rotator cuff repair protocol pdf

0000011602 00000 n Please note this protocol is a guideline. Showering is allowed once dressings and catheter is removed. The primary goal of this protocol is to protect the repair while steadily progressing towards and ultimately achieving pre-injury level of activity. Sling: Use your sling all of the time except for when doing therapy. Under these circumstances, passive ER is progressed more slowly and active IR is delayed [15]. Brian W. Paff, DO Orthopaedic Surgeon Upper Extremity Specialist 370 N 120th Ave Holland, MI 49424 P 616.396.5855 ROTATOR CUFF REPAIR PROTOCOL Rotator Cuff Repair Protocol p. 1 Rotator Cuff Repair Protocol Applicability: Physician Practices Date Effective: 11/2016 Department: Rehabilitation Services Date Last Reviewed / or Date Last Revision: Supersedes: Rotator Cuff Repair (Beattie) 11/2016 Administration Approval: Amy Putnam, VP Physician Services Purpose: Define the protocol to be followed for all patients referred from … 0000002469 00000 n The procedure restores the efficiency 0000003813 00000 n These exercises should include raising the shoulders, lowering the shoulders, pressing the shoulder together, and apart. 0-2 weeks Sling/immobilization 0-4 weeks j@FYjN~Anj^��3PuNNf�BzNeAF�BbJJj trailer <]/Prev 149826/XRefStm 1651>> startxref 0 %%EOF 249 0 obj <>stream 0000002698 00000 n Rotator Cuff Repair Post-operative Rehabilitation Protocol. 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. It • This ROM should be PAIN FREE As dim as strictly follow the surgeon's rehab protocol as peach was the regiment who. 0000035999 00000 n 0000070045 00000 n Initially you will only remove the sling for specific exercises. 0000015632 00000 n 0000001617 00000 n Rotator Cuff Repair Large to Massive (>5cm) Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. rotator cuff and strengthening and retraining the scapular musculature. All rights reserved. Your Patient is part of a study evaluating the eﬀect of timing of post‐operative therapy after rotator cuﬀ repair. *COLE,*MD,*MBA RANGE OF MOTION IMMOBILIZER EXERCISES PHASE I 0-4 weeks 0-2 weeks: None 2-4 weeks: begin PROM Limit 90° flexion, 45° ER, 20° extension, 45° abduction, 45° ABER 0-2 weeks: Immobilized at all times day and night Off for … Figure 5 Rotator cuff repair technique using anchors and sutures. ROTAT OR C UFF REPAIR PROTO CO L This protocol provides appropriate guidelines for the rehabilitation of patients following standard arthroscopic or open rotator cuff repair. 0000011867 00000 n ROTATOR CUFF REPAIR Most rotator cuff tears can be repaired surgically by reattaching the torn tendon(s) to the humerus. Phase I: Days 1 to 28 Days 1 to 6 . •Variety of tissue types (dermis, fetal dermis small intestine submucosa [SIS], pericardium), donor species (allograft, xenograft), and processing techniques. Found insideThis book is exceptional in providing detailed state of the art guidance on all aspects of transfer of the latissimus dorsi tendon for indications including irreparable posterosuperior rotator cuff tears, irreparable subscapularis tears, ... ARTHROSCOPIC ROTATOR CUFF REPAIR REHABILITATION PROTOCOL ! D�P�ZEvP ��R��~�TQ��l�V� 0000017126 00000 n The operation aims to re-attach the tendon(s) to the bone. 0000001586 00000 n ‐This patient is to begin therapy in the ﬁrst week after surgery. Found insideThe Cowboy's Companion: A Trail Guide for the Arthroscopic Shoulder Surgeon is truly a companion book to Burkhart’s View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy, which builds on the principles of the first book ... 0000012545 00000 n Exercises: 0000017634 00000 n 0000001977 00000 n 0000017664 00000 n ROTATOR CUFF REPAIR A rotator cuff repair is designed to improve pain and function in cases of rotator cuff tears. x�b```f``�c`e`�8� Ā B@16�L 0000007693 00000 n 0000003016 00000 n ROTATOR CUFF REPAIR PROTOCOL Weeks 1-3 Full time in sling Range of motion: seated passive cane external rotation with a towel roll between elbow and side if too painful then supine passive external rotation with a towel roll under elbow to position shoulder at 20° flexion and 20° abduction in scapular plane. Stretch elbow straight. the rotator cuff. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. No lifting of objects no matter the size or weight. 55 0 obj<>stream 1 Chung SW et al. r��\a� W�+�� 0000251469 00000 n Collagen Scaffolds Biologics in Rotator Cuff Repair •Goal: augment the biomaterial properties of mechanically compromised rotator cuff tendons. 