WHAT HURTS?

hip knee shoulder

SHOULDER ARTHROPLASTY REHABILITATION

Pre-Operative Evaluation

• Document ROM

• Discuss Post-op Protocol

• Set up appointment to be seen on POD#4

• Daily physical therapist first 2 weeks post-op, then 2-3 times/week for 4 weeks

• Go over home exercises to be done by patient

 Post-Operative

Cryotherm unit and sling to shoulder, change ice every 2 hours. Encourage wrist, elbow & finger ROM.  Passive range of motion started almost immediately.

EXPECT 5 EXERCISE SESSION FOR 10 MINUTES THROUGHOUT DAY DONE BY PATIENT.

WEEK 1-2
PROM-AAROM PHASE

Physical Therapist:

• Supine Elevation to 140°

• Forward lean

• Supine External Rotation to 40°

• Functional Internal Rotation & Adduction.

• Swelling control

WEEK 3-4
STRENGTHENING PHASE

Physical Therapist

• Isometric-isotonics to deltoid & external rotators

• Strain-counterstrain

• Scapular stabilization

WEEK 5-6
ADL PHASE

Physical Therpist

• Functional adduction to wash & comb hair

• External Rotation - door opening

• Large ball & net, chest pass, underarm pass

• Swinging golf club