shoulder impingement rehab protocol pdf

0000027013 00000 n 0000041840 00000 n Specific interventions should be based on the needs of the individual and 0000047677 00000 n 0000028686 00000 n 0000029734 00000 n 0000046600 00000 n 0000052360 00000 n 0000053796 00000 n 0000036791 00000 n Equipment needed: Chair,towel, pillow, light weights. • Calcific tendinitis. 0000027595 00000 n 0000017794 00000 n 0000051321 00000 n Rehabilitation Protocol for Shoulder Impingement I. Phys Ther. Avoidance: • The elimination of any activity that causes an increase in symptoms Improve posture . No excessive shoulder extension No excessive stretching or sudden movements No supporting of body weight by hands . • Do not let your back arch, breathe! PAIN ALLOWS. PDF | Shoulder impingement is a progressive orthopedic condition that occurs as a result of altered biomechanics and/or structural abnormalities. 0000031602 00000 n 3. alphabet from A-Z No 10 AND 11 ARE MORE ADVANCED SO DO THEM AS . 0000030305 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. 0000050043 00000 n 51 0 obj<> endobj 0000025083 00000 n %PDF-1.5 %���� 0000034857 00000 n 0000035930 00000 n 0000041977 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 0000053361 00000 n 2004. 0000017119 00000 n 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. Inflammation over a long period of time can sometimes result in a build-up of calcium deposits within the rotator cuff tendons. Always practice good posture throughout the day. Education of patient regarding head and shoulder posture. the shoulder for 15-20 minutes, 3-5 times a day for the first 24-72 hours. 0000041493 00000 n Each set of exercises is listed in order of treatment progression and can also be used for functional assessment. 53 0 obj<>stream 0000040857 00000 n 0000029948 00000 n After 72 hours, ice the shoulder after activity or exercise. 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. 84(9):832-848. To ensure that this program is safe and effective for you, it should be performed under your doctor's supervision. R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful 0000040069 00000 n Normalize range of motion . 0000021950 00000 n Protocol Arthroscopic decompression is normally the result of the clinical diagnosis of shoulder impingement syndrome. 0000021338 00000 n Set scapula by pushing back of shoulder against the wall. 0000035627 00000 n 0000035764 00000 n 0000043054 00000 n 0000033694 00000 n rehabilitation guidelines for Shoulder arthroscopy posttraumatic degenerative disease of the AC joint and shoulder impingement syndrome.4 Chronic impingement and/or inflammation of the long head of the biceps (Figure 1) can also be a pain generator in the shoulder. 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. 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 … If shoulder pain is throwing off your game, it’s likely that one muscle of your rotator cuff is to blame. Avoidance: The elimination of any activity that causes an increase in symptoms. 0000024950 00000 n 0000038522 00000 n Phys Ther. 0000009263 00000 n 0000021777 00000 n 0000027980 00000 n 0000024580 00000 n Phys Ther. 0000004576 00000 n 0000051465 00000 n 0000036311 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 Exercises: 1. 0000026118 00000 n 0000048328 00000 n 0000025306 00000 n 0000039575 00000 n 0000027321 00000 n Improve ROM Without Aggravating Injury . 0000021165 00000 n Hold each repetition 5 to 10 seconds. Often your first step towards gaining shoulder pain relief is to understand your body and push yourself to exercise. 0000015917 00000 n Indications for Treatment: Subacromial impingement with rotator cuff tendinopathy is a very common condition q Bendforward at the hips so that your arm hangs down freely. 0000050538 00000 n Description: McClure PW, et al. 0000046927 00000 n Using a broom or rod, grasp the end with hand 1 and the other end with hand 2 Use hand 2 to passively raise hand 1 up until a stretch is felt. 0000035026 00000 n It often goes unrecognized in the treatment of shoulder conditions such as impingement syndrome, rotator cuff tendinosis and shoulder instability. If you have mild shoulder tendonitis, physical therapy exercises is a fantastic treatment. Repeat 3 time. 0000033522 00000 n Rock from yourback foot to your front foot. 