Microsoft Word - Rotator cuff and SLAP patient info.doc Damage may also happen slowly over time. SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL ! PROM shoulder flexion/abduction/ER/IR. Rotator Cuff Repair Rehab Protocol-Brigham and Women's Hospital. 800-294-9999. We use cookies and other tools to enhance your experience on our website and The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. A sterile bandage or dressing will be applied. Abstract. Athletes and construction workers often have rotator cuff injuries due to repetitive movement and overuse of the shoulder. The decelerated rehabilitation avoids excessive tension on the SS & IS by avoiding excessive scaption, ER, & FF until 4 weeks. Aspirin or certain other pain medicines may increase the chance of bleeding. We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. If you're pregnant or think that you could be pregnant, tell your provider. }@o~+msq8JJ|vd24a2e> It consists of a system of lenses, a small video camera, and a light for viewing. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. 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endobj 2344 0 obj <> endobj 2341 0 obj <> endobj 1026 0 obj <>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC]/ExtGState<>>>/Type/Page>> endobj 1109 0 obj <> endobj 1041 0 obj <>stream The arthroscope is often used along with other tools that are inserted through another small incision. Boston, For more information about these cookies and the data Dr. O'Holleran is Fellow, Harvard Shoulder . Shoulder injuries are common. Rotator Cuff Repair - Brigham and Women's Hospital Phase I: 1 through 4 to 6 weeks post-op: First 3 weeks: Patient education: movement limitations, posture, proper sling fitting, joint protection, and positioning. Other activity restrictions may apply. You may resume your normal diet unless your provider advises you differently. These treatments may include: rest, activity modification, non-steroidal anti-inflammatory medication and physical therapy. In older patients, there may not be an injury or event to cause the tear. For surgery at the surgery center at Brigham and Women's Hospital/MGH Foxborough Report directly to the 4th Floor SHOULDER - ROTATOR CUFF REPAIR WITH SLAP REPAIR POSTOPERATIVE INSTRUCTIONS Phase One: the first week after surgery GOALS: Control pain and swelling Protect the rotator cuff repair Protect wound healing uuid:463caef0-aa5d-4b8f-bc94-142f9b3774d9 PDF www.mghsportsmedicine.org Arthroscopic Labrum Repair of the Shoulder (SLAP) A partial tear can occur where the tear damages the soft tissue but does not completely sever it or a full-thickness tear can occur where the soft tissue is split into two pieces and the tendons may tear off where they attach to the head of the humerus. We use a comprehensive approach to caring for the whole athlete, treating your sports injury and helping you return to the activities you love. The rotator cuff keeps the shoulder in the socket. Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: These muscles originate on the shoulder blade and attach to the humeral head. The stitches or surgical staples will be removed during a follow-up office visit. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. Because the sedative may make you drowsy, you'll need to arrange for someone to drive you home. Ice shoulder 3 - 5 times (15 minutes each time) per day to control swelling and inflammation. PDF Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. Arthroscopic Rotator Cuff Repair Protocol: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic assisted/mini-open rotator cuff repair. We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. 4 0 obj This usually involves reattaching the tendon to the head of the humerus. After surgery you'll be taken to the recovery room for observation. BRIGHAM AND WOMEN'S HOSPITAL. A surgical repair is indicated when pain Nerves or blood vessels in the area of surgery may be injured. The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. In the case of a delayed therapy start, the following timeframes are to be adjusted so that day 1 is the first day of therapy. Flexor Tendon Repair Protocol Zone 2-5 - Brigham and At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. skip to Cookie . % In some cases, a tendon graft or joint replacement may be needed. It's one of the most important parts of the shoulder. This rehabilitation protocol has been developed for the patient following a large to massive rotator cuff surgical procedure. An open repair may be done if the rotator cuff injury cant be repaired using arthroscopy. Stay Informed. You can ask questions. smoking, hypercholesterolemia and diabetes. This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. Rotator Cuff Tears - New England Baptist Hospital When one or more of the tendons in the rotator cuff is torn, it no longer fully attaches to the head of the humerus. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH and BWFH. Follow any directions you're given about not eating or drinking before your procedure. The circulation and sensation of your arm will be monitored. In addition to a complete medical history, your provider may do a complete physical exam to make sure that you're in good health before undergoing the procedure. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. Women's Sports Medicine Rotator Cuff Repair - Brigham and Women's Hospital An IV (intravenous) line may be started in your arm or hand. The goal of rotator cuff repair surgery is to help restore the function and flexibility of the shoulder and to relieve the pain that cannot be controlled by other treatments. Physical Therapy Standards of Care - Brigham and Women's Hospital This evidence-based small to medium rotator cuff repair physical therapy guideline is criterion-based; time frames and visits in each phase will vary depending on many factors, including patient demographics, goals, and individual progress. Women's Sports Medicine Rotator Cuff Repair The shoulder is a ball-and-socket joint: the head of the humerus (upper arm bone) fits into a socket in the shoulder blade. Physical Therapy Standards of Care and Protocol - Brigham and Women's Stay Informed. Shoulder Precautions Copyright 2007-2023. You may not recover full range of motion in the shoulder joint. 1 Chung SW et al. Operative report should be read to determine the extent of rotator cuff involvement, integrity of the articular surface, involvement of the biceps tendon and glenoid labrum. 2012-04-12T06:10:33-04:00 Always follow your healthcare professional's instructions. The type of anesthesia will depend on the specific procedure being done. @O]2QCl*x[c@V(.G?L(#? For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> Rotator Cuff Repair with Biceps Tenotomy/Tenodesis Post-Operative Protocol Phase I - Maximum Protection (Weeks 0 to 6): Goals: o Reduce inflammation o Decrease pain o Postural education o PROM as instructed Restrictions/Exercise Progression: o Sling for 6 weeks per Dr. Bjerke's instructions Tell your provider about all prescription and over-the-counter medicines and herbal supplements that you're taking. Back to Rehabilitation Services Physical Therapy Protocols The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission.
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