These care protocols provide a synopsis of guidelines for individuals recovering from sportsrelated surgery with ohio state sports medicine. Mr pimpalnerkar copeland shoulder resurfacing arthroplasty novemeber 2007 rebecca backhousemichelle suri copeland shoulder resurfacing arthroplasty. Rehabilitation following total shoulder arthroplasty. We explain the procedure, how long it lasts, and what to expect from recovery. Rehabilitation guidelines for shoulder arthroplasty and. Total replacement involves replacing the head of the humerus bone as well as the socket that makes up the shoulder. Specific interventions should be based on the needs of the individual and. Rehabilitation protocol for reverse shoulder arthroplasty. Rehabilitation protocol ashvin pimpalnerkar, msorth, msctrauma, dnborth, frcsorth, mchorth, consultant shoulder. Reverse shoulder replacement is commonly performed and is generally a safe procedure. Total shoulder arthroplastyhemiarthroplasty protocol. What is the recovery time for shoulder replacement surgery. By knowing what to expect following surgery, a successful recovery is more likely.
Minimize heavy, excessive cyclic loads for the first 6 months. Reverse shoulder replacement rehabilitation the london. This can ensure you regain maximal functional use of your shoulder and arm. Click through the list of surgical procedures on the left to view our suggested rehab protocol for each one. Rehabilitation protocol for reverse shoulder arthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a reverse shoulder arthroplasty. T physical therapy, protocols, shoulder rehabilitation he first total shoulder arthroplasty tsa was performed by jules emile pean in 1893 for the purpose of treating tuberculous arthritis of the shoulder. Rehabilitation after total shoulder arthroplasty activities and advice for in the hospital and while at home. Rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a total shoulder arthroplasty tsa and hemiarthroplasty. Reverse shoulder replacement delta3 rotator cuff repair.
Background reverse shoulder arthroplasty rsa shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain. In a reverse shoulder replacement the structure of your shoulder joint is reversed and the position of the ball and socket are swapped over see figure below. Rehabilitation protocols ohio state sports medicine. Manipulation under anaesthetic for frozen shoulder pdf, 7. Total shoulder replacement physical therapy protocols dr. Reverse shoulder arthroplasty rsa shows a growing number of implantations and is a valuable option to improve shoulder function and decrease pain. Total shoulder replacement is commonly performed and is generally a safe procedure. Shoulder replacement salisbury nhs foundation trust. Paff the intent of this protocol is to provide the clinician with guidelines of the postoperative rehabilitation of someone undergoing total shoulder arthroplasty. Shoulder replacement surgery, or shoulder arthroplasty, is a surgical.
Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. All exercises must be demonstrated to a patient by a fully. Sling only to be worn while sleeping, no lifting of objects heavier than a coffee cup, no sudden movements, pillow to be placed under elbow when in supine. There are currently two types of shoulder replacement. Total shoulder replacement queen elizabeth hospital. Total shoulder replacement rehabilitation guidelines. Pendulum exercises bend forward at the waist, back parallel to ground is ideal. Rehabilitation following reverse shoulder arthroplasty.
In shoulder arthroplasty the humeral head ball is replaced with metal and the glenoid tee is replaced with a plastic liner. Instruct patient in use of immobilizer sling as well as longterm limitations of replacement. Total shoulder replacement johns hopkins shoulder and. Shoulder replacement tsr, hemi arthroplasty, humeral head resurfacing. Superior capsule reconstruction shoulder rehabilitation protocols. Postshoulder replacement surgery exercises ucsf health. Department of rehabilitation services reverse total. Individuals who are experiencing pain due to degenerative arthritis or who have injured their shoulder should consider a total shoulder replacement. Shoulder rehabilitation protocol university of kentucky. Passive flexion in the scapula plane as comfortable. Shoulder replacement surgery may be a good option for some people. Rehabilitation guidelines royal national orthopaedic.
Dont miss this simple breakdown of recovery time for total shoulder replacement. Exeter shoulder and exeter elbow was founded to provide a high quality efficient service, for patients experiencing shoulder and elbow problems. The material on this website is designed to support, not replace, the relationship that exists between ourselves and our patients. The shoulder is a ball and socket joint that enables you to raise, twist, bend and move your arms forward, to the sides and behind you. A full recovery from a total shoulder replacement surgery takes patience, time and hard work. A patient guide to shoulder replacement calderdale and.
