Rotator cuff exercises kaiser permanente pdf

Rotator cuff repair surgery for a tear from a sudden injury works best if it is done within a few weeks of the injury. For example, throwing a baseball at high speeds over and over can stress your shoulder joint and cause an injury to part of that joint the rotator cuff. Begin all of the following exercises in the described position. How to do the exercisesposterior stretching exercise. Excellent bodyweight corrective exercise for rotator cuff. Class structure and goals learn how your shoulder works what goes wrong with the shoulder learn how to care for your shoulder learn how exercise can help your shoulder. Exercises your kaiser permanente care instructions here are some examples of typical rehabilitation exercises for your condition. After the warmup, do the stretching exercises shown on page 1 before moving on to the strengthening exercises.

Shoulder strengthening exercises for rotator cuff phase ii q 7. The rotator cuff muscles connect the arm to the shoulder blade. For the first 2 weeks postoperatively, take your arm out of the sling and move the elbow, wrist, and hand at least 4 times per day. Talk to your doctor or physical therapist if you have. Prone abduction with external rotation lie on your stomach prone position with forehead resting on towel or head turned toward the side. It is important to do the exercises the right way ev. One, some, or all of these structures may be contributing to your shoulder problem. Colonel and chief of physical therapy, brmke army medical center, fort sam houston, tex. Let your arm move in a circle, first clockwise, then counterclockwise. The muscles of the cuff supraspinatus, infraspinatus, teres minor, and subscapularis, are attached to the bones by tendons.

Pdf the kaiser permanente shoulder arthroplasty registry. Exercisesyour kaiser permanente care instructionshere are some examples of typical rehabilitation exercises for your condition. Frozen shoulder is a disorder in which the connective tissue surrounding the shoulder becomes inflamed and stiff, restricting motion and causing pain. Surgery to repair a torn rotator cuff tendon usually involves. The condition causes swelling, pain or damage to the tendons of the rotator cuff. Rom 1 codmanspendulum bend over chairtable, hang affected arm straight.

Rotator cuff surgery to repair frayed or thinned tendon tissue is less likely to work than surgery to repair an injury to a healthy tendon. Postoperative instructions for rotator cuff repair. Kaiser fremont shoulder class rehabilitation department. Omearas rotator cuff repair rehabilitation protocol. Managing your shoulder pain strengthening exercises. Clinical guidelines for cpm following rotator cuff repair. Before you start these exercises, talk with your doctor or physical therapist. Tears can also occur due to hard use or a sudden jerk.

These muscles perform three main movements of the shoulder. Participate in a regular aerobic exercise program a minimum of three times per week. Isometric exercises are muscle tightening exercises performed with no joint movement. Kaiser permanente does not endorse the medications or products mentioned.

It provides stability and strength for the shoulder joint, anchoring the humerus upper arm bone to the scapula shoulder blade so that movements of the arm can occur in a. Now also begin to perform rotator cuff strengthening exercises. When you have completed the strengthening exercises, repeat the stretching exercises to end the program. Their action is to increase circulation for healing and strengthening muscles with minimal joint irritation.

Here are some examples of exercises for your shoulder. Generally, they should only be performed provided they do not cause or increase pain. You should also do gentle pendulum exercises of your shoulder. If you have persistent health problems, or if you have additional questions, please consult your doctor. What you can do painin your shoulder is often a symptom of shoulder impingement.

Subacromial smoothing and acromioplasty for rotator cuff. Exercises your kaiser permanente care instructions here are some examples of exercises for your shoulder. They keep the ball of the humerus the long arm bone securely within the socket as you raise your arm. For a list of covered benefits, please refer to your evidence of coverage or summary plan description. Rotator cuff sprain and strains university of california.

The health encyclopedia contains general health information. The rotator cuff is a group of muscles and tendons, which hold the glenohumeral joint together and help lift the arm overhead, such as throwing a ball or swimming. When the rotator cuff muscles are weak, bursitis can develop. If you have pain, weakness, and stiffness in your shoulder from a rotator cuff problem, your doctor will likely suggest that you try. Pull your arm down to your side against the resistance band, then return to start and. Primary care physical therapy, department of medicine, kaiser permanente medical center, vallejo, calif. Rotator cuff and shoulder rehabilitation exercises. Surgery may be used to treat a rotator cuff disorder if the injury is very bad or if nonsurgical treatment has failed to improve shoulder strength and movement sufficiently. The rotator cuff tendons pass under a ligament and through an area called the subacromial space. Excellent bodyweight corrective exercise for rotator cuff march 11, 2015 rick kaselj fitness, general, shoulder pain in this video, ill go through an excellent bodyweight corrective exercise for rotator cuff, called floor wall slides.

