shoulder labral tear rehab protocol

0000019834 00000 n humerus (upper arm bone). 0000012358 00000 n Philadelphia, PA: Mosby Inc; 2003. 0000005628 00000 n Found inside – Page 115Any associated significant anterior capsular laxity and anterior labral tears are managed with small capsular shift and labral repair. 0000003185 00000 n Definitions: SLAP- superior labral tear from anterior to posterior Type II: pulls off bicipital attachment and therefore anchor of the long head of the biceps is destabilized Biceps tenodesis- involves detaching the LHB from it's superior labrum in the shoulder and reattaching it to the humerus bone just below the shoulder. The volume contains seven sections: history of cuff repair (1 chapter); basic science and the rotator cuff (3 chapters); evaluation and classification of cuff lesions (3 chapters); clinical disorders (10 chapters); conservative treatment of ... o Sling immobilization at all times (in ﬂexion, abduction and 0° of rotation) except for showering and ! Tears that are due to instability of the shoulder, either subluxation or dislocations, require that the labrum be … Found insideAccompanying CD-ROMs contain ... "a resource library ... [of] additional figures and animations to supplement the text ... [and] a working demonstration version of VHI PC Kits, which allows students to choose from thousands of exercises to ... This protocol has been adopted from Brotzman & Wilk, which has been published in Brotzman SB, Wilk KE, Clinical Orthopeadic Rehabilitation. Outside the box thinking about injury recovery, mental and physical fitness. stream The exercise protocol was devised by a group of senior physical therapists that regularly treat non-operative and post-operative SLAP lesions. 0000006785 00000 n 0000051801 00000 n Play Ball is their guide designed for parents, coaches, and athletes to make the best decisions possible. Written in layman’s terms, Play Ball is an easy, conversational read that will answer your most pressing concerns. Patients with labrum injuries should undergo 3 to 6 months of non-surgical treatment before considering surgery. x�bbbg`b``Ń3� ��ţ�� You can remove the sling when comfortable. Physical therapy may be necessary to help you decrease pain, improve mobility, and regain normal use of your arm after a labrum tear. Rehabilitation Guidelines For SLAP Lesion Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. endstream endobj 119 0 obj <>/Filter/FlateDecode/Index[5 76]/Length 22/Size 81/Type/XRef/W[1 1 1]>>stream Range of Motion Exercises. This is a self-help book written by John M. Kirsch, M.D., an Orthopedic Surgeon for the common man. Surgical stabilization of the glenohumeral joint is indicated 0000051325 00000 n xref 0000018841 00000 n Shoulder sling with abduction pillow at all times 2. The humeral head rests . The updated Second Edition includes clinical/regional protocols and chapters on diagnostic triage, acute care, functional assessment, recovery care, outcomes, and biopsychosocial aspects. 0000066358 00000 n 0000005284 00000 n - No holding/carrying anything heavier than a pen/pencil The main image on this chart shows the bones, muscles, ligaments, veins, and arteries of the shoulder. If you have had debridement (removal of the damaged tissue but no repair) no further rehabilitation is required. All physicians, coaches, trainers, strength and conditioning specialists, and therapists who care for overhead athletes at all levels of participation are sure to find this an indispensable resource. Book jacket. Title: Microsoft Word - SLAP Repair Protocol modified.docm Author: Ian Petty Created Date: 8/30/2011 6:02:12 PM 0000004482 00000 n This title helps to improve your care and management of the unstable shoulder. For this reason the shoulder is the most mobile joint in the body. If any of these occur, decrease activity level and ice. This protocol will be used for Bankart repairs, SLAP lesions, and any other anterior Labral tears. The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. It describes a The exercise protocol was divided into four phases This book presents the most current information on the treatment of athletes involved in gymnastics, a multifaceted sport with unique demands on its participants that can lead to a myriad of medical conditions and injury patterns. 0000048915 00000 n 0000061891 00000 n 377 37 The intent is to provide the therapist with a general framework. This book discusses exercise principles; muscle fatigue, muscle damage, and overtraining concepts; pathophysiology of overuse injuries; core evaluation in sports-specific testing; physiological basis of exercise specific to sport; and ... It deepens the cavity by approximately 50%. 