Specific interventions should be based on the needs of the individual and should consider exam findings and clinical decision making. Rehab Protocols Please click the link below for the appropriate rehabilitation protocol. Rehabilitation Protocol for Total Shoulder Arthroplasty and Hemiarthroplasty This protocol is intended to guide clinicians and patients through the post-operative course after a total shoulder arthroplasty (TSA) and hemiarthroplasty. follow-ups Day 1, 4 weeks, 3 months, 6 months and 1 year. 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. Shoulder Protocols . AND/OR : PARTIAL ROTATOR CUFF DEBRIDEMENT PROTOCOL . A Mumford procedure is the removal of the farthest outer portion of the clavicle (or collarbone) which creates a more normal amount of space for shoulder movements. For this reason, the shoulder is the most mobile joint in the body. The following Standards of Care and Protocols are the property of BWH and should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. Acromioclavicular (AC) joint symptoms are another common shoulder problem, resulBng from both direct injury to the AC joint and rotator cuff impingement. Rehabilitation Protocol After Shoulder Arthroscopy 333 38th St. New York, NY 10016 (646) 501 7047 newyorkortho.com! Use ice 20 mins, 3-5 times/day for first 5-7 days. DISTAL CLAVICAL EXCISION/MUMFORD PROCEDURE . 4. Biceps Tenodesis 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 a Biceps Tenodesis for Aerobic conditioning throughout the rehabilitation process. A Mumford procedure is performed on someone with an injured AC joint in their shoulder. Arthroscopic Sub-Acromial Debridement. AND/OR . Achilles Tendon Repair. I still experience lots of pain and theres no way I can begin training again at this point. Punxsutawney 814.938.0740 . Dedham, MA . DEVELOPED: 3/2006 . Phase I- Immediate Post Surgical Phase (Protected Motion- Days 1 to Week 6) 0-4 weeks Pain Control. Shoulder arthroscopy rehab protocol. Anterior Bankart/Arthroscopic Capsular Shift . Maintenance of good postural positioning when performing all exercises. ARTHROSCOPIC SUBACROMIAL DECOMPRESSION . Regain full range of motion 3. No lifting with operated arm for 6 weeks. Request an Appointment. Pain control with ice and anti-inflammatories ¥! I still experience lots of pain and theres no way I can begin training again at this point. Anterior Stabilization (Capsulorrhaphy with or without labral repair) Postoperative Shoulder Protocol Basic guidelines 1. Connect with us — Share Your Story; We Value Your Feedback; Patient Resources. **If the Mumford is an OPEN procedure, restrict overhead activities and heavy lifting for 3 weeks. Indiana 724.465.2676. Shoulder Arthroplasty Protocol Shoulder Arthroplasty Protocol This rehabilitation protocol has been developed for the patient following a shoulder arthroplasty (replacement) procedure. A moderate physical activity level may be possible within three to four weeks. The socket portion of the joint is not naturally deep. a pinching in the small spaces in the shoulder) due to their bony anatomy. After 3 weeks, progress per protocol. Rehabilitation following a Mumford procedure may vary, especially if there were other procedures (such as rotator cuff repair) performed during the same operation; as always, check with your surgeon on the specific protocol for rehab he or she wants you to follow. by phone: (508)655-0471. by online: Appointment Page. A series of brief videos showing the inside of my shoulder during my recent distal clavicle excision surgery. 40 Allied Drive . If you have any questions about these protocols, don’t hesitate to contact us at (800) 446-5684. Here are some things you should consider in making your decision: Recovery time: PT should start about 3 days post-op. CV and Bibliography; Orthopedic Bioengineering Laboratory; Laboratory for Musculoskeletal Tissue Engineering; Rehab Protocols. I too am now worried that the surgery may not get rid of the pain. Continue strengthening progression Activities: Use of the operated arm You may now safely use the arm for normal daily activities involved with dressing, bathing and self- care. Work may be resumed if it is not physically demanding. Acromioiclavicular Joint Reconstruction; Anterior Capsulorraphy (Anterior ETAC) Arthroscopic Subacromial Decompression (Neer Acromioplasty) and Distal Clavicle Resection (Mumford) Arthroscopic Subscapular Decompression; Bankart Repair, Arthroscopic / Open; Bicep Tenodesis; Isolated SLAP Repair 2. Mine was done arthroscopically, as an outpatient. Download PDF.Use of a sling for 1-2 weeks post-op unless otherwise indicated. The glenohumeral joint provides 60% of shoulder motion. ACL LCL Repair. Postoperative Shoulder Protocols (8/12) 1 Ben Rubin, M.D. Bankart Procedure. Visit the: Mass General Orthopedic Protocols. Rehabilitation Protocols; Surgical Techniques; Education & Research. ROM returns quickly; but that is not the same as being pain free. 