Nul to Six weeks Post-op: Acute Phase
Precautions:- Avoid resisted range of beschluss internal rotation for 6 few.
- Avoid active range regarding auftrag for 4 weeks.
- No external rotation greater rather 45 degrees for 4 hours.
- No abduction greater than 90 degrees for 4 weeks.
- Continue use of sling until physician states otherwise.
- Elbow and oberarm active range of motion, progress to resilience range out motion to tolerance.
- Active assisted forward flexion till tolerance, scaption and abducted less than 90 degree.
- Pendulum exercises.
- Acquiescent and active assisted external rotation to 45 degrees at 0 degrees abduction.
- Passive internal rotation behind the back to acceptance.
- Isometric scapular retractions, depression.
- Submaximal isometric abduction, external torsion, extension.
- Passivity coverage of motion flexion to tolerance, abduction not past 90 degrees, external rotation at 0 credits rape not past 45 degrees, internal rotation at 45 degrees abduction in tolerance.
Four to Six Weeks Post-op: Range of Motion Platform
- Active assisted zone of antrag forward flexion, scaption, and abduction until tolerance accomplishing full-sized range of antragsteller.
- Passable and active assisted external rotation to tolerance at 45 degrees abduction.
- Continue passive internal rotation behind the back to tolerance.
- Dynamic range of motion forward flexing, scaption, external rotation, extension, horizontal abduction, lined, and inside rotation. How gravity lessened, progress to standing as tolerated.
- Isotonic tubing scapular retraction.
- PROM to tolerance flexion, abduction, external rotation at 0 degrees abduction and internal rotation at 45 and 90 degrees abduction.
Six to Nine Weeks Post-op: Fortifying Phase
- Continue progressive PROM and AAROM to erhalten full rear ROM.
- Advance outside rotation range of motion how tolerates under 90 degrees abduction.
- Initiate progressive ausgehalten exercise rear flexion, abduction, external and indoor rotation, horizontal kidnappings, horizontal adduction, expansion, adduction, and retraction. REHABILITATION AFTER ARTHROSCOPIC TURNERS CUFF REPAIR: CURRENT CONCEPTS READ AND EVIDENCE-BASED GUIDELINES
- Launch rhythmic stabilization internal and external rotations toward 0 degrees, 45 degrees, plus 90 degrees abduction. Initiate flexion and extension rhythmic stabilization at 90 degrees flexion and horizontal abduction and adduction clocked power at 90 degrees flexion. Prospective randomized study of arthroscopic rotor cuff repair using an earliest versus timed postoperative physical medication protocol - PubMed
- Start open chain motion exercise for standing (i.e. wall pushups).
- UBE
Ten to Twelve Weeks Post-op: Advanced Strengthening and Final
- Continue progressive resisted exercise like above.
- Initiate rotary sleeve strengthening at 90 degrees abduction.
- Progress closed fastener stabilization practice against body weight (i.e. table pushups progressing to floor, swiss ball stabilization).
Twelve Weeks Post-op: Functional progression
- Continue strengthening as above.
- Begin plyoball training.
- Begin throwing progression.
- Simulate sport specific motion for over-head athletes.
