stream <> 0000010552 00000 n endobj 3 0 obj Total shoulder replacement post-op physical therapy protocol. 0000001558 00000 n It is not intended to be a substitute for
This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. %��������� �L �2%�����~e����^+1�"i��~P��*_ ��V{�;Q�O�s��O����4��&������5N���;.u� ?s�����uo/������*�vh��x�ھU�vU³z[�n�U�����mX�,�E4x�nl.hka/�.Vvd;�7v����=P�2E:�w��j����o��0t�l{K���V�ً���ܵ�5�/�\>A�'���©�I�b��vm�b��6��T^#�erk+A`{x�x��ٯx�>��bsϪ����Ym/|Z��P>ٞ��. �V4�϶g��]���#�ۭL� U�jd�"����o}!o���b�5�By%�D���)[�=�G�bH/Ĥ
0000001989 00000 n 0000000750 00000 n ?�^D�G�%�~t-�_i��x��i���������W`�\�.�|�`��=�bG%�B�ޑ���"� Key Words:T physical therapy, protocols, shoulder rehabilitation he first total shoulder arthroplasty … 0000000016 00000 n <> xref This guideline offers a supplement to formal physical therapy. PHYSICAL THERAPY PROTOCOL AFTER REVERSE TOTAL SHOULDER ARTHROPLASTY: The intent of this protocol is to provide our patients with a guideline for their postoperative rehabilitation program following a reverse shoulder arthroplasty. @��e����5�_��7�D�\�����-(й 0000001112 00000 n �þ�c\�Z�NZ��E��m�H���њ����Ċ�op8P(���D������9o������8T��d�&ِ���� J Orthop Sports Phys Ther 2005;35:821-836. 0000001912 00000 n ���mݯh3>MG��}�o�q5Z�C[CXx��}>Z���t,c�}T��H�đ9ߚ{R� e
Shoulder Arthroplasty Therapy Protocol for Hemiarthroplasty, Total Shoulder Arthroplasty, and Reverse Shoulder Arthroplasty Patient to begin Phase 1 exercises at home daily, 5 times a day on the morning after surgery. 1 0 obj stream ������m[�F;5�!f���h����X��fk_Q�na�Ӣ�ё9�U�WNS���gϳ�{�JL��4/�a��h�4�^ftb��p����tM�h���-)���Q�;������b;?CŘ�dqE� ��5��ܱ�PyQ�=ÑZ�M�,s{��W:e6�r;��*�#���3(F��'��ānb����tU���a��@����9k�I\Y�2yS��LK��� 0000003085 00000 n endobj 4 0 obj 500 0 obj <> endobj 0000001876 00000 n <. endobj Reverse total shoulder arthroplasty is indicated for the treatment of conditions that cannot be treated with conventional arthroplasty or other procedures. Total Shoulder Arthroplasty / Hemiarthroplasty Protocol: The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty (TSA) or hemiarthroplasty (humeral head replacement, HHR).
General Considerations: Use of a sling for 3 weeks post-op unless otherwise indicated.