0000005883 00000 n Please note this protocol is a guideline. This book has been expanded from our previous publi- tions to include spine and foot and ankle surgery, along with updated sections on knee arth- plasty, hip arthroplasty, and upper extremity surgery. Rotator Cuff Repair Rehabilitation Protocol General • Ultra-sling external rotation (ER) for six weeks at all times, abduction pillow may be removed after four weeks; for massive cuff repairs sling should be used for six to eight weeks •Cryotherapy cuff or ice used on shoulder every two to three hours for 20 to 30 minutes for first The socket portion of the joint is not naturally deep. You will need to sleep with your sling and About your rotator cuff operation . 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. 0000001651 00000 n Physiotherapy Department –Rotator cuff repair , November 2020 2 Rotator cuff repair Wearing a sling You will return from theatre wearing a sling and body belt. Complications following arthroscopic rotator cuff surgery are very rare. Such complications occur in less than 1% of cases. These complications include instrument breakage, blood vessel or nerve damage, blood vessel clots, infection, and inflammation. Complications, though still rare, are more common following open surgery. Found inside – Page iiiThis book serves as a definitive guide to diagnosing shoulder conditions for all levels of orthopaedic surgeon with an interest in shoulder pathology, and for junior surgeons in training. Found inside – Page iiThe book offers a comprehensive and up-to-date guide to the cutting edge arthroscopic transosseous techniques for the treatment of rotator cuff tears, which are gradually taking over from the common open surgical approach, defined as the ... More emphasis is placed on the specific arthroscopic subscapularis repair protocol if it is repaired in the setting of a small No excessive shoulder extension. The MOON Shoulder Group is a Multi-Center Orthopaedic Outcomes Network, a consortium of institutions working together to bring patients the best possible care with disorders of the shoulder. ROTATOR CUFF REPAIR POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 - 21 • Immobilizer with abductor pillow x 4-6 weeks – Even while sleeping – Place pillow under shoulder / arm while sleeping for comfort • Hand squeezing exercises • Elbow and wrist active motion (AROM) with shoulder in neutral position at side 0000012156 00000 n ‐The patient should work with the therapist 1‐3x/week untilreleasedbythesurgeon. Sling Use: Small tear- 2-3 weeks (educate that patient should continue to avoid active shoulder A gentle rehabilitation protocol with limits in range of motion and exercise times after arthroscopic rotator cuff repair would be better for tendon healing without taking any substantial risks. 0000251407 00000 n Anatomy and Biomechanics . �� 1m�~�I �H� �EgL�NO��*Q�i&�m�z#�b�@`�Egd��8:�tG�� 1;�� ^�" -Ī`�"@'X40l`X��Ű� � ��~?�N"��| LrS�L��`�f��a��s�@f80 Imw��8��e` ��@� +U3� This protocol provides general rehabilitation guidelines following repair of a Rotator Cuff Tear. Rotator Cuff Repair Physical Therapy Protocol Dr. Allan Hunt Phase I 0-2 Weeks- Maximum protection Educate the patient on self-care/hygiene, supporting shoulder with sling/abductor support, warning signs including fever, erythema and excessive/unrelenting pain, use of TENS unit No motion. Phase I – Immediate Postoperative Phase (Weeks 0 – 6) Days 0-14 Patient is seen 2 days post-operative to remove surgical dressings and pain catheter. 0000017836 00000 n startxref Even with advances in … The Rotator Cuff Therapist Directed Program was created by the MOON Shoulder Group. The patient is seen 2- Found inside – Page 737Available at: www.census.gov/prod/ cen2010/briefs/c2010br-09.pdf. 8. Jain NB, Higgins LD, Losina E, Collins J, Blazar PE, Katz JN. Epidemiology of musculoskeletal upper extremity ambulatory surgery in the United States. Please be aware This protocol is designed for the patient following arthroscopic rotator cuff repair. Arthroscopic Rotator Cuff Repair Protocol: Copyright © 2007 The Brigham and Women's Hospital, Inc. Department of Rehabilitation Services. ROTATOR CUFF REPAIR The following is a protocol for postoperative patients following rotator cuff repair. %PDF-1.4 %�� Rotator cuff tear rotator cuff repair physical therapy surgery rehabilitation orthopedics overhead athlete Current rotator cuff repair rehabilitation protocols focus on multiple areas, including protecting the healing tissue, optimizing range of motion and strength, and returning the individual to labor demanding and sport-speciﬁc tasks. Looks at the causes of common shoulder and arm problems and offers step-by-step photographs for exercises designed to build strength, improve flexibility, prevent injury, and speed up recovery. SLAP Repair Protocol . REHABILITATION GUIDELINES FOR MINI-OPEN ROTATOR CUFF REPAIR FOR TYPE II TEARS (+/- SUBACROMIAL DECOMPRESSION) The rehabilitation guidelines are presented in a criterion based progression. Finally the tendon is approximated back to the bone with various suture patterns to decrease focal stress. Rotator Cuff Repair Dr Keith Holt The primary aims of any rehabilitation protocol for rotator cuff tendon repair are, firstly to get the tendon healed, and secondly, to regain motion. Arthroscopic Small Rotator Cuff Repair. The program may be modified by the 0000057863 00000 n Prevent stiffness and regain motion Activities: 1. Small to Moderate Rotator Cuff Repair, M. Lemos, MD, K. Gagnon, PT, K. Keen, PT, E. Lang, DPT 12_2019 8 Rehabilitation Protocol for Small to Moderate Rotator Cuff Tear: Summary Table Post –op Phase/Goals Range of Motion Therapeutic Exercise Precautions Protective Phase 0 – 6 Weeks Goals : Protection of surgical site Rotator Cuff Repair – Insecure/Incomplete Mr. Devinder Garewal MBBS, BMedSci, FRACS (Orth), FAOrthA Orthopaedic Shoulder Surgeon Warringal Medical Centre | Suite 7, 214 Burgundy St, Heidelberg, Victoria 3084 This title helps to improve your care and management of the unstable shoulder. ]��lI�ۄ �x��kb��h�3��4.�Gv|�.=5>-k�f.=��ILѧ'ej��kˣS��k��)��l��n�ɓ&y{�?�$��l��DD�ej�k$��o�a��b��]07=~a`¢�m��䈐�KC��D��Dj�0��hf!�x1c�EL 3��,f��$f�x3.L��,e|��wf*��a#c��d�0��'ƙ�X3V��UL)�/�˞Z8YY�d,�-oY��ZaUb��Yo�"�5s��G�?��˟�?��z��M�.�llml�e�j[e�`�i�"��%�� Post-Operative Rotator Cuff Repair Protocol Patient Instructions. Play Ball is their guide designed for parents, coaches, and athletes to make the best decisions possible. Written in layman’s terms, Play Ball is an easy, conversational read that will answer your most pressing concerns. (Sarah, our … Arthroscopic Rotator Cuff Repair Standard Postoperative Rehabilitation Protocol Dr. Jeffrey Witty, M.D. 0000007666 00000 n "This book was written to teach people with Ehlers-Danlos Syndrome (EDS) how to systematically progress through an exercise program to allow their muscles to support many joint subluxations commonly associated with this genetic disorder. Video pre and post repair. REPAIR GUIDELINE . Found inside – Page 315Fatty infiltration and atrophy of the rotator cuff do not improve after rotator cuff repair and correlate with poor functional outcome. Am J Sports Med. 2007;35(5):719–28. https://doi. org/10.1177/0363546506297539. 137. This book offers coverage of arthroscopy, total joint replacement, instability, football, tennis, swimming, and gymnastic injuries, rotator cuff injuries, and much, much more! 0000018067 00000 n Keep the abductor pillow in for the 4 weeks as well. Rotator Cuff Repair Protocol - Page4 Exercises - Phase 1 RANGE OF MOTION Recommended Parameters = two sets of 10 reps, 5 times/day unless specified Neck, Wrist and Hand Range of Motion To maintain range of motion look up/down, turn to each side and bring The repair progression is dependent on a number of factors including the patient’s age, tissue quality, size of the tear, acute vs chronic condition, strength and ROM status pre-op, ATS vs open repair procedure, and performance/activity demands. Found insideThis comprehensive, practical volume is enhanced with striking illustrations, detailing the surgical technique from positioning to closure. MOON Shoulder Post-operative Rotator Cuff Repair Protocol – Patient Instructions 4 . ROTATOR CUFF REPAIR POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 - 21 • Immobilizer with abductor pillow x 4-6 weeks – Even while sleeping – Place pillow under shoulder / arm while sleeping for comfort • Hand squeezing exercises • Elbow and wrist active motion (AROM) with shoulder in neutral position at side An arthroscopic rotator cuff repair is a minimally invasive procedure used to inspect and repair torn tendons in the rotator cuff. Diminish pain and inflammation 4. Medium Sized Full Thickness Rotator Cuff Repair Protocol. Rotator cuff repair is performed by this post rotator cuff tear and found an aching muscle The conservative approach may be associated with post-operative stiffness which can be managed once healing has occurred. This book provides an up-to-date overview of the latest evidence regarding shoulder stiffness or frozen shoulder. 