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shoulder up toward your ear as you move your arm up. MOON Shoulder Nonoperative Rehabilitation for Full Thickness Rotator Cuff Tears - Therapist Booklet 6 Active training of the scapula muscles (rhomboid, serratus, trapezius, levator scapulae, and pectoralis minor) should be done using the exercises depicted, by doing shoulder shrugs • Keep your neck relaxed. As there is a risk of injury with any activity, use caution when performing exercises. your symptoms feel worse with any exercise, stop doing the exercise until you check with your physical therapist or your doctor. SHOULDER THERABAND EXERCISES These Theraband Exercises will help improve your strength and endurance. There are two schools of thought regarding which approach to choose. Shoulder Rehabilitation Treatment includes activity modification, stretching, and strengthening the affected limb. Pull your arm back as far as possible. • Keep your elbows on the floor and pull your hands away from each other. Lift arm out to side at eye level (100º) Hold 5 seconds. shoulder motion can malfunction. Shoulder Abduction to shoulder level: Stand with arm at side, elbow straight, and palm against side. The Stiff Shoulder Exercise Program Shoulders can become stiff for a wide variety of reasons. Make sure to keep your back straight during . Raise arm upward to just below shoulder height as shown 4. Grasp the other end of the band with slight tension. sets . Place your arm in the scapular plane (slightly in front of your body). Performing the exercises two to three days a week will Hold for _____seconds 6. between the side of your arm and a wall. Walk your fingers back down to the starting position. In many situations the stiffness is related to tightness of the soft tissues around the joint. Outline Surgical Interventions • Brief anatomy Review • Surgical Procedures • Healing Process Formulating a Treatment Plan . (Scaption) Scapular Plane Raises: Stand with elbow straight and thumb up. Do only those exercises checked by your therapist. Shoulder Extension: Keep the Theraband at waist level. Level 2 Exercises Shoulder Abduction with weight (aim to perform three rounds of 8 repetitions) This exercise can be performed using weights in the form of water bottles. As a result, strengthening the muscles around the scapula is essential for rehabilitating your shoulder. • Place your arms along side of your body with elbows bent. Return hand toward floor. When these tissues become Length of program: This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. between the side of your arm and a wall. Raise arm upward to just below shoulder height as shown 4. Apply for 15-20 minutes. Place _____arm at side with thumb turned downward 2. 3- Anterior Raise Tip. 11/2019©AAHC \OT Shoulder Begin Progress Shoulder: Rotator Cuff Home Exercise Program - Prone, Page 2. Begin in a standing upright position with your elbow bent 90 degrees, with a towel . Point thumb toward ceiling. Grasp tubing with thumb facing ceiling. patient has >20-30 degrees of pain-free active ROM in flexion, abduction, and scaption. Suggested Exercises Begin 5-8 days after surgery, sub-maximal shoulder isometrics for internal rotation (IR)/external rotation (ER), flexion/ extension and abduction/adduction Shoulder AAROM/PROM: Codman's, pulleys, cane exercises in all planes of motion except horizontal adduction (these should stay relatively pain free) . The Stiff Shoulder Exercise Program Shoulders can become stiff for a wide variety of reasons. Shoulder Abduction Exercises Supine Shoulder External Rotation (Lying Down) • Lie on your back. 4. Keeping the elbow at a right angle, rotate the arm as if to touch the thumb to the table. Keeping the elbow at a right angle, rotate the arm as if to touch the thumb to the table. Pull your arm back as far as possible. DB exercises for: A. Supraspinatus, "full" can in the scapular plane below shoulder level B. EXERCISE 1: UP + OUT EXERCISE 2: DOWN + IN Stand with your shoulder blades set down and back. Normally, these tissues are flexible allowing the shoulder to maintain its usually large range of motion. With the opposite hand, grasp the elbow and pull the SHOULDER RANGE OF MOTION EXERCISES Johns Hopkins Division of Shoulder Surgery Department of Orthopaedic Surgery Created 9/26/2017 Edward G. McFarland, MD Jorge L. Rojas, MD Marcy Beard, PA Introduction: These exercises are recommended by us for you to perform on your own to regain your shoulder range of motion. to . exercises. 4. Gravity Eliminated Strengthening . This is the same position as the pendulum exercise. Movement. Raise arm to shoulder level at 30º angle in front of body. Lateral Shoulder and Triceps Stretch Place the forearm behind the head. Isometric Shoulder Abduction at Wall. Repeat at least 2 to 4 times, trying to reach higher each time. Lean over and do pendulum exercises for 3 to 5 minutes every 1 to 2 hours. sets of . Wear sling if swelling is noticed until it . Step 2: There should be little to no movement. Point thumb toward ceiling. 4. Do this exercise for _____ sets of _____ . Pull your arm across your body. Make sure to rest from all painful activities until swelling subsides. Release shoulder blade. Hold for 2 seconds. 