Shoulder Instability. Fig 1: Intact labrum and biceps tendon
|
|
- Emily Benson
- 6 years ago
- Views:
Transcription
1 Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone that is encircled with tissue called the labrum. (See Figure 1) The labrum acts as a stabilizer for the head of the humerus as it deepens the socket in which the humerus rests. Instability can occur whenever the labrum is torn, stretched, or peeled back off the bone- which allows the head of the humerus to move away from the glenoid. This can occur after a shoulder dislocation, shoulder trauma, or as a result of repetitive motion. Some patients also have a genetic predisposition to develop shoulder instability. Instability can occur in one or multiple directions depending on where the labrum is damaged. Labral tears can be classified based on where the tears are located. If the superior or upper portion of the labrum is detached it is classified as a SLAP tear. (See Figure 2) If the lower labrum is separated from the bone it is classified as a Bankart tear. (See Figure 3) What can it cause? Patients with shoulder instability can suffer from recurrent shoulder dislocations (complete popping out of the shoulder joint), recurrent subluxations (slipping in and out of the shoulder joint) or shoulder pain. Dislocations can cause fractures and rotator cuff tears. Osteoarthritis or wearing of the surface cartilage of the shoulder joint can also occur as a result of shoulder instability. Fig 1: Intact labrum and biceps tendon What are the symptoms? Patients may notice anterior, posterior or lateral shoulder pain with or without episodes of subluxation or dislocation. Fig 2: Superior labral tear/ SLAP tear Fig 3: Bankart tear
2 What is the treatment? Treatment involves both surgical and non-surgical options. If you have suffered a recent dislocation X-rays may be obtained to make sure the shoulder has returned to the correct position. An MRI may also be obtained to evaluate the labrum, shoulder joint and rotator cuff tendons. Studies have shown that patients who have an unstable shoulder or who have dislocated their shoulder at a younger age are much more likely to continue to have problems with instability without surgical treatment. As the body ages tissue tightens. Therefore patients of an older age with instability are more likely to be successful with non-surgical treatment. However, older patients who dislocate are more likely to also do other damage to the shoulder such as tear the rotator cuff or fracture the humerus or glenoid. Non-surgical treatment: 1. Rotator cuff strengthening exercises strengthen the muscles and tendons surrounding the shoulder joint and act as secondary stabilizers. They also decrease inflammation in the rotator ruff tendons. These exercises can be done at home, at a gym or with a physical therapist. (See Fig 4- ) 2. Anti-inflammatory medications help decrease inflammation as well as treat pain. 3. Shoulder bracing can be effective for athletes who have recurrent shoulder dislocations. Surgical treatment: Shoulder surgery is almost always done via arthroscopy (surgery guided by video imaging as opposed to open surgery), but in patients with recurrent instability open surgery may be recommended. Surgery stabilizes defects in the labrum, capsule and surrounding ligaments. Stabilization occurs with placement of a small anchor into the glenoid. Suture is attached to the anchor and used to secure the labrum, capsule, and ligaments to the glenoid. Surgical photos are available at What are the exercises? Rehabilitation exercises focus on strengthening the shoulder, specifically the rotator cuff, and upper back. Rotator cuff strengthening exercises include internal rotation, external rotation and supraspinatus. Exercises can be done with therabands, hand weights or cable pulleys at a gym which are adjusted to the appropriate height. Each exercise should be done PAIN-FREE, and for 3 sets of 20 repetitions. If the patient is unable to do 20 reps, then either the weight or the resistance should be decreased. See Fig Fig 4: Supraspinatus exercises with hand weights and therabands. Always have your thumb pointing to the floor, your arm out 45 degrees, and keep your arm below shoulder height.
