a.

Exercise No.’s 1-5 CAN be done hourly if possible. Any forceful pushing, pulling or lifting activities should continue to be avoided. Neck Stretches - Rotation. • Hold it for 10 seconds, repeat 10 times. (AVOID IMPINGEMENT POSITIONS/SIGNS!)

2000;30(3):126-137. Bibliography for Manual Therapy and Exercise for Subacromial Impingement of the Shoulder • Bang MD, Deyle GD: Comparison of supervised exercise with and without manual physical therapy for patients with shoulder impingement syndrome. While therapeutic exercise is a standard treatment for functional impingement, no gold standard rehab protocol exists.

Neck Stretches - Rotation.

The shoulder rehabilitation protocol consists of two major components; flexibility and strength. The rotator cuff is a series of four muscles that surround the ball of …

Continue gentle strengthening Activities: Use of the operated arm You may now safely use the arm for most normal daily activities.

• Hold it for 10 seconds, repeat 10 times.

Wrist flexion / extension

J Orthop Sports Phys Ther. Exercise No.’s 6 - 12 do up to 4 times per day, ice after exercising.

Impingement syndrome is characterized by pain in the shoulder due to inflammation of the tendons of the rotator cuff or the bursa (subacromial bursa) that sits between the rotator cuff and the roof of the shoulder (acromion).

Dr. John Kuhn of Vanderbilt Sports Medicine in Tennessee published a systematic review of exercises used to treat shoulder impingement. 23, 13 The tendons of the rotator cuff merge with the joint capsule and form a continuous cuff that surrounds the anterior, posterior and superior portions of the humeral head.

Do hourly.

• ‘Square’ your shoulder blades back.

Wrist flexion / extension Do hourly. Shoulder impingement is a common cause of shoulder pain. • If one shoulder is lower, ‘square’ it by lifting that one, UP and back.

• Cleland J, Selleck B, Stowell T, et al: Short-term effects Look over your shoulder and hold for 10 seconds. Protocol: The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a total Repeat on both sides once. The physician will make specific changes to the program as appropriate for an individual patient. Look over your shoulder and hold for 10 seconds. 4.

Regain full range of motion 2. It provides stability and strength for the shoulder joint, anchoring the humerus (upper arm bone) to the scapula (shoulder blade) so that movements of the arm can occur in a

Exercise No.’s 6 - 12 do up to 4 times per day, ice after exercising.

Rotator Cuff Sprain and Strains Description: The rotator cuff is made up of four muscles (supraspinatus, infraspinatus, subscapularis, and teres minor) and their tendons. 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…

The rotator cuff is a series of four muscles that surround the ball of the shoulder … SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed. • If one shoulder is lower, ‘square’ it by lifting that one, UP and back.

2.

Flexibility is the first component of shoulder rehabilitation and consists of range of motion (ROM), static stretching, and dynamic stretching. Impingement syndrome is characterized by pain in the shoulder due to inflammation of the tendons of the rotator cuff or the bursa (subacromial bursa) that sits between the rotator cuff and the roof of the shoulder (acromion).
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. Repeat on both sides once.

Rotator Cuff and Shoulder Conditioning Program Introduction 1 Additional Notes Purpose of Program _____ After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle.

Shoulder Arthroscopic Capsular Release Rehabilitation Phase Two: 4 to 12 weeks after surgery Goals: 1. Shoulder flexion b. ROM is desired degrees of range of motion of movement o Rotator cuff and Scapular strengthening in pain-free ranges while avoiding impingement beginning with AAROM and Isometric strengthening o Wrist/forearm isometric and PREs Phase III (4 weeks – 10 weeks post-op) Achieve function ROM in all planes (flexion/abduction >140 degrees) Strengthening: SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT • Keep your arms relaxed.

Stage 1 - From surgery to 2 weeks. SHOULDER REHABILITATION.

The pain – …

Exercise No.’s 1-5 CAN be done hourly if possible.


2. SHOULDER REHABILITATION.