ROTATOR CUFF REPAIR - PDF Document

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  1. PHYSICAL THERAPY SECTION WILLIAM BEAUMONT ARMY MEDICAL CENTER 5005 N. PIEDRAS ST EL PASO, TEXAS 79920 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 Shoulder shrugs / scapular retraction without resistance PROM by therapist / Active assist motion (AAROM) w/ pulleys or supine w/ wand – Flexion to 90 degrees – Abduction to 90 degrees – ER to within 30 degrees of opposite shoulder Stationary bike (must wear immobilizer) Ice pack Goals Pain control AAROM Flexion and Abduction to 90 degrees Weeks 3 – 6 Continue immobilizer x 4-6 weeks Continue appropriate previous exercises Full pendulum exercises AAROM – Flexion and Abduction > 90 degrees (pulleys, supine wand) – ER as tolerated (wand, doorway stretch) – IR as tolerated if no subscapularis repair (wand behind back) 1-2 Finger Isometrics x 6 (fist in box) Weeks 6 – 9 Goal – AAROM Flexion and Abduction to 150 degrees D/C Immobilizer Continue appropriate previous exercises AROM, AAROM through full range Light Theraband ex x 6 Standing rows with Theraband Prone scapular retraction exercises (without weights) Biceps and Triceps PREs with light weight UBE forwards and backwards with low resistance Stairmaster Treadmill – Walking progression program Pool walking / running – No UE resistive exercises Goal – Full AROM

  2. Weeks 9 – 12 Continue appropriate previous exercises PROM / mobilization as needed to regain full ROM Theraband ex with increased resistance as tolerated Seated row weight machine with light weight Body Blade Ball on wall (arcs, alphabet) BAPS on hands Ball toss with arm at side using light ball Push-up progression against wall Elliptical trainer Pool therapy – With UE resistance Goals Normal rotator cuff strength 30 wall push-ups Months 3 – 4 Continue appropriate previous exercises Push-up progression – Table to chair Ball toss overhead Fitter on hands Treadmill – Running progression program Goals 30 chair push-ups Run 2 miles at easy pace Months 4 – 6 Continue appropriate previous exercises Weight training with light resistance (no overhead press or pull downs) Gravitron – Pull-ups and dips Push-ups, regular Sit-ups Swimming Running progression to track Transition to home / gym program Goals Return to all activities Pass APFT at 9 months post-op No contact sports until 9 months post-op BRYAN L. BOYEA LTC, SP Chief, Physical Therapy MICHAEL S. MACHEN LTC(P), MC Chief, Orthopedics

  3. Physical Therapy Clinic William Beaumont Army Medical Center El Paso, TX 79920 Shoulder Post Op Phase 1 Perform exercises below frequently: 30 reps 3-5x a day Grip Squeeze Elbow active range of motion Pendulum Shoulder Shrugs Ice x 10-15min 2-3 x per day Appointments?? Questions?? WBAMC PT: DSN:979-2181/1848 COMM: (915)569-2181/1848