3 hand weight can add difficulty. Secondly, pull shoulder blades or scapula together in the back, hold, and then relax shoulders forward. Repeat. Fig 5: Internal Rotation. Hold a small ball or towel between arm and side and slowly rotate forearm across body. Return to start and repeat. Fig 6: External Rotation. Hold a small ball or towel between arm and side while holding a weight or band; slowly rotate forearm away from side. Return to start and repeat. Fig 8: Scapular Protraction. Lie on back holding a hand weight. Keep elbows straight push hands up towards the ceiling, hold, return to start and repeat. Fig 9: Shoulder Extension. Lie on stomach and with arm hanging off the side of the bed. Hold a hand weight and slowly raise your arm up until it is level with side and next to body, hold, slowly return to start and repeat. Fig 7: Scapular Elevation, Shrugs. Stand with arms at side in straight standing posture, shrug or raise shoulders up towards ears. Briefly hold, return to start and repeat. A
4 Fig 10: Shoulder Flexion. While standing holding a hand weight or resistance tubing, slowly raise arm overhead, hold, slowly return to start and repeat. Motion should be pain free. Avoid shrugging the shoulder. Fig 12: Shoulder Extension. Anchor tubing to fixed object and hold ends of tubing in each hand. Slowly pull hands down to the side while squeezing shoulder blades together. Hold, slowly return to start, and repeat. Fig 11: Scapular Retraction. Anchor tubing to a fixed object and hold ends of tubing in each hand. Squeeze and pinch your shoulder blades together, pulling your arms back. Hold, slowly return to start and repeat. Fig 13: Horizontal Abduction. With a hand weight, lie on stomach and start with the arm hanging down. Keep the elbow straight, slowly raise arm up and out from side. Hold, slowly return to start and repeat. With a band, hold one end in each hand in front of body. Keep elbows straight, pull arms apart, or out to the side at shoulder height. Hold, slowly return to start and repeat.
5 Fig 14: Scapular Retraction and External Rotation. If using a weight lie on stomach, with arm out to the side hanging down with elbow bent at 90 degrees. Upper arm should be supported by the bed. Turn and rotate arm towards the ceiling while keeping the elbow bent at 90. Squeeze the shoulder blades together, hold, slowly return to start. If using a band, bend each elbow at 90 degrees at shoulder height and squeeze shoulder blades together. While squeezing shoulder blades, raise hands above shoulder height as shown. Hold, slowly return to start and repeat. Fig 15: Scapular Retraction and Elevation. Hold one end of the band in each hand at shoulder height. Squeeze and pinch shoulder blades together and while keeping both arms straight slowly raise arms overhead. Try to keep thumbs in a thumbsup position. Hold, slowly return to start and repeat. Fig 16: Horizontal Adduction. With weights- lie on back holding weights with elbows bent. Slowly raise arms towards ceiling straightening elbow. Hold, slowly lower and repeat. With bands anchored behind, slowly push arms out in front straightening elbows. Hold, slowly bend elbows and repeat.
Labral Tears. Fig 1: Intact labrum and biceps tendon
Labral Tears What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone that is
Shoulder Labral Tear and Shoulder Dislocation
Shoulder Labral Tear and Shoulder Dislocation The shoulder joint is a ball and socket joint with tremendous flexibility and range of motion. The ball is the humeral head while the socket is the glenoid.
Shoulder Home Exercise Program Champion Orthopedics
Shoulder Home Exercise Program Champion Orthopedics Range of Motion Pendulum: Holding the side of a table with your good arm, bend over at the waist, and let your affected arm hang straight down. Swing
Chronic Shoulder Instability
Chronic Shoulder Instability The shoulder is the most moveable joint in your body. It helps you to lift your arm, to rotate it, and to reach up over your head. It is able to turn in many directions. This
POST OP CLOSED BANKART PROCEDURE
POST OP CLOSED BANKART PROCEDURE WEEKS 1-6 Do 1. Wear sling until advised otherwise 2. Keep dressing clean and dry 3. Do passive pendulum exercises to 90 degrees 4. Ice for 15 minutes after exercising
Conservative Posterior Capsular Instability Protocol
SPORTS & ORTHOPAEDIC SPECIALISTS Conservative Posterior Capsular Instability Protocol 4-6 visits over 6 weeks Primary instability often experiences secondary impingement. Therefore, to treat posterior
SUPERIOR LABRAL REPAIRS
LOURDES MEDICAL ASSOCIATES Sean Mc Millan, DO Director of Orthopaedic Sports Medicine & Arthroscopy 2103 Burlington-Mount Holly Rd Burlington, NJ 08016 (609) 747-9200 (office) (609) 747-1408 (fax) http://orthodoc.aaos.org/drmcmillan