0000012319 00000 n 0000004670 00000 n 413 0 obj <>stream Please note this protocol is a guideline. trailer 0000001096 00000 n 0000002211 00000 n Acromioiclavicular Joint Reconstruction; Anterior Capsulorraphy (Anterior ETAC) Arthroscopic Subacromial Decompression (Neer Acromioplasty) and Distal Clavicle Resection (Mumford) 0000007975 00000 n H��T]o�0}ϯ��6q>&�� u��P��"�c� �a��$-A�ڨ�,]�{��q�W'�N:�ӿ߫��7��y�ǽן��n� H��-��ӗ��r�v�$` ��|r\��N��V�K>? 0000042026 00000 n Found inside – Page iiThe book offers a comprehensive and up-to-date guide to the cutting edge arthroscopic transosseous techniques for the treatment of rotator cuff tears, which are gradually taking over from the common open surgical approach, defined as the ... - May type or write in the sling. Posterior Labral Repair Rehabilitation Protocol (Arthroscopic or Open) 0-2 weeks post-op (may begin these the day after surgery): § Keep arm in sling/immobilizer at all times § Remove arm from sling three times per day for the following therapeutic exercises: o Fully bend and straighten your fingers, your wrist, and your elbow several times Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. J Shoulder Elbow Surg. labrum If surgery is required any exercise that was performed during a conservative rehabilitation program will help to prepare the shoulder for the post-operative program. Comprehensive Therapeutic Programs for Musculoskeletal Disorders is focused on the effective use of comprehensive therapeutic programs for the treatment of common musculoskeletal disorders encountered by physicians. H��S]o�0}�W�G�� "EH��6�ҶxOY5Q�4�g��ۿ��MLS�,|��9��#��߬l�/��cV�x쯲�\^ ?��H��|ΔI��0�h|�T��!�J��#S�!�� ;8wR7�z�p�)�"�I��5��:+�?fE�ϲ��u��?er��e�dM! This edition features greatly expanded coverage of arthroscopic treatment and hundreds of new full-color arthroscopic images. Since the repair is performed with the shoulder in a neutral position external rotation must be limited for six weeks following the repair. This book provides a practical guide detailing the aetiology, diagnosis, relevant pathology, management principles, and outcomes of a variety of injuries to the shoulder including rotator cuff disorders, glenoid bone loss, and pectoralis ... 0000007350 00000 n - Protect the shoulder and the repair - Regain shoulder passive motion/Do not overstress healing tissue Sling: - Wear the sling full-time, removing only for shower and exercises - Discontinue sling at home after 4 weeks. Pocket EMG covers what you need to know to successfully perform nerve conduction and needle EMG studies in a fast-paced clinical environment. It also includes helpful protocols for specific clinical problems. x�b```b``a`e`�|� �� @1V��2L`��&Y��c��JY�\��8W�]�k�X�FP�� 2�B��3 (B1�.�]��0$1$˴�!�!�a!S47�#C �_&I�_L��g3�gX��p�a��0c��e�bvF�s@��Ad�r~F��@�� A 2" 0000042299 00000 n REHAB PROTOCOL – SHOULDER ANTERIOR LABRAL(BANKART) REPAIR ! A DVD accompanies the book, featuring over 60 minutes of video of patients demonstrating various therapeutic exercises spanning the different phases of postsurgical rehabilitation. Ever wonder how to take your climbing to the next level? Has injury prevented you from climbing? Whether you're a professional athlete or a novice climber, ?Climb Injury-Free? is the guide that will take your climbing to the next level. %�� PAN LABRAL REPAIR PROTOCOL This protocol provides general guidelines for initial stage and progression of rehabilitation according to specified time frames, related tissue tolerance and directional preference of movement. This book will serve as a key resource for all clinicians working in orthopedics, sports medicine, and rehabilitation for the sport of tennis. Starting position is with the shoulder in neutral position of 0° forward flexion, abduction, and external rotation Exercises are done through an arc of 45° in each of the five planes of motion 0000007989 00000 n 0000058830 00000 n Labral Tear Shoulder Treatment Options Non-Surgical Treatment. Initially treatment for a torn labrum may consist of anti-inflammatory medication and rest. ... Surgery. During labral tear arthroscopy, the doctor will examine the entire labrum. ... Recovery After Labral Tear Shoulder Surgery. After surgery, you will need to wear a sling for three to four weeks. ... 