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. 0000032061 00000 n 0000028823 00000 n 0000050223 00000 n Standard of Care: Shoulder Impingement ICD 9 Codes: 726.10 - Rotator cuff syndrome of shoulder and allied disorders 840 - Sprains and strains of shoulder and upper arm Case Type / Diagnosis: Shoulder impingement. Shoulder impingement problems hurt because the tissues are getting pinched between the ball of the shoulder joint (humeral head) and the roof of the bone over the top of the shoulder (acromion). 0000052201 00000 n The corner stretch will stretch the anterior shoulder. 0000049723 00000 n 0000039932 00000 n • If one shoulder is lower, ‘square’ it by lifting that one, UP and back. • Hints 51 214 The 0000040350 00000 n 0000038012 00000 n 0000015459 00000 n Resolve shoulder pain. 0000021604 00000 n 0000047205 00000 n 0000038165 00000 n 0000048656 00000 n 0000038726 00000 n 2. Rotate the arm clockwise x 10 then anticlockwise x 10. o Retard!muscular!atrophy! 0000047395 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 - … Re-establish muscular balance . 0000049267 00000 n 0000046790 00000 n 0000009781 00000 n Do not move further than this. 0000050820 00000 n 0000031241 00000 n SHOULDER • Flexion 1. • Hold it for 10 seconds, repeat 10 times. 0000041356 00000 n 0000037515 00000 n 0000039221 00000 n Consider using a shoulder sling when available. It often goes unrecognized in the treatment of shoulder conditions such as impingement syndrome, rotator cuff tendinosis and shoulder instability. Use at all times except showering / bathing Modalities: Cryotherapy 3x/ day TENS if c/o pain NMES PROM: None at Glenohumeral joint Therapeutic Exercise: Wrist / … 0000023827 00000 n 0000037875 00000 n 0000009542 00000 n Improve capsular and shoulder mobility. shoulder pain. shoulder not exceeding 90° of shoulder abduction; rowing is ok Cardiovascular Exercise • Walking, biking, ... no shoulder apprehension or impingement signs. 0000037668 00000 n 0000022897 00000 n 0000045884 00000 n 0000039438 00000 n 0000033127 00000 n A shoulder injury can really throw you off – and not only by messing with your aim. %%EOF 0000052642 00000 n 0000031022 00000 n 0000031825 00000 n 0000045409 00000 n 0000053217 00000 n Exercises . 0000028552 00000 n 0000037310 00000 n 0000005293 00000 n Goal: Increase/maintain shoulder range of motion. 0000043528 00000 n 0 2. 0000036585 00000 n Derby Shoulder Instability Rehabilitation Programme Only prescribe one exercise from each section at any one time. 0000045743 00000 n 0000022455 00000 n 0000023351 00000 n R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful with everyday living activities. 0000049126 00000 n Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. 0000022227 00000 n 0000029522 00000 n 0000044998 00000 n 0000039074 00000 n 0000026807 00000 n 0000043191 00000 n 0000046077 00000 n The stress is essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius. o Normalize!arthrokinematics!of!shoulder!complex! 0000031465 00000 n 0000025895 00000 n 0000053505 00000 n 0000053646 00000 n xÚb```f`2`à``à¸Ì À€ ¬@Q�H‚[M8§1½e:ÎÊÇ´’)—I—3�±�ñ. By design and necessity, it is incomplete, to allow for individualization of the rehabilitation guidelines for Shoulder arthroscopy posttraumatic degenerative disease of the AC joint and shoulder impingement syndrome.4 Chronic impingement and/or inflammation of the long head of the biceps (Figure 1) can also be a pain generator in the shoulder… 0000012667 00000 n Rehabilitation Protocol for Total Shoulder Arthroplasty and Hemiarthroplasty This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. 0000041630 00000 n Repeat x 3 (this exercise is difficult - only do if able) 10. <]>> 84(9):832­848. Shoulder Pain: The Solution and Prevention Dr. John M. Kirsch, an orthopedic surgeon from Wisconsin, is the author of this popular self-help book. %PDF-1.4 %âãÏÓ Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. Your physician will have ordered x-rays to check the bones in your Raise both hands over your head until you feel a gentle stretch. Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. o Retard!muscular!atrophy! Write the . Strengthening exercises should be performed 3 times a week. Improve posture . Nonsurgical Shoulder Impingement Rehabilitation Protocol Ramin R. Tabaddor, MD Arlene D. Kavanagh, PA-C This protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. 