shoulder impingement rehab protocol pdf

The protocol draws evidence from the current literature and accounts for. While standing with shoulder abducted to 90 place T-bar or broom stick behind upper arm and grasp lower bar with involved hand.

Shoulder Impingement Phase I Exercises Pdf

Pain-free AAROM to tolerance 2.

. Strengthening exercises should be performed 3 times a week. Advanced Continuing Education Institute 2004. Questions regarding the progress of any specific patient are encouraged and should be.

Relieve pain and inflammation Normalize range of motion Re. Hold it for 10 seconds repeat 10 times. Conservative Impingement Protocol w i t h A d d e n d u m f o r S c a p u l o t h o r a c i c B u r s i t i s This protocol provides appropriate guidelines for the rehabilitation of patients with shoulder impingement syndromerotator cuff syndrome.

2003 2 Wilk KE Reinold MM Andrews JR. Rehabilitation of shoulder impingement syndrome and rotator cuff injuries. This protocol was designed to provide the rehabilitation professional with a guideline of postoperative care.

Education of patient regarding head and shoulder posture. Gregory Hall Created Date. This protocol provides you with general guidelines for the patient undergoing nonsurgical treatment for shoulder impingement.

Three-dimensional scapular kinematics analysis. Use 12 pounds Do 3 sets of 12. Improve strength power and endurance.

Improve capsular and shoulder mobility. Hold for 15 seconds. What You Can Do Painin your shoulder is often a symptom of shoulder impingementThe pain is caused by compression of thestructures within the shoulder as you raise your armAs a result the structures bursa rotator cuff tendonsand ligaments become irritated and painfulThiscan lead to bursitis tendonitisand.

Phase I - Maximal Protection Acute Phase Goals. 31113 shoulder rehab - rotator cuff impingementdoc Post injury Weeks 3 - 4 Goals 1. Scapular-focused exercise treatment protocol for shoulder impingement symptoms.

The shoulder joint but also allows for normal biomechanical motion to occur at the glenohumeral joint. As the exercise becomes. SHOULDER IMPINGEMENT PAGE 6 SHOULDER IMPINGEMENT Keep your arms relaxed.

Nonoperative Treatment of Subacromial Impingement Rehabilitation Protocol. 1 Brotzman SB Wilk KE. But can be present in anyone who uses their arm repetitively in a position over 90 degrees of elevation The protocol serves as a guide to attain maximal function in a minimal time period.

Square your shoulder blades back. Specific changes in the program will be made by the physician as appropriate for the individual patient. 90 rotator cuff strength by Week 4 2.

Increase periscapular and shoulder strength and endurance. Do not let your back arch breathe. Shoulder joint poSterior capSule Stretch Gently pull elbow of involved shoulder over chest with opposite hand as shown until a stretch is felt in shoulder.

Full ROM 7 10 days. An evidence- based review. External Rotation With Arm Abducted 90 _____ Main muscles worked.

ReSiSted Shoulder internal rotation Sidelying Keeping elbow bent and in at side bring arm up and in toward body. Shoulder Impingement Protocol Page 2 of 3 Last Updated September 3 2020 8. ROM and stretching exercises should be performed daily.

This syndrome is commonly seen in throwing sports racquet sports and in swimmers. Lying face down with head in front on a towel or turned. Rotator Cuff Impingement Protocol Phase I Immediate Motion Phase Post Injury Weeks 0 - 1 Goals 1.

Clinical Orthopedic Rehabilitation Second Edition. Rehabilitation Protocol for Shoulder Impingement. Ad Find Deals on shoulder impingement brace in Personal Care on Amazon.

Shoulder Impingement Adopted 298 Revised 704 Revised 509 1 General Principles. Infraspinatus and teres minor You should feel this exercise at the back of your shoulder and into your upper back Equipment needed. Portion of the rotator cuff is the most common area of impingement.

With uninvolved hand slowly and gently pull upper bar down forcing involved arm back and up. Hold 5 - 7 seconds and relax. 23 13 The tendons of the rotator cuff merge with the joint capsule and form a continuous cuff that surrounds the anterior posterior and superior portions of the humeral head.

Tip Squeeze your shoulder blades together as you pull. The supraspinatus portion of the rotator cuff is the most. Page 1 of 4 Rehabilitation Protocol for Shoulder Impingement I.

Use an elastic stretch band of comfortable resistance. If one shoulder is lower square it by lifting that one UP and back. Impingement Rehabilitation Protocol Subacromial impingement is a chronic inflammatory process produced as one of the Rotator Cuff Muscle the and the Subdeltoid Bursa are pinched against the Coracoacromial Ligament andor the Anterior Acromion when the arm is raised above the head.

201851Decem ber 201776. It should be stressed that this is only a protocol and should not be a substitute for clinical decision making regarding a patients progression. Microsoft Word - Rotator Cuff Tendonitis or Impingement Rehabilitation Protocoldoc Author.

8292011 70705 PM. Br J Sports Med. Ellenbecker TS Cools A.

Shoulder Impingement Exercises You Can Do At Home Long Term Fix