Harold schock iii, md rotator cuff repair rehabilitation. The primary goal of this protocol is to protect the repair while steadily progressing towards and. Clinical practice guidelines for the management of rotator. Begin active and manual scapula strengthening exercises. Rotator cuff sprain and strains university of california. The patient before you is participating in a study to determine the effectiveness of physical therapy in treating rotator cuff tears. Rotator cuff repair rehabilitation protocol general ultrasling external rotation er for six weeks at all times, abduction pillow may be removed after four weeks. To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Those patients who have good rotator cuff tissue integrity, a one to two tendon repair, with a tear 3 centimeters or less will. Rehabilitation protocol for rotator cuff repair massachusetts. This protocol will vary in length and aggressiveness depending on. Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair.
Rehabilitation guidelines for type i and type ii rotator. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion. Rotator cuff repair postoperative rehabilitation protocol orthoindy. A comparison of rehabilitation methods after arthroscopic rotator cuff repair. The rotator cuff is made up of four muscles supraspinatus, infraspinatus, subscapularis, and teres minor and their tendons. Specific changes in the program will be made by the. Rotator cuff repair postsurgical rehabilitation protocol postop days 1 21 immobilizer with abductor pillow x 46 weeks even while sleeping place pillow under shoulder.
Sports medicine physical therapy rehabilitation protocols. Abduction bracesling, remove sling only to bathe and to complete exercises. Postoperative rotator cuff repair rehabilitation protocol. Help and feedback was given from people who have had rotator cuff repair surgery. Rotator cuff repair rehab protocol the stone clinic. Department of rehabilitation services physical therapy arthroscopic rotator cuff repair protocol. Arthroscopic rotator cuff repair protocol brigham and womens. We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. None stepbystep directions lean forward and place one hand on a counter or table for support.
Rotator cuff postoperative rehabilitation protocol general considerations. Rotator cuff tear is a common cause of shoulder disability and results in patients predominantly complaining of pain and loss of motion and strength. At a 30 degree angle in front of the body with thumb pointed up, slowly raise arm to shoulder height. After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Partial thickness tears start on one surface of the tendon, but do not progress through the depth of the tendon. Find pdfs of our most common rehabilitation protocols. This protocol provides you with general guidelines for the rehabilitation of patients following a massive open andor arthroscopic rotator cuff repair. Rotator cuff repair therapy protocol sideline orthopedics. This protocol provides you with general guidelines for the conservative rehabilitation of the patient with a rotator cuff tear rct. Progressive early passive and active exercise therapy. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation. The intent of this protocol is to provide the clinician with instruction, direction. Scapular control exercises such as the scapular squeeze and. Rotator cuff and shoulder rehabilitation exercises.
The physician will make specific changes to the program as appropriate for an. Type ii rotator cuff repair protocol arthroscopic tears for large to massive tears 5 cm joseph r. Rotator cuff tears can be classified in various ways. No arom exercise of the shoulder consistent use of sling unless otherwise instructed weaning starting at. The physician will make specific changes to the program as appropriate for an individual patient.
The frequency and location of therapy, duration of immobilization, initiation of active and assisted motion, continuous passive motion cpm devices, cryotherapy, and modalities are central issues in rotator. A triple application of kinesio taping supports rehabilitation program for rotator cuff tendinopathy. Rotator cuff repair protocol this rehabilitation protocol has been developed for the patient following a rotator cuff surgical procedure. This protocol is intended to guide clinicians and patients through the post operative course of a rotator cuff repair. Rehabilitation guidelines for type i and type ii rotator cuff repair and isolated subscapularis repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to that of a golf.
Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Rotator cuff repair protocol weeks full time in sling range of motion. The intent of this protocol is to provide the clinician with a. Clinical practice guidelines for the management of rotator cuff syndrome in the workplace the university of new south wales, medicine, rural clinical school, port macquarie campus 20. The conservative approach may be associated with postoperative stiffness which. Type ii rotator cuff repair protocol medical staff. A comparison of rehabilitation methods after arthroscopic. Suite 224a blacksburg, va 24060 54055273 all information contained in this protocol is to be used as general.
Rotator cuff repair with biceps releasetenodesis brian bjerke, md postoperative protocol phase i maximum protection week 0 to 6 goals. Rotator cuff and shoulder conditioning program stretching exercises 1. Pdf a triple application of kinesio taping supports. The first classification is a partial thickness or a full thickness tear. Rotator cuff repair protocol boston shoulder institute. No resisted rotator cuff strengthening exercises until weeks patients this protocol should be used as a guide during your rehabilitation after surgery. The shoulder moon group is a multicenter orthopaedic outcomes network, a consortium of institutions working together to bring patients the best possible care with disorders of the shoulder. Rotator cuff and shoulder conditioning program orthoinfo aaos. Intermittently apply grade ii mobilizations in the open packed position of the shoulder. Arthroscopic and open rotator cuff repair rehabilitation protocol week 1 2 shoulder sling and swathe full time day and night. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic assistedminiopen rotator cuff repair.
Supraspinatus open can patient stands with theraband under their foot while grasping theraband, bring shoulders back and down. Rotator cuff repair protocol south shore orthopedics. Recovery is different in each case your individual time table for return to activities and work will be. The authors protocol of choice, used within a large sports medicine rehabilitation center, is presented and the rationale behind its implementation is. This protocol is designed for the patient following arthroscopic rotator cuff repair. Deltoids, supraspinatus, infraspinatus, subscapularis equipment needed. However, for a rotator cuff strain, it may not be until later in the rehabilitation process that strengthening exercises can begin. The rotator cuff is responsible for stabilization and active movement of the glenohumeral joint. An evaluationbased approach abstract rotator cuff disease of the shoulder, a common condition, is often incapacitating.
Harold schock iii, md rotator cuff repair rehabilitation protocol the following document is an evidencebased protocol for arthroscopic rotator cuff repair rehabilitation. The conservative rehabilitation protocol allows sharpey fibers to form before stressing the repair with resistive exercises. Brace abduction bracesling, remove sling only to bathe and to complete exercises. Standard rotator cuff repair protocol this protocol is designed to serve as a patient rehabilitation guide following a standard rotator cuff repair procedure. Rotator cuff repair postoperative rehabilitation protocol. Large rotator cuff repair protocol the intent of this protocol is to provide the clinician with instruction, direction, rehabilitative guidelines and functional goals for all rotator cuff repair. A physiotherapist should be consulted throughout to. Arthroscopic rotator cuff repair frequently asked questions. Shoulder rotator cuff repair oxford university hospitals. The rotator cuff is a group of muscles closely wrapped around the shoulder. Clinic appointments at 8 to 12 days, then at 6 weeks, 12 weeks, 18 weeks, and possibly 24 weeks physical therapy appointment starting at 6 weeks, lasting 18 to 24 weeks acute phase. Rotator cuff repair the following is a protocol for postoperative patients following rotator cuff repair. Rotator cuff repair therapy protocol page 1 of 6 bart eastwood d. Manual laborers will likely be out of work for at least six months.
61 516 1284 51 1419 457 904 1151 886 170 587 788 347 1158 1076 992 1268 592 569 844 328 1406 330 800 140 282 42 488 176 1033 536 708