TOTAL SHOULDER/HEMIARTHROPLASTY: 140/40 ACTIVE … · TOTAL SHOULDER/HEMIARTHROPLASTY: 140/40...

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TOTAL SHOULDER/HEMIARTHROPLASTY: 140/40 ACTIVE ASSIST PROGRAM PHASE 1 (0 WKS TO 6WKS): Hold each stretch for 10 seconds, perform 3 sets of 10 repetitions, 3 times each day. No strengthening, No lifting > 1 lb. GOAL: 140 degrees forward elevation and 40 degrees external rotation at the side Using the opposite arm for assistance, work to elevate your arm to 140 degrees. Using the opposite arm for assistance with an object such as a cane, broom handle or yard stick, work to externally rotate your arm at the side to 40 degrees.

Transcript of TOTAL SHOULDER/HEMIARTHROPLASTY: 140/40 ACTIVE … · TOTAL SHOULDER/HEMIARTHROPLASTY: 140/40...

Page 1: TOTAL SHOULDER/HEMIARTHROPLASTY: 140/40 ACTIVE … · TOTAL SHOULDER/HEMIARTHROPLASTY: 140/40 ACTIVE ASSIST PROGRAM PHASE 1 ... At 6 weeks progressive stretching is begun to achieve

TOTALSHOULDER/HEMIARTHROPLASTY:140/40ACTIVEASSISTPROGRAM

PHASE1(0WKSTO6WKS):Holdeachstretchfor10seconds,perform3setsof10repetitions,3timeseachday.Nostrengthening,Nolifting>1lb.

GOAL:140degreesforwardelevationand40degreesexternalrotationattheside

Usingtheoppositearmforassistance,worktoelevateyourarmto140degrees.

Usingtheoppositearmforassistancewithanobjectsuchasacane,broomhandleoryardstick,worktoexternallyrotateyourarmatthesideto40degrees.

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TOTALSHOULDER/HEMIARTHROPLASTY:140/40ACTIVEASSISTPROGRAM

PHASE2(6WKSTO12WKS):At6weeksprogressivestretchingisbeguntoachievefullmotionandencouragedaslongasitiscomfortable.Progressivesupinebenchisbeguntoregainforwardelevationstrength.Nointernalrotationagainstresistanceisallowedtopermitsubscapularishealing.

GOAL:Fullpainfreemotionoftheoperatedshoulderandabilitytoraisearmagainstgravitywhilestandingfullyupright.

Progressivesupinebench:Keyforregainingforwardelevationfunctionaftertheoperation.Inthefirstphase,thepatientliessupinewiththehandsclosetogetheronatowelorlightstick.Bothhandsarepresseduptowardtheceiling,finishingbyprotractionofthescapulaoffthetableasshownbelow.Inphasetwo,thehandsare

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progressivelyseparated,allowingthemtoactmoreindependently.Inphasethree,onehandpressesalone.Inphasefour,weightisaddedtothehandinsmallincrementsuntiltheweighttotals2pounds.Inphasefive,thebackofthetableorchairorrecliner,isprogressivelyraiseduntilthepatientisinthesittingposition.Eachphaseiscontinueduntil20repetitionscanbeperformedeasilybeforethepatientadvancestothenextphase

PROTRACTIONOFTHESCAPULAATENDOFEACHREPETITION


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