Shoulder Management 1 Flashcards
RTC tears: nonoperative mgmt
Initial management is protection from ____, not from ____
stress
function
RTC tears: nonoperative mgmt
These are beneficial early in POC
submax isometrics (5-50%)
RTC tears: nonoperative mgmt
Scapular stabilization promoting force couple between (muscles) is essential
low trapezius
serratus anterior
RTC tears: nonoperative mgmt
To address ROM deficits, this is more effective than the sleeper stretch
shoulder IR stretch with crossbody stretch
RTC tears: nonoperative mgmt
These exercises elicit high muscle activation while minimizing subacromial contact
Jobe scapular strengthening exercises
RTC tears: nonoperative mgmt
Jobe scapular strengthening exercises: perform ER movements in this position…why?
20-30˚ abduction
to match joint congruency
RTC tears: nonoperative mgmt
Jobe scapular strengthening exercises:
This action increases subacromial space
adduction isometric contraction
RTC tears: nonoperative mgmt
What strength ratio is emphasized?
ER/IR unilateral strength ratio
want 66-75% ER to IR strength ratio
RTC tears: nonoperative mgmt
What are good outcome measures for the athletic population regarding the perception of shoulder function?
- ASES
- Rowe Scale
- UCLA
RTC tears: operative mgmt
RCR increasingly common…
how many per year
250,000/yr in the US
RTC tears: operative mgmt
RCR increasingly common…
% that are arthroscopic
95%
RTC tears: operative mgmt
factors affecting rehab after repair
- MOI
- timing of repair
- patient characteristics
- access to care
- surgeon’s philosophical approach to rehab
- surgical approach
- tear size
- tissue quality
- fixation method
- location of tear
- type of tear
RTC tears: operative mgmt
factors affecting rehab after repair: tear size
small tear
< 1 cm
RTC tears: operative mgmt
factors affecting rehab after repair: tear size
med tear
1-3 cm
RTC tears: operative mgmt
factors affecting rehab after repair: tear size
large tear
3-5 cm
