Rotator Cuff Repair Protocol | Rotator Cuff Protocol Physical Therapy 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. Shoulder Impingement Phase 2. 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 . Knee Rehab - ACL with BTB Autograft. ROTATOR CUFF REPAIR PROTOCOL P. 3 . Pendulum exercise without weight: clockwise, counterclockwise, side-to-side, front-back. Rotator cuff strengthening should involve the following exercises with elastic resistance bands: internal . . 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 Remove for rehab only. this protocol provides you with general guidelines for the non-surgical rehabilitation of the patient with a full-thickness rotator cuff tear. Strength of recommendations: inconclusive. Ankle Rehab - Achilles Repair. Physical Therapy Protocols. Do 3 sets / 10 reps. hand towards your belly. Starting the first day after surgery you should remove the sling 3-4 times per day to perform pendulum exercises and elbow/wrist range of motion (unless otherwise specified by Dr. Robertson). Postoperative Lysis of Adhesions and Manipulation. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Find a way to . Physical Therapy Protocols | OrthoVirginia 703-277-2663 Physical Therapy Protocols Find detailed physical therapy protocols below for your procedure. Shoulder Impingement Phase 1. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. Stages of Physical Therapy After Rotator Cuff Surgery - Verywell Health ACL reconstruction with allograft . 5 Easy Rotator Cuff Exercises - Healthline Rotator Cuff Repair | Rehab Protocol & Recovery Time Frame - Kevin R. Stone Physical Therapy Protocols | OrthoVirginia This program by the AAOS will help you regain strength and flexibility in your rotator cuff muscles and surrounding shoulder muscles. It is largely unknown if adding or eliminating exercises will affect the outcome. Keep incision clean and dry. Background: The following is an outlined progression for rehab. Recovery. Anterior total hip arthroplasty (ATHA) is an elective procedure to relieve pain and restore function to a joint with end-stage arthritis. A Comprehensive Guide to Rotator Cuff Physical Therapy - PRO~PT Knee Rehab - Arthroscopic Meniscus Repair. 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 Rotator Cuff - Physiopedia However, anyone recovering from an injury or surgery is free to use them. Physical Therapy Protocols : SLU - Saint Louis University The intent of this protocol is to provide guidelines for your patient's therapy progression. You will follow-up with Dr. Robertson 10 -14 days after surgery. Materials and methods: Patients with atraumatic full-thickness rotator cuff tears who consented to enroll provided data via questionnaire on demographics, symptom characteristics, comorbidities . Relax. The deltoid muscle is separated to expose the torn . Wear sling as recommended by physician. The therapist will help you: Get back your range of motion. To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. 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. Continue to ice as needed and/or indicated throughout rehabilitation. In the second stage, you'll work on active stretching. Contact Dr Kevin Murphy at 904-634-0640 to know more. Laith M. Jazrawi, MD Associate)Professor)of)Orthopaedics Chief)2)Division)of)Sports)Medicine) Tel:)(212))59826784)! 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. Nonoperative Adhesive Capsulitis. It Internal / External Rotation against resistance. PROM goals flexion 100, ER 20 (in 0-20 abduction . Goal: Increase s trength of rotator cuff muscles. Postoperative AC Joint Reconstruction. Physical Therapy Protocols. Most rotator cuff tears can be repaired surgically by reattaching the torn tendon(s) to the humerus. Rotator Cuff Strengthening 1. Rotator Cuff Repair Post-Op Protocol (Medium 2-5cm) After Total Joint Replacement ACL Reconstruction with Allograft ACL Reconstruction with Hamstring Autograft ACL Reconstruction with Patellar Tendon Autograft Arthroscopic Rotator Cuff Repair 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. Isometrics . Exercises and Physical Therapy for Rotator Cuff Tear - WebMD Rehab to Include: Shoulder PROM in clinic and at home for flexion, ABD, IR, ER (rotation 0-45 ABD). 