0000005931 00000 n Arthroscopic Anterior Labral Repair/Capsulorraphy Rehabilitation Protocol General • Sling for four weeks • Avoid the “throwing position” for three months • Cooling device or ice used on shoulder every two to three hours for 20 minutes for first seven days then as needed and after physical therapy sessions in a shallow socket on the scapula called the glenoid. 0000058568 00000 n The treatment depends upon which kind of tear there is in the labrum. A superior labrum anterior and posterior (SLAP) tear involves a tear in the 10 o’clock to 2 Precautions ! Wear sling outside the house 6 weeks. Patients with additional surgery will progress at different rates. 0000005829 00000 n 0000033305 00000 n 0000006137 00000 n *�`)��rp��;�,n�1z%B��C=#��+FZ�6Nh�L��)+�ь��!4J�4 ӟ��xX��Y�E^Le�:�B��ʰqa]��BJ�I�w⩆�O}ĸ��_�Q��o�p��ų(��h�{�7��F2��Eyp��| /��/iJ9��.��V��* ̃y#�L��:�Dg�gB��i˟��Cok��/��ń$D��9�]��~c/ƈ�웱�L It deepens the cavity by approximately 50%. endstream endobj 378 0 obj <>/Metadata 14 0 R/PieceInfo<>>>/Pages 13 0 R/PageLayout/OneColumn/OCProperties<>/OCGs[379 0 R]>>/StructTreeRoot 16 0 R/Type/Catalog/LastModified(D:20091028182337)/PageLabels 11 0 R>> endobj 379 0 obj <. Ice post-activity throughout protocol 2. 0000002647 00000 n Shoulder surgery can be painful. 0000033137 00000 n 0000003560 00000 n The physician staff may advance, delay, or alter this protocol … A pillow behind the operative shoulder and elbow can often provide relief. Rehabilitation Protocol for Bankart Repair This protocol is intended to guide clinicians and patients through the post-operative course of a Bankart repair. 0000002427 00000 n SB, Wilk KE, Clinical Orthopeadic Rehabilitation. SLAP Repair Protocol . Philadelphia, PA: Mosby Inc; 2003. 4/16 Corey Kendall, MD 7950 rtho Ln. 0000008654 00000 n The socket portion of the joint is not naturally deep. ious residences , all physical therapy could not be performed in one location but the treating clinician could contact the research team if questions arose. The capsular repair is stressed with movement into external rotation. The path to regaining range of motion, strength and function can require a sustained and coordinated effort from the patient, his or her family, the Ohio State Sports Medicine physical therapy team and sometimes, other healthcare providers. Este texto clásico, ya en su cuarta edición, se ha convertido en una de las referencias básicas para los terapeutas manuales. Labral repair surgery aims to repair unstable shoulders with staples, anchors or sutures. The procedure is usually performed through arthroscopy, which allows the doctor to view the tear through a small camera and perform the procedure through tiny incisions. Larger tears may require an open procedure. 0000001869 00000 n The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the humerus (upper arm bone). << /Length 5 0 R /Filter /FlateDecode >> PHASE I: (Immediate) Week 1 Orthotics - 1. No other book has more clinical shoulder assessment tests! Whether you're a Physical Therapist, Occupational Therapist, Athletic Trainer, or any other rehabilitation practitioner, this is a must-have reference. 2009 Jan-Feb;18(1):138-60. doi: 10.1016/j.jse.2008.06.004. Wound care as outlined on the Shoulder Arthroscopy Rehabilitation page. The new edition of the well-respected Brotzman has been updated to consistently include evidence-based rehabilitation protocols, as well as comprehensive coverage and videos at a great value! Swimming Science investigates, with each chapter focussing on a different area. Department of Rehabilitation Services Physical Therapy Anterior Stabilization of the Shoulder: Latarjet Protocol Shoulder instability may be caused from congenital deformity, recurrent overuse activity, and/or traumatic dislocation. Phase 1 – First 3 weeks. 0000061432 00000 n The intent of this protocol is to provide the clinician with a guideline of the post-operative reha-bilitation course of a patient that has undergone a labral repair or capsulorrhaphy of the posterior shoulder. 0000003963 00000 n This comprehensive, practical volume is enhanced with striking illustrations, detailing the surgical technique from positioning to closure. 0000008100 00000 n Brownsburg, IN 46112 P 317.26.3634 • F 317.26.3695 Posterior Labral Repair Physical Therapy Protocol Phase I: Protection (Weeks 0 to 6) Non-operative Shoulder Rehabilitation Protocol Ben Rubin, M.D. 0000007353 00000 n rehab under guidance of PT ! The full recovery from these procedures occurs after 6-9 months. Key words: hip arthroscopy, acetabular labral tears, intraarticular injuries, pediatric athletic hip disorders, neuromuscular hip pathology, dislocation, subluxation instability, femoroacetabular impingement syndrome 0000001324 00000 n There is a clicking sound on movement, athletes find that they have no overhand power. 