Rotator cuff repair rehabilitation pdf files

Begin manual glenohumeral and scapular mobilization. A small size rotator cuff tear is defined as a tear repair the rotator cuff show an increase of 238% from 1995 to 2009 in the united states9 and of 204% from 1998 to 2011 in a finnish population. Rotator cuff repair rehabilitation program largemassive 5cm. The tendons of your rotator cuff can tear for a variety of reasons. Hagan rotator cuff repair rehabilitation protocol overview. The first classification is a partial thickness or a full thickness tear. It is designed for rehabilitation following large to massive rotator cuff repairs. After surgery you will be taken to the recovery room where you will remain until comfortable. This rehabilitation program is designed to return the individual to their activities as quickly. Repair of large rotator cuff tears with retraction assumptions. For revision surgery or larger repairs, this protocol will often be delayed. A rotator cuff repair involves stitching the torn tendon back onto its attachment to the arm bone humerus.

An evaluationbased approach abstract rotator cuff disease of the shoulder, a common condition, is often incapacitating. The primary goal of this protocol is to protect the repair while steadily progressing towards and ultimately achieving preinjury level of activity. Hagan rotator cuff repair rehabilitation protocol overview key. Rotator cuff repair large to massive 5cm rehabilitation. The protocol is both chronologically and criterion based for advancement through four postoperative phases. Progress passive rom as tolerated no active glenohumeral motion x 6 weeks 1. Rehabilitation guidelines for type i and type ii rotator cuff repair. Outpatient postoperative physiotherapy guidelines rotator cuff repair.

Then suture anchors are placed on both sides of the tear b and c. This may be performed either through keyhole surgery arthroscopy or open surgery, using sutures and bone anchors. This is because the articular surface of the round humeral head is approximately four times greater than that of the. The team at the stone clinic has been repairing rotator cuffs for over twenty years and has progressively improved the techniques. Postoperative rehabilitation protocol rotator cuff repair. It is designed for rehabilitation following small to medium rotator cuff repairs. An injury, such as falling or being hit in the shoulder. Rehabilitation after rotator cuff repair the open orthopaedics journal, 2017, volume 11 157 about the surgery, such as the size of the tear, the exact tendons involved, the quality of tissue and. Rom and function all improved after arthroscopic rotator cuff repair at 12 months post op, regardless of early or delayed postoperative rehabilitation protocols. Symptoms of rotator cuff injuries people of all ages injure their rotator cuffs.

Rehab rotator cuff repair department of surgery, queens. Rotator cuff repair rehabilitation program smallmedium 5cm rehabilitation guideline. With abd pillow x 6 weeks for all adls, including sleeping. Continue with end range stretching and manual therapy as. Rotator cuff repair rehabilitation protocol general ultrasling external rotation er for six weeks at all times, abduction pillow may be removed after four weeks. A gentle rehabilitation protocol with limits in range of motion and exercise times after arthroscopic rotator cuff repair would be better for tendon healing without taking any substantial risks. Rehabilitation guidelines for type i and type ii rotator. Rotator cuff repair is the surgery used to repair a tear in one of these tendons. Initiate manual resistance er in supine in scapular plane light resistance. Rotator cuff repair revised september 20 special precautions limitations. Rotator cuff repair the following is a protocol for postoperative patients following rotator cuff repair. Rotator cuff repair small to medium rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Patients who underwent arthroscopic repair of a fullthickness supraspinatus tear and were then prescribed a postoperative rehabilitation protocol of early or delayed initiation. The deltoid muscle is separated to expose the torn.

The advantages of repairing a rotator cuff tear arthroscopically keyhole surgery are. Stone invented one of the first suture anchors designed for rotator cuff repair, the questis suture anchor, and has been involved in technique design, modifications, and improvements ever since. Rehabilitation guidelines for type i and type ii rotator cuff repair and isolated subscapularis repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to that of a golf ball on a tee. Whether nonsurgical or surgical, successful management of rotator cuff disease is dependent on appropriate. This evidencebased large to massive rotator cuff repair physical therapy guideline is.

Shawn hennigan, md rotator cuff repair rehabilitation protocol. Rotator cuff repair rehabilitation protocol the following document is an evidencebased protocol for arthroscopic rotator cuff repair rehabilitation. Overuse over time from repeated actions, such as lifting, painting, cleaning windows, or throwing. The glsm rotator cuff repair rehabilitation program is an evidencebased and soft tissue healing. It is not a big operation to repair a torn rotator cuff, but the rehabilitation time can be long depending on the size of the tear and the quality of the tendonsmuscles. Rotator cuff repair large to massive 5cm rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Shoulder rotator cuff repair oxford university hospitals. Most rotator cuff tears can be repaired surgically by reattaching the torn tendons to the humerus. Help and feedback was given from people who have had rotator cuff repair surgery.