This illustrated guide includes exercises and activities designed to restore muscle strength and mobility to your shoulder following shoulder surgery.
Passive range of motion (PROM) exercises should be performed for the shoulder, emphasising gentle flexion, abduction, and external rotation, while active range of motion (AROM) exercises are encouraged for the elbow, wrist, and hand.
A reverse total shoulder replacement is a special type of shoulder surgery. During the surgery, a surgeon removes the damaged parts of the shoulder and replaces them with artificial parts. The shoulder joint is made up of the upper arm bone (humerus) and the shoulder blade (scapula).
Home Exercise Program after Reverse Total Shoulder Arthroplasty. Most patients using a home exercise program should perform their exercises 3-4 times per day. Stage 1: Begin immediately.
A reverse shoulder replacement is usually recommended for people who have more complex shoulder issues. Some common indications for a reverse shoulder replacement include: a massive rotator cuff tear or arthropathy, a failed previous replacement or a complex fracture. Massive rotator cuff tears
At-home exercises for reverse shoulder replacement You'll receive at-home exercises from your physical therapist. They will tailor these exercises to your recovery.
Activities: 1. Sling. Use your sling except for showers and the exercises below. Remove the sling 4 or 5 times a day to do pendulum exercises. 2. Use of the affected arm. You may use your hand on the affected arm in front of your body but DO NOT raise your arm or elbow away from your body. It is all right for you to flex your arm at the elbow.
This protocol is intended to guide clinicians and patients through the post-operative course after a reverse shoulder arthroplasty. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making.
• Begin light resistive exercises • Theraband exercises to increase forward flexion, extension, and external rotation strength (limit IR strengthening at this point)
This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. If you have questions, contact the referring physician.
Reverse Total Shoulder Arthroplasty (rTSA) is designed for the treatment of glenohumeral (GH) arthritis when it is associated with irreparable rotator cuff tears, complex fractures, severe glenoid deformity from dysplasia or wear, or for a revision of a previously failed conventional Total Shoulder Arthroplasty (TSA).
After reverse total shoulder arthroplasty (total shoulder replacement) surgery, patients are instructed to complete these post-operative exercises to help restore motion and flexibility in their shoulder.
Avoid light activities with wrist and hand for 2 weeks other than prescribed exercises. Expect return to moderate functional activities gradually at 3 months post-op. Expect return to more challenging activities (i.e. golfing and racquet sports) at 4-6 months.
DATES: Appointments. Physical therapy 2-3 x/week. Rehabilitation Goals. Promote soft tissue healing/maintain the integrity of the replaced joint. Restore AROM of elbow, wrist, and hand. Precautions. Sling x 6 weeks: only to be removed for exercise and bathing.
Pendulum exercises - no larger than a basketball, 5 minutes at time, alternate directions. Active ROM in elbow flexion and extension with the elbow at the side and humerus in neutral rotation. Forearm pronation and supination, finger and wrist ROM. Scapular retractions and trapezial stretch.
Physical Therapy for Reverse Total Shoulder Replacement. This handout has information about your reverse total shoulder replacement and the exercises you will need to do after your surgery.
PHYSICAL THERAPY PROTOCOL AFTER REVERSE TOTAL SHOULDER ARTHROPLASTY: The intent of this protocol is to provide our patients with a guideline for their postoperative rehabilitation program following a reverse shoulder arthroplasty. This guideline offers a supplement to formal physical therapy.
Start the following exercises Some gentle exercises are outlined below. During these exercises, there is to be NO ACTIVE MOVEMENT of the operated arm. You are to use your opposite arm to assist with movements, or allow gravity to move your body into position for exercises such as the pendulum.
This leaflet informs you about stage 1 post-operative exercises and advice following a reverse shoulder replacement or a total shoulder replacement. Before you are discharged, a member of the inpatient therapy team will …
A physical therapy exercise program after total shoulder replacement surgery is important for recovery. Learn moves to gain strength and motion.
About reverse shoulder replacement surgery. The operation replaces the damaged joint surfaces. It is called a 'reverse' shoulder replacement because the surgery reverses the normal ball and socket arrangement. A new 'ball' replaces the socket and a 'socket' replaces the ball at the top of the humerus.
Home Exercise Program after Reverse Total Shoulder Arthroplasty Most patients using a home exercise program should perform their exercises 3-4 times per day, performing three sets of ten repetitions. Stage 1: Begin at 3 weeks. Pulley exercises Hang your pulleys over a door and face the door. Use the good arm to raise the
Practice using only the arm that will not be operated on to perform daily tasks such as preparing meals, washing yourself, wiping yourself after using the toilet with one hand. Prepare and freeze meals in advance. Purchase easy to prepare meals or frozen dinners that are easy to open.
Progress after shoulder replacement surgery is different for everyone, but you can expect: Days 1-4: Pain and swelling that tapers off. Weeks 1-2: Gentle therapy exercises begin. Weeks 2-6: Sling use followed by light activities, like lifting a cup of coffee or making a sandwich. Weeks 8-12: Return to normal function.