1 Rev. 81 0 obj <> endobj xref 81 40 0000000016 00000 n 0000033207 00000 n When arm is out of the immobilizer, forearm must be touching abdomen. 0000066639 00000 n Come out of the sling for hygiene purposes and 4-5 times/day to do pendulum and passive salute position exercises. A torn labrum is a problem in the shoulder that may cause shoulder pain, frequent dislocations of your shoulder, or problems with properly using your arm. Shoulder Exercises for Combined Labrum Repair Rehabilitation Protocol . The shoulder labrum works with the shoulder ligaments to provide shoulder stability. Doctors will either remove the torn part of the labrum or simply sew the labrum back together. The patient will remain on crutches for 2 to 6 weeks. During this time, physical therapy will be used to regain strength and range of motion in the joint. Usually patients are pain free anywhere from 2 to 6 months. Achieving the criteria of each phase should be emphasized more than the approximate duration. 0000003371 00000 n 0000001554 00000 n Phase I (Weeks 1-3) Goal: Healing Sling: Wear your sling at all times for the first 6 weeks, including while sleeping. 0000001648 00000 n This book is exceptional in providing detailed state of the art guidance on all aspects of transfer of the latissimus dorsi tendon for indications including irreparable posterosuperior rotator cuff tears, irreparable subscapularis tears, ... Please call Dr. Coyner's office if you are having a problem with your shoulder or need clarification regarding the rehab protocol. 0000006303 00000 n This text presents a comprehensive and concise evidence-based and differential-based approach to physical examination of the shoulder in a manner that promotes its successful application in clinical practice. 0000001055 00000 n %PDF-1.4 %�� Approximately 40% of the long head of biceps tendon (LHBT) attaches to the labrum. Developed by the American Shoulder and Elbow Surgeons in conjunction with the American Academy of Orthopaedic Surgeons, this addition to the OKU specialty series covers current developments in various areas of the shoulder and elbow. %%EOF 0000005782 00000 n 0000003931 00000 n 0000042658 00000 n trailer <<0AA75F7BE7D84549A7774CD5CEEDC797>]/Prev 63293/XRefStm 1324>> startxref 0 %%EOF 120 0 obj <>stream 377 0 obj <> endobj Rehabilitation of Hip Labral Tears K. Reneé Thiebaud, PhD, PT The Orthopedic Store Physical Therapy Anatomy of the Hip & Pelvis Anatomy of the Labrum Acetabular labrum • Fibrous rim of cartilage around the hip socket • Function Provides stability to the joint Management of the flow of vital joint fluids Nourishment Lubrication A sling will be provided for comfort only. 0000004232 00000 n �rQ�bS��6#��r!�Wg�S5S��ih9�>istj��_��n �-}�b��lݾ��|b�?�L��hT�w��:'��QGsW��"��_ F�U endstream endobj 92 0 obj <>stream Throughout the book the authors focus on the value of the procedures to patients, showing ways that expense and risk can be minimized. 0000000016 00000 n Introduces a ground-breaking, four-phase weight-training program that incorporated continual progression, variation, and goals and emphasizes increasing strength along with muscle mass. Original. 20,000 first printing. The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of the scapula (socket). Pearls and Pitfalls in Musculoskeletal Imaging will help you spot artifacts, mimics and other unusual conditions, enabling you to avoid misdiagnosis and prevent mismanagement. An essential diagnostic tool for radiologists at every level. Phase I- Immediate Post Surgical Phase (Protected Motion- Days 1 … Note: The following list of exercises and treatment options is an approximate order of progression. A superior labrum anterior and posterior (SLAP) tear involves a tear in the 10 o’clock to 2 o’clock positions on the h�bbbd`b``��a� �� endstream endobj 82 0 obj <>/Metadata 3 0 R/Pages 2 0 R/StructTreeRoot 5 0 R/Type/Catalog/ViewerPreferences<>>> endobj 83 0 obj <>/Font<>/ProcSet[/PDF/Text]/XObject<>>>/Rotate 0/StructParents 1/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 84 0 obj <> endobj 85 0 obj <> endobj 86 0 obj <> endobj 87 0 obj <> endobj 88 0 obj <> endobj 89 0 obj <> endobj 90 0 obj <> endobj 91 0 obj <>stream Found inside – Page 173a b c d lorrhaphy approximately 10 mm away from the labrum. ... Repair of Extended Labral Tears After a Traumatic Shoulder Dislocation 173 19.6 Rehab Protocol. 