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10 Cards in this Set
- Front
- Back
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Impingement Management |
-warm up/ massage prior to activity -codman's work well for HEP -Avoid repetive patterens -Posture -adapt work stations accordingly -Exercises should progress toward hight repetition if endurance is a goal
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Impingement Exercises Scapular exercises as indicated: -Hypermobile=_________- _____ or ________ ________ -hypomobile= ___________ - ________ and _______ if needed Name Some Progessive Rotator cuff exercises |
Hypermobile=stability-open or closed Hypermobile=Stretching/AROM PROM and AROM if needed -progessive rotator cuff exercises -external rotation -internal roation -scaption (in ER caution with IR) -Flexion to assist with G-H depression (bicep) -AROM intially, then either weights/tubing/pulley
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Post-operative Subacromial decompression: what are the basic concepts that I must know |
1) Types of procedure-open or arthroscopic -deltoid affected 2) Was rotator cuff intact/affected 3) Was acromioplasty performed (typically)? 4) If possible, viability of tissue: bursa, bicep, supraspinatus, acromion, distal clavicle |
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Post-operative subacromial decompression- Phase 1 Sling- ___-____ weeks Pain Control- _______, ____, _______ May begin _______ imediately is ______ is intact ______ begins a 2-4 weeks----->_________ _________ may being at 2 weeks |
Sling for 1-2 weeks pain control-modalities, NSAIDS, rest May begin PROM immediately if cuff is intact -expect full PROM by 4 wks, 6 weeks max AAROM begin at 2-4 weeks-----> AROM Submaximal isometrics may begin at 2 weeks |
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Post-operative Subacromial decompression-Phase II Phase II Rehab-starts at ___-___ wks post op and last _____-____ wks. Also explain what else goes on during this time. |
4-6; 4-6
-Progressive ROM and stretching to regain full ROM -Scapular stabilization exercises-posture -PRE's with light progressing to moderate resistance -Dumbbells/tubing -Fuctional activities with light resistance -Monitor scapular compensation with movement |
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Post-operative Subacromial decompression-Phase IIII Final phase of rehab: Generally begin to trasition to ______. -Should have full _____ and near full _______. -Progressive exercise dependent on ________ activities they will be returing to like work athletics, recreation |
Generally begin to trasition to HEP. -Should have full PROM and near full AROM. -Progressive exercise dependent on fuctional activities they will be returing to like work athletics, recreation |
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Rotator Cuff Repair what you need to know: __________ vs. ___________ tears. -not all ________ tears require surgery Sugery may be: - - -
_______ is routinely performed
Sise of tears: ? ________ of tear and ________ are also factors in type of repair and subsequent rehab |
Rotator Cuff Repair what you need to know: partial thickness vs. full thickness tears. -not all partial thickness tears require surgery Sugery may be: - Arthorscopic -Arthorscopic guided/deltoid splitting -open
Decompression is routinely performed Sise of tears: small (1cm), medium (1-3 cm), large (3-5cm) massive (>5cm) Location of tear and tissue viability are also factors in type of repair and subsequent rehab |
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Post-operative Rotator Cuff Management-phase 1 Sling for ____ wks for _____ to ____ tears. Sling or ABD splint for __-___ wks for large and massive tears. ______ may begin with most repairs (within first week) NO ______ or _____ for ___ wks post-operatively Some surgeons allow _______ for selected muscles at ___-___ weeks. |
Sling for 6 wks for small to medium tears. Sling or ABD splint for 4 - 8wks for large and massive tears. PROM may begin with most repairs (within first week) NO AROM or contaction for 6 wks post-operatively Some surgeons allow submaximal isometrics for selected muscles at 6-8 weeks. |
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Post-operative Rotator Cuff management -Manual ___ may begin _________. -Position patient in slight _____ and approximately ____ degress ______. -No _______ active exercises for at least ___ weeks post-operatively and often ___-___ with _____ or _____ tears. -Minimal ______ activity for ____ wks post-operatively. |
-Manual PROm may begin immediately. -Position patient in slight FL and approximately 45 degress ABD. -No resisted active exercises for at least 6 weeks post-operatively and often 8-10 weeks with large or massive tears. -Minimal ADL activity for 6 wks post-operatively. |
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Post-operative Rotator cuff exercises -SOme surgeons avoid _____ exercises early to avoid ____ on the repair. This is particulary true with associated _____ repairs.
PROM- most in supine except pulley: name the exercises
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Codman's; stress; Bankart
-Wand -Pulley -Assit with opposite arm -Manual stretch-support arm securely |
