Shoulder 2 Flashcards
In what order should we treat the UE?
1st: Thoracic
2nd Cervical
3rd: Scapula -> GH
Great choice for acute shoulder exercise:
walking
what are the requirements to progress from acute to sub-acute in the shoulder:
Evidence of ___________
pain free _________
strength ____________
control of __________
evidence of tissue healing/time
pain free elevation to 120
strength in nonpathological areas 4+ or more out of 5
scapular control present
do not give anterior capsular stretching to a pt with ______
excessive anterior glide of humeral head
how to do progressive inferior glide of GH?
Slowily increase amount of abduction as you provide inferior glide
What should you try if you’ve glided in all basic directions but pt is still limited in combined motion needed for throwing
how do to progressive glide for increased horizontal adduction
What is the mobilization specific to adhesive capsulitis
Long axis distraction with ER wind up
(for inferior capsule)
how does conservative managment compare to subacrominal decompression
similar outcomes so consider doing conservative first
How do we treat a partial thickness RC tear:
begin immediate:
Strengthen:
At 6-8 weeks start:
Begin immediate: Passive and AAROM
Strengthen: not-RTC muscles with tubing
At 6-8 weeks start: progress to light tubing to strengthen RTC
Phase 1 of full RCT
passive only 0-6 weeks
Phase 2 of full RCT
AAROM exercises 6-12 weeks
Phase 3 of full RCT?
phase 4?
strengthening exercises 12-24 weeks
Advanced retraining 24+
What are the precautions in a phase 1 RCT
No active ER
No passive IR beyond neutral
At what point in RCT rehab can you do stretching into IR and crossbody stretch
24+ weeks, phase 4
how many times a week does a pt need to come to PT in the acute phase of RCT post-op
1-2 times a week
what is contraindicated until 6 weeks after a anterior capsular arthoscopic repair of the shoulder
lifting heavy objects
PROM stretching of external rotation
what are the general timeframes of a bankart repair?
4 weeks sling
4 weeks P/AROM
4 weeks strengthening
Return to sport at 6 months
What type slap lesions require surgery?
What are the surgical precautions
type 2, 3 , and 4
no isolated bicep contraction for 12 weeks
Reverse TSA vs total shoulder
Reverse- for when they have no RC muscle that is repairable, will have less ROM - only need Deltoid afterwards
total shoulder- for when they still have RTC intact
