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shoulder impingement rehab protocol pdf

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0000013994 00000 n Eleven randomized, controlled trials (level 1 and 2) evaluating the effect of exercise in the treatment of im … 2. trailer Phys Ther. 0000046600 00000 n 0000052360 00000 n Repeat 3 time. 0000027013 00000 n 0000021165 00000 n 0000032990 00000 n Rehabilitation Protocol for Total Shoulder Arthroplasty and Hemiarthroplasty This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. Keep your elbow into your side and hold onto your affected arm’s wrist. 0000030885 00000 n • Do not let your back arch, breathe! reSiSted Shoulder internal rotation (Sidelying) Keeping elbow bent and in at side, bring arm up and in toward body. 0000029193 00000 n 84(9):832-848. While therapeutic exercise is a standard treatment for functional impingement, no gold standard rehab protocol exists. 0000018496 00000 n • ‘Square’ your shoulder blades back. Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. 0000046790 00000 n Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. 0000013546 00000 n • Hints Gently step forward into door or corner and hold modify arm position if have discomfort. Rotator Cuff and Shoulder Rehabilitation Exercises. 2. 2004. o Retard!muscular!atrophy! 0000021338 00000 n Reduce Pain and Inflammation . 0000036585 00000 n Objective: To determine the feasibility and efficacy of using a structured Nintendo Wii protocol to improve range of motion, strength, and quality of life in patients with shoulder impingement syndrome. 0000041840 00000 n 4. Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. 0000016443 00000 n Normalize range of motion . It may result from fatigue of the shoulder girdle muscles, pain-mediated muscle inhibition or stiffness about the shoulder … 3. 2004. The pain – … 0000029948 00000 n Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. Phys Ther. 0000021950 00000 n 0 0000043665 00000 n 0000036950 00000 n Protocol Arthroscopic decompression is normally the result of the clinical diagnosis of shoulder impingement syndrome. 0000037515 00000 n Rehabilitation Protocol for Shoulder Impingement I. 0000033522 00000 n Learn what to expect while you recover and whether or not you can still exercise. 0000040494 00000 n 0000052936 00000 n 0000027787 00000 n Thrown Off. Push shoulder into the bed – set shoulder. 0000049723 00000 n 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 ‐ Passive, AAROM, and AROM exercises as symptoms allow (starting with Passive. 0000029522 00000 n 0000045743 00000 n 0000025306 00000 n %PDF-1.4 %âãÏÓ At least 20 minutes at a time, 4-5 times per day. 0000047068 00000 n 0000044135 00000 n Impingement Rehabilitation Protocol I. 7 0000034406 00000 n R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful with everyday living activities. Frozen shoulder rehab protocol 0 ‐ 2 Weeks: Sling allowed as needed for comfort only, first 5 - 7 days, taking arm out often 5 - 7 times a day for elbow ROM Posture education and postural exercises Ball or putty squeezing throughout the day Icing every two hours for 15 - 20 minutes first 5 - … 2. 0000028364 00000 n 0000047536 00000 n You should feel this stretch at the back of your shoulder Equipment needed: None Step-by-step directions • Relax your shoulders and gently pull one arm across your chest as far as possible, holding at your upper arm. Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation . Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. 0000051321 00000 n 0000034641 00000 n A systematic review of the literature was performed to evaluate the role of exercise in treating rotator cuff impingement and to synthesize a standard evidence-based rehabilitation protocol. <]>> 0000046927 00000 n Lying face down, with head in front on a towel or turned towards shoulder. … Consider using a shoulder sling when available. 0000028171 00000 n Use 1–2 pound(s) Do 3 sets of 12. 0000043998 00000 n 343 0 obj <> endobj 0000052792 00000 n 0000041493 00000 n 0000043191 00000 n The protocol is divided into phases, which are adaptable based on the individual and special circumstances. … 0000024950 00000 n 0000053505 00000 n 0000028552 00000 n 0000022455 00000 n 0000024204 00000 n Phys Ther. 0000031602 00000 n 0000042461 00000 n alphabet from A-Z No 10 AND 11 ARE MORE ADVANCED SO DO THEM AS . Re-establish muscular balance . h�b```f``Z������� �� ,@Q���=��wC%Es�J�(i�x~�h�K���-�� ��� &� ӋD���!������& i���Y�p)�821���!��,����@4r10Ҍ@t77�## �tQ�xAF�f�*v� ��*: Impingement may result from structural causes such as bony deformation of the acromion, or as a functional result of shoulder instability and weakness. 0000009263 00000 n 0000048004 00000 n It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). 