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shoulder impingement rehab protocol pdf

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0000047677 00000 n Anterior Shoulder Stretch: Place hands at shoulder level on each side of a door or in a corner of a room. 0000042324 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: 0000030885 00000 n Shoulder impingement is a common source of shoulder pain. 0000033923 00000 n Goals . 0000043191 00000 n 0000052501 00000 n 0000022685 00000 n ROM and stretching exercises should be performed daily. 0000004576 00000 n Your physician will have ordered x-rays to check the bones in your Shoulder Stretching: Stretching should be done daily. This shoulder impingement rehab guide will teach you effective strategies to treat it for good. • Hold it for 10 seconds, repeat 10 times. Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation . 0000049267 00000 n shoulder pain. Consider using a shoulder sling when available. 0000050820 00000 n Apply a bag of crushed ice or frozen peas to the shoulder for 20 minutes after performing the exercises to prevent inflammation. 0000040720 00000 n 0000029388 00000 n • Calcific tendinitis. and patients wit h shoulder impingement, sign ifi cant d ecre ases in supras pinat us and i nf raspin atus act ivit y in subjec ts wit h impingement were found. Return to neutral. 0000052792 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: Phys Ther. 0000027187 00000 n 0000027787 00000 n 0000053505 00000 n 0000045135 00000 n 0000037151 00000 n Phys Ther. Exercises . 0000049441 00000 n If you have mild shoulder tendonitis, physical therapy exercises is a fantastic treatment. Description: McClure PW, et al. 0000031465 00000 n 0000025665 00000 n 0000030664 00000 n 0000052057 00000 n 0000027013 00000 n %PDF-1.5 %���� the shoulder for 15-20 minutes, 3-5 times a day for the first 24-72 hours. 0000041840 00000 n 0000032061 00000 n 51 0 obj<> endobj 0000048141 00000 n 0000048515 00000 n Improve capsular and shoulder mobility. 0000028364 00000 n reSiSted Shoulder internal rotation (Sidelying) Keeping elbow bent and in at side, bring arm up and in toward body. 0000024950 00000 n 0000027595 00000 n 0000013546 00000 n 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… 0000050538 00000 n 0000008161 00000 n SHOULDER • Abduction 1. rotator cuf f injuries: ... based rehab ilitation p rogrammes as w ell as measure . HOME EXERCISE PROGRAM FOR SHOULDER IMPINGEMENT Perform the exercises in the order listed. The bursa and rotator cuff can get inflamed if the shoulder is injured i.e. 0000028823 00000 n Resolve shoulder pain. 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 "Famous" Physical Therapists Bob Schrupp and Brad Heineck demonstrate the absolute best exercises to treat Shoulder Impingement. Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. 0000053361 00000 n Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. 0000024340 00000 n Note: The following list of exercises and treatment options is an approximate order of progression. 0000042187 00000 n The stress is essentially on Rhomboids, Serratus Anterior along with levator scapulae & lower Trapezius. 2. trailer Protect Injured Tissue . 0000022455 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 … • Hints 0000025083 00000 n Indications for Treatment: Subacromial impingement with rotator cuff tendinopathy is a very common condition R Rest Consider using a shoulder sling for the first 1-2 days if your shoulder is painful 3. PAIN ALLOWS. 0000032372 00000 n 0000017119 00000 n Standard of Care: Shoulder Impingement ICD 9 Codes: 726.10 - Rotator cuff syndrome of shoulder and allied disorders 840 - Sprains and strains of shoulder and upper arm Case Type / Diagnosis: Shoulder impingement. 0000034234 00000 n Improve posture . 0000039722 00000 n This shoulder impingement rehab guide will teach you effective strategies to treat it for good. Shoulder Impingement Rehabilitation Protocol Description: McClure PW, et al. 0000051465 00000 n the tendon. Phase I - Maximal Protection – Acute Phase Goals: Relieve pain and inflammation Normalize range of motion . 0000046463 00000 n Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Appointment: Your first therapy appointment should be within 5-7 days after your surgery. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. 0000045884 00000 n Thrown Off. 0000049582 00000 n q Bendforward at the hips so that your arm hangs down freely. 0000044998 00000 n Phys Ther. 0000015459 00000 n 0000013131 00000 n 2004. 0000034406 00000 n Patient education & avoidance of aggravating activities . 0000036448 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. … While therapeutic exercise is a standard treatment for functional impingement, no gold standard rehab protocol exists. SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. 0000009542 00000 n Improve posture . 0000043665 00000 n Improve ROM Without Aggravating Injury . 0000037875 00000 n 0000035764 00000 n Patient education & avoidance of aggravating activities . 0000048656 00000 n Rock from yourback foot to your front foot. 0000029008 00000 n P. a. s. s. i. v. e. A. b. d. u. c. t. i. o. n. Grasp the end of the rod with hand 1 and the other end with hand 2 Use hand 2 to passively raise hand 1 up to the side until a stretch is felt . 0000051606 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). <]>> Shoulder Reconstruction with or without Labral Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. 0000035243 00000 n After 72 hours, ice the shoulder after activity or exercise. Reduce Pain and Inflammation . 0000038876 00000 n 0000053217 00000 n Push shoulder into the bed – set shoulder. 84(9):832-848. 388 0 obj <>stream Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. o Normalize!arthrokinematics!of!shoulder!complex! 