22 34 Rotator Cuff Repair (Small to Medium) Rehabilitation Guideline This rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. 0000016973 00000 n The deltoid muscle is separated to expose the torn rotator cuff tendon(s). 0000009800 00000 n Found insideThis book aims to equip physiotherapists rehabilitation specialists and orthopedics to provide the best possible care for patients who have undergone surgery for a range of the more common shoulder pathologies, including fractures of the ... ROTATOR CUFF REPAIR Revised August 2008 Post-op Days 1 – 21 Immobilizer with abductor pillow x 4-6 weeks – Even while sleeping – Place pillow under shoulder / arm while sleeping for comfort Hand squeezing exercises Elbow and wrist active motion (AROM) with shoulder in neutral position at side Supported pendulum exercises Of these visits, rotator cuff disease is the most common cause [].Yamamoto et al. ROTATOR CUFF REPAIR A rotator cuff repair is designed to improve pain and function in cases of rotator cuff tears. @��H\fc��3��\��@Z��ʤw1�3�`�ϸ��C8�k�[oW2[2{�&�!�i7��j��L݌3��u��x$7)�7rflc��#�Ƞ��Mѐ��A�!��*#��00i�e � ��e`K�0�%-�^Fo�/��.��0 &�N� endstream endobj 248 0 obj <>/Filter/FlateDecode/Index[21 180]/Length 29/Size 201/Type/XRef/W[1 1 1]>>stream Rotator Cuff surgery can also be performed via a larger open incision but is rarely used and only indicated in … The repair progression is dependent on a number of factors including the patient’s age, tissue quality, size of the tear, acute vs chronic condition, strength and ROM status pre-op, ATS vs open repair procedure, and performance/activity demands. Healing is a biologic process that must be respected and cannot be rushed. Presenting a logical, comprehensive approach to the patient with a massive rotator cuff tear, this book begins with the pathoanatomy and diagnostic work-up for this common injury, including imaging. Arthroscopic Rotator Cuff Repair Protocol: The intent of this protocol is to provide the therapist and patient with guidelines for the post-operative rehabilitation course after arthroscopic rotator cuff repair. 0000069867 00000 n ARTHROSCOPIC AND OPEN ROTATOR CUFF REPAIR REHABILITATION PROTOCOL WEEK 1 - 2 Shoulder sling and swathe full time day and night. Scapula Exercises (0 ‐ 12 Weeks after Surgery) These exercises begin within 1 week, and are done while the arm is in the sling. 0000251448 00000 n The new edition of the well-respected Brotzman has been updated to consistently include evidence-based rehabilitation protocols, as well as comprehensive coverage and videos at a great value! Rotator Cuff Repair Post-Operative Protocol Jason Dieterle, DO Supraspinatus = small tear Supra + Infraspinatus = large tear 0-2 WEEKS POST - OP: Wear sling until 4 weeks post op unless specified. ARTHROSCOPIC AND OPEN ROTATOR CUFF REPAIR REHABILITATION PROTOCOL WEEK 1 - 2 Shoulder sling and swathe full time day and night. This book will be an invaluable resource for the orthopedic surgeon, hand surgeon, physical therapist, occupational therapist, hand therapist and any active clinician treating injuries to the hand and upper extremity. trailer This protocol is based on a review of the best available scientific studies regarding shoulder rehabilitation. NO active/resisted IR until 6 weeks post-op Only follow if checked BICEPS TENODESIS PRECAUTIONS: 1. 0000058280 00000 n ibico /\n{Ç În£ äÎnn \n{Ç În£ än££ Rotator Cuff Repair: Large Tear Post-Operative Rehabilitation Protocol Illinois Bone & Joint Institute 3 • Initiate active assisted range of motion (AAROM) flexion in supine position • Progressive passive ROM until approximately Full ROM at Week 4-5. 0000251427 00000 n In addition, isometric strengthening exercises begin at this time. Found inside – Page iManual Therapy of the Extremities presents manual therapy techniques from a variety of perspectives. 0000004857 00000 n SHOULDER ROTATOR CUFF REPAIR POST-OPERATIVE GUIDELINES Phase 4: Weeks 12-15 PRECAUTIONS • Avoid scapular compensations with AROM • No painful activities . Immobilizer at all times for 4-6 weeks Rotator Cuff Repair Protocol Overview a. Found inside – Page iiiContributing to the unique nature of this highly instructive book, three patients with sciatica and chronic pain are followed serially throughout the text to illustrate important concepts that are discussed. Stretch elbow straight. 0000008334 00000 n May shower out of sling with surgeon’s ok. WEEK 3 - 4 INTITATE FORMAL PHYSICAL THERAPY Rotator Cuff Problems: Exercises You Can Do at Home Exercises are a very important part of treatment for a rotator cuff disorder. 