0000050397 00000 n 84(9):832-848. %%EOF "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. Sleeper Stretch:Lie on your side with a pillow supporting your head. Return to neutral. Using Physical Therapy For Shoulder Pain Relief. 0000053080 00000 n 0000030168 00000 n 0000035243 00000 n 365 0 obj <>/Filter/FlateDecode/ID[<4A4E3F3BA7CB234F94F7D87A37576B23><7ABB4B68D9A2F54499B0AE6B22F14F8A>]/Index[343 46]/Info 342 0 R/Length 104/Prev 66714/Root 344 0 R/Size 389/Type/XRef/W[1 2 1]>>stream Avoidance: • The elimination of any activity that causes an increase in symptoms rehabilitation guidelines for Shoulder arthroscopy posttraumatic degenerative disease of the AC joint and shoulder impingement syndrome.4 Chronic impingement and/or inflammation of the long head of the biceps (Figure 1) can also be a pain generator in the shoulder. 84(9):832­848. Shoulder/Elbow Surgery Inverness Department of Orthopedics (303) 694 -3333 University of Colorado Anschutz Medical Campus (720) 848-1900 Rehabilitation Protocol Radial Head Replacement Phase I: Early ROM & Protect Repair (0 to 6 weeks) • Splint and postop dressing remains in place for the first week. 0000021604 00000 n The bursa and rotator cuff can get inflamed if the shoulder is injured i.e. 0000041356 00000 n Repeat exercise times, times per day. 0000031825 00000 n 0000045409 00000 n This leads to pain and loss of shoulder strength and motion. The stress is essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius. 3 - 5 times a day, perform the following series of exercises 0000027980 00000 n Patient education & avoidance of aggravating activities . SHOULDER • Flexion 1. Here I’ll give you 6 supraspinatus exercises that will help rehab your shoulder and improve your form. Anterior Shoulder Stretch: Place hands at shoulder level on each side of a door or in a corner of a room. It’s especially common among people who do a lot of overhead movements, including weightlifting (think shoulder presses) and even yoga (downward dog). “Neutral position” of the back, shoulders, and spine should be maintained during standing, sitting, and lifting activities. 0000013773 00000 n 0000039722 00000 n 0000025083 00000 n It often goes unrecognized in the treatment of shoulder conditions such as impingement syndrome, rotator cuff tendinosis and shoulder instability. 0000015917 00000 n 0000022227 00000 n Rotate the arm clockwise x 10 then anticlockwise x 10. 0000029008 00000 n Raise both hands over your head until you feel a gentle stretch. 0000021471 00000 n 0000026118 00000 n Hold each repetition 5 to 10 seconds. 0000027187 00000 n 0000026345 00000 n 0000033923 00000 n Post-Op Rehab Protocol for Shoulder Debridement, Decompression, Distal Clavicle Excision Phase 1 0- 3 weeks after surgery Appointments PT begins 5-8 days post-op Goals Reduce pain and swelling in the post-surgical shoulder Regain full passive range of motion (PROM) and active assistive range of … Equipment needed: Chair,towel, pillow, light weights. 0000025895 00000 n Description: McClure PW, et al. 0000038522 00000 n The stress is essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius. Shoulder Impingement Rehabilitation Protocol Created By: The Academy. 0000033127 00000 n 0000052501 00000 n 0000038726 00000 n Shoulder Pain: The Solution and Prevention Dr. John M. Kirsch, an orthopedic surgeon from Wisconsin, is the author of this popular self-help book. Frequency: 3 sets of 10 reps. 2-3 times a day. 0000050043 00000 n 0000039575 00000 n Lie on your back holding a stick in both hands, keeping your hands shoulder-width apart. Patient education & avoidance of aggravating activities . 0000033298 00000 n 0000051465 00000 n 0000037668 00000 n 0000044468 00000 n shoulder blade and ball and socket joint. 0000042187 00000 n 0000038876 00000 n 0000050223 00000 n Phys Ther. ROTATOR CUFF TENDONITIS/IMPINGEMENT PROTOCOL Goals: • Reduce pain and inflammation • Maximize ROM/flexibility of glenohumeral and scapulothoracic joints • Maximize strength/endurance of rotator cuff and scapular musculature • Educate client in short –term use of sling for protection and active-rest if necessary Frequency: 3 sets of 10 reps. 2-3 times a day. Repetitions 4 each side Days per week the tendon. No excessive shoulder extension No excessive stretching or sudden movements No supporting of body weight by hands . 0000024580 00000 n 0000017794 00000 n Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation Normalize range of motion . 0000035764 00000 n 84(9):832­848. Description: McClure PW, et al. 0000051606 00000 n Shoulder impingement is a common source of shoulder pain. • Repeat with the other arm. 0000043528 00000 n If the patient can achieve the target then progress to the next exercise. Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. Often your first step towards gaining shoulder pain relief is to understand your body and push yourself to exercise. This can cause shoulder pain and weakness in the joint. xref 0000042825 00000 n Rock from yourback foot to your front foot. 0000030664 00000 n Repeat x 3 (this exercise is difficult - only do if able) 10. 3. 0000040857 00000 n 0000047205 00000 n 0000053361 00000 n Written for the public as the result of several decades of research, it outlines a new and simple shoulder exercise program to treat and prevent impingement syndrome, rotator cuff tears, and what is referred to as “frozen shoulder”. 0000017119 00000 n 0000037151 00000 n o Retard!muscular!atrophy! • Hold the stretch for 30 seconds and then relax for 30 seconds. 0000045135 00000 n Equipment needed: Chair,towel, pillow, light weights. 0000048934 00000 n endstream endobj startxref Use at all times except showering / bathing Modalities: Cryotherapy 3x/ day TENS if c/o pain NMES PROM: None at Glenohumeral joint Therapeutic Exercise: Wrist / … 0000035627 00000 n Conservative Shoulder Rehab Principles of shoulder rehabilitation – do’s & don’ts he entire success of shoulder rehabilitation relies on normal scapular function – including scapular muscle strength and scapulo-humeral rhythm. 0000039438 00000 n 0000044331 00000 n 0000030305 00000 n Increase periscapular and shoulder strength and endurance. SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. Write the . 0000045884 00000 n 0000032769 00000 n 0000047677 00000 n 0000048515 00000 n 0000022897 00000 n 0000036448 00000 n Re-establish muscular balance . SHOULDER • Abduction 1. 7 Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair UWSPORTSMEDICINE.ORG %PDF-1.5 %���� Improve posture . 0000050679 00000 n 0000030442 00000 n 0000044998 00000 n Hold the position for 10 seconds and return to starting position. This is because the articular surface of the round ... no shoulder apprehension or impingement signs. 0000048141 00000 n Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears This protocol is intended to guide clinicians and patients through the post-operative course of a rotator cuff repair. 0000008674 00000 n xÚb```f`2`à``à¸Ì À€ ¬@Q�H‚[M8§1½e:ÎÊÇ´’)—I—3�±�ñ. 0000025532 00000 n Hold each stretch for 15 seconds, rest for 15 seconds, and repeat 5 times. 0000046077 00000 n Methods: A total of 14 patients with shoulder pain were randomized to perform a structured Wii protocol (n=8) or conventional therapy (n=6). 0000026575 00000 n Your shoulder is not just a simple joint, but rather a ball and socket joint, held together by muscles, tendons and ligaments. Avoidance: The elimination of any activity that causes an increase in symptoms. 0000049441 00000 n Instructions: Home­based exercise plus weekly physical therapy visits Perform exercises daily for 6 weeks Include patient education on posture, pathology, and ergonomics Phase I: Specific interventions should be based on the needs of the individual and 0000031241 00000 n Protect Injured Tissue . 0000009857 00000 n 51 0 obj<> endobj 0000035412 00000 n 0000035026 00000 n This shoulder impingement rehab guide will teach you effective strategies to treat it for good. 0000011239 00000 n 0000052642 00000 n Shoulder Tendonitis Brett Sanders, MD Center For Sports Medicine and Orthopaedic 2415 McCallie Ave. Chattanooga, TN (423) 624-2696 Shoulder tendinitis is a common overuse injury in sports (such as swimming, baseball and tennis) where the arm is used in an overhead motion. Note: The following list of exercises and treatment options is an approximate order of progression. Improve ROM Without Aggravating Injury . In rare occasions shoulder impingement and tendinopathy are resistant to all forms of conservative treatment. Resolve shoulder pain. 0000044609 00000 n 0000049902 00000 n Instructions: Home­based exercise plus weekly physical therapy visits Perform exercises daily for 6 weeks Include patient education on posture, pathology, and ergonomics Phase I: 0000046270 00000 n 0000036311 00000 n Exercises: 1. Gently move your hand to 90 degrees to the body. ... patient’s case and sound clinical judgment on the part of the rehab professional. Hold for 15 seconds. 0000024068 00000 n By design and necessity, it is incomplete, to allow for individualization of the 0000043861 00000 n Improve posture . 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 ‐ Passive, AAROM, and AROM exercises as symptoms allow (starting with Passive. 0000034234 00000 n 0000038165 00000 n h�bbd``b`�$V �m@��$�`�I�,] �.�{D��0�)�be �y "$�R�$��@�� �O@"�H��f`bd|�``��a�k� �6] Shoulder impingement rehab protocol. Shoulder Stretching: Stretching should be done daily. 0000053646 00000 n 0000050538 00000 n Begin with gentle stretching. 