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17 Cards in this Set
- Front
- Back
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Massive cuff repair
Early contraindications |
No excessive IR during Prom
No AROM until week 6 No resistive exercise until week 12 |
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massive cuff repair
0-2wks |
-Sling at all times except exercises
- PROM only! within pain tolerance - elbow/wrist AROM |
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massive cuff repair
2-6 weeks |
Sling at all times except exercises
Prom ONLY gentle soft tissue and jt mobs |
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massive cuff repair
6-12 weeks |
Sling for comfort but may be DCd
start AAROM, progress to AROM gentle sub max isometrics for cuff |
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massive cuff repair
12-18 weeks |
Start resistive exercises
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Medium cuff repair
General guidelines |
-Progression of ROM and strength is dependent on pt tolerance
- No resistive exercise if pt has incision or jt pain - wean from sling as tolerated - Progression to AROM based on size of tear, quality of tissue and fixation |
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medium cuff repair
weeks 1-2 |
-Early PROM to tolerance during 4-6 wks
-Submax isometrics -mobs -side lying scapular protraction/retraction for early serratus and low trap activation - hep: 1) PROM, AAROM to tolerance 2) wt bearing Cod man 3) theraputty for grip strength |
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medium cuff repair
week 3 |
-Continue above shoulder ROM and isometric strength
-progress to AAROM -Start active scapular strengthening - begin Submax RS at balance point |
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medium cuff repair
5-6 wks |
- Start resistive cuff (sler, ext, ir, flex)
- progression to full PROM and AROM in all planes - ER oscillation - hep: cuff strengthening |
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medium cuff tear
week 8 |
-begin closed chain step ups, quadruped
- Start plyos: chest pass and golf swings |
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medium cuff repair
wk 10 |
- Start Submax is kinetics
- 90 abducted rotational training return to sport |
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medium cuff repair
week 12 (3mos) |
-progression to Submax isokinetics
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medium cuff repair
wk 16 (4mos) |
progression to full return to sport
prep for dc |
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post op instability
contraindications |
DO NOT STRETCH!
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post op instability
general |
beware of obligate motions
treat in scapular plane to protect tissue do not stretch!! low tension zone is within 30-45 ER |
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post op instability
what ROM should be limited early on in a inferior shift? |
flexion to 90 until wk 3
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post op instability
immediate flexion ROM for anterior capsule repair? |
less limited than inferior repair. ...
120-140 weeks 0-3 |
