Interventions - Operative Shoulder

Question 1

Pre-operative phase is appropriate to complete when

Answer 1

prior to surgical intervention
establish baseline and assess patient motivation to follow through with post op rehab
Also good to see if surgery is even needed and/or if you can develop some physical improvement prior to surgery

Question 2

Post-operative –> Phase 1

Answer 2

Stability/ROM

Allow for proper soft tissue healing

Question 3

Goals of post-operative Phase 1

Answer 3

Dec pain and inflammation
Inc ROM allowed at this stage
Facilitate scapular stability

Question 4

Time frame for post op phase 1

Answer 4

Variable - depends on surgery

Question 5

Interventions in post op phase 1

Answer 5

PROM, AAROM
Isometrics
Scapular stability exercises
Sodt tissue
Low grade joint mob

Question 6

Post operative phase 2

Answer 6

ROM/early strengthening

Question 7

Goals of post op phase 2

Answer 7

Full ROM
Return to low level ADL
Normal scapulohumeral rhythm
Improved endurance

Question 8

Interventions in post op phase 2

Answer 8

PROM, AAROM, AROM
PREs
PNF

Question 9

Post op Phase 3

Answer 9

Strength testing

Question 10

Goals of post op phase 3

Answer 10

Improve functional strength
Improve speed of movements
Improve proprioception

Question 11

Interventions in post op phase 3

Answer 11

Free weights
Machine weights
Functional training
Work conditioning

Question 12

General overview of protocol

Answer 12

Full ROM 
Scapular stability 
RTC focus
Strength training
Functional progression