0000044468 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. The bursa and rotator cuff can get inflamed if the shoulder is injured i.e. 0000050397 00000 n 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 . ... patient’s case and sound clinical judgment on the part of the rehab professional. Return to neutral. "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. … 0000048934 00000 n Frequency: 3 sets of 10 reps. 2-3 times a day. HOME EXERCISE PROGRAM FOR SHOULDER IMPINGEMENT Perform the exercises in the order listed. 0000024716 00000 n Increase periscapular and shoulder strength and endurance. 7 Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair UWSPORTSMEDICINE.ORG 0000053080 00000 n Written for the public as the result of several decades of research, it outlines a new and simple shoulder exercise program to treat and prevent impingement syndrome, rotator cuff tears, and what is referred to as “frozen shoulder”. 0000032990 00000 n 0000034641 00000 n Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. the tendon. o Normalize!arthrokinematics!of!shoulder!complex! 0000049902 00000 n 0000051000 00000 n Shoulder/Elbow Surgery Inverness Department of Orthopedics (303) 694 -3333 University of Colorado Anschutz Medical Campus (720) 848-1900 Rehabilitation Protocol Radial Head Replacement Phase I: Early ROM & Protect Repair (0 to 6 weeks) • Splint and postop dressing remains in place for the first week. Reduce Pain and Inflammation . 0000052792 00000 n 0000046270 00000 n 0000051606 00000 n 0000035243 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. 0000042324 00000 n Shoulder impingement is a common source of shoulder pain. 0000044805 00000 n ROM and stretching exercises should be performed daily. Using Physical Therapy For Shoulder Pain Relief. seconds and returns to starting position. 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. 0000029008 00000 n 0000048793 00000 n At least 20 minutes at a time, 4-5 times per day. Lie on your back holding a stick in both hands, keeping your hands shoulder-width apart. Patient education & avoidance of aggravating activities . The towel stretch, crossbody stretch and the sleeper stretch will stretch the posterior shoulder. 0000042461 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: 0000039722 00000 n 0000052057 00000 n Rehabilitation of shoulder impingement syndrome and . 0000008161 00000 n 0000041219 00000 n 0000024068 00000 n 2004. 0000016443 00000 n 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. 0000009297 00000 n 0000013131 00000 n Keep your elbow into your side and hold onto your affected arm’s wrist. Shoulder lateral rotation Sitting. Shoulder Impingement Rehabilitation Protocol Created By: The Academy. Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … It may result from fatigue of the shoulder girdle muscles, pain-mediated muscle inhibition or stiffness about the shoulder … Impingement Rehabilitation Protocol I. 0000028364 00000 n 0000009857 00000 n Your shoulder is not just a simple joint, but rather a ball and socket joint, held together by muscles, tendons and ligaments. This shoulder impingement rehab guide will teach you effective strategies to treat it for good. 0000034234 00000 n 0000045602 00000 n 0000047536 00000 n 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. 0000018496 00000 n If the patient can achieve the target then progress to the next exercise. 0000026345 00000 n 2. The protocol is divided into phases, which are adaptable based on the individual and special circumstances. 0000047068 00000 n The bursa and rotator cuff can get inflamed if the shoulder is injured i.e. SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. 3. 0000027787 00000 n You should feel this stretch at the back of your shoulder Equipment needed: None Step-by-step directions • Relax your shoulders and gently pull one arm across your chest as far as possible, holding at your upper arm. trailer 343 0 obj <> endobj Rock from yourback foot to your front foot. 0000047867 00000 n 3. • Hold the stretch for 30 seconds and then relax for 30 seconds. This is because the articular surface of the round ... no shoulder apprehension or impingement signs. 