The sling should only be removed for pendulum exercises 3 times a day, and for showering. Postoperative instructions for open shoulder surgery. Each case can be very different depending on the goals of the patient, the age of the. You may want to hold onto a table or chair for support. Gently rock your body weight from your left to your right foot or in a. Your orthopaedic surgeon and physical therapist may recommend that.
Once the dressing is removed on the first or second day, ice is applied for 20minute periods 34 times per day. Stretching exercises for your shoulder, such as the pendulum exercise, can improve flexibility, increase range of motion, and reduce pain. Electromyography of selected shoulder musculature during. Please make sure your postop appoinment is made 710 days after your surgery. A thorough postoperative shoulder exercise program is essential for adequate recovery after shoulder surgery. Rotator cuff repair protocol boston shoulder institute. Shoulder pendulum exercises are typically one of the first exercises allowed postsurgery or shoulder injury in conjunction with elbow, hand, and wrist exercises depending on the injury. Put the sling back on when youre done with these exercises. Lean forward at the waist and allow the arm to swing. Allow involved arm to hang down, perpendicular to the floor.
Bending over at the waist and balancing with the good arm let the stiff side relax and swing with gravity. Following stabilization repair of joint capsule, labrum, keep the sling on. Postoperative instructions shoulder arthroscopy and slap repair day of surgery a. After the first day or two, as the pain lessens, you may decrease the frequency with which you take the medication. Keeping the injured shoulder relaxed, bodyweight is shifted between the feet to initiate a back and. Pendulum exercise for use with shoulder repair surgeries. Postoperative instructions for shoulder arthroscopy with rotator cuff repair dr. Rehabilitation goals protect repair minimize pain and swelling maintain rom of surrounding joints. You will be sent home from the surgery center with prescriptions for pain medication. After two days it is okay to shower but do not get the wound wet for at least two weeks after surgery. Performing the exercises two to three days a week will. Do not submerge the wound as you would in a bath tub or hot tub for at least 4 weeks after surgery. Muscle weakness and stiffness of the shoulder joint result too often due to delayed initiation of a program.
Your orthopaedic surgeon and physical therapist may recommend that you exercise for 10 to 15 minutes, 2 or 3 times a day during your early recovery period. Move your elbow, wrist, hand and finger several times a day. Pendulum exercises for shoulder all exercises should be done 5 times daily in 5 to 10 minute sessions. Pendulum exercises to begin 21 days after surgery, no pendulums before this time start passive rom to tolerance at 21 days flexion abduction in the scapular plane er in scapular plane ir in scapular plane continue elbow, wrist, and finger arom resisted cryotherapy as needed for pain control and inflammation. Codmans pendulum exercises are commonly prescribed after shoulder pathology to provide grade i and ii distraction and oscillation resulting in decreased pain, increased flow of nutrients into the joint space, and early joint mobilization.
Exercises taught by the physical therapist should begin within 24 hours of surgery. Shoulder surgery exercise guide regular exercises to restore motion and flexibility to your shoulder and a gradual return to your everyday activities are important for your full recovery after shoulder surgery. Activation of the shoulder musculature during pendulum exercises and light activities t here are a variety of rehabilitation protocols following rotator cuff repair. Gentle exercises will reduce swelling, increase motion, and help prevent stiffness and weakness. Many surgeons allow patients to begin gentle passive motion within a day of surgery, but active motion is generally restricted to prevent retear of the rotator cuff. Supine exercises should be done with a small rolled towel placed behind the elbow to avoid shoulder hyperextension and anterior capsular stretch. Pendulum exercises may be performed only as instructed by therapists. Later use of a pole or wand can help increase the range of movement further. A thorough post operative shoulder exercise program is essential for adequate recovery after shoulder surgery. Shoulder surgery exercise guide regular exercises to restore your normal shoulder motion and flexibility and a gradual return to everyday work and recreational activities are important for your full recovery. Pendulum exercises are the most basic and should be done as soon as pain allows. Activation of the shoulder musculature during pendulum. The following exercises should help with regaining normal movements of your shoulder as quickly as possible. You can remove the sling 4 to 5 times a day for gentle pendulum motion exercises.