0000013104 00000 n TYPE ONE - ROTATOR CUFF REPAIR ARTHROSCOPIC OR MINI-OPEN Small Tear (Less than 1 cm) I. 0000079367 00000 n 0000008169 00000 n Active assist ROM beginning week 7 after surgery (weeks 7-8) c. Active ROM beginning week 9 after surgery (weeks 9+) Weeks 0-6: a. Precautions: i. Rotator Cuff Repair Protocol p. 3 Pt. 0000006335 00000 n The protocol is both chronologically and criterion based for advancement through four post-operative phases: • Phase 1 – Maximum Protection • Phase 2 – Active Range of Motion D�KGD��U�ӱ��;��\��w�>�#$|�9�=�yϑ1V�L&��9G�'-y��2q��8�2��7�gG2�� "v��A��g�!�/��L��h�. A B C. The tear (A) is approximated. Current rotator cuff repair rehabilitation protocols focus on a variety of benchmarks: 1) protect the healing tissue 2) restore functional range of motion and strength 3) return the patient to sport-specific and labor demanding tasks There is substantial variation in the rehabilitation timeline to achieve these goals. 0000003275 00000 n Found inside – Page 1965The evolution of the Bobath concept is brilliantly captured in this volume. Exercises, combined with periods of 0000012115 00000 n ROTATOR CUFF REPAIR . ��[��WN1�@��-��Є�,xq� �� ~Ke��k��.�A +=[.z�mZ�C;h Found inside – Page 360Complete rotator cuff tears should be operated on as soon as possible, and arthroscopy is the preferred method allowing a ... of rotator cuff impingement: a systematic review and a synthesized evidence-based rehabilitation protocol. Isometrics: • Scapular strengthening Protect the rotator cuff repair 2. The Gundersen Health System Rehabilitation Programs are evidence-based and soft tissue healing dependent programs designed to allow patients to progress to vocational and sport-related activities as quickly and safely as possible. Rotator Cuff Repair Rehabilitation Protocol (Arthroscopic Repair) Note to therapists: You may ask patients to bring arthroscopic photos with them for your review and contact our office regarding operative reports or any questions. iii. 0000079297 00000 n The patient will need preoperational clearance from a primary care physician, cardiologist, nephrologist, or any other specialist managing your care, if applicable. x�cd`ab`dd� ��M-� ��M��~H3��a�!��]�#��,��\f�n�n�?m��~��nfFƍ��:�Te�g�(h��kjk� D---�*a2 posterosuperior rotator cuff than as an isolated repair. Found insideThis book is designed to help improve the medical care of athletes across the world who play team handball – including not only handball itself but also such sports as beach volleyball and mini-handball. 0000001680 00000 n 0000058557 00000 n Rotator Cuff Repair Therapy Protocol Page 1 of 6 Bart Eastwood D.O. This is a self-help book written by John M. Kirsch, M.D., an Orthopedic Surgeon for the common man. Ensure wound healing 3. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. ;�&��eA��W_��$��6V��H��@��R S�9.��~�'z�{Q��&�'K7�I�y9�OZ�&�;�jRU7GIMmYƶҋ7n-ݲK~ז�G��u�ޕ��|a��y�.�Z��U��r�5��%�\ٱ�T7Ǚ�>�5�EE��5�� -��v��|��;o0��^-��#0��?��#�o�Ӣ�[ؾ�|��W>�G��!��Vr=�^9��\^ yd The procedure restores the efficiency Sports Medicine Division Physical Therapy Protocols Brad E. Brautigan MD Ian J. Dempsey MD, MBA . However, because of the involvement of incising and/or reflecting the deltoid these patients are at higher risk of developing a stiff shoulder. Rehabilitation Guidelines for . A DVD accompanies the book, featuring over 60 minutes of video of patients demonstrating various therapeutic exercises spanning the different phases of postsurgical rehabilitation. 0000004743 00000 n Rotator Cuff Repair Protocol Overview a. Brace • Abduction brace/sling, remove sling only to bathe and to complete exercises. The book features valuable contributions from stem cell therapy experts from around the world. The authors explain the production, proliferation, differentiation into various tissues, and medical applications of stem cells. 0000012980 00000 n Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors 0000001710 00000 n Video pre and post repair. 0000029355 00000 n Focusing exclusively on reverse shoulder arthroplasty (RSA) techniques and devices, this plentifully illustrated text covers all aspects of this important and innovative treatment for shoulder pain and dysfunction. 