Sep 11
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Detox and Trauma Blog – Shoulder Surgery Rehabilitation To Recover The Rotator Cuff Strength And Flexibility
Burien Nursing & Rehabilitation
Burien Nursing & Rehabilitation
Article in Counseling Blog about rehabilitation, entitled Shoulder Surgery Rehabilitation To Recover The Rotator Cuff Strength And Flexibility. Read more below:
A torn rotator cuff, a dislocation, a disorder like a Frozen Shoulder or even a replacement are the typical injuries or conditions that require an operation followed by a shoulder surgery rehabilitation program. The program should be implemented as soon as possible after surgery to prevent a relapse of the disorder or future injuries, with the purpose of strengthening the rotator cuff muscles and tendons.
Following arthroscopy, the rehabilitation protocol starts with a passive phase performed by the physical therapist moving the patient arm. This is to allow the stressed or injured muscles and tendons to recover flexibility sufficiently enough without compromising them, due to their temporary weakness. At no time the patient should actively perform movements. Only when the physical therapist sees it fit, then the patient can start an active phase consisting of rotational internal and external movements for the rotator cuff to be performed without any resistance but the patient natural arm weight.
At this stage the rotator cuff is still weak but has recovered sufficiently enough to withstand arm movements without any further resistance. This gives the chance to the 4 muscle and tendons of the cuff to strengthen further and be ready for the third phase which is called strengthening phase. As the name implies, it is now time to start challenging the rotator cuff more substantially with the addition of resistance in the form of elastic bands or light weights.
When the therapist feels the time is right, it is then time for the fourth and final phase which is a consolidation of the preceding phase with ever increasing resistance applied and full recovery of the rotator cuff strength and flexibility. Over all it is a process that can last many months. Arthroscopic surgery for most disorders is generally avoidable, but there are instances such as a tough Adhesive Capsulitis not responding to treatment or an injury like a dislocation requiring it.
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