Rehab Info

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REHAB INFO

Arthroscopic subacromial decompression/ACJ excision

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0-6 weeks

  • Shoulder immobiliser for 2-3 days
  • Active elbow and hand range of motion
  • Shoulder pendulum exercises
  • Scapular setting
  • Active assisted forward elevation
  • Passive external rotation
  • Shoulder strengthening- Isometric
  • Cross body adduction
  • Internal rotation

6-12 weeks

  • Active shoulder range of motion
  • Shoulder strengthening exercises

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery / rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]LIGHT WORK [below shoulder level]; 6- 8 weeks

HEAVY WORK/CONTACT SPORTS: 3 months

DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined

Arthroscopic rotator cuff repair

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0-3 weeks

  • Master sling with body belt
  • Active elbow and hand range of motion
  • Shoulder pendulum exercises
  • Scapular setting
  • Passive shoulder range of motion as tolerated

3-6 weeks

  • Wean off the sling
  • Commence active assisted shoulder glenohumeral exercises
  • Isometric shoulder exercises

6-12 weeks

  • Active shoulder exercises
  • Closed chain exercises
  • Capsular stretching
  • Commence shoulder strengthening towards later half.

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]LIGHT WORK [below shoulder level]; 3 months

SWIMMING: Breast stroke- 6 weeks
Free style- 3 months

HEAVY WORK/CONTACT SPORTS: 6 months

DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined. Often this may be upto 6-12 weeks following surgery.

Biceps tenodesis

0-3 weeks

  • Master sling all the time
  • Use hand for seated light weight activities as comfortable
  • Gentle active assisted elbow flexion, active elbow extension as tolerated.
  • No resisted elbow flexion, forearm supination or forced passive extension
  • Scapular setting
  • Passive shoulder range of motion

3-6 weeks

  • Wean off the sling
  • Commence active assisted shoulder glenohumeral exercises
  • Isometric shoulder exercises

6-12 weeks

  • Begin Biceps resistive exercises
  • Active shoulder exercises
  • Closed chain exercises
  • Capsular stretching
  • Shoulder strengthening

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]LIGHT WORK: 2-3 months

SWIMMING: Breast stroke- 6 weeks
Free style- 3 months

HEAVY WORK/CONTACT SPORTS: 4-6 months

DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined. Often this may be upto 6-12 weeks following surgery.

Anterior shoulder stabilisation

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0-3 weeks

  • Master sling all the time
  • Shoulder pendulum exercises
  • Scapular setting
  • Active elbow,hand and wrist exercises
  • Active assisted forward elevation in safe zone (check Opeartion notes)
  • Active assisted External rotation up to neutral or in safe zone (check operation notes)

3-6 weeks

  • Wean off the sling
  • Commence active assisted shoulder range of motion
  • No external rotation >30

6-12 weeks

  • Increase active shoulder exercises progressing to full range of motion by 12 weeks
  • Closed chain exercises
  • Shoulder strengthening

>12 weeks

  • May begin weight training / gym (avoid wide grip bench press / dips)

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]LIGHT WORK [below shoulder level]; 3 month

SWIMMING: Breast stroke- 6 weeks
Free style- 3 months

HEAVY WORK/CONTACT SPORTS: 5-6 months

DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined by the doctor. Often this may be up to 6-12 weeks after surgery.

Posterior shoulder stabilisation

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0-3 weeks

  • External rotation brace
  • Shoulder pendulum exercises
  • Scapular setting
  • Active elbow,hand and wrist exercises
  • No combined forward elevation and internal rotation exercises

3-6 weeks

  • Wean off the sling
  • Commence active assisted shoulder range of motion
  • No combined forward elevation and internal rotation exercises

6-12 weeks

  • Increase active shoulder exercises progressing to full range of motion by 12 weeks
  • Closed chain exercises
  • Shoulder strengthening

>12 weeks

  • May begin weight training / gym (avoid close grip bench press / dips)

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]LIGHT WORK [below shoulder level]; 3 month

SWIMMING: Breast stroke- 6 weeks
Free style- 3 months

HEAVY WORK/CONTACT SPORTS: 5-6 months

DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined by the doctor. Often this may be up to 6-12 weeks after surgery.

