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Protocols for Shoulder, Ankle & Elbow Rehabilitation Physiotherapy

Protocols for Shoulder, Ankle & Elbow Rehabilitation Physiotherapy

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Published by vinayman
This is protocols for physical therapists.
This is protocols for physical therapists.

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Published by: vinayman on Sep 24, 2011
Copyright:Attribution Non-commercial

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09/24/2011

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ARTIiROSCOPICSLAPREPAIRREHABILITATIONPROTOCOL
RANGEOFIMMOBILIZERMOll0N*
PHASEI
Active/Ac.tive-Assistive:Wornatalltimesexcept
0-4weeks
strethto40SffO(hygieneandtherapeuticexternalrotation,and
exercse
120
0
offexwardflexion-internalrotationtostomachAbdllctionto45degreesocross-bodyadduction
PHASEII
IncreasefO(
tard
flelCiontoone
4-8weeks
14G'60ER
at
side!60
abdUction/lRbehind
bade
towaist
THERAPEUllCEXERCISE
Elbow.rishandRClY1,gripstrerglhening,isanetricinsling,externalilntemalrotationexerciseslithelbo'/atside
Noresistedforward
flexion
a
biceps
until6weekspost-opAdvanceisometricsinphaseItouseofatheraband,continue"lithelbo
/1
v.TislihandROMandgripstrengthening,beginproneextensions,andscapularstabilizingexereses,genUepntmobsModalitiesasneeded
PHASEIII
8-12weeks
ProgresstofullactivemotionvlithoutoiscomfortGenUepassivestrethingatendrangesoneAdvancetherabandexercisestouseofweights,continuelithandprogressexeresesinphaseIIIndudeRTC,deltoid,andscapularstabilizers
PHASEIV
12weeks-
6months-
FullAthoutdiscomfortoneAdvanceexeresesinphaseIII,beginfunctionalprogressionto:'lQ(kiSpor\returntoprelJiousacti..;1ylevel"beginupper
body
ergometer.proprioception
nlutvrl.a.frir"'C"
 
ARTHROSCOPICROTATORCUFFREPAIRREHABILITATIONPROTOCOL
RANGEOFIMMOBILIZERMOllON
PHASEI
Passiverangeonly-toSling'lithsupporiing
0-4weeks
tolerance-maintainelbo'/abductionpillo'/tobe'lOrnatoranteriortomid-axillaryatalltimesexceptorline'.nilesupine-limithYJieneandtherapeuticinternalrotationat90Yoexercise40°andbehindbackto
n
2
PHASEII
4-6
weeks:
Gentlepassiveone
4-8weeks
stretchto160°0for
'lard
fleJ<ion,60°eldernalrotationatside,andabductionto60-80°-ircreaseintemalrotationgentlyat90
1%
60°andbehindbacktoT7-T86-8
weeks:
increaseRavttotolerance
PHASEIII
Progressto
full
motionone
8-12weeks
.lithoutoiscomort
THERAPEUTIC
EXERCISE"***
Codman's,elbo
'I
IlfistJhandROM,gripstrengtheningisometricscapularstabilization4-6
weeks:
begingentleactiveassistivelactiveexercises,begingentlejointmobilizations(grades
I
and
II),
continue'lithphase
I
exercises6-8
weeks:
beginactiveexercisesbegindeltoidandbiceps'strel'l;ltheningConinue
'.itl
scapularstrengthening,progressexercisesinphaseII,begininternal/extemalrotationisometrics,stretchposteriorcapsule',nenarmis'/armed-up
PHASEIV
12weeks-5months
FullwithoutdiscomfortoneAdvanceexerosesinphase
III,
beginsportspecacachities,maintainflexibility,increasevelocityofmotion,returntosportsactivities"
 
ARTHROSCOPICANlERIORSHOULDERSTABILIZATIONREHABILITATIONPROTOCOL
RANGEOFIMMOBILIZERMOllON·
PHASEI
Acti
ve/ktive-
Assistive:Wornatalltimesexcept
0-4weeks
siret::hto20Sfforh~eneandtherapeuticexternalrotation,andexerdse90°offorwardflexion-internalrotationtostomachAbdUctionto45degreesocross-bodyaddUction
PHASEII
Increaseforwardfieldontoone
4-8weeks
140/40
ER
at
sidel60
abdllction/lRbehindbad<totaist
THERAPEUllCEXERCISE
Elbo
I
'l'islihandRClvI,gripstreng1hening,isanetricinsing,external/Internalrotationexercisesvlithelbo
I
atside
Advance
isomelricsinphaseItouseofatheraband,continuewithelbowlwTislihandROMandgripstrengthening,beginproneextensions,andscapularstabilizingexerdses,gentlePintmobsModalitiesasneeded
PHASEIII
8-12weeks
ProgresstofullactivemotionlithoutdiscomfortGentlepassivestret::hingatendrangesone
Advance
therabandexercisestouseofweights,CXJntinuev.;thandprogressexerdsesinphaseIIIndudeRTe,deltoid,andscapularstabilizers
PHASEIV
12weeks-6months.....
Full.;thoutdiscomfortoneAdvanceexerdsesinphaseIII,beginfunctionalprogressionto
'lOrkfspor\
returntoprelJiousactill1tylevel"beginupperbodyergometer,proprioception

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