Progressive Rehabilitation Exercises for Rotator Cuff Strain Flashcards

1
Q

What are the primary goals of the early stage (acute phase) of rehabilitation for rotator cuff strain?

A

1 - Reduce Pain and Inflammation: Employ techniques and exercises to minimize discomfort and swelling in the shoulder.

2 - Maintain Range of Motion: Engage in gentle movements to preserve mobility in the shoulder joint.

3 - Initiate Gentle Strengthening: Start strengthening the rotator cuff muscles without stressing the joint.

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2
Q

What is the purpose of isometric external rotation in the early stage?

A

Strengthen Rotator Cuff: This exercise targets the rotator cuff muscles without causing joint movement, helping to build strength in a safe manner.

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3
Q

What is the purpose of isometric abduction in the early stage?

A

Initiate Abduction Strength: This exercise helps start strengthening the muscles responsible for shoulder abduction without moving the arm.

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4
Q

How do you perform isometric external rotation?

A

1 - Stand with your elbow bent at 90 degrees and close to your side.

2 - Press the back of your hand against a wall or door frame.

3 - Hold the position without moving your arm for several seconds.

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5
Q

How do you perform isometric abduction?

A

1 - Stand with your arm at your side and elbow bent at 90 degrees.

2 - Push the outside of your arm against a wall or door frame.

3 - Hold the position without moving your arm for several seconds.

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6
Q

What are the primary goals of the mid stage (subacute phase) of rehabilitation for rotator cuff strain?

A

1 - Improve Range of Motion: Focus on restoring shoulder mobility through specific exercises.

2 - Increase Strength: Begin incorporating resistance to strengthen the rotator cuff and surrounding muscles.

3 - Restore Functional Movements: Enable a return to more normal movement patterns in daily activities.

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7
Q

What is the purpose of standing external rotation with a resistance band?

A

Strengthen External Rotators: This exercise targets the external rotator muscles, increasing strength and stability in the shoulder joint.

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7
Q

How do you perform standing external rotation with a resistance band?

A

1 - Attach a resistance band to a stable object at waist height.

2 - Hold the band with your elbow bent at 90 degrees and close to your side.

3 - Rotate your forearm outward against the resistance of the band, then return to the starting position.

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8
Q

What is the purpose of scaption (scapular plane elevation) in the mid stage?

A

Strengthen Shoulder Abduction and Scapular Control: This exercise helps improve strength in the shoulder muscles while promoting proper scapular movement.

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9
Q

How do you perform scaption?

A

1 - Stand with your arms at your sides and thumbs pointing up.

2 - Lift your arms in a V-shape (about 30-45 degrees forward from your body) to shoulder height.

3 - Slowly lower your arms back down to the starting position.

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10
Q

What are the primary goals of the late stage (chronic phase/return to sport) of rehabilitation for rotator cuff strain?

A

1 - Restore Full Strength: Focus on regaining strength comparable to the uninjured shoulder.

2 - Improve Endurance: Enhance the muscle’s ability to perform sustained activities.

3 - Enhance Sports-Specific Movements: Prepare the shoulder for specific demands of the sport or activity.

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11
Q

What is the purpose of standing dumbbell shoulder abduction in the late stage?

A

Strengthen Abduction: This exercise targets the shoulder muscles responsible for lifting the arm sideways, which is crucial for many athletic movements.

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12
Q

How do you perform standing dumbbell shoulder abduction?

A

1 - Hold a light dumbbell in each hand with your arms at your sides.

2 - Lift your arms sideways to shoulder height.

3 - Slowly lower them back down to the starting position.

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13
Q

What is the purpose of external rotation at 90 degrees abduction in the late stage?

A

Strengthen External Rotators in a Functional Position: This exercise targets the rotator cuff in a position that mimics functional movements, enhancing strength and stability.

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14
Q

How do you perform external rotation at 90 degrees abduction?

A

1 - Hold a light dumbbell or resistance band.

2 - Start with your arm abducted to 90 degrees and elbow bent at 90 degrees.

3 - Rotate your forearm backward, then return to the starting position.

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