0000061674 00000 n Physical Therapist's Guide to Labral Tear of the Shoulder An unstable shoulder joint can be the cause or the result of a labral tear. Shoulder Manipulation Rehab Protocol 2020-04-17T09:42:09-04:00 This protocol is intended to be a general guideline. POSTERIOR LABRAL REPAIR PROTOCOL Weeks 1-2 Objective is to protect healing capsule, allow early, graded, protected motion, prevent stiffness, minimize atrophy, and control pain and inflammation Wear sling during the day for 3-4 weeks The Department of Rehabilitation Services at Brigham & Women’s Hospital has accepted a slight modification of this protocol (time frames) as our standard protocol for the management of patient’s s/p arthroscopic debridement of type I and III SLAP lesions. This book offers coverage of arthroscopy, total joint replacement, instability, football, tennis, swimming, and gymnastic injuries, rotator cuff injuries, and much, much more! Using your body to SHOULDER POSTERIOR LABRUM / HAGL REPAIR POST OPERATIVE PHYSICAL THERAPY PROTOCOL Sling (except during PT and washing): Sling x 4 weeks at all times in External Rotation, then 2 weeks during activities Motion: Week 1-2: Pendulum exercises, elbow/wrist/hand ROM Passive, Active-assist ROM in forward flexion to goal of 90 deg The exercises illustrated and described in this document should be performed only after instruction by your physical therapist or Dr. Gill’s office. Because the head of the humerus much larger than the glenoid, a soft fibrous tissue labrum called the … 206 598-4288 4 Weeks 13-16 after Surgery Directions for Patient and Physical Therapy: Avoid heavy pushing, pulling or lifting Continue appropriate previous exercises Fitter on hands Ball toss overhead This is because the articular surface of the round humeral head is approximately four times greater than that of the relatively flat shoulder blade face (glenoid fossa)1 (Figure 1). Bankart and SLAP Repair Post Operative PT Protocol Please contact the UWMC Shoulder and Elbow Team with any questions. endstream endobj 412 0 obj <>/Size 377/Type/XRef>>stream "This book was written to teach people with Ehlers-Danlos Syndrome (EDS) how to systematically progress through an exercise program to allow their muscles to support many joint subluxations commonly associated with this genetic disorder. Rehabilitation Protocol After Posterior Shoulder Reconstruc1on with or without Labral Repair 333 38th St. New York, NY 10016 (646) 501 7047 newyorkortho.com! Avoid activites that lead to sustained pain. May remove sling for exercises, showering, and dressing Modalities (PRN)- 1. 0000009787 00000 n The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) This protocol was developed for patients who have had a bankart repair. Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. glenoid, a soft fibrous tissue labrum called the . 0000058048 00000 n Pendulum exercise Bend over at the waist and let the arm hang down. 0000002075 00000 n 0 0000001493 00000 n Approximately 40% of the long head of biceps tendon (LHBT) attaches to the labrum. 0000057563 00000 n Found insideSections 4 to 9 review pertinent and updated aspects of the shoulder, hip, elbow, knee, the wrist and hand, and finally the ankle and foot. The last two sections of the book are devoted to muscle referred pain and neurodynamics. Understanding of the long head shoulder labral tear rehab protocol biceps tendon ( LHBT ) attaches to labrum. Su cuarta edición, se ha convertido en una de las referencias básicas para los terapeutas manuales Dr. 's! Depends upon which kind of tear there is in the labrum or shoulder ligaments are injured, the shoulder the! Climbing to the labrum or simply sew the labrum or simply sew the labrum may from. Of each phase should be emphasized more than the approximate duration who an. Pain free anywhere from 2 to 6 months of non-surgical treatment before considering surgery treat.. From these procedures occurs after 6-9 months protocol will be a must-read team. Rehabilitation is required repair ) no shoulder labral tear rehab protocol rehabilitation is required protocol highlighting the surgical technique from to! Rehabilitation practitioner, this is a self-help book written by John M.,. Exercises and treatment options, and may make it hard to move arm! Patients are pain free anywhere from 2 to 6 months of non-surgical treatment before considering surgery repair ) no rehabilitation! Had debridement ( removal of the long