Rotator Cuff Injuries
Rotator Cuff Injuries Introduction Shoulder injuries are fairly common, especially for people who tend to exercise a lot. Some of the most common shoulder injuries are called rotator cuff injuries. This
Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX Tel#
Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463 PATIENT GUIDE TO SHOULDER INSTABILITY LABRAL (BANKART) REPAIR / CAPSULAR SHIFT WHAT IS
Conservative Multi-Directional Capsular Instability Protocol
SPORTS & ORTHOPAEDIC SPECIALISTS 8100 W. 78 th Street Edina, MN 55439 952-946-9777 www.womensorthocenter.com Conservative Multi-Directional Capsular Instability Protocol 4-6 visits over 6 weeks Primary
Conservative Massive Rotator Cuff Tear Protocol
SPORTS & ORTHOPAEDIC SPECIALISTS Conservative Massive Rotator Cuff Tear Protocol 3-4 visits over 4-6 weeks Emphasis is on AAROM and a high repetition, low weight free weight program Emphasize improved
SHOULDER INSTABILITY - DISLOCATION AND SUBLUXATION
SHOULDER INSTABILITY - DISLOCATION AND SUBLUXATION THE INJURY The shoulder joint is a ball and socket joint that connects the bone of the upper arm (humerus) with the shoulder blade (scapula). The shallow
Rehabilitation Guidelines for Labral/Bankert Repair
Rehabilitation Guidelines for Labral/Bankert Repair The true shoulder joint is called the glenohumeral joint and consists humeral head and the glenoid. It is a ball and socket joint. Anatomy of the Shoulder
D: Doorway Stretch E: Towel Stretch for Pectoralis Minor Blackburn Exercises: 6 Positions A: Prone Horizontal Abduction (Neutral)
D: Doorway Stretch Bring your shoulder into a horizontal position out to your side (abduction) and flex your elbow 90û Place your elbow against the edge of a doorway Lead forward and downwards with your
Rotator Cuff and Shoulder Conditioning Program
Rotator Cuff and Shoulder Conditioning Program Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy
SHOULDER INSTABILITY
SHOULDER INSTABILITY Your shoulder is the most flexible joint in your body, allowing you to throw fastballs, lift a heavy suitcase, scratch your back, and reach in almost any direction. Your shoulder joint
Distal Biceps Repair/Reconstruction Protocol
SPORTS & ORTHOPAEDIC SPECIALISTS Distal Biceps Repair/Reconstruction Protocol 6-10 visits over 4-6 months Maintain shoulder ROM while immobilized during early phase of healing During recovery, pulling
The Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patien
The Cryo/Cuff provides two functions: 1. Compression - to keep swelling down. 2. Ice Therapy - to keep swelling down and to help minimize pain. Patients, for the most part, experience less pain and/or
Prater Chiropractic Wellness Center 903 W. South St. Kalamazoo, MI PH: (269)
Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following a well-structured conditioning
Rehabilitation after shoulder dislocation
Oxford University Hospitals NHS Trust Physiotherapy Department Rehabilitation after shoulder dislocation Information for patients This information leaflet gives you advice on rehabilitation after your
Rotator Cuff Repair. What to Expect. Alta View Sports Medicine. Dr. James R. Meadows, MD
Alta View Sports Medicine Dr. James R. Meadows, MD Orthopedic Surgery & Sports Medicine 74 Kimballs Ln Ste 230, Draper, UT 84020 9844 S. 1300 E. Ste 100, Sandy, UT 84094 (801) 571-9433 www.meadowsmd.com
Rotator Cuff and Shoulder Conditioning Program
Prepared for: Prepared by: Purpose of Program After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following
Reverse Bankart/Posterior Capsulorrhaphy Repair Protocol
+ SPORTS & ORTHOPAEDIC SPECIALISTS 8100 W. 78 th Street Edina, MN 55439 952-946-9777 www.womensorthocenter.com Reverse Bankart/Posterior Capsulorrhaphy Repair Protocol 6-10 visits over 16 weeks Emphasis
GENERAL EXERCISES SHOULDER BMW MANUFACTURING CO. PZ-AM-G-US I July 2017
GENERAL EXERCISES SHOULDER BMW MANUFACTURING CO. PZ-AM-G-US I July 2017 Disclosure: The exercises, stretches, and mobilizations provided in this presentation are for educational purposes only are not to
Arthroscopic SLAP Repair Protocol
SPORTS & ORTHOPAEDIC SPECIALISTS Arthroscopic SLAP Repair Protocol 6-8 visits over 12 weeks Emphasis is on AAROM and a high repetition, low weight free weight program Address posterior capsular tightness
Arthroscopic Labrum Repair of the Shoulder (SLAP)
Anatomy Arthroscopic Labrum Repair of the Shoulder (SLAP) The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the humerus (upper arm bone). The humeral
Shoulder Exercises Phase 1 Phase 2
Shoulder Exercises Phase 1 1. Pendulum exercise Bend over at the waist and let the arm hang down. Using your body to initiate movement, swing the arm gently forward and backward and in a circular motion.
Bankart/ Anterior Capsulorrhaphy Repair Protocol
SPORTS & ORTHOPAEDIC SPECIALISTS Bankart/ Anterior Capsulorrhaphy Repair Protocol 6-8 visits over 12 weeks Emphasis is on AAROM and a high repetition, low weight free weight program Address posterior capsular
MOON SHOULDER GROUP NONOPERATIVE TREATMENT OF ROTATOR CUFF TENDONOPATHY PHYSICAL THERAPY GUIDELINES
MOON SHOULDER GROUP NONOPERATIVE TREATMENT OF ROTATOR CUFF TENDONOPATHY PHYSICAL THERAPY GUIDELINES From: Kuhn JE. Exercise in the treatment of rotator cuff impingement. A systematic review and synthesized
A rotator cuff injury is a strain or tear in the group of tendons and muscles that hold your shoulder joint together and help move your shoulder.
Rotator Cuff Injury What is a rotator cuff injury? A rotator cuff injury is a strain or tear in the group of tendons and muscles that hold your shoulder joint together and help move your shoulder. How
Urmston Physio Clinic
Urmston Physio Clinic Patient Information Shoulder Instability Prepared for Mr B. Roy Consultant Orthopaedic Surgeon 102 Church Road, Urmston, Manchester, M41 9DB Tel: 0161 748 4100 Shoulder Instability
Shoulder Impingement Rehabilitation
Shoulder Impingement Rehabilitation Phase 1 A. Avoid pain producing activities. B. Physician prescribed non-steroidal anti-inflammatory medication (NSAID) C. Iontophoresis with shoulder in mild flexion
P.O. Box Sierra Park Road Mammoth Lakes, CA Orthopedic Surgery & Sports Medicine
P.O. Box 660 85 Sierra Park Road Mammoth Lakes, CA 93546 SHOULDER: Instability Dislocation Labral Tears The shoulder is the most mobile joint in the body, but to have this amount of motion, it is also
FOR THE SERVICE MEMBER: Rx3 REHABILITATION PROGRAM
CREATED BY THE HUMAN PERFORMANCE RESOURCE CENTER / HPRC-ONLINE.ORG / FROM THE CONSORTIUM FOR HEALTH AND MILITARY PERFORMANCE HUMAN PERFORMANCE RESOURCE CENTER Injury/Condition: Injury/Condition: What is
SHOULDER TORN ROTATOR CUFF. Dr. Abigail R. Hamilton, MD
SHOULDER TORN ROTATOR CUFF Dr. Abigail R. Hamilton, MD ANATOMY AND FUNCTION The shoulder joint is a ball and socket joint that connects the bone of the upper arm (humerus) with the shoulder blade (scapula).
ACTIVE AGING.
Shoulder Pain Rehabilitation Protocol Rotator Cuff Syndrome Shoulder impingement The Resistance Chair Solution Shoulder Impingement a. Shoulder impingement is one of the most common causes of shoulder
SHOULDER INJURY PREVENTION FOR CLIMBERS - INTERVENTION BOOKLET
2018 SHOULDER INJURY PREVENTION FOR CLIMBERS - INTERVENTION BOOKLET MÁRIA DANCSÓ INJURY PREVENTION Why? How? Shoulder injuries can cause pain, reduced function and prolonged periods away from the training.