Anatomic Shoulder arthroplasty

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0-3 weeks

  • Master sling with body belt
  • Active elbow and hand range of motion
  • Shoulder pendulum exercises
  • Scapular setting
  • Passive shoulder external rotation to neutral only
  • Passive shoulder forward elevation to 90 degrees.

3-6 weeks

  • Keep Master sling till week 6
  • Active assisted shoulder range of motion exercises

6-12 weeks

  • Active shoulder range of motion
  • Commence isometric shoulder strengthening

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]LIGHT WORK [below shoulder level]; 3 months

SWIMMING: Breast stroke- 6 weeks
Free style- 3 months
DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined by the doctor. Often this may be up to 6-12 weeks after surgery.

Reverse Shoulder arthroplasty

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0-3 weeks

  • Master sling with body belt
  • Active elbow and hand range of motion
  • Shoulder pendulum exercises
  • Scapular setting
  • Passive shoulder range of motion as tolerated
  • NO Extension for 6 weeks
  • NO IR in abduction (behind back) for 6 weeks

3-6 weeks

  • Keep Master sling till week 6
  • Active assisted shoulder range of motion exercises

6-12 weeks

  • Active shoulder range of motion
  • Commence isometric shoulder strengthening

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]LIGHT WORK [below shoulder level]; 3 month

SWIMMING: Breast stroke- 6 weeks
Free style- 3 months
DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined by the doctor. Often this may be up to 6-12 weeks after surgery.

Improvement continues for about 18-24 months and exercises need to be continued till this period

Distal Biceps tendon repair (endobutton)

0-2 weeks

  • Back slab with hand free
  • Active hand exercises
  • Acitve shoulder forward elevation

2-6 weeks

  • Collar and cuff with elbow in 45 degree flexion
  • Start active elbow range of motion exercises
  • No lifting of weight

6-12 weeks

  • No sling
  • Start strengthening exercises
  • Passive stretching as required

> 12 weeks

  • Full normal activity

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK : 2 weeks [depending on pain control and mobility]LIGHT WORK [below shoulder level]; 4 -6 weeks

HEAVY WORK/CONTACT SPORTS: 3 months

DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined by the doctor. Often this may be up to 3-6 weeks after surgery.

Slap Repair

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0-3 weeks

  • Master sling all the time
  • Shoulder pendulum exercises
  • Scapular setting
  • Active elbow, hand and wrist exercises
  • Passive shoulder range of motion as comfort allows
  • Active assisted External rotation up to neutral or more (check operation notes)
  • Core stability exercises

3-6 weeks

  • Wean off the sling
  • Scapular stabiliser exercises
  • Commence active assisted shoulder range of motion
  • Closed chain exercises
  • Core stability

6-12 weeks

  • Increase active shoulder exercises progressing to full range of motion by 12 weeks
  • Closed and open chain exercises
  • Shoulder strengthening

> 12 weeks

  • May begin weight training/gym (avoid wide grip bench press/dips)

RETURN TO ACTIVITY GUIDELINES [SCHOOL/WORK/SPORTS]

Estimated guidelines only— will depend on individual improvement with surgery/rehabilitation

SEDENTARY/SITTING/DESKWORK [no use of affected arm]: 1-3 weeks [depending on pain control and mobility]

LIGHT WORK [below shoulder level]; 3 months

SWIMMING: Breast stroke- 6 weeks
Free style- 3 months

HEAVY WORK/CONTACT SPORTS: 5-6 months

DRIVING: You may drive once you are no longer wearing the sling or taking narcotic pain medications and can move your arm well enough to safely steer in an emergency setting. This time period may be different for each individual and cannot be determined by the doctor. Often this may be up to 6-12 weeks after surgery.