Rotator cuff repair with biceps releasetenodesis brian bjerke, md postoperative protocol phase i maximum protection week 0 to 6 goals. Pdf a triple application of kinesio taping supports. The rotator cuff is made up of four muscles supraspinatus, infraspinatus, subscapularis, and teres minor and their tendons. Rotator cuff sprain and strains university of california. None stepbystep directions lean forward and place one hand on a counter or table for support. Brace abduction bracesling, remove sling only to bathe and to complete exercises. The rotator cuff is a group of muscles closely wrapped around the shoulder. An evaluationbased approach abstract rotator cuff disease of the shoulder, a common condition, is often incapacitating. The patient before you is participating in a study to determine the effectiveness of physical therapy in treating rotator cuff tears. 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.
We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. Rotator cuff repair rehab protocol the stone clinic. Rotator cuff repair protocol this rehabilitation protocol has been developed for the patient following a rotator cuff surgical procedure. At a 30 degree angle in front of the body with thumb pointed up, slowly raise arm to shoulder height. 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. Rotator cuff repair protocol boston shoulder institute. 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. Progressive early passive and active exercise therapy. 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. The intent of this protocol is to provide the clinician with instruction, direction.
To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Partial thickness tears start on one surface of the tendon, but do not progress through the depth of the tendon. Postoperative rotator cuff repair rehabilitation protocol. Clinical practice guidelines for the management of rotator. Type ii rotator cuff repair protocol medical staff. Rehabilitation protocol for rotator cuff repair this protocol is intended to guide clinicians and patients through the postoperative course of a rotator cuff repair. Shoulder rotator cuff repair oxford university hospitals. Rehabilitation protocol for rotator cuff repair massachusetts. Rotator cuff and shoulder conditioning program orthoinfo aaos.
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. The physician will make specific changes to the program as appropriate for an individual patient. Rotator cuff repair postoperative rehabilitation protocol orthoindy. The intent of this protocol is to provide the clinician with a. Find pdfs of our most common rehabilitation protocols. Rotator cuff repair rehabilitation protocol general ultrasling external rotation er for six weeks at all times, abduction pillow may be removed after four weeks. This protocol will vary in length and aggressiveness depending on. No resisted rotator cuff strengthening exercises until weeks patients this protocol should be used as a guide during your rehabilitation after surgery. The rotator cuff is responsible for stabilization and active movement of the glenohumeral joint.
Harold schock iii, md rotator cuff repair rehabilitation. Rotator cuff tears can be classified in various ways. 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. An acute or overuse injury may cause the rotator cuff to be injured and varying widths of tears may cause. Specific changes in the program will be made by the. Abduction bracesling, remove sling only to bathe and to complete exercises. Arthroscopic and open rotator cuff repair rehabilitation protocol week 1 2 shoulder sling and swathe full time day and night.
Harold schock iii, md rotator cuff repair rehabilitation protocol the following document is an evidencebased protocol for arthroscopic rotator cuff repair rehabilitation. Recovery is different in each case your individual time table for return to activities and work will be. Standard rotator cuff repair protocol this protocol is designed to serve as a patient rehabilitation guide following a standard rotator cuff repair procedure. The conservative approach may be associated with postoperative stiffness which. Department of rehabilitation services physical therapy arthroscopic rotator cuff repair protocol. Rotator cuff tear is a common cause of shoulder disability and results in patients predominantly complaining of pain and loss of motion and strength. Intermittently apply grade ii mobilizations in the open packed position of the shoulder. Those patients who have good rotator cuff tissue integrity, a one to two tendon repair, with a tear 3 centimeters or less will. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Type ii rotator cuff repair protocol arthroscopic tears for large to massive tears 5 cm joseph r. The authors protocol of choice, used within a large sports medicine rehabilitation center, is presented and the rationale behind its implementation is. Rotator cuff repair therapy protocol sideline orthopedics. 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. The primary goal of this protocol is to protect the repair while steadily progressing towards and. Rotator cuff repair postsurgical rehabilitation protocol postop days 1 21 immobilizer with abductor pillow x 46 weeks even while sleeping place pillow under shoulder. 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. Suite 224a blacksburg, va 24060 54055273 all information contained in this protocol is to be used as general. This protocol is designed for the patient following arthroscopic rotator cuff repair. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation. Deltoids, supraspinatus, infraspinatus, subscapularis equipment needed. Rotator cuff postoperative rehabilitation protocol general considerations. Rotator cuff repair the following is a protocol for postoperative patients following rotator cuff repair. This protocol is intended to guide clinicians and patients through the post operative course of a rotator cuff repair. Sports medicine physical therapy rehabilitation protocols. A comparison of rehabilitation methods after arthroscopic rotator cuff repair.
Rotator cuff and shoulder rehabilitation exercises. Arthroscopic rotator cuff repair protocol brigham and womens. This protocol provides you with general guidelines for the rehabilitation of patients following a massive open andor arthroscopic rotator cuff repair. A triple application of kinesio taping supports rehabilitation program for rotator cuff tendinopathy. Rotator cuff repair therapy protocol page 1 of 6 bart eastwood d. Rotator cuff repair protocol south shore orthopedics. Scapular control exercises such as the scapular squeeze and. Arthroscopic rotator cuff repair frequently asked questions. The sports physical therapy service is an integral part of the sports medicine center and the department of. A comparison of rehabilitation methods after arthroscopic. Help and feedback was given from people who have had rotator cuff repair surgery. Rehabilitation guidelines for type i and type ii rotator.
Manual laborers will likely be out of work for at least six months. Begin active and manual scapula strengthening exercises. Rotator cuff repair protocol weeks full time in sling range of motion. After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Supraspinatus open can patient stands with theraband under their foot while grasping theraband, bring shoulders back and down. The conservative rehabilitation protocol allows sharpey fibers to form before stressing the repair with resistive exercises. This protocol provides you with general guidelines for the conservative rehabilitation of the patient with a rotator cuff tear rct. A physiotherapist should be consulted throughout to. Rotator cuff repair postoperative rehabilitation protocol. Rotator cuff and shoulder conditioning program stretching exercises 1. The first classification is a partial thickness or a full thickness tear.
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