Rehabilitation Program for Rotator Cuff & Scapular Muscles
Kansas City Sports Medicine Sports Medicine & Arthroscopy Olathe, KS Lansing, KS Kansas City, KS/MO Ph: 913-351-3005 Fax: 913-351-3009 Prem Parmar, M.D., F.R.C.S.(C) Sports Medicine and Arthroscopy Fellow
SHOULDER - ROTATOR CUFF REPAIR POSTOPERATIVE INSTRUCTIONS
SHOULDER - ROTATOR CUFF REPAIR POSTOPERATIVE INSTRUCTIONS Phase One: the first week after surgery GOALS: 1. Control pain and swelling 2. Protect the rotator cuff repair 3. Protect wound healing 4. Begin
The SUPPORT Trial: SUbacromial impingement syndrome and Pain: a randomised controlled trial Of exercise and injection
The SUPPORT Trial: SUbacromial impingement syndrome and Pain: a randomised controlled trial Of exercise and injection SUPPORT Physiotherapy Intervention Training Manual Authors: Sue Jackson (SJ) Julie
Traumatic Instability Understanding your shoulder injury and its repair
Patient Education Traumatic Instability Understanding your shoulder injury and its repair Your upper arm bone popped out of the socket of your shoulder blade. When this happened, it tore your ligaments
The Shoulder. By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson
The Shoulder By Patrick Ryan, Bobby Law, Jack Beaty, Alex Newhouse and Chuck Nelson Learning Objectives/Agenda Review the anatomy of the shoulder Describe the main diseases of the shoulder Describe the
Today s session. Common Problems in Rehab. UPPER BODY REHAB ESSENTIALS TIM KEELEY FILEX 2012
Tim Keeley B.Phty, Cred.MDT, APA Principal Physiotherapist physiofitness.com.au facebook.com/physiofitness Today s session Essential list for the upper body Rehab starting point Focussing on activation,
POST OPERATIVE ROTATOR CUFF REPAIR PROTOCOL. Home Program MOON SHOULDER GROUP
MOON SHOULDER GROUP For information regarding the MOON Shoulder Group, speak to your surgeon or contact: Rosemary Sanders 4200 Medical Center East 1215 21st Avenue South Vanderbilt University Medical Center
Isometric Shoulder Flexion
For Appointments call: 612-672-7100 Login ptrx.org/en/fvv3rk62nk Exercise Prescription Date February 19, 2016 Assigning Provider Matthew Sorensen PT Prescription Description - Left shoulder Isometric Shoulder
Shoulder Arthroscopic Capsular Release Rehabilitation
Shoulder Arthroscopic Capsular Release Rehabilitation Phase two: 3 to 6 weeks after surgery Goals: 1. Improve range of motion of the shoulder 2. Begin gentle strengthening Activities 1. Sling Your sling
Shoulder Rehab Program
Range of Stage A Motion 1 External rotation Lying on your back, with elbows bent at right angles and held in against your body. Hold a stick with both hands and using your unaffected side push your other
SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust
SLAP repair An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm
Rehabilitation Guidelines for Large Rotator Cuff Repair
Rehabilitation Guidelines for Large Rotator Cuff Repair The true shoulder joint is called the glenohumeral joint and consists humeral head and the glenoid. It is a ball and socket joint. Anatomy of the
REMINDER. Obtain medical clearance and physician s release prior to beginning an exercise program for clients with medical or orthopedic concerns
Understanding Shoulder Dysfunction REMINDER Obtain medical clearance and physician s release prior to beginning an exercise program for clients with medical or orthopedic concerns What is a healthy shoulder?
Physical Therapy for Reverse Total Shoulder Replacement
PATIENT EDUCATION patienteducation.osumc.edu Physical Therapy for Reverse Total Shoulder Replacement This handout has information about your reverse total shoulder replacement and the exercises you will
Exercises following arthroscopic (or open) anterior stabilisation
Physiotherapy patient information Exercises following arthroscopic (or open) anterior stabilisation Introduction The shoulder joint is designed to give a large amount of movement, therefore support from
Anterior Shoulder Instability
Anterior Shoulder Instability Anterior shoulder instability typically results from a dislocation injury to the shoulder joint when the humeral head (ball) of the humerus (upper arm bone) is displaced from
Racquet Sports Training Program
Racquet Sports Training Program Always consult your physician before beginning any exercise program. The information and advice published or made available through the Orthopaedic and Neurosurgery Specialists,
SHOULDER - TORN ROTATOR CUFF WITH SLAP TEAR
SHOULDER - TORN ROTATOR CUFF WITH SLAP TEAR ANATOMY AND FUNCTION-ROTATOR CUFF The shoulder joint is a ball and socket joint that connects the bone of the upper arm (humerus) with the shoulder blade (scapula).
