Rehabilitation after arthroscopic Rotator Cuff repair

البرنامج التأهيلى لما بعد عملية أصلاح أوتار الكتف المدورية

Phase I (1-4 weeks post-op)

(1)  Gentle joint oscillations in short-arm traction can be a useful technique to reduce muscle guarding and pain

(2) PROM is progressed with caution (continues until symmetrical and pain free motion is achieved compared to the contralateral shoulder). In cases where the contralateral shoulder is symptomatic, PROM is continued until pain free motion is achieved that falls within established norms.

(3) Scapular depression, protraction performed from a neutral position and back to neutral after each repetition.

The criteria to progress from phase I to phase II include:

(1) passive forward flexion to at least 125 degrees.

(2) passive external rotation in scapular plane to at least 75 degrees.

(3) passive internal rotation in scapular plane to at least 75 degrees.

(4) passive glenohumeral abduction to at least 90 degrees in the scapular plan

Phase II( 4-8 weeks post-op)

(1) AAROM :including supine glenohumeral external and internal rotation with a cane as well as supine flexion with the assistance of the uninvolved limb.

(1) Scapular retraction/depression.

(2) Salute exercise.

(3) Open chain proprioceptive exercises are performed with the patient lying supine with the involved shoulder held in 90° of forward elevation, The patient is then instructed to draw circles and the alphabet in the air utilizing small, controlled motions.

Phase III (8-12 weeks)

(A) Isotonic and light closed chain stability exercises.
(B) Bear hug exercise using elastic resistance is performed while standing with the back toward the wall, knees slightly bent, and the feet shoulder-width apart. The elbows are flexed to 45°, the arms are abducted 60° out from the trunk, and the shoulder is internally rotated to 45°.

(C) The standing sport cord row exercise is used to strengthen the trapezius and rhomboid musculature.

(D) Isotonic free weight resistance or elastic tubing to address the biceps and triceps brachii muscles.

Phase IV(12-16 week)

– Standing position while performing external rotation of the shoulder at 45 degrees of abduction utilizing elastic resistance (strengthening of the posterior cuff muscles, infraspinatus and teres minor).
– By performing external rotation exercises at 90 degrees of abduction, supraspinatus muscle activity is optimally generated.

– Punch with a plus exercise utilizing elastic resistance

– The push-up plus progression exercise

– The Statue of Liberty exercise.

– Throwing exercises against a rebounder starting at or near shoulder height progressing to the overhead position.

Return to sport-
A gradual, progressive return to sport rehabilitation plan is initiated after completing phase IV and prior to returning to competitive sporting activities.

المرحلة الأولى (من الأسبوع 1-4 بعد العملية)

تمارين الحركة السلبية ( بمساعدة شخص )
تمرين (1)

تمرين 2

تمرين 3

المرحلة الثانية (4-8 أسبوع بعد العملية)

تمرين 4

تمرين 5

تمرين 6

-تمرين 7 ( حركات دائرية).

المرحلة الثالثة (من 8-12 أسبوع بعد العملية)

تمرين 8

تمرين 9

تمرين 10

المرحلة الرابعة (12-16 أسبوع بعد العملية)

تمرين 12

تمرين 13

تمرين 14

تمرين 15

تمرين 16

العودة لممارسة الرياضة

Help & inquires

للمساعدة والأسئلة

VIBE Clinic is providing medical inquires service
Please contact us or fill in the form and one of our doctors will reply to you as soon as possible

تقدم فايب كلينك خدمة الرد على الاستفسارات والأسئلة الطبية
برجاء الاتصال بنا او ملئ الخانات بكافة التفاصيل والاسئلة  وسوف يقوم احد الاطباء المتخصصين بالرد عليكم فى اقرب وقت

Clinic Address

30 Mourad St. – Giza
2nd Floor – # 108
RadioShack building

Tel: 3578909
Mobile: 010 60906808

Clinic Schedule:

Saturday, Monday & Wednesday:
from 4 pm to 7 pm

    Name
    الاسم

    Email
    البريد الاكترونى

    Telephone
    التليفون

    Subject
    الموضوع

    Your message
    الاستفسار

    عنوان العيادة

    30 شارع مراد – الجيزة
    الدور الثانى – عيادة رقم 108
    عمارة راديوشاك

    تليفون: 35738909
    محمول: 01060906808

    مواعيد العيادة

    السبت والأثنين والأربعاء
    ٤-٧ مساء