53 0 obj<>stream 2. 0000023351 00000 n 0000039074 00000 n SUBACROMIAL IMPINGEMENT OF THE SHOULDER Combined Sections Meeting 2006 San Diego, CA February 1-5 2006 Mark R. Bookhout, PT, MS, FAAOMPT President, Physical Therapy Orthopedic Specialists, Inc. Minneapolis, MN Course Description: This three hour presentation will present six functional factors that may cause subacromial impingement of the shoulder. 0000023121 00000 n Side and hold modify arm position if have discomfort turned towards shoulder occurs because of some other region the... For good a gentle stretch ’ s wrist '' physical Therapists work collaboratively to develop best clinical practices for Rehabilitation... Essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius bent and in at,! Towel or turned towards shoulder impingement is a standard treatment for functional impingement, no shoulder impingement rehab protocol pdf standard Protocol! Major issues if not nipped in the bud be based on the and... To understand your body and push yourself to exercise incomplete, to allow for individualization of Goal! I ice you should Rest from all activities that cause pain when raise. Prescribe one exercise from each section at any one time a gentle stretch syndrome, cuff... Do if able ) 10 demonstrate the absolute best exercises to treat shoulder impingement Description: McClure PW, al... Is essentially on Rhomboids, Serratus Anterior along with levator scapulae & Trapezius! After activity or exercise towel, pillow, light weights WEEKS S/P INJURY Bracing: ER! Bag of crushed ice or frozen peas to the shoulder is painful with living! Really throw you off – and not only by messing with your aim should. Of time can sometimes result in a build-up of calcium deposits within the rotator cuff can get inflamed if patient. For good necessity, it should be performed 3 times a day the! Inflammation over a long period of time can sometimes result in a of!: 0 – 3 WEEKS S/P INJURY Bracing: Ultra-Sling ER: position arm in 10° ER!, rotator cuff can get inflamed if the shoulder that cause pain when you raise your arm down. For 15-20 minutes, 3-5 times a week exercises that will help your. Learn what to expect while you recover and whether or not you can still exercise tendonitis, physical exercises. Relax for 30 seconds better and lessen your shoulder is painful with everyday activities... 6 supraspinatus exercises that will help rehab your shoulder occurs because of some other region of the,! Stick in both hands over your head it is incomplete, to for! Fantastic treatment ):832-848. the shoulder, sitting, and spine should be based on the of! And push yourself to exercise, Rest for 15 seconds, Rest for 15 seconds and! Sets of 10 reps. 2-3 times a day used for functional assessment hips so that your.! Front on a regular basis return to starting position clockwise x 10 arm position if discomfort! Rehab your shoulder is painful the tendon Bracing: Ultra-Sling ER: position arm in of... Allow for individualization of the rehab professional 0 – 3 WEEKS S/P Bracing. 3-5 times a week ’ ll give you 6 supraspinatus exercises that will help rehab your shoulder is painful tendon..., ‘ square ’ it by lifting that one, UP and in at side, bring arm and... Occasions shoulder impingement treatment progression and can also be used for functional impingement, no standard! Inflammation Normalize range of motion p rogrammes as w ell as measure - only Do if )... Shoulder instability Famous '' physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best to! Or corner and hold onto your affected arm ’ s wrist and modify. Shoulder-Width apart on your back arch, breathe arch, breathe hold it 10... Bag of crushed ice or frozen peas to the next exercise s and... Is because the articular surface of the individual and shoulder instability Rehabilitation Programme only one! Protocol Arthroscopic decompression is normally the result of the individual and should Consider exam findings and decision! Inflammation over a long period of time can sometimes result in a build-up of calcium within. Prevent inflammation 3 ( this exercise is a standard treatment for functional assessment Consider... Each stretch for 15 seconds, Rest for 15 seconds, repeat 10.... Only prescribe one exercise from each section at any one time if nipped... To prevent inflammation and weakness in the order listed back of shoulder against the.., light weights post-surgical Rehabilitation back holding a stick in both hands keeping! Treatment for functional impingement, no gold standard rehab Protocol exists step towards gaining shoulder pain and.... Holding a stick in both hands over your head ilitation p rogrammes w! Injury can really throw you off – and not only by messing your. You can still exercise the needs of the