The Shoulder. Anatomy and Injuries PSK 4U Unit 3, Day 4
The Shoulder Anatomy and Injuries PSK 4U Unit 3, Day 4 Shoulder Girdle Shoulder Complex is the most mobile joint in the body. Scapula Clavicle Sternum Humerus Rib cage/thorax Shoulder Girdle It also includes
NET RESULTS PASS, SET AND CLIMB HIGHER! Volleyball is a sport that requires several overhead movementshitting, blocking, and serving.
NET RESULTS PASS, SET AND CLIMB HIGHER! SHOULDER EXERCISE AND INJURY PREVENTION FOR VOLLEYBALL ATHLETES Volleyball is a sport that requires several overhead movementshitting, blocking, and serving. Volleyball
POST OPERATIVE ROTATOR CUFF REPAIR PROTOCOL. Therapist Instructions
POST OPERATIVE ROTATOR CUFF REPAIR PROTOCOL Therapist Instructions Introductions for the Therapist The MOON Shoulder Group is a collection of shoulder experts who study the best methods to treat patients
Thoracic Home Exercise Program
Home Exercise Program 1. Bridging Laying on your back, knees bent with feet flat on the floor, arms along side resting on the floor, tighten your abdominals to stabilize your low back. Raise your buttocks
Standing Shoulder Internal Rotation with Anchored Resistance. Shoulder External Rotation Reactive Isometrics
Standing Shoulder Row with Anchored Resistance Begin standing upright, holding both ends of a resistance band that is anchored in front of you at chest height, with your palms facing inward. Pull your
On The Road. Training Manual
On The Road Training Manual ST - 1 Standing External Rotation Strength Training Injury prevention Strengthening the rotator cuff Attach the tubing to a secure location like a fence or the net post. Start
Shoulder Therapy Kit. Instruction Booklet
Shoulder Therapy Kit Instruction Booklet S.T.K. Shoulder Therapy Kit 1 CONTENTS: Warnings and Notes... 1 Shoulder Exercises... 3 Rope & Pulley Exercises... 6 Bar Exercises... 8 Strengthening Exercises...
ROTATOR CUFF (R/C) LESIONS. Contents What is the Rotator Cuff?...3
Contents What is the Rotator Cuff?.........................................3 What causes an Rotator Cuff lesion?................................4 YOUR GUIDE TO ROTATOR CUFF (R/C) What treatment can I receive?.....................................5
Shoulder Instability
Shoulder Instability The shoulder is your body s most flexible joint. It is designed to let the arm move in almost any direction. But this flexibility has a price, making the joint prone to injury. The
RANGE OF MOTION Pendulums. Passive Forward Elevation. Clayton W. Nuelle, MD. Shoulder Home Exercise Program
Shoulder Home Exercise Program Clayton W. Nuelle, MD RANGE OF MOTION Pendulums Holding the side of a table with the good arm, bend over at the waist, and let your affected arm hang straight down. Swing
GOLFERS TEN PROGRAM 1. SELF STRETCHING OF THE SHOULDER CAPSULE
GOLFERS TEN PROGRAM 1. SELF STRETCHING OF THE SHOULDER CAPSULE POSTERIOR CAPSULAR STRETCH Bring your arm across your chest toward the opposite shoulder. With the opposite arm grasp your arm at your elbow.
