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