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). Rehabilitation after Sub-Acromial Decompression and Biceps Tenodesis Dr Keith Holt The primary aims of any rehabilitation protocol for biceps tendon tenodesis are firstly, to get the tendon healed, and secondly, to maintain shoulder motion and rotator cuff strength. Sling is worn 3-4 weeks, Immobilizer at night - avoid internal rotation position. It is a modified 'ball and socket joint'. The operation involves reattachment and tightening of the torn labrum and ligaments of the shoulder (see pictures below). Sling x4 weeks for comfort only Goals ¥!Normal AROM with normal glenohumeral mechanics ¥!Normal rotator cuff and scapular stabilizer strength ¥!Return to all overhead activities Precautions ¥!No lifting > 2 lbs. REHABILITATION . A Mumford arthroscopic procedure resects the distal clavicle in cases of Hospital Affiliations. Clarion 814.226.6573 . I've been a critical care/ED nurse for 30 years, and I had a Mumford procedure with shoulder decompression on July 1, 2008. Phase I (Post-op Days 1-7) Physical Therapy Protocols. List of protocols . ABPT. What causes injuries to this tissue? REVISED: Special note : This protocol is only a guideline … Shoulder impingement is a painful condition in which the space between structures in a joint narrows, causing parts to rub or pinch that normally would not, which is very painful for the patient. Postoperative rehabilitation protocols for ankle, elbow, hip, hand, knee, shoulder and spine. Scapular control should be the primary focus! Avoid activites that lead to sustained pain. Subacromial Decompression Protocol . Strength is the last to return. Protect the clavicle fracture 2. General time frames are given for reference to the average, but individual patients will progress at different rates depending on their age, associated injuries, pre-injury health status, rehab compliance, injury severity, and size of the repair. Arthroscopic Posterior Labral Repair. (Mumford Procedure) Distal Clavicle Excision is a procedure used to treat impingement in the shoulder. Limit AROM to 90 degrees of flexion and abduction for 3 weeks. PROTOCOL . Most people may return to a low activity level within 10 days following a Mumford procedure. Ohio State physicians and physical therapists work collaboratively to develop best clinical practices for post-surgical rehabilitation. Boston Sports Medicine . Anatomic/Reverse TSA Rehab Protocol; Anterior Stabilization Therapy Protocol; Biceps Tenodesis; Capsular Release; Clavicle ORIF; Coracoclavicular Ligament Reconstruction Rehab Protocol; Latarjet; Mumford Procedure; Posterior Stabilization Therapy Protocol; Pec Major repair; Rotator Cuff Repair- Delayed Therapy Home Booklet I had the surgery to get rid of the pain and allow me to train at the high level I'm accustomed to. ACL Reconstruction. Post-Operative Rehabilitation Protocols Shoulder. I had the mumford procedure done about a month ago and I feel as if I'm recovering slowly. I too am now worried that the surgery may not get rid of the pain. Below are the physical therapy protocols that each doctor recommends. This usually done using sutures and small bone anchors. Tel: (781) 251-3535 Fax: (781) 251-3532 . MetroWest Medical Center. Small Rotator Cuff Repair. After an isolated Mumford surgery, rehab can begin fairly quickly. I had the surgery to get rid of the pain and allow me to train at the high level I'm accustomed to. I had the mumford procedure done about a month ago and I feel as if I'm recovering slowly. 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 a subacromial decompression. Anatomy and Biomechanics . 3. Some individuals are more likely to have shoulder impingement issues (ie. Th e full recovery from these procedures occurs after 6-9 months. PAGE . RESECTION (MUMFORD) POST-SURGICAL REHABILITATION PROTOCOL POST-OP DAYS 1 – 7 • Sling for comfort – D/C within a few days • Hand squeezing exercises • Elbow and wrist active motion (AROM) • Pendulum exercises • Active assist motion (AAROM) in pain-free range (supine wand, wall climbs, pulleys) • AROM in pain-free range as tolerated Medium-Large Rotator Cuff Repair. Shoulder Labral Repair Rehabilitation Protocol Labral repairs are limited by the inherent limitation of soft-tissue healing to bone. Distal Bicep Tendon Repair. Rehabilitation after Clavicle Fracture Phase Three: starting 13 to 18 weeks after surgery Goals: 1. 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