Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

A: MSK UQ > Lecture 8B; Shoulder Comolex Post Op Treatment > Flashcards

Lecture 8B; Shoulder Comolex Post Op Treatment Flashcards

1
Q

Rotator cuff tears Rx options depend on what

A

Size of tear, location of tear , adhesions , patient expectation and goasl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

For a partial thickness RC tear it is sx or non sx but ___ only

A

Debridement

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do u begin immediate for a partial thickness RC tear

A

Immediate passive , AAROM w wand

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are u strengthening day 1 for a partial thickness RC tear

A

Non RC mm w tubing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When can u progress to light tubing RC strengthening and for how long

A

6-8 weeks for 3-6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the key thing for partial thickness RC tear

A

Don’t over work the RC mm initially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What do u want to protect in a full thickness RC repair rehab

A

Repaired tendon initially

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How long are u not aloud to do resistance with a Full Thickness RC Repair Rehab

A

1st 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What should u increase strength of with a Full Thickness RC Repair Rehab

A

Acute stabilizers to unload passive stabilizers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the 4 phases for rehab after a RCT repair

A

• Phase I: Passive Exercises (0-6 weeks)
• Phase II: Active Assistive-Active Exercises (6-12 weeks)
• Phase III: Strengthening Exercises (12-24 weeks)
• Phase IV: Advanced Retraining (24+ weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How long is phase 1-4 for RCT repair

A

• Phase I: 0-6 week s
• Phase II: 6-12 weeks)
• Phase III: 12-24 weeks)
• Phase IV: 24+ weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

For phase 1 (0-6weeks) after RC repair there is no active or passive what

A

No active ER,
no passive IR
beyond neutral

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What warm up exercises can u do in phase 1 (0-6 weeks)

A

Bike or walk

Shoulder shrug

Pendulum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How is the ROM for phase 2 (6-12 weeks) after RC repair

A

Active assistive progressing to active

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are some active ROM exercises that u can do during phase 2 (6-12 weeks) after RC repair

A

Stand during shoulder elevation

Standing shoulder ER w stick

Seated forward lean stretch

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What phase can u begin light strengthening after RC repair

A

Phase 3 (12-24 weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are some strengthening exercises for phase 3 (12-24 weeks) after RC repair

A

Shoulder IR w tubing

Shoulder ER w tubing

Anterior deltoid w tubing

Supraspinatus w tubing

Scapular rotators w tubing

Biceps w tubing

Triceps w tubing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What can u do in phase 4 (24 - 52 weeks) after shoulder RC repair

A

More aggressive strengthening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are some free weight exercises that a patient can do in phase 4 (24-52weeks) after RC repair

A

Supraspinatus

Anterior deltoid

Mid trap (T’s)

Biceps

Triceps

Shoulder extension in supine

Scapular retraction in supine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

When does CKC exercises begin after RC repair

A

Phase 4 - 24-52 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is the last motion to gain back after a RC repair

22
Q

When can u start PRN stretching into IR and cross body after RC repair

A

Phase 4 ( 24- 52 weeks )

23
Q

How mch rehab is usually the standard for rehab following RCR

24
Q

Is instability a active or passive problem

25
What kind of **GH instability** is **conservative** treatment most likely **effective**
Non traumatic
26
If a shoulder has a labrum tear it is also ___
Unstable
27
What are the surgical options for **GH instability**
* Open vs. Arthroscopic * Bankhart repair * SLAP repair * MDI Capsular Shift
28
If someone has a torn labrum can they do isometrics right away
Yes bc Labrym is a passive strucutre so no mm is damage
29
What is the most common **direction** of **GH instability**
Anterior
30
What do u want to **avoid** when doing rehab for **GH instability**
End ranges initially and long levle activities
31
What do u want to emphasize with GH instability
RC strength , firing , endurance to dynamitically control humeral centering
32
Whar **end** **ranges** do u want to **avoid** for **anterior** instability and **posteiror** instability
Abduction/ER for anterior instability * Adduction/IR for posterior instability
33
What is a **bankart repair**
Labral repair combined with capsular shift procedure
34
What is the general time line for **Bankart** repair for a **sling , P/AROM, strengthening**
4 weeks for all
35
When can u return to **higher level of functional acitvities** after a **bankart** repair
Around 6 month s
36
For **MDI post operative rehab** (inferior capsular shift) what should u reduce
Capsular volume up tp 57% (basically bringing back to normal )
37
What is the post operative rehab for **MDI POD #1**
Immobilization + finger , wrist , elbow AROM
38
What is the post operative rehab for **MDI POD #2**
Add pendulum exercises , sent home
39
What is the post operative rehab for **MDI POD #3 2-3 weeks**
Exercise + Ice, PROM shoulder elevation ,abduction in POS, ER per MD ok
40
What is the post operative rehab for **MDI POD #7**
Being PT twice a week or 3 times a week
41
What is the post operative rehab for MDI **POD #21**
Being light weights or elastic tubing
42
Where does the long head of the biceps tendon attach
Superior labrum
43
Pateints with what kind of **SLAP lesion** require sx
Type 2 -4
44
There is a **high rate of future injury** to the capsule/labrum with what patients after a **SLAP lesion**
< 18
45
How long do u have to wait to **lift weights and bands** for **GH/SLAP lesions** rehab
12 weeks
46
What kind of activity is best to facilitate co contraction fo GH instability/ SLAP rehab
Closed chain
47
What do u want to **strengthen** For GH instability/SLAP lesions
Active stabilizers
48
What do u want to limit for SLAP lesion repair
Limit strong biceps contraction until stabilized (until about 12 weeks)
49
What sx does a pt get if they have intact RC and if they dont have intact RC
instant RC —> TSA No intact RC—> reverse total shoulder
50

A: MSK UQ (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions