UPPER SUBSCAPULARIS REPAIR WITH BICEPS TENODESIS REHABILITATION PROTOCOL *Utilize exercise arcs that protect the anterior capsule from stress during resistive exercises, and keep all strengthening exercises below the horizontal plane in phase II **Limited return to sports activities Powered by TCPDF (www.tcpdf.org)
- Avoid resisted range of motion internal rotation for 6 weeks.
- Avoid active range of motion for 4 weeks.
- No external rotation greater than 45 degrees for 4 weeks.
- No abduction greater than 90 degrees for 4 weeks.
- Continue use of sling until physician states otherwise.
What is the Conservative subscapularis repair protocol?
SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL. COPYRIGHT*2014*CRC*©"BRIAN*J.*COLE,*MD,*MBA. RANGE OF MOTION IMMOBILIZER EXERCISES PHASE I. 0-6 weeks. 0-3 weeks: None. 3-6 weeks: Begin PROM Limit 90° flexion, 45° ER, 20° extension. 0-2 weeks: Immobilized at all times day and night Off for hygiene and …
What is the recovery time for a dislocated shoulder?
compliance, injury severity, and size of the repair. Restrictions or precautions may also be given to protect healing. ! Sleep with sling for 4-6 weeks as cleared by MD. DOS: PHASE I (Surgery to 2 weeks): Begin PT 3-5 days post-op APPOINTMENTS Physician Appointment: Begin Physical therapy 3-5 days post-op. REHAB GOALS 1.
How do you do scapular retraction with isotonic tubing?
Subscapularis Repair Rehabilitation 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 an arthroscopic Subscapularis Repair procedure. It is not intended to be a substitute for one’s clinical decision making regarding the progression of a
How long does it take to recover from subscapularis surgery?
Following subscapularis tendon surgery, the arm is kept in a special sling to protect the repair. Tendons typically take 6-12 weeks to heal, at which time active motion exercises of the shoulder can begin. Strengthening exercises can begin after 3 months with a full 6-12 months for full recovery.
How do you rehab subscapularis?
Step 1: Place one hand on a counter or tabletop for support, lean forward and let your other hand hang freely. Step 2: Gently swing your arm forward and back, and side to side. Repeat with your other arm. Repeat these steps ten times, twice a day.Nov 19, 2020
What are subscapularis precautions?
• Wear sling continuously unless in therapy or doing HEP. • No ER. • Ice PRN. Phase II (5 days – 4 weeks post-op) • Wear sling continuously unless in therapy or doing HEP.
How serious is a subscapularis tear?
Outlook. A subscapularis tear can often be managed and fully heal without surgery. If a tear is large or causes significant pain, you might need surgery. However, with rest and physical therapy, you should regain full use of your shoulder after surgery.
How do you strengthen subscapularis?
0:083:27Subscapularis Strengthening Exercises - YouTubeYouTubeStart of suggested clipEnd of suggested clipSo as we said previously the subscapularis muscle is a prime internal rotated. So strengtheningMoreSo as we said previously the subscapularis muscle is a prime internal rotated. So strengthening internal rotation will help with strengthening the muscle.
How should I sleep with subscapularis pain?
Give these positions a try:Sit in a reclined position. You may find sleeping in a reclined position more comfortable than lying flat on your back. ... Lie flat on your back with your injured arm propped up with a pillow. Using a pillow may help reduce stress and pressure on your injured side.Lie on your uninjured side.
What is a subscapularis tear?
The Subscapularis muscle turns the arm inward and allows one to lift and rotate the arm. Subscapularis tears commonly occur from overuse, trauma, and age. Most trauma injuries occur from sporting events, falls, and motor vehicle accidents.
What is the action of the subscapularis muscle?
Action. Primary function is internal rotation of the humerus. It helps in shoulder adduction and extension in certain positions.
What is Tenodesis of long tendon of biceps?
The biceps tenodesis procedure treats shoulder and biceps muscle pain and weakness that happens when you tear your long head biceps tendon. This tendon is located at the top of your bicep muscle. It's connected to your labrum, which is cartilage that lines your shoulder socket.Sep 24, 2021
Can a subscapularis tear be repaired?
Arthroscopic subscapularis repair can be performed with the patient in lateral or beach-chair position. Arthroscopy allows a complete visualization of intraarticular aspects of the joint.Aug 11, 2013
What are symptoms of subscapularis tear?
The most common symptoms associated with a subscapularis tendon tear include pain, weakness and difficulty moving the arm behind the back. Patients may also experience joint tenderness, bruising and loss of function.
Does subscapularis tear need surgery?
In an active person, surgical repair is recommended. The surgery can be performed by arthroscopy or open surgery depending on the surgeon's expertise, tear pattern and patient. If the biceps is affected a biceps tenodesis is generally required also. Some tears may be too old (chronic) and large for a direct repair.Jan 19, 2022
What are some exercises to help with a sling?
Therapeutic Exercises: Elbow and forearm active range of motion, progress to resistive range of motion to tolerance. Active assisted forward flexion to tolerance, scaption and abduction less than 90 degrees. Pendulum exercises.
How long to avoid resisted range of motion?
Precautions: Avoid resisted range of motion internal rotation for 6 weeks. Avoid active range of motion for 4 weeks. No external rotation greater than 45 degrees for 4 weeks. No abduction greater than 90 degrees for 4 weeks. Continue use of sling until physician states otherwise. Therapeutic Exercises:
