Reverse total shoulder arthroplasty adjunctive exercises phase i protective phase goals. Sling immobilization for 6 weeks except for bathing and therapeutic exercises goals. Reverse total shoulder arthroplasty protocol 1 boston shoulder. Painfree submax isometrics for shoulder flexion, abduction, extension and external rotation. The momentum of the movement of the body should be. It will reduce your pain and improve both the range of movement and your arm function. Rehabilitation guidelines for shoulder arthroplasty and reverse ball and socket arthroplasty the anatomic configuration of the shoulder joint glenohumeral joint is often compared to that of a golf ball on a tee. Rehabilitation guidelines for shoulder arthroplasty and reverse. Reverse total shoulder no horizontal adduction for 6 weeks b. Aarom wand exercises including flexion, supine and standing, er to. Pendulum exercises also known as codman s exercises are intended to be a passive motion of the shoulder. The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Shoulder shrug shrug shoulders upward as illustrated. Maintain stable prosthesis minimize pain and inflammatory response achieve staged rom goals establish stable scapula initiate pain free rotator cuff and deltoid strengthening days 1.
Can shower out of brace 3 5 days after surgery but no baths or hot tubs confirm outpatient appointment with patient day 8 10 postop. Johns hopkins shoulder surgery arthroscopic acromioplasty. You may want to hold onto a table or chair for support. You can do them lying on your stomach on a therapy table with your arm and shoulder over the side, or you can do them standing, bent forward at the waist, letting your arm hang straight toward the floor. Talk to your doctor or physical therapist if you have. For all reverse codman exercises use your uninvolved hand to assist your arm. Reverse total shoulder arthroplasty physical therapy protocol dr. Total shoulder or reverse shoulder arthroplasty phase i. Patients can easily perform these exercises incorrectly, and may also perform light activities of daily living without. All exercises to be done for 510 minutes, 45 times a day. To protect, repair and maintain your range of motion, it is. One of the most commonly used exercises in these protocols is the pendulum. Use codmans technique to loosen up a stiff shoulder.
Reverse positions and repeat 35 times on the right side. Prom forward flexion, opposite arm cradle below 90 degrees adls. Johns hopkins shoulder surgery rotator cuff rehabilitation. Resume functional activities as allowed by the physician this protocol provides you with general guidelines for the rehabilitation of the patient with a reverse total shoulder replacement. Contact ohio state sports medicine at 6142932385 if questions arise. There are numerous rehabilitation protocols used after rotator cuff repair. The head of the upper arm bone humerus is the ball and a circular depression glenoid in the shoulder bone scapula is the socket. Hep2go is an online home exercise program tool for rehabilitation professionals. The therapist passively raises the patients arm to 90 degrees of abduction. Reverse your movement so your arm moves in the opposite direction. Pendulum, or codman, exercises are often prescribed for shoulder. Gently rock your body weight from your left to your right foot or in a. Sling is worn for 34 weeks postoperatively and only removed for exercise and bathing.
Gently rock your body weight from your left to your right foot or in a circular motion to move your arm in circular pattern. Reverse total shoulder arthroplasty clinical practice guidelines progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician evaluation. Pendulum exercises for shoulder health information translations. Pendulum exercises bend forward at the waist, back parallel to ground is ideal. Pendulum exercises for shoulder all exercises should be done 5 times daily in 5 to 10 minute sessions. Electromyography of selected shoulder musculature during. You can start occasional overhead work of less than 15 minutes duration. Activation of the shoulder musculature during pendulum exercises. One of the more commonly used ex ercises after rotator cuff repair is the pendulum, which is also referred to as. The following exercises should help with regaining normal movements of. Department of rehabilitation services reverse total shoulder arthroplasty protocol. Reverse total shoulder arthroplasty physical therapy. Isotonic strengthening exercises should be encouraged 12xweek for 36 months b. Pendulum exercises also known as codmans exercises youtube.
Kegel exercises strengthen the pelvic floor muscles. Hep2go online home exercise program rehab physical. For physical therapists, occupational therapists, athletic trainers, and other qualified rehab professionals. This exercise is performed from a faceup position on the floor with your knees bent, feet flat and arms out to your sides. You should rest from all activities that cause shoulder pain. Department of rehabilitation services reverse total. Apply downward pressure on your forearm with the opposite arm. Reverse total shoulder replacement rehabilitation guidelines. When you have completed the strengthening exercises, repeat the stretching exercises to end the program. This exercise helps relax the muscles of the shoulder and neck and allows for passive range of motion of the shoulder joint.
