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Orthopaedic Physiotherapy ![]() Post all your questions and comments about issues relating to orthopaedic physiotherapy in this forum. Ask advice about things such as arthritis, joint replacement, splinting & plastering or factors in treating the acute unstable fracture. |
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Views: 390 - Replies: 1
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#1
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rotator cuff tears
any protocols following rotator cuff repairs?
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#2
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re: rotator cuff tears
I don't know if you need anything in parfticular, but here is the basic rundown of what we follow at my clinic, given to us by our local surgeons:
Post op day 0-PROM flexion Day 1-pendulums, AROM of hand/wrist/elbows only Day 2-PROM ER & IR (0 degrees ABD), ABD in supine Days 3-5- self ROM, PROM ER/IR at 90 degrees ABD Days 5-7- Dowel for ER/IR, PROM extension and horizontal add within pain tolerance *To gain full PRIM by 3-4 weeks s/p Days 21-28- Supine AROM Week 5- May begin AROM ABD, gentle isometrics in all planes except ABD Week6- Progress from gravity eliminated AROM to against gravity, initiate scapular stabilization exercises, isometric abduction weeks 7-9- Initiate theraband, progress to AROM with weights (all planes) *No active ABD for 5 full weeks post-op due to deltoid repair Some physicians here want their patient's in a sling for the first 2-4 weeks s/p Hope this helps! |
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