Cookie

Our website uses cookies to offer you an improved user experience, to display personalized and relevant content for you. Cookies allow us to have anonymous traffic statistics on the site, through Google Analytics. Also, some pages can generate Google or Facebook cookies to show you ads with our services on other sites. You have the option not to accept the cookies placed by the website. You can express your cookie preferences here and read the site's cookie policy.

  •  

Rehabilitation protocol after shoulder arthroscopy

Article written by: ANDREI BOGDAN, MD, Orthopedics-traumatology doctor

Rehabilitation protocol after shoulder arthroscopy

General considerations

  • Using a sling for 1-2 weeks postoperatively
  • Maintaining a correct posture when performing all exercises.
  • Aerobic conditioning during the rehabilitation process.
  • Postoperative medical examinations: Day 1, 4 weeks, 3 months, 6 months, and 1 year.
  • All active exercises should be closely monitored to minimize substitution or compensation.

Week 1

Manual
  • Soft tissue mobilization, massage to reduce edema
  • Mobilization exercises in all planes, in the limit of pain
Exercises
  • Flexion and extension of the elbow, strengthening the wrist and forearm joint.
  • SCervical stretching, scapular girdle mobilization.
  • It is very important to remove the slings frequently to bend and straighten the elbow for 10-15 repetitions each time to reduce the swelling of the operated arm.
  • Cardiovascular physical exercises (medical bicycle, elliptical bicycle, Stairmaster).
  • Objectives
  • Reduction of edema and pain.
  • Passive range of motion, adduction up to 90 degrees, external rotation up to 30 degrees.

Week 2 - 4

Manual
  • Continue the treatment of the soft tissues, the passive scope of the movements, the mobilization of the scapula, light mobilizations of the joints in the limit of the pain.
  • Pain control (cryotherapy, massage, electrical stimulation)
Exercises
  • Isometric exercises - all planes.
  • Initiate active movements in all planes within the pain tolerance limit.
  • Scapular girdle strengthening exercises with Theraband.
  • General tolerable conditioning (includes flexion and torso extension exercises).
Objectives
  • Reduction of pain and edema.
  • Passive range of motion, adduction up to 120 degrees, external rotation up to 60 degrees.
  • Active range of motion, 90-degree adduction, and abduction with good mechanics.

Week 4 - 6:

Manual
  • Continue to mobilize soft tissues and joints.
Exercises
  • The progression of strengthening training also includes weight exercises, Theraband exercises, and machine exercises.
Objectives
  • Full range of motion (both passive and active).

Week 6 - 8

Manual
  • Continue to mobilize soft tissues and joints.
Exercises
  • Continue strengthening the rotator cuff in all planes of motion.
  • Initiate light throwing activities.

Week 8+

  • Initiate specific sports training as long as it is tolerated without pain.
  • Continue strengthening, endurance exercises, and general fitness.
NB: All progressions are approximations and should only be used as guidance. Progression will be based on the individual condition of the patient, which is assessed throughout the treatment process.
programare

MAKE AN APPOINTMENT

Because in our clinic every treatment is based on a diagnosis and is done under medical supervision.
  
INFO: Centrokinetic does not collaborate with the National Health Insurance House.

CONTACT US