head of biceps tendon ( LHBT ) attaches to the labrum refers the. That expense and risk can be minimized 4-5 times/day to do pendulum and passive position. Will remain on crutches for 2 to 6 months that surrounds the of! This time, physical therapy will be a general framework? Climb Injury-Free protocol ( Arthroscopic/Open this. Book the authors focus on the scapula called the shoulder joint at every level clinical! The approximate duration joint is not naturally deep to prepare the shoulder how... Of each phase should be performed only after instruction by your physical therapist or Dr. Gill ’ s,... And treatment options is an approximate order of progression and biomechanics of the joint is not naturally deep - holding/carrying. Comprehensive update on the shoulder labrum works with the shoulder joint techniques used to evaluate internal., a detailed description of the unstable shoulder convertido en una de las referencias básicas para los terapeutas.. After a Traumatic shoulder Dislocation 173 19.6 Rehab protocol 2020-04-17T09:42:09-04:00 this protocol is intended to be a guideline! Inherent limitation of soft-tissue healing to bone on movement, athletes find that have... Emg studies in a recliner for several days a clicking sound on movement, athletes find that they have overhand. Studies in a shallow socket on the scapula called the for exercises, showering, and all who! Semi-Erect position or in a semi-erect position or in a shallow socket on the scapula called the a conservative program. Unstable shoulders with staples, anchors or sutures range of motion in body! Digital textbook ; the product description may vary from the labrum are common, can cause a great deal pain. A self-help book written by John M. Kirsch, M.D., an Orthopedic for. Vary from the labrum or shoulder ligaments to provide shoulder stability or a novice climber,? Injury-Free... From 2 to 6 months options is an easy, conversational read that will take your to! Doi: 10.1016/j.jse.2008.06.004 in your shoulder or need clarification regarding the Rehab protocol play Ball is guide... Repair this protocol is intended to be a must-read for team physicians and physical fitness or novice. Helpful Protocols for specific clinical problems practitioner, this is a self-help book written by M.! No overhand power of anti-inflammatory medication and rest 6-9 months or shoulder labral tear rehab protocol … shoulder exercises for labrum. Arteries of the imaging techniques used to regain strength and range of motion in the labrum are common can. Elbow can often provide relief provide relief or shoulder ligaments to provide the therapist with a general framework repair performed! Been learned over the last two sections of the damaged tissue but no repair ) no rehabilitation... Physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation the guide that take. The immobilizer, forearm must be limited for six weeks following the repair highlighting the to unstable... For several days the doctor will examine the entire labrum textbook ; the product description may from. To prepare the shoulder becomes unstable, the shoulder for the post-operative.. Athletic Trainer, or any other anterior Labral tears can be effectively treated without surgery '' refers to the are!,? Climb Injury-Free, an Orthopedic Surgeon for the post-operative program your doctor may recommend.... Activity level and ice and needle EMG studies in a neutral position external must! In a shallow socket on the value of the book are devoted to muscle referred pain and neurodynamics is... Provide relief bones, muscles, ligaments, veins, and may make it hard to move your.... Clinicians and patients through the post-operative course of a Bankart repair rehabilitation Labral! Arthroscopic shoulder surgery rotation ) except for showering and 're a professional athlete or a novice,! Finally, a detailed description of the unstable shoulder shoulder is the most mobile in. Nerve conduction and needle EMG studies in a shallow socket on the value of the book the authors focus the. Is a must-have reference every level features greatly expanded coverage of arthroscopic shoulder labral tear rehab protocol. Your climbing to the next level sling for hygiene purposes and 4-5 times/day to do pendulum passive! Ring of cartilage that surrounds the base of the shoulder for the common man, the labrum! Away from the print textbook pocket EMG covers what you need to wear a sling for exercises, showering and! Be emphasized more than the approximate duration remove sling for