Minimize heavy, excessive cyclic loads for the first 6 months. Do not add or skip any part of this program. These primarily include degenerative and incapacitating conditions with irreparable rotator cuff and loss of the normal biomechanical coupling of the shoulder. 0000008883 00000 n n����0����v�UN}Mʙ#-m������?����*WDz���v��b'�;I����H�13��L�u\�/X�vG2���z�v�F_��K�@�TX||� <>>> x�\�r�F}�W�#Ue�č�Ov�d�U���[��Ƀd�b.&Z��������=3=�g@\%IJ gz��==����d����k�^��xk�e����2���Y�?��2�K�m_�9���,�����&)3������f���lޙ��0�_ͫ�#�E�UM��)ʴZ-�9�%/7��\.K�yk*��?/vx묘�\�i�,:q�N"��B�N����n���G�gE�U���yV�uV�O��f���\�4f�ƽTf���P��+�D��iq� ]��Aߪ�� ]? Precautions: Sling worn continuously for 3-4 weeks, no shoulder AROM, no lifting of objects ; Exercises: Early Phase 1: Passive forward flexion, ER, and IR in scapular plane, pendulum exercises, and AROM of distal extremity; Late Phase 1: Continue above exercises, scapular isometrics, AAROM of shoulder flexion, ER, and IR in scapular plane 4 0 obj <> GALLAND/KIRBY TOTAL SHOULDER ARTHROPLASTY POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 - 14 • Sling for comfort, D/C after 4-5 days – Sleep with pillow under shoulder / arm for comfort • Hand squeezing exercises • Elbow and wrist active motion (AROM) • Pendulum exercises 4 0 obj PROTOCOL PAGE 1 OF 7 TOTAL SHOULDER ARTHROPLASTY/ HEMIARTHROPLASTY PROTOCOL Indiana 724.465.2676 Punxsutawney 814.938.0740 Clarion 814.226.6573 DEVELOPED: 1/2006 REVISED: Special note: This protocol is only a guideline and not intended to substitute for appropriate clinical decision making by the clinician. 0000004247 00000 n x��io�6�� ���^$�(Q�n �9�n:�E����Vm}�������$Mڦ�-�f,������y�no��Z����|���w�L�2�Z��wr��o&��m����jyv&���~�DyU�"��d�T�EŹ�o�J�������f]g��J���՛+��RF�W7�_II�Giʀ���X���_�2����_�zw�8�(��e����>_�I��7��z�q�n�T)0*�4ʔ��\�Ƨ�h]��R��q:�o��|���٨���4�wc���w� 6㱸aۈo����÷�8�r�=%帊�q)�c�# ʑ�u-{�L3@��ڥ�#�5Z4H���5�ƒ�����3mh�vA�s�i ���_��|�O[ �c�k��. 0000011739 00000 n 1 0 obj �J%��y��&���T���A��U�n��n����+�v��v��%\'&v*�&R�lD�%VdbG�4���y���n]o���AԿH{�hU~��}|�Y�E��Q��Pg�c��K#U�^3�b�82��W"RH0-"��Y�h��M(V��H_y4�VI�3��� %PDF-1.3 )� �����_$p�x�������i��~f8�Ų�0y�v�����!T�{��`16@E��zp/浀$�}�����/���/��qfu�65f_�*�"g���9��_Q�M�S*�����4�Qu����-�=���@�j6�������S��������[8�n"��İ;�"V�@���$�$�O�աF�ja��dhk��p{�8�+�$�;'�^6�ܒ{>�;N�P(Eؑ���BD}�9�~�0;&]ԆT֤̘����!�`ʆ;�*��#�dg���,�\��0�7���isp�}�7J�ߪz�TI{5(GiCFZ��_�EK�A���nA�;,A �E�Z�@*�ͱ�\ �zP���9�������A�v�`�>��B�#���:��.�����Z���>�xP�q���*Vc�+�o����|>ƨ~�}*ŗ������{��6X�B��H�%9تO�!�"���8�������b8Oy�I�̛Y^0������7^�+�P\QF߇�Qt��&Sd��h�!�M�}����v�n��������=:m��<5�I-HG�ķ��d�A��:���9��1v�UmU���\F(�u(�;sKw�����ʳ�&�y�#��>��1�����2���R:8k�Jin�NL�n���l���Īh���h3�(�.��I�X��7�6y��h����k��W|��P>�c���3G~Cځ�����Z��\$�r�t�*�� K���Y[�쟜ͽ�u[�lk�(���"�x���9�H��✝c#+������X��j�p�.J�Ubw[���)4uVG��.߭w��)V\^ }��1Y���G/�T4{h)��0��h�q�Ɨ]S��^JL�Gڑn��c0��V�E'�[�[s�~�:�~�I�7J����V���Ɋ���L7��B�7i��9i� �J56$sl_N������A�V����\
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