post op painful shoulder syndromes

Question 1

open approach for subacromial depression

Answer 1

incision on deltoid = weakness

Question 2

arthroscopic approach for subacromial depression

Answer 2

faster prognosis and recovery

Question 3

max prot phase for subacromial depression

Answer 3

sling, cryo, shoulder relaxation

AROM of jts above and below
postural training

AAROM of shoulder w/in tolerance
2 wks post op - AROM

low intensity multiple angle isoms of GH and stab exercises in NWB pos

Question 4

criteria to progress to mod prot in subacromial depression

Answer 4

minimal discomfort unsupported, arm swing

almost full pain free ROM
- ER 45°

3/5 to 4/5 GH muscles

Question 5

mod prot phase for subacromial depression

Answer 5

PJM and self stretching

postural training

stab ex in WB post n
inc muscualt endurance
dynamic strengthening
functional activities

Question 6

criteria to progress to min prot in subacromial depression

Answer 6

(-) provocation tests

full pain free ROM s compensations

75% strength compared to good shoulder

Question 7

min prot phase for subacromial depression

Answer 7

stab ex and plyo

specificity, eccentric, functional

Question 8

compare partial and full thickness rot cuff tear

Answer 8

partial - from sup and inf though only a portion of tendon

full - complete tear from interior and exterior of tendon

Question 9

max prot phase fot rot cuff tear

Answer 9

periodic cry
arm support
shoulder relaxation
gr 1 osci

AAROM/AROM of jts above and below

pendulum ex
PROM in safe range
self-assisted ROM 1-2 wks post op

isoms for scapula
postural training

muscle sets of GH - 1 to 3 wks post op

Question 10

criteria to progress to mod prot in rot cuff repair

Answer 10

well healed incision

minimal pain c AAROM

progressive improvement in ROM

Question 11

mod prot phase fot rot cuff tear

Answer 11

self-assisted rob
scar mob of incision

AROM of shoulder
isom - dynamic of scap
multiple angle isoms of GH

UE ergometry for endurance

functional activities

Question 12

criteria to progress to min prot in rot cuff repair

Answer 12

full and pain free PROM

progressive improvement of shoulder strength and endurance

stable GH jt

Question 13

min prot phase fot rot cuff tear

Answer 13

same lng s mod mas progressive

Question 14

bankart repair

Answer 14

open or arthroscopic repair of a Bankart lesion

detachement of capsule labral from anterior rim ng glenoid

Question 15

SLAP lesion repair

Answer 15

repair of tear in superior labrum extending ant to post

tear of long head of biceps and recurrent ant instab

Question 16

max prot phase for surgical stab of GH

Answer 16

sling, cryo. shoulder relaxation

correct posture

AROM of unaffected jts

pendulum and self-AROM - 2 wks post op

multiple angle isoms - 3 ot 4 wks post op
dynamic na light

Question 17

criteria to progress to mod prot in surgical stab og GH

Answer 17

well healed incision

improved ROM

no sense of apprehension with AROM

Question 18

mod prot phase for surgical stab of GH

Answer 18

AROM, stretching and gr 3

isoms and dynamics in diagonal pattern
UE ergometry
PRE and stab - CKC

Question 19

criteria to progress to min prot in surgical stab og GH

Answer 19

full and pain free PROM

progressive improvement of shoulder strength and endurance

stable GH jt

Question 20

min prot phase for surgical stab of GH

Answer 20

cont stretching until ROM for function is attained

PRE - specificity

plyo

return is around 6 mo