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. Appointment: Your first therapy appointment should be within 5-7 days after your surgery. 0000036148 00000 n 0000038369 00000 n Learn what to expect while you recover and whether or not you can still exercise. 0000030664 00000 n %%EOF 0000036448 00000 n Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. 0000032372 00000 n … Alphabet. Protect Injured Tissue . 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. ANTERIOR SHOULDER DISLOCATION PROTOCOL PHASE I: 0 – 3 WEEKS S/P INJURY Bracing: Ultra-Sling ER: position arm in 10° of ER. SHOULDER • Abduction 1. o The scapula is the base of support to shoulder joint and all movements of the upper extremity o Poor scapular stabilization can contribute to a variety of upper quadrant syndromes such as: shoulder impingement, shoulder instability, cervical strain, nerve entrapments, and muscle strains. 0000032198 00000 n Hold the position for 10 seconds and return to starting position. 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. 0000043665 00000 n 0000023589 00000 n Non-operative Shoulder Rehabilitation Protocol Ben Rubin, M.D. • Repeat with the other arm. 0000042187 00000 n 0000023121 00000 n 0000042688 00000 n 0000034406 00000 n This leads to pain and loss of shoulder strength and motion. 0000048515 00000 n 0000005472 00000 n startxref I Ice You should rest from all activities that cause shoulder pain. 0000027458 00000 n 0000037151 00000 n 0000046463 00000 n 0000005213 00000 n 0000032769 00000 n 2004. 0000033923 00000 n Anterior Shoulder Stretch: Place hands at shoulder level on each side of a door or in a corner of a room. Sleeper Stretch:Lie on your side with a pillow supporting your head. Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. 2. Lie on your back holding a stick, umbrella handle, or golf Hold each stretch for 15 seconds, rest for 15 seconds, and repeat 5 times. 0000034097 00000 n 0000044135 00000 n 0000052501 00000 n 0000024340 00000 n 0000013994 00000 n 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. 0000045272 00000 n 0000048004 00000 n Use 1–2 pound(s) Do 3 sets of 12. q Bendforward at the hips so that your arm hangs down freely. 0000026575 00000 n Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … 0000000016 00000 n 0000038876 00000 n Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 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. Goal: Increase /maintain shoulder range of motion . 0000033298 00000 n 0000051141 00000 n Lying face down, with head in front on a towel or turned towards shoulder. ** Phase 1 Acute Phase . Patient education & avoidance of aggravating activities . shoulder blade and ball and socket joint. 0000051747 00000 n Frequency: 3 sets of 10 reps. 2-3 times a day. 3 - 5 times a day, perform the following series of exercises 84(9):832-848. Shoulder Stretching: Stretching should be done daily. h�b```f``Z������� �� ,@Q���=��wC%Es�J�(i�x~�h�K���-�� ��� &� ӋD���!������& i���Y�p)�821���!��,����@4r10Ҍ@t77�## �tQ�xAF�f�*v� ��*: 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. 0000051916 00000 n 0000024204 00000 n Note: The following list of exercises and treatment options is an approximate order of progression. Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation . 1. • Impingement tendinitis. It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). Methods: A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n=8) or conventional therapy (n=6). 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. Shoulder Impingement Rehabilitation Protocol Created By: The Academy. Thrown Off. Gently step forward into door or corner and hold modify arm position if have discomfort. It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. Shoulder impingement rehab protocol. 0000029388 00000 n In some cases, the pain in your shoulder occurs because of some other region of the body that works with the shoulder. 0000050679 00000 n The pain – … 0000025665 00000 n 0 0000035412 00000 n rotator cuf f injuries: ... based rehab ilitation p rogrammes as w ell as measure . xref Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation.

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