Degenerative disorders III

Question 1

Shoulder

Answer 1

OA of the shoulder is not as common

early stages- soft tissue operations to restore painless mobility of jt

for severe OA- TSR

Question 2

TSR

Answer 2

must have intact RC to be option

reverse shoulder may be used in presence of RTC tear

deltopectoral incision is most commonly used

Question 3

TSR: post surgery

phase I (hospital)

Answer 3

2-6 days

goals: protect healing structures, pain control, indep functional mobility for transfers/dressing/ambulation, education, HEP

common precautions- PROM for up to 6 wks, abduction pillow up to 8 wks, ER limited to 30 deg with humerus in adduction, sling for comfort

Question 4

TSR: post surgery

phase 2 (outpatient, early ROM)

Answer 4

0-6 wks

goals: protection, pain control, improve sleep, normalize circumference measurement, mob of scar, ability to demonstrate norm posture and inc ROM

Question 5

Post surgery: phase 3

Answer 5

6 to 12 weeks

goals: return to activities below 90 deg flexion, inc ROM, improved, inc muscle flexibility, improve neuromuscular control, inc strength, protection

Question 6

post surgery:phase 4

Answer 6

12 weeks

goals: return to normal activities, full potential 6-12 months

Question 7

shoulder exercise considerations

Answer 7

ther band eccentric ER

eccentric overhead scaption with dumbbell