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 Ankle Rehab - Ankle Arthroscopy. PDF Rotator Cuff Repair Protocol - South Shore Orthopedics Rotator Cuff Physical Therapy - Physiotherapy Treatment Use the protocols below for rehabilitation after your procedure or injury. Relax. specific changes in the program will be made by the physician as appropriate for the individual patient. Thrower's Shoulder Program. When Small/Medium Rotator Cuff Repair Protocol Hamilton Orthopaedics PDF Rotator Cuff Tendonitis/Impingement Rehabilitation Protocol questions regarding the progress of any specific patient are encouraged, and should be PDF Rotator Cuff Injury PROTOCOLS 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. Maintain integrity of repair. Keep your back straight and bend forward slightly at the waist. Physical therapy has a beneficial effect in the treatment of rotator cuff tears, when it's part of a treatment program. PDF Rotator Cuff Home Exercise Program - Vumc Rotator Cuff Physical Therapy protocol has been developed for the patient following a rotator cuff surgical procedure. Rotator cuff repair surgery involves fixing torn or damaged tendons in the shoulder. This may include Physical Therapy, anti-inflammatory medication, rest, and activity modification. Rotator Cuff / Slap - Performance Orthopedics . After an injury or surgery, an exercise conditioning . PDF SHOULDER - TORN ROTATOR CUFF - Boston Sports Medicine If any concerns or complications arise regarding the progress of any patient, physical therapy will contact the orthopedist. Rotator Cuff Repair Protocol . Learn exercises to strengthen your shoulder muscles. Rotator Cuff and Shoulder Rehabilitation Exercises - OrthoInfo Brace Abduction brace/sling, remove sling only to bathe and to complete exercises. 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. Physical Therapy Protocols Below you will find links to physical therapy protocols for various surgical procedures. Physical Therapy Protocols | Boston Shoulder Institute Physical Therapy Protocols | OrthoVirginia Acute Protective Phase (0-2 weeks post-operative): Pain under control with use of medication, ice, and sling. Rotator Cuff Tears - Physiopedia Press the outside of your forearm against a wall (A) for 20 seconds. PT general form for online reference. Physical Therapy Protocols | Ankle Arthroscopy Fort Worth, TX Rehabilitation Protocols | Ohio State College of Medicine In the first two to eight weeks after surgery, you'll limit movement, wear a sling, and work with a PT on passive stretching. PDF Rotator Cuff Repair Protocol - Boston Shoulder Institute Patient may also be allowed to begin activity such as stationery . Physical Therapy Protocols. Strengthening. Scapular Dyskinesis Exercises. Rehabilitation Goals: Protect the repaired hip, restore hip ROM, normalize gait, restore leg control, transition from narcotic pain medications to NSAIDs, and prevent deep venous thrombosis. 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. PDF William J. Robertson, MD UT Southwestern Orthopedics At Squeeze your shoulder . Diminish pain and inflammation . General non-surgical shoulder physical therapy - rotator cuff tendinitis, rotator cuff tear, subacromial impingement, bursitis, AC joint arthritis, frozen shoulder, scapular dysfunction. Repeat the entire sequence with the other arm. Avoid shoulder AROM or aggressive stretching. Minimize pain and inflammatory response; Achieve ROM goals; Establish stable scapula; Weeks 0 to 8. Gently swing your arm forward and back. Massive Rotator Cuff Repair Protocol Hamilton Orthopaedics, Spine Rotator Cuff Repair Post-operative Rehabilitation Protocol. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between . Physical Therapy Protocols | OrthoVirginia Let your other arm hang freely at your side. Supple PROM as tolerated to attain flexion-90, ABD-90, IR-40, ER-45 (rotation at 0 ABD). PDF Rotator Cuff Repair Post-operative Rehabilitation Protocol - OrthoIndy Anatomic total shoulder arthroplasty (replacement) Time tables are approximate and advancement . Rotator Cuff repair protocol is a rehabilitation protocol to provide patient with the guidelines following a rotator cuff surgical procedure. PDF Large Rotator Cuff Repair Protocol - Fowler Kennedy Sport Medicine PDF Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Protocols. Rotator Cuff and Shoulder Conditioning Program - OrthoInfo - AAOS Prevent negative effects of immobilization . Hold 3 seconds and repeat 12 -15 times . Anatomy and Biomechanics . Step-by-step directions Lean forward and place one hand on a counter or table for support. 