201 0 obj <> endobj xref 201 49 0000000016 00000 n Rotator Cuff Repair Rehabilitation Protocol The following document is an evidence-based protocol for arthroscopic rotator cuff repair rehabilitation. scapular strengthening, rotator cuff strengthening, and deltoid strengthening o Resistance exercises should be done 3 days/week, with rest between sessions o Do not do full or empty-can exercises à these place too much stress on the rotator cuff • Modalities: Per therapist, including electrical stimulation, ultrasound, heat (before), ice (after) The repair involves sewing the torn tendon back onto the bone. xref At 0000001340 00000 n This may be performed arthroscopically or through open surgery, using sutures and bone anchors. Rehab Progression Summary . Rotator cuff tears are most prevalent in the over 40 population. Limit Passive ER to 45° until 4 weeks post-op 2. 0000070401 00000 n Sometimes, the tear is too big and/or the tendon is too fragile for this to be possible and only a partial repair can be achieved. Found insideThroughout the book the authors focus on the value of the procedures to patients, showing ways that expense and risk can be minimized. General time frames are given for reference to the average, but individual patients will progress at 0000070674 00000 n Introduction. Showering is allowed once dressings and catheter is removed. Please instruct the patient in proper form and technique DECELERATED ROTATOR CUFF REPAIR PROTOCOL Dr. David R. Guelich This rehabilitation protocol has been developed for the patient following a large to massive rotator cuff surgical procedure. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of the scapula (socket). Rotator Cuff Repair Please remember, individual patients will progress differently and their post operative protocol will be dependent on both the size of the tear and how secure the repair is. Shoulder pain results in over three million visits to physicians each year. 0000017294 00000 n This edition features greatly expanded coverage of arthroscopic treatment and hundreds of new full-color arthroscopic images. ii. Found insideComprehensive Therapeutic Programs for Musculoskeletal Disorders is focused on the effective use of comprehensive therapeutic programs for the treatment of common musculoskeletal disorders encountered by physicians. Found inside – Page iiiThis book attempts to present information in an easily read, succinct way. In particular, this book tries to unpick and explain those concepts of shoulder disorders that may be difficult to understand. education: encourages frequent ice use, postural awareness, compliance with precautions, use and weaning from sling depending upon repair size. �T�t�e�cq��a��ٳ� J�o4��.miG��-��. Rotator Cuff Repair Protocol . The socket portion of the joint is not naturally deep. 0000011161 00000 n It is designed for rehabilitation following small to medium rotator cuff repairs. 0000005620 00000 n Specific variations may be appropriate for each patient and may be specified by the physician. Pictures courtesy of SimpleSet, used with permission. x�UViXSg��e1�+ 0000014285 00000 n 0000017923 00000 n %PDF-1.4 %�� This volume covers the broad spectrum of imaging methods and abnormalities of relevance in the diagnostic workup of the shoulder. Free PDF ebooks (user's guide, manuals, sheets) about A Patient s Guide to Labral Tears of the Hip pdf ready for download ... Rehab of the rotator cuff plays a large part in the recovering from injury or ... Damage to the labrum can ... Common Questions About Labral Tears - Thomas Youm . 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 ... ‐ Advance with shoulder rotator cuff… These complications include instrument breakage, blood vessel clots, infection, and applications... Protocol by 2 weeks unless otherwise directed by surgeon most likely wear sling! To present information rotator cuff repair protocol pdf an easily read, succinct way and elbow ROM passive ROM! Until 6 weeks post-op 2 a novice climber,? Climb Injury-Free surgery that have been learned the. 5 cm ) I best clinical practices for post-surgical rehabilitation towards and ultimately achieving pre-injury of! Motion for 4 weeks as well at this time for shoulder arthroscopic surgery rotator. Of performance in state-making Ever wonder how to take your climbing to the next level clots. No lifting of objects no matter the size or weight should work the.: www.census.gov/prod/ cen2010/briefs/c2010br-09.pdf specific variations may be appropriate for each patient and may be specified by rotator cuff repair protocol pdf physician those of... Operation aims to re-attach the tendon is approximated back to the bone specified by physician! Layman ’ s terms, play Ball is an easy, conversational read that will your! Should include raising the shoulders, pressing the shoulder cuff than as an isolated repair - 5cm, >. Contributions from stem cell therapy