Paff the intent of this protocol is to provide the clinician with guidelines of the postoperative rehabilitation of someone undergoing total shoulder arthroplasty or hemiarthroplasty. Total shoulder arthroplasty protocol boston shoulder institute. Physiotherapy will begin as soon as possible post op. Total shoulder arthroplastyhemiarthroplasty protocol. Nonsurgical shoulder impingement rehabilitation protocol ramin r.
Total shoulder replacement protocol sports and ortho. Postsurgical rehabilitation protocol postop days 1 14 sling for comfort, dc after 45 days sleep with pillow under shoulder arm for comfort hand squeezing exercises elbow and wrist active motion arom pendulum exercises active assisted motion aarom supine with wand or pulleys flexion to 120 degrees. No arom exercise of the shoulder consistent use of sling unless otherwise instructed weaning starting at week 4 at earliest. Reverse total shoulder arthroplasty physical therapy. Shoulder replacement surgery uw health madison, wi. It is not intended to be a substitute for appropriate. In shoulder replacement surgery, doctors replace the ends of the damaged upper arm bone humerus and usually the shoulder bone scapula or cap them with artificial surfaces lined with plastic or metal and plastic.
Reverse total shoulder arthroplasty robert rolf md and tim elser pt, dhsc, atc, ocs indications reverse total shoulder replacement is indicated for use in grossly rotator cuff deficient joints with severe arthropathy, or for use when a previous joint replacement has failed with a. Total shoulder protocol shoulder replacement, like hip and knee replacement, is truly one of the modern marvels of orthopedic surgery offering patients meaningful. Total shoulder replacement protocol sports and orthopedic. Shoulder arthroplasty protocol shoulder arthroplasty protocol this rehabilitation protocol has been developed for the patient following a shoulder arthroplasty replacement procedure. Please apply by visiting the unit and sending your cv to jan barker visits to the reading shoulder unit are welcome please liaise with prof. Shoulder surgery postoperative care and rehabilitation. Copeland surface replacement arthroplasty consideration should always be given to the individual patients ability. This protocol was adapted from the articles titled. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making.
Total shoulder arthroplasty replacement protocol this rehabilitation protocol has been developed for the patient following total shoulder arthroplasty. Shoulder replacement rehabilitation program johns hopkins. At 23 weeks home estim unit if needed for quadriceps muscle reed. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation. The reverse ball and socket arthroplasty is a new implant design for severely damaged shoulders. All requests made to the department of state, should be made through the oas office of protocol protocol oas which serves as a liaison between the permanent missions and the. It is by no means intended to be a substitute for a physical. Applications for the reading shoulder fellowship starting in late 2019 and for 2020 is now open. The reverse total shoulder replacement changes the orientation of the shoulder so that the normal socket glenoid now is replaced with an artificial ball, and the normal ball humeral head is replaced with an implant that has a socket into which the artificial ball rests. Neutral position of the back, shoulders, and spine should be maintained during standing, sitting, and lifting activities. Controlling your pain is a very important part of your recovery.
Isolated slap repair rehabilitation protocol this protocol was developed for patients who have had an isolated slap repair. Quality of the rotator cuff level of preoperative function. Shoulder arthroplasty protocol northeast orthopedics and. Reverse shoulder arthroplasty protocol with subscapularis release see last page for patients with special considerations related to surgical approach and procedure week one weeks two to three initial evaluation evaluate posture and position of the shoulder girdle inspect for signs of infection, and ensure integrity of the incision. This rehabilitation protocol has been developed for the patient following a rotator cuff surgical procedure. Omearas total shoulder arthroplasty rehabilitation. Modifications and alterations may be necessary depending on each patients recove ry. The rehabilitation program will gradually progress to more strengthening and control type exercises. The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. Minimize heavy, excessive cyclic loads for the first 6 months. The most effective strength training and rehabilitation programs include at least one set of the maximum number of repetitions possible for each exercise performed exercise to. Communication networks fundamentals concepts and key architectures. The rehabilitation protocol for total shoulder arthroplasty tsa hemiarthroplasty hhr is based on the latest research. It has been updated and modified to accurately reflect the needs of dr.
Achieving the criteria of each phase should be emphasized more than the approximate duration. 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 shoulder arthroplasty tsa or hemiarthroplasty humeral head replacement, hhr. Rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a total shoulder arthroplasty tsa and hemiarthroplasty. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. The following protocol should be used as a guideline for rehabilitation progression, but may need to be altered pending the nature and extent of the surgical. Rehabilitation protocol postoperative treatment for total.