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. Do not lock your elbow. Phase I: Days 1 to 28 Days 1 to 6 . Arthroscopic rotator cuff repair. HIP Rehab - Hip Arthroscopy. The program targets the following muscle groups: Deltoids (front, back, & over the shoulder) Trapezius muscles (upper back) Rhomboid muscles (upper back) Triceps (back of upper arm) Biceps (front of upper arm) PDF Rehabilitation Protocol: Small to Moderate Rotator Cuff Tear - Lahey Health 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 PDF Corey A. Wulf, MD NON-SURGICAL ROTATOR CUFF TEAR REHABILITATION PROGRAM 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. Grasp both ends of the theraband, Bring shoulders back and down . Effectiveness of physical therapy in treating atraumatic full - PubMed Next press the inside of your forearm against a wall (B) for 20 seconds. Pendulum exercise. Phase I (Post-op Day . ROTATOR CUFF REPAIR . Shoulder Rehabilitation Protocol - University of Kentucky Isometrics against a wall. Physical Therapy Protocols - OSMS - Orthopedic and Rheumatology Sports Medicine Rehabilitation Protocols. THE Definitive Guide to Rotator Cuff Tears - Physical Therapy Assistant Rotator Cuff Surgery | Post-Op Physical Therapy | Dr. Chams Rotator Cuff Tendonitis/Impingement Rehabilitation Protocol Corticosteroid injections. Elbow, wrist and hand AROM (EWH) Passive forward elevation in plane of scapula (PFE) (supine ) to 90 after the first 6 weeks; 10-20 reps, 2 x day. It is no means intended to be a substitute for one's Rotator Cuff Post-Operative Rehabilitation Protocol General Considerations: This protocol is a guideline only; actual progression will be based on clinical presentation. 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. Horizontal Rows Secure theraband around a stable object, like a pole Patient can either kneel or stand . General Post-Operative Guidelines For medium tears (1-3 cm) of the rotator cuff, physical therapy should begin between at 2 weeks post-op. Posterior Capsule Tightness. Shoulder Motion. Rotator Cuff Repair Protocol - Northwestern Medical Center For small tears of the rotator cuff, physical therapy should begin between 2 weeks post-op. Small Rotator Cuff Repair | Post-Op Physical Therapy | Dr. Chams Rotator Cuff and Shoulder Rehabilitation Exercises. See Protocol Physical Therapy Standards of Care and Protocol No lifting, sudden movements, or supporting of body weight with hand. Initiate sub-maximal isometrics for scapular retraction/depression. Passive Range of Motion: Pendulum exercises Active Range of Motion: Cervical, elbow, fingers and hand. Repeat the exercise moving your arm side-to-side, and repeat again in a circular motion. 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. PDF ROTATOR CUFF REPAIR PHYSICAL THERAPY PROTOCOL - Benjamin Domb, M.D Arthroscopic Rotator Cuff Repair Postoperative Rehab Protocol . Physical therapy protocol for massive rotator cuff repair Phase I protective phase) Goals. Therapy is 3 sessions a week for 4 weeks at a time Patients are encouraged and instructed in daily home stretches to assist therapist in achieving functional ROM Motion Consists of AAROM with gentle passive assist by therapist to improve ROM and function (therapist manually guides patient through range of motion with slow steady stretching) Improve the way you sit and stand (your posture) to help reduce pain. Shoulder Range of Motion. Shoulder & Elbow Guidelines | Vanderbilt Sports Medicine - VUMC Slowly pull elbows back, squeezing your shoulder blades together . Therapist, Athletic Trainer and/or Physical Therapy Assistants. Ankle Rehab - Ankle Arthroscopy with Microfracture of Talar Dome. This protocol is time based (dependent on tissue healing) as well as criterion based. Knee Rehab - ACL with Hamstring Autograft or Any Allograft. Large Rotator Cuff Repair Protocol - Fowler Kennedy Sport Medicine Frequency: 1 set . This physical therapy protocol is based on the best evidence demonstrating a beneficial effect for exercise in the treatment of rotator cuff tendonitis. Physical Therapy Protocols Michael Fu, MD - HSS Shoulder Surgery Arthroscopic Anterior Stabilization Rotator Cuff Repair Arthroscopic Rotator Cuff Repair Protocol Arthroscopic Rotator Cuff Repair FAQs and Post-operative Guidlines Rehabilitation after Rotator Cuff Repair: Scientific Rationale Rotator Cuff Repair Post-Op Protocol (Medium 2-5cm) Remove sling for light activity and home exercise program as indicated by therapist. Early passive range of motion of the glenohumeral joint to prevent capsular adhesions is essential. PDF Rehabilitation Protocol for Arthroscopic Rotator Cuff Repair Large to This surgery typically requires four stages of physical therapy as you recover. A B 9 2. 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 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. Joint mobilization grade I-II glenohumeral and scapulothroracic. With a light weight in each hand, extend your arms and raise them away from your body.