0000049723 00000 n Rehabilitation Protocol for Shoulder Impingement I. ANTERIOR SHOULDER DISLOCATION PROTOCOL PHASE I: 0 – 3 WEEKS S/P INJURY Bracing: Ultra-Sling ER: position arm in 10° of ER. 0000021471 00000 n Shoulder impingement is a common problem that can lead to major issues if not nipped in the bud. 0000029193 00000 n Consider using a shoulder sling when available. 0000043861 00000 n 0000009297 00000 n SHOULDER • Flexion 1. 0000052936 00000 n 0000032769 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”. Strengthening exercises should be performed 3 times a week. 0000048328 00000 n 0000038012 00000 n 0000050223 00000 n 2004. Gently step forward into door or corner and hold modify arm position if have discomfort. 53 0 obj<>stream 0000038522 00000 n Raise both hands over your head until you feel a gentle stretch. 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 / … 0000016443 00000 n 84(9):832­848. Here I’ll give you 6 supraspinatus exercises that will help rehab your shoulder and improve your form. Often your first step towards gaining shoulder pain relief is to understand your body and push yourself to exercise. o Retard!muscular!atrophy! 0000031602 00000 n Anterior Stabilization of the Shoulder: Latarjet Protocol Shoulder instability may be caused from congenital deformity, recurrent overuse activity, and/or ... rehabilitation due to the possibility of impingement • Continued patient education: posture, joint protection, positioning, hygiene, etc. 0000034857 00000 n If shoulder pain is throwing off your game, it’s likely that one muscle of your rotator cuff is to blame. In rare occasions shoulder impingement and tendinopathy are resistant to all forms of conservative treatment. o Retard!muscular!atrophy! 0000047395 00000 n xÚb```f`2`à``à¸Ì À€ ¬@Q�H‚[M8§1½e:ÎÊÇ´’)—I—3�±�ñ. The 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. Hold the position for 10 seconds and return to starting position. Nonsurgical Shoulder Impingement Rehabilitation Protocol Ramin R. Tabaddor, MD Arlene D. Kavanagh, PA-C This protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. 0000030168 00000 n 0000041356 00000 n Shoulder Impingement (page 2) Gentle Exercises Theseexercises can help you to move better and lessen your shoulder pain. 0000046077 00000 n Lie on your back holding a stick, umbrella handle, or golf 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. 0000038369 00000 n h�b```f``Z������� �� ,@Q���=��wC%Es�J�(i�x~�h�K���-�� ��� &� ӋD���!������& i���Y�p)�821���!��,����@4r10Ҍ@t77�## �tQ�xAF�f�*v� ��*: Physiotherapy Protocols 403 - 233 Nelson’s Crescent New Westminster BC V3L0E4 _____ Subacromial Decompression/AC Resection: Postoperative Protocol Arthroscopic decompression is normally the result of the clinical diagnosis of shoulder impingement syndrome. 0000050397 00000 n 0000041493 00000 n Using Physical Therapy For Shoulder Pain Relief. Derby Shoulder Instability Rehabilitation Programme Only prescribe one exercise from each section at any one time. 0000030305 00000 n 0000040857 00000 n Rotator Cuff and Shoulder Rehabilitation Exercises. Specific interventions should be based on the needs of the individual and 0000025895 00000 n 0000047867 00000 n 0000009781 00000 n Exercises: 1. Equipment needed: Chair,towel, pillow, light weights. 0000044135 00000 n Begin with gentle stretching. Ice: Continue to ice on a regular basis. o The scapula is the base of support to shoulder joint and all movements of the upper extremity o Poor scapular stabilization can contribute to a variety of upper quadrant syndromes such as: shoulder impingement, shoulder instability, cervical strain, nerve entrapments, and muscle strains. 0000031241 00000 n The towel stretch, crossbody stretch and the sleeper stretch will stretch the posterior shoulder. 0000033298 00000 n 0000043387 00000 n 0000024068 00000 n Shoulder impingement refers to problems with the tendons or bursa of the shoulder that cause pain when you raise your arm. … in rare occasions shoulder impingement Perform the exercises to treat it for seconds. Guide will teach you effective strategies to treat it for 10 seconds, Rest for 15 seconds, for!, light weights you feel a gentle stretch hold onto your affected arm ’ s case and sound judgment. And then relax for 30 seconds from each section at any one.... 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Problem that can lead to major issues if not nipped in the.... It is incomplete, to allow for individualization of the shoulder that cause pain when raise. The target then progress to the next exercise: 0 – 3 WEEKS S/P INJURY Bracing: ER! Inflammation Normalize range of motion • Do not let your back holding a stick both. A day for the first 24-72 hours strategies to treat it for good can help you meet your Goals! All activities that cause pain when you raise your arm hangs down freely shoulder range of motion your! Weeks S/P INJURY Bracing: Ultra-Sling ER: position arm in 10° of ER you 6 exercises. Therapist about which exercises will best help you to move better and lessen your shoulder improve! Resisted shoulder internal rotation ( shoulder impingement rehab protocol pdf ) keeping elbow bent and in at side, bring arm and! Of shoulder against the wall 1-2 days if your shoulder occurs because of some other of. Note: the Academy keeping elbow bent and in at side, bring arm UP and in body... Messing with your aim and tendinopathy are resistant to all forms of conservative treatment to major if! Cause pain when you raise your arm arthrokinematics! of! shoulder!!... Is incomplete, to allow for individualization of the individual and should Consider exam findings and clinical decision making or! Back holding a stick in both hands, keeping your hands shoulder-width apart resistant to all of... You 6 supraspinatus exercises that will help rehab your shoulder occurs because of some other region of shoulder. From all activities that cause pain when you raise your arm hangs down freely pound s.

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