Post-op

Question 1

When can you start PROM for a RCR?

Answer 1

week 2

Question 2

What are the PROM goals for week 2-4 of a RCR

Answer 2

90 flexion
90 abduction
30 IR/ER/Ext

Question 3

What kind of exercises do you do for RCR in week 2-4

Answer 3

Scapular isometrics

Question 4

What are the PROM goals for week 4-5 in RCR

Answer 4

120 flexion/abducition

30ER/Ext
45 IR

Question 5

At what week can you initiate ER/IR PROM at 90 abduction

Answer 5

week 4-5

Question 6

At what week can you initiate rhythmic stabilization exercise for RCR

Answer 6

week 4-5

Question 7

At what week can a patient discontinue sling and build towards AROM w/ RCR

Answer 7

week 6

Question 8

At what week can a RCR begin AAROM

Answer 8

week 5-6

Question 9

At what week is there no PROM limitation for RCR

Answer 9

week 5-6

Question 10

What is the criteria to advance from Phase 1 (week 1-week 6) to phase 2 in a RCR

Answer 10

Improving PROM

Flexion PROM to 125+

IR and ER PROM in scapular plane to 75+ (if uninvolved side is 80+)

Abduction PROM to above 90 in scapular plane

Question 11

Phase two of RCR is what weeks?

What is the focus?

Answer 11

week 6-14

Dynamic stability

Question 12

What is the criteria for advancing from stage 2 of a RCR (Week 6-14) to phase 3 (week 15-24)

Answer 12

Full AROM and PROM

Pain free w/ all strengthening exercises

dynamic shoulder stability

Question 13

When can you begin to work on power for RCR

Answer 13

Phase 3 (week 15-24)

Question 14

When can a RCR begin the return to sport phase?

Answer 14

week 25+

Question 15

What is the criteria to advance from phase 3 (strength building phase week 15-24) to phase 4 (week 25+)

Answer 15

Maintenance of pain free ROM

Functional use of UE

Full muscular strength and power

Question 16

What is the difference of the TSA and the RSA

Answer 16

TSA- used for a rotator cuff that can be repaired

RTSA- Ball and socket joint of the shoulder is now reversed. they have to rely on their deltoid now because they have poor rotator cuff integrity

Question 17

How long should a TSA be in a sling?

Answer 17

3-4 weeks

Question 18

What is the initial treatment for TSA (first 3-4 weeks)

Answer 18

PROM

AROM of elbow, wrist, hand,

Question 19

Initial precautions of TSA

Answer 19

No extension or anterior capsule stretch (put pillow under elbow in supine)

No behind the back motion and no stretching into ER

Question 20

What is the criteria to advance to phase 2 of TSA (week 4-6)

Answer 20

tolerates PROM

Achieves 90 degrees of flexion and abduction PROM (no combining)

Achieves at least 45 of ER

Achieves 70 IR

Question 21

Criteria for TSA to progress to phase 3 (6 weeks)

Answer 21

Tolerates PROM/AAROM, and isometrics
PROM:
140 flexion
120 abduction
60 ER
70 IR
Able to elevate shoulder 100 degrees with good mechanics

Question 22

When can a TSA start isometrics?

Answer 22

4-6 weeks

Question 23

When can a TSA start moderate strengthening?

Answer 23

6+ weeks

Question 24

At 6 weeks what is the lifting limit of a TSA

Answer 24

No lifting objects heavier than 6lbs

Question 25

When can a TSA initiate behind the back AAROM

Answer 25

6weeks (phase 3)

Question 26

How long is a SLAP repair in a sling

Answer 26

4 weeks

Question 27

When can a SLAP repair work on biceps strengthening

Answer 27

Phase 3, 12-20 weeks

Question 28

When can a cervical fusion return to driving

Answer 28

when they stop taking narcotics

Question 29

When can a cervical fusion return to running/jogging/riding horses

Answer 29

6 months

Question 30

What do we want to avoid for cervical fusion patients

Answer 30

Avoid lifting over 20 lbs for 2 months

Cervical AROM or PRONE exercises

Avoid running/jogging/horse riding for 6 months