Physiotherapy department pendular exercises for the shoulder. All exercises should be done 5 times daily in 5 to 10 minute sessions. Johns hopkins shoulder surgery arthroscopic acromioplasty rehabilitation program johns hopkins shoulder surgeons. Pendular exercises for the shoulder oxford university hospitals. These muscles support the bladder and bowel openings in men.
Physical therapy for reverse total shoulder replacement this handout has information about your reverse total shoulder replacement and the exercises you will need to do after your surgery. This test is also commonly referred to as the droparm test or sign. This is because the articular surface of the round. Codman pendulum shoulder exercises answers on healthtap. Reverse total shoulder arthroplasty rehabilitation protocol. Supine rotator cuff program sports and orthopedic specialists. Pendulum exercise bend over at the waist and let the arm hang down. Continue with above exercises and functional activity progression begin light isotonic exercises for gh and scapulothoraic musculature not to exceed 3 lbs phase iii. Active wrist, forearm, and elbow exercises, all planes 2. Prom in abduction in scapular plan below 90 degrees c. The safer, better alternative to shoulder codman s pendulums 6. Workout to go a sample exercise routine from the national institute on aging at nih. This site complies with the honcode standard for trustworthy health information.
Codman s test is typically used in the assessment of a suspected rotator cuff tear. The following exercises should help with regaining normal movements of your shoulder as quickly as possible. Reverse total shoulder replacement 8 3 months 6 months stage 3 what to expect you can commence light lifting gradually up to 510kg. Codmans stand supporting yourself on a table with your good arm. You need to get clearance from your surgeon to know if your are ready for that intensive training.
Reverse total shoulder arthroplasty protocolpage 2 monitor swelling, abnormal pain response, and increased night pain and modify accordingly ice and modalities as needed for pain and swelling weeks 69 progress supine passive range of motion o flexion to 145 o er to 6070 with shoulder abducted 6090. Theraband exercises perform theraband exercises in series of ten 3 times 30times, twice a day. Allan hunt phase i 06 weeks week 1 ice 35 times per day for 15 minutes each may shower but not soak surgical arm may eat, type, write and brush teeth with sling in place sling with abductor pad for 46 weeks codmans exercises 35 times per day for 1015 minutes each. It is important that the area is well lit and that you are positioned so that you can watch the movement of your legs. Whether you call them codmans shoulder exercises or codmans pendulum exercises, this gentle swinging motion usually comes prescribed by a doctor or physical therapist after a. Specific interventions should be based on the needs of the individual and should consider exam. From famous physical therapists, bob schrupp and brad heineck show you another exercise to go hand in hand with. The shoulder is a ball and socket joint that enables you to raise, twist, bend and move your arms forward, to the sides and behind you. Pendulum exercises for shoulder spanish health information.
Rehabilitation guidelines for shoulder arthroplasty and. Shift your weight forward and backward, letting your arm swing freely front. The patient then lowers the arm back to neutral with the palm down. Appointments physical therapy 23 xweek rehabilitation goals promote soft tissue healingmaintain the integrity of the replaced joint restore arom of elbow, wrist, and hand precautions.
After the warmup, do the stretching exercises shown on page 1 before moving on to the strengthening exercises. Rehabilitation protocol for reverse shoulder arthroplasty. Physical therapy for reverse total shoulder replacement. Total shoulder replacement protocol sports and orthopedic. These exercises must be done for at least 12 weeks and must always be performed starting lying down to begin with. Allow involved arm to hang down, perpendicular to the floor. Reverse or inverse total shoulder arthroplasty rtsa is designed. Activation of the shoulder musculature during pendulum. Early post surgery rehab first 6 weeks after surgery. The following exercises should be done three to five times a day to strengthen your deltoid muscle. Strengthening the muscles of the pelvic floor can aid in preventing leakage of urine or feces when you cough, sneeze, lift, or do other stressful movements. Prom for flexion, scaption, and external rotation to neutral only.
Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. Reverse codmans exercises for rotator cuff youtube. Male pelvic floor exercises what are kegel exercises. Position your arms flat on the floor with your elbows bent and palms. As you progress, try lifting your left arm and resting it comfortably on the back of the. A snow angel strengthens the deltoids and rotator cuff.
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