How I Rehab Rotator Cuff Repairs [Physical Therapy Case Study]
To go along with today's episode I have a nice infographic to share...
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- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
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In today's video we go over How I Rehab Rotator Cuff Repairs [Physical Therapy Case Study]:
- 0:00 Introduction
- 2:02 Subjective: Who was the patient and what was the injury?
- 11:53 What did the post-operative report say?
- 14:48 What does rehab look like at week 2?
- 21:04 Week 2-8: [Goals of early rehab, how to protect the surgical site]
- 36:29 Week 8-10: Physical therapy program [Introducing strength and NMES]
- 38:23 Week 10-12: Physical therapy program [Using blood flow restriction]
- 40:43 Week 12-14: Physical therapy program
- 42:12 Week 14-16: Physical therapy program [Bringing back weight training]
- 43:56 Month 4: Physical therapy program [Strength testing]
- 50:44 Month 5: Physical therapy program
- 52:13 Month 6+: Physical therapy program [Return to sport - CrossFit TM]
All cuffed out,
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- Rotator Cuff Tear Repair Surgery MASTER CLASS for Physical Therapists [Evidence Based]
- When Do Rotator Cuff Tears Fail After Surgical Repair? | Arthroscopic Surgery, Physical Therapy
- The Ultimate Guide to Rotator Cuff Tears, Tendinopathy and Sub-acromial Impingement Syndrome
- Physical Therapy Diagnosis and Treatment for Rotator Cuff Tendinitis / Impingement
- What Physical Therapists NEED to Know About Rotator Cuff Repair from an Orthopedic Surgeon
- Do I Need Surgery for My Torn Rotator Cuff?
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
University of Delaware Protocols: https://sites.udel.edu/ptclinic/professionals/guidelines/
Stegeman D, Hermens H. Standards for suface electromyography: The European project Surface EMG for non-invasive assessment of muscles (SENIAM). 2007;1
Edwards PK, Kwong PWH, Ackland T, Wang A, Donnelly CJ, Ebert JR. Electromyographic Evaluation of Early-Stage Shoulder Rehabilitation Exercises Following Rotator Cuff Repair. Int J Sports Phys Ther. 2021 Dec 1;16(6):1459-1469. doi: 10.26603/001c.29513. PMID: 34909253; PMCID: PMC8637301.
Long, J. L., Ruberte Thiele, R. A., Skendzel, J. G., Jeon, J., Hughes, R. E., Miller, B. S., & Carpenter, J. E. (2010). Activation of the Shoulder Musculature During Pendulum Exercises and Light Activities. Journal of Orthopaedic & Sports Physical Therapy, 40(4), 230–237. doi:10.2519/jospt.2010.3095
Sgroi TA, Cilenti M. Rotator cuff repair: post-operative rehabilitation concepts. Curr Rev Musculoskelet Med. 2018 Mar;11(1):86-91. doi: 10.1007/s12178-018-9462-7. PMID: 29399735; PMCID: PMC5825343.
Long JL, Ruberte Thiele RA, Skendzel JG, Jeon J, Hughes RE, Miller BS, Carpenter JE. Activation of the shoulder musculature during pendulum exercises and light activities. J Orthop Sports Phys Ther. 2010 Apr;40(4):230-7. doi: 10.2519/jospt.2010.3095. PMID: 20200451.
Yoon SH, Lee DH, Jung MC, Park YU, Lim SY. Electromyographic Activities of the Rotator Cuff Muscles During Walking, Eating, and Washing. Am J Phys Med Rehabil. 2016 Nov;95(11):e169-e176. doi: 10.1097/PHM.0000000000000587. PMID: 27763907.