Rotator Cuff Phase I - Patrick J. McGahan, MD

Arthroscopic Shoulder Rehabilitation
Phase I (1-3 weeks post-op)
Goal:
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Maintain integrity of the repair
Initiate safe and gradual passive range of motion
Initiate sub maximal isometric exercises
Diminish pain and inflammation
Decrease muscle tightness and spasms
Precautions:
• No lifting of objects
• No functional use of affected hand
• No driving
• Minimal computer work 15-20 minutes • no greater than 2 hours total (AFFECTED arm must be in sling)
Sling: All diagnoses below are required to wear sling x 4 weeks post-op unless specified
• Rotator Cuff Tear Partial (small to medium)
• Rotator cuff tear Large or Complete
• Capsulolabral reconstruction
• SLAP repair
• PASTA Repairs
RANGE OF MOTION
10 days post-op: All above procedures Flexion and Scaption to 90
Pulleys, and non-swinging pendulums
STRENGTH:
All procedures begin @ 3 weeks post-op
sub-max isometrics 1-2x 10 reps: flex, ext, ER IR, and ABD (except for massive rotator cuff tears)
THERAPIST:
• Initial evaluation
• PROM in Flexion, Scaption, and ABDuction and gentle short range IR/ER @ 0 of ABD
• Soft tissue mobilization to upper, mid and lower trap
• Decrease pain modalities
Activities:
No functional use of the involved arm
RESULTS PHYICAL THERAPY
(916) 362-7962 (916) 362-7963 fax
9500 Micron Ave #106 •
Sacramento, CA 95827
www.resultstherapy.com
RESULTS PHYSICAL THERAPY OF CARMICHAEL
(916) 536-9130
(916) 536-9317 fax
6403 Coyle Ave. ste. 350
Carmichael, CA 95608
RESULTS PHYSICAL THERAPY OF MURIETA
(916) 354-0719
(916) 354-1187 fax
7281 Lone Pine Drive D106 · P.O. Box 955
Rancho Murieta, CA 95683
Standing Pulley Flexion
Pulley Scaption “V”
Pulley Flexion
Pulley Scaption “V”
Pulley External Rotation
Pendulum
SUB-MAXIMAL ISOMETRICS
Directions: perform 1-2x/day
2 sets x 10-12 reps
Push very lightly against the wall hold for 2-3 seconds
Flexion
External Rotation
RESULTS PHYICAL THERAPY
(916) 362-7962 (916) 362-7963 fax
9500 Micron Ave #106 •
Sacramento, CA 95827
www.resultstherapy.com
RESULTS PHYSICAL THERAPY OF CARMICHAEL
(916) 536-9130
(916) 536-9317 fax
6403 Coyle Ave. ste. 350
Carmichael, CA 95608
Abduction
Internal Rotation
RESULTS PHYSICAL THERAPY OF MURIETA
(916) 354-0719
(916) 354-1187 fax
7281 Lone Pine Drive D106 · P.O. Box 955
Rancho Murieta, CA 95683