery. Large Rotator Cuff Repair Protocol - Fowler Kennedy Sport Medicine This protocol will vary in length and aggressiveness depending on factors such as: Size and location of tear Degree of shoulder instability/laxity prior to surgery Acute versus chronic condition Length of time immobilized Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. Isometrics against a wall. Shoulder Impingement Phase 2. This protocol is time based (dependent on tissue healing) as well as criterion based. Scapular Dyskinesis Exercises. Laith M. Jazrawi, MD Associate)Professor)of)Orthopaedics Chief)2)Division)of)Sports)Medicine) Tel:)(212))59826784)! Nonoperative Adhesive Capsulitis. Goals of the rehabilitation, nonoperative and postoperative, are reducing pain and muscle tension, improving wrong humeral head position, strenghten the stabilizing muscles and regain proprioception and movement automatism. Early passive range of motion of the glenohumeral joint to prevent capsular adhesions is essential. Pendulum exercise without weight: clockwise, counterclockwise, side-to-side, front-back. Rotator cuff repair surgery involves fixing torn or damaged tendons in the shoulder. Protocols. Rotator Cuff repair protocol is a rehabilitation protocol to provide patient with the guidelines following a rotator cuff surgical procedure. Sports Medicine Rehabilitation Protocols. Materials and methods: Patients with atraumatic full-thickness rotator cuff tears who consented to enroll provided data via questionnaire on demographics, symptom characteristics, comorbidities . Supple PROM as tolerated to attain flexion-90, ABD-90, IR-40, ER-45 (rotation at 0 ABD). Rotator cuff strengthening should involve the following exercises with elastic resistance bands: internal . The intent of this protocol is to provide guidelines for your patient's therapy progression. Frequency: 1 set . With a light weight in each hand, extend your arms and raise them away from your body. After Total Joint Replacement ACL Reconstruction with Allograft ACL Reconstruction with Hamstring Autograft ACL Reconstruction with Patellar Tendon Autograft Arthroscopic Rotator Cuff Repair This physical therapy protocol is based on the best evidence demonstrating a beneficial effect for exercise in the treatment of rotator cuff tendonitis. this protocol provides you with general guidelines for the non-surgical rehabilitation of the patient with a full-thickness rotator cuff tear. Initiate sub-maximal isometrics for scapular retraction/depression. Goal: Increase s trength of rotator cuff muscles. After an injury or surgery, an exercise conditioning . Physical Therapy Protocols Shoulder Elbow Hip/Knee Ankle Return to Sports Guidelines Physical Therapy Standards of Care Ankle Spine Shoulder Hip/Knee Lower Extremity Pelvic Health Joint mobilization grade I-II glenohumeral and scapulothroracic. Physical Therapy Protocols. Slowly pull elbows back, squeezing your shoulder blades together . However, anyone recovering from an injury or surgery is free to use them. Grasp both ends of the theraband, Bring shoulders back and down . Squeeze your shoulder . Rotator Cuff Tendonitis/Impingement Rehabilitation Protocol In the second stage, you'll work on active stretching. 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 . Hold 3 seconds and repeat 12 -15 times . ROTATOR CUFF REPAIR . This may include Physical Therapy, anti-inflammatory medication, rest, and activity modification. Find a way to . The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between . Strengthening. Knee Rehab - Arthroscopic Meniscus Repair. Ankle Rehab - Achilles Repair. Corticosteroid injections. Remove for rehab only. Arthroscopic Rotator Cuff Repair Postoperative Rehab Protocol . Repeat the entire sequence with the other arm. 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