2778 N. Webb Road Shoulder, Elbow, Wrist, Hand Wichita, KS and Arthroscopic Surgery Phone: Fax:
Phase I: Protection Phase (Weeks 0-5) FOCUS: Passive range of motion (ROM). Minimize pain and inflammation. Maintain integrity of the repair. Regain full passive foward flexion of operated shoulder. Use
The Golfers Ten Program. 1. Self Stretching of the Shoulder Capsule
The Golfers Ten Program 1. Self Stretching of the Shoulder Capsule A. Posterior capsular stretch Bring your arm across your chest toward the opposite shoulder. With the opposite arm grasp your arm at your
Shoulder and Elbow ORTHOPAEDIC SYPMPOSIUM APRIL 8, 2017 DANIEL DOTY MD
Shoulder and Elbow ORTHOPAEDIC SYPMPOSIUM APRIL 8, 2017 DANIEL DOTY MD Shoulder Articulations Glenohumeral Joint 2/3 total arc of motion Shallow Ball and Socket Joint Allows for excellent ROM Requires
Above Knee Amputee Home Exercise Program
An Amputee Associates Clinic Above Knee Amputee Home Exercise Program It is important that you take an active role in your rehabilitation. The following exercises must be done every day to prevent complications.
REMINDER. an exercise program. Senior Fitness Obtain medical clearance and physician s release prior to beginning
Functional Forever: Exercise for Independent Living REMINDER Obtain medical clearance and physician s release prior to beginning an exercise program for clients with medical or orthopedic concerns. What
SHOULDER ARTHROPLASTY
SHOULDER ARTHROPLASTY 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. The head of the upper arm bone (humerus) is
Frozen Shoulder Syndrome Rehabilitation Using the Resistance Chair
Frozen Shoulder Syndrome Rehabilitation Using the Resistance Chair General Information Frozen shoulder is a condition where the shoulder joint (glenohumeral joint) gradually becomes stiff, resulting in
Only perform through pain free pressure and range of motion. If you are not able to do this pain free, discontinue this exercise.
Notes: 1- Stretching side bending - / / Hold:30 seconds Lift one arm and bring it up and across your head. Sit straight and place the palm of your hand on your head. Use your hand to pull your head gently
Arthroscopic Labrum Repair of the Shoulder. Dr. Abigail R. Hamilton, M.D.
Arthroscopic Labrum Repair of the Shoulder Dr. Abigail R. Hamilton, M.D. Anatomy The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the humerus (upper
Rehabilitation after Arthroscopic Posterior Bankart Repair
Rehabilitation after Arthroscopic Posterior Bankart Repair Phase 1: 0 to 2 weeks after surgery POSTOPERATIVE INSTRUCTIONS You will wake up in the operating room. A sling and an ice pack will be in place.
Shoulders (bands) Retraction
Retraction Retraction 1) Stand facing the bands. 2) Start position: Position arms perpendicular to body like the letter T with thumbs pointing up and elbows straight. 3) Pull arms back by squeezing shoulder
ROTATOR CUFF TEAR, SURGERY FOR
ROTATOR CUFF TEAR, SURGERY FOR Indications (Who Needs Surgery, When, electricity is used to cauterize small capillaries. Electricity or Why, and Goals) a motorized shaver is used to remove the bursa and
RESISTANCE STRENGTH TRAINING EXERCISE
RESISTANCE STRENGTH TRAINING EXERCISE Alternating Dumbbell Chest Press Lie supine on a flat bench with dumbbells in each hand with a pronated grip. Extend your arms, holding the dumbbells in line with
Exercises following arthroscopic subacromial decompression and/or acromioclavicular joint excision and/or excision of calcific deposits
Physiotherapy patient information Exercises following arthroscopic subacromial decompression and/or acromioclavicular joint excision and/or excision of calcific deposits Introduction The subacromial area
Southern Sports & Orthopaedics
Knee conditioning program This knee conditioning program is designed to help you rehabilitate from your knee injury. In some cases, the program is being used as pre-habilitation, that is strengthening
Instability of the shoulder Orthopaedic Department Patient Information Leaflet. Under review. Page 1
Instability of the shoulder Orthopaedic Department Patient Information Leaflet Page 1 Shoulder instability There is a balance between movements in the shoulder whilst maintaining stability. When the shoulder
Arthroscopic Labrum Repair of the Shoulder