This stretches the inferior capsule to allow for better. Postshoulder replacement surgery exercises after your shoulder replacement operation, it is important to perform certain exercises to help strengthen your shoulder and arm and encourage recovery. This exercise is also frequently used post operatively after rotator cuff repairs for early joint mobilization, increased flow of nutrients to the joint space and pain reduction. This advanced pendulum exercise uses a dumbbell or wrist weight for added pull on the shoulder joint. Physiotherapy department pendular exercises for the shoulder. Total shoulder replacement protocol sports and ortho. Exercises you can do at home exercises are a very important part of treatment for a rotator cuff disorder. Postsurgical rehabilitation protocol postop days 1 21 immobilizer with abductor pillow x 46 weeks even while sleeping place pillow under shoulder arm while sleeping for comfort hand squeezing exercises elbow and wrist active motion arom with shoulder in neutral position at side supported pendulum exercises. Postoperative instructions for shoulder arthroscopy with. Resume functional activities as allowed by the physician this protocol provides you with general guidelines for the rehabilitation of the patient with a reverse total shoulder replacement. Begin program without weight and the progress as tolerated to. The socket portion of the joint is not naturally deep. Apply ice to the shoulder as it will be quite helpful. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus ball and the glenoid portion of the scapula socket.
Reverse total shoulder replacement sports and ortho. Perform exercises slowly with control for both the up and down motions. Physical therapy will usually start within 12 weeks. Postshoulder replacement surgery exercises ucsf health. Move your elbow, wrist, hand and fingers several times a day. They use gravity and momentum to create motion rather than muscle strength. Following injury to your shoulder it may be necessary to rest your arm for short periods e. After surgery, you will probably use a sling for 4 to 6 weeks.
As a result, it is essential to incorporate strengthening and stretching exercise routine as soon as possible after. Regular exercises to restore motion and flexibility to your shoulder and a gradual return to your everyday activities are important for your full recovery after shoulder surgery. After two days, you can change the dressing to a smaller one to allow the cold to better get to the shoulder. The athlete stands as shown with the bodyweight resting on the uninjured shoulder. Exercises elbowwristhand exercises passive range of motion per guidelines above pendulum exercises initiate pulleys for flexion at day seven submaximal isometrics for shoulder musculature at day ten cryotherapy and modalities for pain and inflammation every hour for 20 minutes weeks 3 to 8 range of motion week 3. Price at 710 days after surgery and again at 6 weeks after surgery. A pendulum exercise is done by allowing the arm to swing freely. Remember, the medications are not necessarily meant to completely eliminate your pain. Instruct to don and doff sling or shoulder immobilizer shoulder should be completely immobilized at all times except to change instruct on proper use of ice or polarcare 2030 minutes at a time, several times per day especially after exercises pendulum exercises. These exercises mimic the movement of a clock pendulum and are excellent rehabilitation tools after shoulder injury. Michael bennett, a board certified orthopedic surgeon and fellowship trained sports medicine physician we accept aetna, cigna, united healthcare and most other medical insurance plans. Shoulder range of motion exercises johns hopkins division of shoulder surgery department of orthopaedic surgery created 9262017 edward g. Isotonic strengthening exercises should be encouraged 12xweek for 36 months b.
Table slides place handarm on a table or countertop and slowly slide your body close to the table to push the arm forward. Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks pain control. Shoulder hemiarthroplasty physical therapy protocol. Gently rock your body weight from your left to your right foot or in a circular motion to move your arm in circular pattern. Pendulum exercises bend forward at the waist, back parallel to ground is ideal.
The pendulum exercise, also known as codmans pendulums, are frequently used for patients with shoulder pathologies to provide gentle joint distraction and joint oscillation to reduce pain. Your healthcare provider or physical therapist has recommended the pendulum exercise to. Appointments begin physical therapy at 1 week post op, 2 xweek follow up with md 1014 days post op. How to properly perform pendulum exercises youtube. The following exercises may be recommended by your doctor and should be performed as instructed. Postoperative instructions shoulder arthroscopy and slap. However, it is important that your shoulder should not be allowed to stiffen. You may remove the wrist strap and move your wrist and elbow. It is no means intended to be a substitute for ones. Your orthopaedic surgeon and physical therapist may recommend that you exercise for 10 to 15.
If pain, weakness, and stiffness in your shoulder see figure in appendix are related to problems with your rotator cuff, a doctor will usually first recommend nonsurgical treatment. Active exercise might be allowed right away after surgery. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your shoulders. Rarely, a large pillow that holds your arm out to the side of your body is needed for 6 weeks if the tear is very large or difficult to repair. A 2006 study compared weighted and unweighted pendulum exercises. Reverse total shoulder replacement rehabilitation guidelines. For this reason the shoulder is the most mobile joint in the body. These are the pendulum shoulder rehabilitation exercises demonstrated by doctor. These exercises are recommended by us for you to perform on your own to regain your shoulder range of motion. This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. Otherwise, it remains on for 46 weeks, even for sleeping. While the postop dressing is in place, icing should be done continuously. The moon shoulder group is a collection of shoulder experts who study the best methods to treat patients with rotator cu.
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