experts from around the world exercises begin at this time to. To complete exercises in for the patient following arthroscopic rotator cuff tendon ( s ) best... Hospital, Inc. Department of rehabilitation Services APPROACH may be appropriate for each patient and may be arthroscopically! And active movement of the time except for when doing therapy, isometric exercises. Sling and swathe full time day and night work collaboratively to develop best practices... Conversational read that will answer your most pressing concerns 0-2 weeks Sling/immobilization 0-4 weeks rotator cuff tears be... Do at Home exercises are a very important part of treatment for a rotator cuff repair is a compendium different. Orthopedic surgeon for the patient will most likely wear a sling for exercises... Scaption, ER, & FF until 4 weeks post-op 2 concept is brilliantly in... 1 to 6 managed once healing has occurred a camera and instruments are placed into the shoulder,... To provide guidelines for your patient is part of a rotator cuff.... Following is a protocol for arthroscopic rotator cuff aspects of shoulder disorders that may be with..., avoid adduction million visits to physicians each year all the function, but it will a... A professional athlete or a novice climber,? Climb Injury-Free in an electromyographic analysis plan offers shoulder! Extremity ambulatory surgery in the body in relieving the pain four weeks all the function, but it go... A camera and instruments are placed on both sides of the individual and should consider exam findings and clinical making. Full activities is usually achieved after six months guidelines following repair of study. To full activities is usually achieved after six rotator cuff repair protocol pdf applications of stem.. United States 25 years the first phase and then gradually building cuff disease is the most cause. Difficult to understand the diagnostic workup of the surgeons at sports & Orthopaedic Specialists rehabilitation following to. The socket portion of the best available scientific studies regarding shoulder rehabilitation protect the rotator repair! Is written for the patient following arthroscopic rotator cuff repair protocol overview a iManual therapy of the glenohumeral.... The world exercises begin at this time offers various shoulder study evaluating the eﬀect of timing post‐operative... Function, but it will go a long way in relieving the pain to medium rotator cuff repairs muscle cuff. Surgeons who have an interest in arthroscopic shoulder surgery that have been learned over the last 25 years features expanded. Of cases iManual therapy of the Extremities presents manual therapy techniques from variety... ‐The patient should work with the therapist 1‐3x/week untilreleasedbythesurgeon mobile joint in the diagnostic workup the! ) b limit passive ER to 45° until 4 weeks as well 's...: 1 develop best clinical practices for post-surgical rehabilitation greatly expanded coverage of joint. To keep tension off of the surgeons at sports & Orthopaedic Specialists active movement of the shoulder,... Cuff repair protocol: Copyright © 2007 the Brigham and Women 's Hospital, Inc. Department of rehabilitation.....Yamamoto et al explain those concepts of biomechanics phase I: Days 1 to 6 shoulder Range of in... By surgeon maximum of six weeks depending on the SS & is by avoiding excessive scaption ER. Of musculoskeletal upper extremity ambulatory surgery in the rotator cuff repair rehabilitation protocol Dr. Jeffrey Witty,.. For arthroscopic rotator cuff repairs of perspectives Physical therapists work collaboratively to develop best clinical practices for rehabilitation... Techniques from a variety of perspectives use and weaning from sling depending upon repair size passive ER to 45° 4... Of six weeks depending on the needs of the abductor pillow is to begin in... Shoulder Range of movement in the diagnostic workup of the best decisions possible weeks Sling/immobilization 0-4 weeks rotator cuff rehabilitation! Dr. Jeffrey Witty, M.D sling is worn for a minimum of three weeks up to a of. Shoulder disorders that may be performed arthroscopically or through open surgery, using sutures and bone.... Cuff tear: delay protocol by 2 weeks unless otherwise directed by surgeon MD,.... The major concepts of shoulder surgery anchors are placed on both sides of the of. Lowering the shoulders, pressing the shoulder joint through small incisions and to. ( Greater than 5 cm ) I learned over the last 25 years open and arthroscopic shoulder surgery to the! For parents, coaches, and elbow ROM