Total shoulder or reverse shoulder arthroplasty phase i. 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. A snow angel strengthens the deltoids and rotator cuff. Reverse total shoulder arthroplasty rehabilitation protocol. Using your body to initiate movement, swing the arm gently forward and backward and in a circular motion. The momentum of the movement of the body should be. This site complies with the honcode standard for trustworthy health information. Reverse codmans exercises for rotator cuff youtube. These exercises must be done for at least 12 weeks and must always be performed starting lying down to begin 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. This exercise helps relax the muscles of the shoulder and neck and allows for passive range of motion of the shoulder joint.
Hep2go is an online home exercise program tool for rehabilitation professionals. One of the most commonly used exercises in these protocols is the pendulum. Rehabilitation protocol for reverse shoulder arthroplasty. Use codmans technique to loosen up a stiff shoulder. Contact ohio state sports medicine at 6142932385 if questions arise. Reverse or inverse total shoulder arthroplasty rtsa is designed. 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. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. 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. Total shoulder replacement protocol sports and orthopedic. The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. This test is also commonly referred to as the droparm test or sign. Reverse total shoulder replacement 8 3 months 6 months stage 3 what to expect you can commence light lifting gradually up to 510kg. Active wrist, forearm, and elbow exercises, all planes 2.
Rehabilitation guidelines for shoulder arthroplasty and reverse. Reverse total shoulder arthroplasty physical therapy. The head of the upper arm bone humerus is the ball and a circular depression glenoid in the shoulder bone scapula is the socket. Shoulder shrug shrug shoulders upward as illustrated. Talk to your doctor or physical therapist if you have. Instructed patient in codman exercises to be performed 2 to. 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. There are numerous rehabilitation protocols used after rotator cuff repair. Reverse total shoulder arthroplasty physical therapy protocol dr. You need to get clearance from your surgeon to know if your are ready for that intensive training.
Reverse total shoulder arthroplasty protocol 1 boston shoulder. Gently rock your body weight from your left to your right foot or in a. Shift your weight forward and backward, letting your arm swing freely front. For all reverse codman exercises use your uninvolved hand to assist your arm. This exercise is performed from a faceup position on the floor with your knees bent, feet flat and arms out to your sides. Sling is worn for 34 weeks postoperatively and only removed for exercise and bathing. Sling immobilization for 6 weeks except for bathing and therapeutic exercises goals. Electromyography of selected shoulder musculature during.
Activation of the shoulder musculature during pendulum exercises. Reverse total shoulder no horizontal adduction for 6 weeks b. You can start occasional overhead work of less than 15 minutes duration. It will reduce your pain and improve both the range of movement and your arm function. Pendulum exercises for shoulder all exercises should be done 5 times daily in 5 to 10 minute sessions. Specific interventions should be based on the needs of the individual and should consider exam. Johns hopkins shoulder surgery arthroscopic acromioplasty. Rehabilitation guidelines for shoulder arthroplasty and. Apply downward pressure on your forearm with the opposite arm.
You may want to hold onto a table or chair for support. Physical therapy for reverse total shoulder replacement. Prom in abduction in scapular plan below 90 degrees c. Allow involved arm to hang down, perpendicular to the floor. Pendulum exercises bend forward at the waist, back parallel to ground is ideal. Department of rehabilitation services reverse total. Prom forward flexion, opposite arm cradle below 90 degrees adls. To protect, repair and maintain your range of motion, it is. The following exercises should be done three to five times a day to strengthen your deltoid muscle. Position your arms flat on the floor with your elbows bent and palms. 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. The following exercises should help with regaining normal movements of. Patients can easily perform these exercises incorrectly, and may also perform light activities of daily living without. Male pelvic floor exercises what are kegel exercises.
Johns hopkins shoulder surgery rotator cuff rehabilitation. The therapist passively raises the patients arm to 90 degrees of abduction. Theraband exercises perform theraband exercises in series of ten 3 times 30times, twice a day. Pendulum, or codman, exercises are often prescribed for shoulder. Painfree submax isometrics for shoulder flexion, abduction, extension and external rotation. Supine rotator cuff program sports and orthopedic specialists. Reverse total shoulder arthroplasty clinical practice guidelines progression is time and criterionbased, dependent on soft tissue healing, patient demographics and clinician evaluation.
Reverse total shoulder replacement rehabilitation guidelines. One of the more commonly used ex ercises after rotator cuff repair is the pendulum, which is also referred to as. As you progress, try lifting your left arm and resting it comfortably on the back of the. Reverse total shoulder arthroplasty adjunctive exercises phase i protective phase goals. You should rest from all activities that cause shoulder pain. The safer, better alternative to shoulder codman s pendulums 6. All exercises should be done 5 times daily in 5 to 10 minute sessions. 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. Pendulum exercise bend over at the waist and let the arm hang down. Codmans stand supporting yourself on a table with your good arm. Workout to go a sample exercise routine from the national institute on aging at nih. The following exercises should help with regaining normal movements of your shoulder as quickly as possible.
Pendulum exercises for shoulder health information translations. Activation of the shoulder musculature during pendulum. From famous physical therapists, bob schrupp and brad heineck show you another exercise to go hand in hand with. Reverse positions and repeat 35 times on the right side. Hep2go online home exercise program rehab physical. Department of rehabilitation services reverse total shoulder arthroplasty protocol. 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. Physiotherapy department pendular exercises for the shoulder.
For physical therapists, occupational therapists, athletic trainers, and other qualified rehab professionals. When you have completed the strengthening exercises, repeat the stretching exercises to end the program. It is important that the area is well lit and that you are positioned so that you can watch the movement of your legs. Kegel exercises strengthen the pelvic floor muscles. Pendular exercises for the shoulder oxford university hospitals. Gently rock your body weight from your left to your right foot or in a circular motion to move your arm in circular pattern. 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.
Continue with above exercises and functional activity progression begin light isotonic exercises for gh and scapulothoraic musculature not to exceed 3 lbs phase iii. Pendulum exercises for shoulder spanish health information. Isotonic strengthening exercises should be encouraged 12xweek for 36 months b. Codman s test is typically used in the assessment of a suspected rotator cuff tear. Codman pendulum shoulder exercises answers on healthtap. 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. Aarom wand exercises including flexion, supine and standing, er to. After the warmup, do the stretching exercises shown on page 1 before moving on to the strengthening exercises. Pendulum exercises also known as codman s exercises are intended to be a passive motion of the shoulder. These muscles support the bladder and bowel openings in men.
Johns hopkins shoulder surgery arthroscopic acromioplasty rehabilitation program johns hopkins shoulder surgeons. Prom for flexion, scaption, and external rotation to neutral only. Reverse your movement so your arm moves in the opposite direction. 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. Pendulum exercises also known as codmans exercises youtube. 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 shoulder injury to help ease pain and remobilize joints. All exercises to be done for 510 minutes, 45 times a day. Codman s pendulum exercises are commonly prescribed after shoulder pathology to provide grade i and ii distraction and oscillation resulting in decreased pain, increased flow of nutrients into the joint space, and early joint mobilization. Early post surgery rehab first 6 weeks after surgery. 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.
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