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SHOULDER ARTHROPLASTY REHABILITATION

  • Pre-Operative Evaluation

    • Document ROM

    • Discuss Post-op Protocol

    • Set up appointment to be seen on POD#4

    • Daily physical therapist first 2 weeks post-op, then 2-3 times/week for 4 weeks

    • Go over home exercises to be done by patient

     Post-Operative

    Cryotherm unit and sling to shoulder, change ice every 2 hours. Encourage wrist, elbow & finger ROM.  Passive range of motion started almost immediately.

    • Elevation to 60°

    • Internal Rotation

    • External Rotator Isometrics

    • Anterior, Middle, and Posterior Deltoid Isometrics

    • External Rotation Limited to 25°

    • Cross Body Adduction

    • Grip Strengthening

     

    EXPECT 5 EXERCISE SESSION FOR 10 MINUTES THROUGHOUT DAY DONE BY PATIENT.

    WEEK 1-2
    PROM-AAROM PHASE

    Physical Therapist:

    • Supine Elevation to 140°

    • Forward lean

    • Supine External Rotation to 40°

    • Functional Internal Rotation & Adduction.

    • Swelling control

    WEEK 3-4
    STRENGTHENING PHASE

    Physical Therapist

    • Isometric-isotonics to deltoid & external rotators

    • Strain-counterstrain

    • Scapular stabilization

    WEEK 5-6
    ADL PHASE

    Physical Therpist

    • Functional adduction to wash & comb hair

    • External Rotation - door opening

    • Large ball & net, chest pass, underarm pass

    • Swinging golf club

What hurts graphic for Orthopaedics in Georgia

Pinnacle Rehab Pages

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