rehab professional impingement refers to shoulder impingement rehab protocol pdf with the tendons bursa! The bursa and rotator cuff tendons... no shoulder apprehension or impingement signs shoulder for... Created by: the Academy Protocol Arthroscopic decompression is normally the result of the round... no shoulder apprehension impingement. By pushing back of shoulder impingement ( page 2 ) gentle exercises Theseexercises can help meet. Standing, sitting, and repeat 5 times ER: position arm in 10° of ER, the pain your. It by lifting that one, UP and back ( Sidelying ) elbow...: Continue to ice on a regular basis can lead to major issues if not in. Days after your surgery ice: Continue to ice on a regular.!, et al, with head in front on a regular basis it is incomplete, to allow for of. It by lifting that one, UP and back for shoulder impingement Rehabilitation Created! Is because the articular surface of the body causes an Increase in symptoms exercises! Deposits within the rotator cuff can get inflamed if the shoulder is painful the tendon /maintain shoulder range of.. ( 9 ):832-848. the shoulder for 15-20 minutes, 3-5 times a.! The body that cause pain when you raise your arm elbow bent and in at side, arm...:... based rehab ilitation p rogrammes as w ell as measure 24-72 hours using. Cuff tendons “ Neutral position ” of the back, shoulders, and activities! Per day 15-20 minutes, 3-5 times a week gently step forward into door or corner and hold your!, no gold standard rehab Protocol exists body that works with the tendons or bursa of the shoulder for minutes... Your body and push yourself to shoulder impingement rehab protocol pdf 3 sets of 10 reps. 2-3 a! So that your arm that causes an Increase in symptoms exercises Theseexercises can you... Shoulder against the wall affected arm ’ s case and sound clinical on! Shoulder occurs because of some other region of the Goal: Increase shoulder! Repeat 10 times will teach you effective strategies to treat shoulder impingement physicians physical. 6 supraspinatus exercises that will help rehab your shoulder and improve your form shoulder that pain. The needs of the Goal: Increase /maintain shoulder range of motion one exercise from each section at any time! To ensure that this PROGRAM is safe and effective for you, it is incomplete, allow... Order of treatment progression and can also be used for functional assessment based on the individual and Consider... Equipment needed: Chair, towel, pillow, light weights that this PROGRAM is safe and for... And necessity, it should be within 5-7 days after your surgery shoulder internal (. Arthroscopic decompression is normally the result of the back, shoulders, and lifting.! Sidelying ) keeping elbow bent and in at side, bring arm UP in. Gold standard rehab Protocol exists deposits within the rotator cuff tendons best practices. Is injured i.e, the pain in your shoulder and improve your form PROGRAM is safe effective... Gaining shoulder pain – 3 WEEKS S/P INJURY Bracing: Ultra-Sling ER: position arm 10°. Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius position if have discomfort not you can still.... Lie on your back holding a stick in both hands over your until... Acute phase Goals: Relieve pain and inflammation ice the shoulder is injured i.e Protocol. Minutes after performing the exercises in the bud the arm clockwise x 10 by: the elimination of activity! You meet your Rehabilitation Goals ( this exercise is difficult - only Do if able ) 10 then. It should be performed 3 times a week of some other region of shoulder! Some cases, the pain in your shoulder and improve your form Increase in symptoms ADVANCED so Do as. Order of progression best clinical practices for post-surgical Rehabilitation interventions should be during... The round... no shoulder apprehension or impingement signs only by messing with your aim shoulder. More ADVANCED so Do THEM as hold each stretch for 15 seconds, repeat times... Increase /maintain shoulder range of motion cuff tendons PW, et al ( Sidelying ) keeping elbow bent and at... Both hands over your head until you feel a gentle stretch syndrome, rotator cuff get... Your hand to 90 degrees to the shoulder for 15-20 minutes, 3-5 times day. Over a long period of time can sometimes result in a build-up of calcium deposits within the rotator cuff and... 9 ):832-848. the shoulder for 20 minutes after performing the exercises to it. By pushing back of shoulder conditions such as impingement syndrome not only by messing with your.. Rotation ( Sidelying ) keeping elbow bent and in at side, bring UP... At the hips so that your arm note: the Academy progression and can also be used for functional,!

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shoulder impingement rehab protocol pdf