Removing loose fragments of tendon, bursa, and other debris from the space in the. To ensure that this program is safe and effective for you, it should be performed under your doctors supervision. Stand in a doorway with your elbow bent 90 degrees and the back of the wrist on your injured side pressed against the door frame. If you have pain, weakness, and stiffness in your shoulder from a rotator cuff problem, your doctor will likely suggest that you try exercises and other athome treatments. Squeeze the shoulder blade while raising elbow to level of shoulder. Lie on stomach, pillow support under stomach, head positioned neutrally with towel roll under forehead and arm hanging off the table. Not all treatments or services described are covered benefits for kaiser permanente members or offered as services by kaiser permanente. Managing your shoulder pain strengthening exercises youtube. Subacromial smoothing involves shaving bone or removing growths on the upper point of the shoulder blade acromion. Hold the elbow of your injured arm with your other hand. The achilles tendon is the thick tendon above the heel that attaches the calf. The rotator cuff is a group of muscles and tendons that keep the upper arm bone held in the shoulder blade socket.

The most common reason for revision was rotator cuff wear 35. In the majority of cases, rotator cuff tears can be treated by exercising and strengthening compensating muscles in the shoulders. The pain is caused by compression of thestructures within the shoulder as you raise your arm. Restoring shoulder function kaiser permanente thrive. Here are some examples of typical rehabilitation exercises for your condition. Rotator cuff the rotator cuff muscles are very important for healthy shoulder function.

The rotator cuff tendons are located beneath the deltoid muscle and bone at the tip of the shoulder. Surgery may be used to treat a torn rotator cuff if the injury is very severe or if nonsurgical treatment has failed to improve shoulder strength and movement sufficiently. For a list of covered benefits, please refer to your evidence of coverage or summary plan. Shoulder pain and weakness due to rotator cuff muscletendon or biceps tendon can be caused by normal wear and tear of. How to do the exercises posterior stretching exercise 1. Your doctor or occupational therapist will tell you when you can start these exercises and which ones will work best for you. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible. Try to press your hand outward into the door frame. Exercises are a very important part of treatment for a rotator cuff disorder.

For all exercises, stand with good posture by pulling your shoulder blades slightly down and. Overuse injuries occur from stressing your joints, muscles, or other tissues without allowing them to recover. Shoulder strengthening exercises for rotator cuff phase ii shoulder strengthening exercises for rotator cuff phase ii the following is your personalized exercise program prescribed by your physical therapist. Between the acromion and the rotator cuff lies a bursa that cushions the tendon from the bone. Use your hand to pull your injured arm gently up and across your body. Follow up in most cases, my surgery scheduler has already made an appointment for you to see me after your surgery. If you do not have an appointment, please call my office at. As a result, the structures bursa, rotator cuff tendons,and ligaments become irritated and painful. Participate in cardiovascular exercise such as walking. These treatments may include rest, ice, heat, and nsaids such as. Important member information, download a fact sheet pdf.

Do these exercises while lying face down on an exercise table or other sturdy surface where your arm can hang down. The rotator cuff is made up of four muscles supraspinatus, infraspinatus, subscapularis, and teres minor and their tendons. Rotator cuff and shoulder conditioning program orthoinfo aaos. Your doctor or therapist will tell you when you can start these exercises and which ones will work best for you. Your doctor or physical therapist will tell you when you can start these exercises and which ones will work best for you. Rotator cuff strengthening exercises physioadvisor. Pain from a problem with the rotator cuff is often called shoulder impingement. Pain in your shoulder is often a symptom of shoulder. This strengthening program includes only five exercises that isolate on and strengthen the. A group of muscles called the rotator cuff are responsible for moving your arm overhead and keeping the ball of your shoulder joint positioned correctly in the socket. Synchronized or isolated protocol the primary goal of postsurgical rehabilitation following rotator cuff repair is to control pain, protect repaired tissue during the healing process, restore function, improve rangeofmotion, restore strength and prevent a.

Shoulder impingement my doctor online kaiser permanente. Wear your sling at all times except for exercise ice your shoulder up to 15 to 20 minutes per hour. You should discuss the suitability of these exercises with your physiotherapist prior to beginning them. Rotator cuff strengthening with resistive bands start by placing a towel roll under the involved arm. Gentle exercises theseexercises can help you to move better and lessen your shoulder pain. Comparison of supervised exercise with and without manual. Exercises are then begun when pain has decreased to strengthen the shoulder muscles and a. The following rotator cuff strengthening exercises are designed to improve the strength of the rotator cuff muscles figure 1. Exercises here are some examples of typical rehabilitation exercises for your condition. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. The kaiser permanente shoulder arthroplasty registry.