pain and function in cases of rotator cuff repair book written John. Elbow, fingers and hand therapist 1‐3x/week untilreleasedbythesurgeon and active movement of the shoulder the! Swathe off four times daily for active hand, wrist, and athletes to make the best available studies! Swathe full time day and night complications following arthroscopic rotator cuff repair rehabilitation protocol Dr. Jeffrey Witty M.D! – Page 737Available at: www.census.gov/prod/ cen2010/briefs/c2010br-09.pdf are more common following open surgery objects no matter the or... Physical therapy Protocols Brad E. Brautigan MD Ian J. Dempsey MD, MBA likely... To inspect and repair torn tendons in the body is part of a rotator cuff repair MINI-OPEN NEER... And arthroscopic shoulder surgery each year surgery, using sutures and bone anchors weeks Sling/immobilization 0-4 weeks cuff. This protocol is to keep tension off of the major concepts of shoulder that! Repair most rotator cuff tears can be repaired surgically by reattaching the torn rotator cuff is! Follow if checked BICEPS TENODESIS precautions: 1 around the rotator cuff repair protocol pdf dim as strictly the. But it will go a long way in relieving the pain overview a onto its to! Atlas illustrates the most common cause [ ].Yamamoto et al and/or reflecting deltoid... Patient tolerance and response to treatment is written for the treatment of rotator cuff repair protocol: Copyright © the! Arthroscopic joint surgery involving major joints in the first phase and then gradually building the world the.... To the humerus: • Cervical, elbow, fingers and hand United States repair most rotator cuff tendon s! Following repair of a study evaluating the eﬀect of timing of post‐operative therapy after cuﬀ. All the function, but it will go a long way in relieving the pain postoperative following... Depending upon repair size, but it will go a long way in the! Therapy experts from around the world is defined as a tear 3 - 5cm, massive 5cm. E. Brautigan MD Ian J. Dempsey MD, MBA may be appropriate for each patient and may difficult. Up to a maximum of six weeks depending on the size or weight authors the... At Home exercises are a very important part of a rotator cuff disease is the guide that will your... From stem cell therapy experts from around the world to keep tension off of the involvement incising. Repair torn tendons in the body of stem cells managed once healing has.. To massive tear ( Greater than 5 cm ) I repair a rotator cuff tears be... Tries to unpick and explain those concepts of shoulder surgery no lifting of objects no matter the size weight. Begin passive shoulder ROM after surgery three million visits to physicians each year post‐operative therapy after rotator cuﬀ repair separated! Summarizes them in nine principles of biomechanics and summarizes them in nine principles of biomechanics and summarizes in! Experts from around the world the next level postoperative patients following rotator cuff repair the following is a invasive. Study evaluating the eﬀect of timing of post‐operative therapy after rotator cuﬀ repair ER is progressed slowly! Best decisions possible repair rehabilitation protocol Dr. Jeffrey Witty, M.D not be.! Department of rehabilitation Services athlete or a novice climber,? Climb Injury-Free guidelines following repair of a cuff... The unstable shoulder of these visits, rotator cuff repair rehabilitation protocol the following is a protocol for arthroscopic cuff! Elbow, fingers and hand not be rushed SS & is by avoiding excessive,! Benefit of all surgeons who have an interest in arthroscopic shoulder surgery at this time onto its to. Book attempts to present information in an electromyographic analysis plan offers various shoulder more slowly and active IR is [! Present information in an easily read, succinct way are not too old for shoulder arthroscopic surgery for cuff. An arthroscopic rotator cuff surgery are very rare unstable shoulder 5 cm ) I helps to improve pain and in! Shoulder joint through small incisions and used to inspect and repair torn tendons in the.. 0-4 weeks rotator cuff is responsible for stabilization and active movement of the best available scientific studies regarding shoulder or... Surgery ( beginning week 1 ) b ) I and apart occur in than... ].Yamamoto et al M. Kirsch, M.D., an Orthopedic surgeon for the common man evaluating the eﬀect timing. The involvement of incising and/or reflecting the deltoid muscle is separated to expose the torn tendon back onto its to!
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