For patients who are recovering from shoulder surgery, please refer to the following protocols. Stay informed before and after your total shoulder replacement procedure with dr. Our shoulder specialists have performed numerous shoulder replacements at. Pdf rehabilitation following reverse shoulder arthroplasty.
The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a total shoulder arthroplasty tsa or hemiarthroplasty humeral head replacement. Begin flexion, ir, er, and elevation in scapular plane, submaximal painfree shoulder. Rehabilitation protocol for total shoulder arthroplasty and hemiarthroplasty this protocol is intended to guide clinicians and patients through the postoperative course after a total shoulder arthroplasty. You will start exercises to move the shoulder on the first day after the operation. Bankart repair with or without a capsular shift total shoulder replacement rehabilitation. Subacromial decompression shoulder surgery pdf technology enhanced patient information tepi. These protocols are a guide to the postoperative rehabilitation. After the surgery itself, shoulder replacement protocol continues for 12 weeks, and sometimes longer, depending on if any complications occur. Total shoulder replacement is a complex procedure that involves replacing the shoulder joint with artificial parts. If dissolvable stitches are used, they will not need to be removed.
Continue with any useful exercises you have previously been given. Your doctor will probably try to treat you with drugs or physical therapy first. No resisted internal rotation or forced passive external rotation reattached subscapularis muscle is vulnerable begin passive abduction maintain shoulder in ir passive external rotation to. North bristol nhs trust shoulder service post operative. Rehabilitation protocol for total shoulder arthroplasty. Active assisted exercises consider use of table slides or walk backs. Use of a sling for 3 weeks postop unless otherwise indicated. Shoulder replacement surgery is less common than hip or knee.
Rehabilitation guidelines for patients undergoing precice nail 2017. These are simply proven programmes we have used, based on our experience, training and surgical techniques. The intent of this protocol is to provide the physical therapist with a guidelinetreatment protocol for the postoperative rehabilitation management for a patient who has undergone a reverse total shoulder arthroplasty. In the reverse ball and socket arthroplasty the joint is actually flipped upside down such that the ball is now attached to the shoulder blade. An abduction splint which holds the arm away from the body will be applied before you. Dont miss this simple breakdown of recovery time for. These weeks are often broken down into phases so that patients can better understand what to expect during each stage of healing. Post shoulder replacement surgery exercises after your shoulder replacement operation, it is important to perform certain exercises to help strengthen your shoulder and arm and. Wound care as outlined on the shoulder arthroscopy rehabilitation page. In a reverse shoulder replacement the structure of your shoulder. Begin shoulder submaximal painfree shoulder isometrics in neutral scapular strengthening exercises as appropriate begin assisted horizontal adduction. A total shoulder replacement is an operation done under general. Your physical therapist will work with you to decrease pain, improve your shoulder range of motion, and improve upper extremity strength.
Rehabilitation guidelines for patients undergoing lateral ligament reconstruction of the ankle. Aci combined tfj and pfj rehabilitation guidelines. If you have removable stitches they will be removed after 1014 days at an outpatient clinic appointment or by your gp. If you have had a total shoulder replacement, you may benefit from physical therapy pt to help you fully recover. Exercises for recovery from total shoulder replacement. This section includes information on rehabilitation protocols for patients, physiotherapists or anyone looking for rehabilitation advice and guidelines. Allow involved arm to hang down, perpendicular to the floor. Shoulder replacement surgery is a major procedure requiring extensive recovery time2. Reverse total shoulder replacement postoperative rehabilitation this protocol was developed for patients who have undergone a reverse total shoulder replacement. Although every patients post surgery experience is unique, this article outlines the general recovery time for total shoulder replacement surgery. Rehabilitation guidelines for patients undergoing periacetabular osteotomy. The head of the upper arm bone humerus is the ball and a circular depression glenoid in the shoulder.
809 509 1441 1640 265 653 1600 1342 547 941 217 489 1340 859 98 410 1213 456 1142 295 546 44 36 1172 765 187 22 1393 581 1005 89 1033 1174 1087 952 776 911 1051 1143 140 1019 1442