Rehabilitation following total shoulder arthroplasty. Maintain surgical motion early, but protect subscapularis repair by avoiding. Anatomic shoulder replacement rehabilitation protocol dr. Specifics steps for establishing the protocol for applying the technique for. Size and location of tear degree of shoulder instabilitylaxity prior to surgery. Pdf surface electromyography as a screening method for. All requests made to the department of state, should be made through the oas office of protocol protocoloas which serves as a liaison between the permanent missions and the. The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total shoulder arthroplasty rtsa. Millett, md, msc3 total shoulder arthroplasty tsa is a standard operative treatment for a variety of disorders of the. Bankart repair rehabilitation protocol arthroscopicopen. Allan hunt phase i 06 weeks week 1 ice 35 times per day for 15 minutes each may shower but not soak surgical arm may eat, type, write and brush teeth with sling in place sling with abductor pad for 46 weeks codmans exercises 35 times per day for 1015 minutes each arom hand, wrist, elbow and scapular squeezes. The intent of this protocol is to provide the clinician with a guideline to establish and progress a patient through post operative rehabilitation. Anatomic shoulder replacement rehabilitation protocol. Use of a sling for 3 weeks postop unless otherwise indicated.
The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic assistedminiopen rotator cuff repair. Rehabilitation protocol for total shoulder arthroplasty. It is no means intended to be a substitute for ones. Prior to pec repair surgery for pec tear injury, you are advised to visit your physiotherapist to make sure you are ready for your postop rehab.
Rehabilitation protocol for reverse shoulder arthroplasty. Rehabilitation after total shoulder arthroplasty activities and advice for in the hospital and while at home. Do not add, alter, or skip any of the treatments in this protocol. Too much pain will keep you from being able to do your exercises and physical therapy. Apply ice, or the cooling unit, to the shoulder as it will be quite helpful. Sitlie with knee straight arom hip and knee 26 weeks 2 week md visit. Protocol procedural manual the following is intended to orient and assist the permanent missions in the various requests they need to make at the department of state. They are stacked in a column with an intervertebral disc sandwiched between each set of vertebrae. Department of rehabilitation services reverse total. Shoulderreplacementprotocol by the shoulder center issuu. Allow involved arm to hang down, perpendicular to the floor. Pdf patients suspected of having swallowing disorders, could highly benefit from.
It is not intended to be a substitute for ones clinical decision making. Shoulder surgery postoperative care and rehabilitation protocol. Shoulder replacement surgery replaces damaged joint surfaces with artificial. The lumbar spine comprises the 5 vertebrae that are below the thoracic vertebrae and. Variances will be communicated by the surgeon directly to rehabilitation services. General time frames are given for reference to the average. Bankart repair rehabilitation protocol arthroscopicopen this protocol was developed for patients who have had a bankart repair. Kevin harreld this protocol is intended as a general guideline for the therapist in directing the post operative rehabilitation course of patients undergoing a total shoulder replacement. There is evidence that manual therapy can be helpful at improving outcomes and should be included at the discretion of the.
Rehabilitation protocol ashvin pimpalnerkar, msorth, msctrauma, dnborth, frcsorth, mchorth, consultant shoulder knee and sports surgeon secretary details. Omearas total shoulder arthroplasty rehabilitation protocol. The therapist can provide instruction on patient directed active range of motion, patient directed flexibility, and patient directed strengthening. Brace locked at 0 degrees for ambulation for 68 weeks with use of bilateral axillary crutches. Shoulder surgery postoperative care and rehabilitation protocol dr. Pendulum exercises bend forward at the waist, back parallel to ground is ideal. Total shoulder arthroplasty rehabilitation protocol. Maintenance of good postural positioning when performing all exercises. It is generally used for rotator cuff tear arthropathy, and salvage of post traumatic. Joint replacement involves surgery to replace the ends of bones in a damaged joint. Pdf rehabilitation following reverse total shoulder.
Rehabilitation following total shoulder arthroplasty reg b. An excellent outcome depends greatly on good communication between the. Total shoulder arthroplasty hemiarthroplasty protocol. The shoulder joint is a ball and socket joint that connects. Total ankle arthroplasty physical therapy protocol 02 weeks non weight bearing in splint. April armstrong, penn state hershey medical center, department of orthopaedics and rehabilitation dr. The protocol is based on protecting the joint in the initial phase, gradually restoring movement in the middle phase and building strength in the middle to last phase. The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total. Active horizontal abduction exercise posterior deltoid in prone lying position.
Petre would like to thank the doctors at the steadman clinic and the staff at howard head sports medicine in vail colorado for the creation of this rehab protocol. The lumbar spine is made up of 5 load transferring bones called vertebrae. Avoid excessive stress to the posterior capsule by limiting movement from 45 degrees of. Patients with additional surgery will progress at different rates.
The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral head replacement, hhr. Nonsurgical shoulder impingement rehabilitation protocol. This protocol will vary in length and aggressiveness depending on factors such as. Rehabilitation after total shoulder arthroplasty dr.
Presence of a functional rotator cuff intact or repaired type of shoulder replacement anatomic or reverse presence of a. Improvement continues for 18 months to 2 years and the patients should continue exercising until their maximum potential has been reached. Rehabilitation guidelines for reverse total shoulder. Kavanagh, pac 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. You will be shown exercises by the physiotherapist. This site complies with the honcode standard for trustworthy health information.