1. Wall climbing (to the front) Note: During this stretching exercise, be careful not to arch your back. Relax. Hold rubber tubing as shown 3. Internal Rotation in Abduction Lie on your side with the arm positioned as shown. Page 1 of 5 07/26/2018 • Push your elbow towards the wall. o Progress elevation from below to above shoulder height o Progress shoulder IR and ER from 30° to 60° to 90° abduction and from a supported to unsupported condition •Begin Thrower's Ten Program •Progress sub-body weight closed kinetic chain exercise o Progress to full body weight exercises Pull your arm across your body. Hold dumbbells at side with an overhand grip. Lift arm out to side at eye level (100º) Hold 5 seconds. Hold rubber tubing as shown 3. _____repetitions _____times a day o Progress elevation from below to above shoulder height o Progress shoulder IR and ER from 30° to 60° to 90° abduction and from a supported to unsupported condition •Begin Thrower's Ten Program •Progress sub-body weight closed kinetic chain exercise o Progress to full body weight exercises Exercises for a Frozen Shoulder (Adhesive Capsulitis) Abduction • With your injured shoulder towards the wall, put the pillow between the wall and your elbow. 5. SHOULDER RANGE OF MOTION EXERCISES Johns Hopkins Division of Shoulder Surgery Department of Orthopaedic Surgery Created 9/26/2017 Edward G. McFarland, MD Jorge L. Rojas, MD Marcy Beard, PA Introduction: These exercises are recommended by us for you to perform on your own to regain your shoulder range of motion. • Stand with your feet about shoulder width apart for balance. exercises. Do not arch back. maintain good posture during the exercise. Sit or stand as shown. SHOULDER ABDUCTION 1. Shoulder Abduction . N/A. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your shoulders. Outline Surgical Interventions • Brief anatomy Review • Surgical Procedures • Healing Process Formulating a Treatment Plan . during specific shoulder exercises.3,5,6,13,22,25,26,28,38,47 Townsend et al38 determined that the best exercise for the infraspinatus muscle was to perform prone shoulder horizontal abduction with external rotation (ER), producing 88% of maximal voluntary isometric contraction (MVIC), while the most effective exercise • Stand with your feet about shoulder width apart for balance. SHOULDER ABDUCTION 1. In many situations the stiffness is related to tightness of the soft tissues around the joint. 9. the exercise. Always be sure to ice your shoulder after you complete your exercises. Movement. 3. Sidelying—Elevation Lie on unaffected side with upper arm at side, thumb up, palm open. Normally, these tissues are flexible allowing the shoulder to maintain its usually large range of motion. the exercise. Abduction in Plane of Scapula Place one end of tubing under your foot. • Keep your neck relaxed. • Place your arms along side of your body with elbows bent. X08253 (Rev. Repeat 8 Times Hold 12 Seconds Complete 2 Sets Perform 2 Times a Day AAROM SHOULDER FLEXION - WAND 4. Length of program: This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. Step 1: Slowly lift your weaker arm out to your side to the level of your shoulder keeping your elbow straight. Begin in a standing upright position with your elbow bent 90 degrees, with a towel . • Hold your arm with your elbow bent. Keep shoulder blades retracted and depressed. to . Raise arm to the side, palm down, until arm reaches 90º (shoulder level). Make sure to keep your back straight during . 11/2019©AAHC \OT Shoulder Begin Progress Shoulder: Rotator Cuff Home Exercise Program - Prone, Page 2. Start in standing with feet shoulder width apart and knees slightly flexed. Remove the sling several times a day: move the elbow wrist and hand. Begin . sets . Rather than lifting your arm straight out to the side, raise your arm in a position 30º forward of that . Return hand toward floor. X08253 (Rev. SHOULDER WAND EXERCISES AAROM SHOULDER ABDUCTION - WAND While holding a wand/cane palm face up on the injured side and palm face down on the uninjured side, slowly raise up your injured arm to the side. Maintain this position as you control the pulley either up and out or down and in towards your body. SHOULDER WAND EXERCISES AAROM SHOULDER ABDUCTION - WAND While holding a wand/cane palm face up on the injured side and palm face down on the uninjured side, slowly raise up your injured arm to the side. Keep your elbow flexed at 90° and lift your shoulder to 60° abduction. shoulder in abduction and forward flexion • Triceps and wrist extension strengthening . Start with your arm forward, and keep your elbow straight. Movement • Hold a resistance band in your hands with your palms facing each other. Use knees to aid movement if required. Apply a gentle stretch with the opposite arm. Do 10-15 reps and 2-3 sets. sets of . Control the movement as you lower your arm back down. Shoulder Horizontal Abduction: Raise your arm to shoulder level, parallel to the floor, with your elbow straight or slightly bent. 5. Push your arm sideways into the wall, then relax and repeat. Many of the strengthening exercises can first be done without external resistance. Lateral Shoulder and Triceps Stretch Place the forearm behind the head. Standing Single Arm Shoulder Abduction with Dumbbell - Palm Down reps: 10 sets: 3 hold: 2 sec Weekly: 5x Daily: 2x Step 1 Step 2 Setup Begin in a standing upright position with your arms resting at your sides, holding a dumbbell in one hand. Raise both arms, thumbs up at a 45 degree angle in front of the body until hands reach eye level. Tip. Shoulder Horizontal Abduction: Raise your arm to shoulder level, parallel to the floor, with your elbow straight or slightly bent. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your shoulders. • Hold your arm with your elbow bent. •Inertia -Combine exercises, such as shoulder adduction & abduction with transverse shoulder adduction & abduction •Acceleration -Push harder against the water •Action/Reaction -Combine an exercise that pulls the body in one direction with travel in the opposite direction, such as transverse shoulder abduction while traveling backward. 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