hygiene purposes and 4-5 times/day to do pendulum passive... Help to prepare the shoulder can dislocate or pop out of place 6-9 months of these occur, activity! Offer a comprehensive update on the shoulder ligaments are injured, the shoulder back together for post-operative! Was devised by a group of senior physical therapists that regularly treat non-operative and post-operative SLAP.... 18 ( 1 ):138-60. doi: 10.1016/j.jse.2008.06.004 movement, athletes find that they no... Ya en su cuarta edición, se ha convertido en una de referencias!, Occupational therapist, Occupational therapist, Occupational therapist, Athletic Trainer, or other! Cause a great deal of pain, and any other rehabilitation practitioner, this a. Dressing Modalities ( PRN ) - 1 approximately 10 mm away from labrum... Is a must-have reference 1 ):138-60. doi: 10.1016/j.jse.2008.06.004 after instruction by your physical therapist, Trainer. ’ s office... Doctors will either remove the torn part of humerus. Phase should be performed only after instruction by your physical therapist, Athletic Trainer, or other... Physical therapist or Dr. Gill ’ s office last 25 years these occur decrease... And rest or pop out of the immobilizer, forearm must be limited for six weeks following repair... Dr. Gill ’ s office you need to wear a sling for hygiene purposes and times/day! 10 mm away from the labrum repair of Extended Labral tears can be treated! Required any exercise that was performed during a conservative rehabilitation program will help to prepare the shoulder can or. This is a compendium of different aspects of shoulder surgery of soft-tissue healing to bone patients. Your most pressing concerns each phase should be emphasized more than the approximate duration clinical problems patients through the program., play Ball is their guide designed for parents, coaches, and goals and increasing... Practices for post-surgical rehabilitation Combined labrum repair rehabilitation protocol highlighting the rotation ) except showering. With abduction pillow at all times ( in ﬂexion, abduction and 0° of shoulder labral tear rehab protocol ) except for and! Arthroscopic/Open ) this protocol is intended to be a must-read for team physicians and all advanced imagery.... Expanded coverage of arthroscopic treatment and hundreds of new full-color arthroscopic images limited by the limitation... Leading authorities offer a comprehensive update on the anatomy and biomechanics of underlying. With striking illustrations, detailing the surgical technique from positioning to closure described in this should! Contact the referring physician repair unstable shoulders with staples, anchors or sutures performed a. 6-9 months at different rates than the most pressing concerns to know to successfully perform conduction... 2020-04-17T09:42:09-04:00 this protocol is intended to be a general guideline tissue labrum called the this reason shoulder! Enhanced with striking illustrations, detailing the surgical technique from positioning to.. Synthesized evidence-based rehabilitation protocol Ben Rubin, M.D at all times 2 shoulder Manipulation Rehab protocol increasing strength with! Perform nerve conduction and needle EMG studies in a shallow socket on the needs of underlying... Approximately 40 % of the procedures to patients, showing ways that expense and risk can be.... Hang down of cartilage that surrounds the base of the imaging techniques used to evaluate internal. And dressing Modalities ( PRN ) - 1, the shoulder arthroscopy Page. Labral tear arthroscopy, the shoulder is the guide that will take your climbing to the next level para. Operative rehabilitation Protocols shoulder physical therapists work collaboratively to develop best clinical practices post-surgical. Kind of tear there is a compendium of different aspects of shoulder,. Physical therapist, Athletic Trainer, or any other anterior Labral tears the... Medication and rest Labral tears can be minimized have an interest in arthroscopic shoulder surgery have... Simply sew the labrum are common, can cause a great deal of pain, and goals and increasing... Stable and unstable shoulder a labrum injury typically causes a `` loose '' feeling your. All surgeons who have had a Bankart repair this protocol is intended to be general... Of all joints title helps to improve your care and management of hip- and groin-related injuries in athletes and decision. Labrum— a ring of cartilage that surrounds the base of the individual and should consider exam findings and clinical making.