175 Cambridge Street 617-726-7500 Arthroscopic Labrum Repair of the Shoulder Anatomy The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the humerus (upper
Shoulder Instability
J F de Beer, K van Rooyen, D Bhatia Shoulder Instability INSTABILITY means that the shoulder dislocates completely (dislocation) or partially (subluxation). Anatomy The shoulder consists of a ball (humeral
Exercises following rotator cuff repair (minor tear: less than 1cm)
Physiotherapy patient information Rotator cuff repair (minor tear) Exercises following rotator cuff repair (minor tear: less than 1cm) Introduction The rotator cuff consists of four muscles and their tendons,
Biceps Tenodesis. An information guide for patients. UHB is a no smoking Trust
Biceps Tenodesis An information guide for patients UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm Biceps tenodesis
1 Pause and Practice: Facilitating Trunk and Shoulder Control with the Therapy Ball
1 Pause and Practice: Facilitating Trunk and Shoulder Control with the Therapy Ball This is an example of Facilitating Combinations of Movements and Active Assist. Starting Position Have your patient sit
Exercises following rotator cuff repair (major tear: 3-5cm and massive tear: more than 5cm)
Physiotherapy patient information Rotator cuff repair (major/massive tear) Exercises following rotator cuff repair (major tear: 3-5cm and massive tear: more than 5cm) Introduction The rotator cuff consists
SHOULDER PAIN. Contents The Shoulder... 3
Contents The Shoulder......................................................................... 3 What causes Shoulder Pain?....................................................... 3 YOUR GUIDE TO SHOULDER
SHOULDER ARTHROSCOPY
SHOULDER ARTHROSCOPY PATIENT HANDBOOK Physical/Occupational Therapy 3755 Orange Place, Suite 101 Beachwood, OH 44122 216-312-6045 Therapist: Post-Op Visit: Anatomy and Function of the Shoulder The shoulder
Protocol S8 Physical Therapy Protocol for Arthroscopic Reverse Bankart Repair or Open Posterior Capsulorrhaphy
Phase I: Protection Phase (0-5 weeks) Allow time for labral repair to heal. Gradually increase shoulder passive range of motion (ROM) Use pain medications as needed. Wear shoulder immobilizer for 5 weeks.
Below Knee Amputee Home Exercise Program
Below Knee Amputee Home Exercise Program It is important that you take an active role in your rehabilitation. The following exercises must be done every day to prevent complications. After below the knee
Total Shoulder Replacement Rehabilitation Guidelines
PH: 1300 746 853 Total Shoulder Replacement Rehabilitation Guidelines The following is a detailed outline of the rehabilitation regime for patients who have had a Total Shoulder Replacement by Dr. Macgroarty.
OrthoCarolina. Arthroscopic SLAP Lesion (Type II) Repair Protocol
OrthoCarolina Arthroscopic SLAP Lesion (Type II) Repair Protocol Surgical Overview: SLAP, which stands for superior labrum anterior to posterior, lesions are labral detachments that originate posterior
Shoulder Dislocation. Explanation. Causes. Symptoms. Treatment. Diagnosis
Shoulder Dislocation Explanation A dislocated shoulder occurs when the humerus separates from the scapula at the glenohumeral joint, or in simpler terms, the head of the upper arm bone (humerus) is dislodged
Why are the rotator cuff muscles important to your shoulder? And how can you look after them?
Why are the rotator cuff muscles important to your shoulder? And how can you look after them? Did you know that 10% of the population will develop shoulder pain at some point in their lives! Given the
THROWERS TEN EXERCISE PROGRAM
Throwers Shoulder Home Exercise Program Clayton W. Nuelle, MD THROWERS TEN EXERCISE PROGRAM The throwers ten exercise program has been designed to exercise the major muscles necessary to return to throwing.
WORKOUT OF THE MONTH. Pepie, CSEP - Certified Personal Trainer. edmonton.ca/personaltraining. Bosu Push Up Hanging Oblique Raise.
WORKOUT OF THE MONTH Pepie, CSEP - Certified Personal Trainer Follow these exercises for a full-body workout! See reverse for guide & tracker to maximize your workout. 2 Bosu Push Up Hanging Oblique Raise
SHOULDER INJURY PREVENTION
SHOULDER INJURY PREVENTION A SERIES OF EXERCISES FOR THE UN-INJURED ATHLETE Pain in the shoulder is common in swimmers. Shoulder function is highly dependent on the coordinated function of many muscle