shoulder interventions Flashcards
(34 cards)
considerations when developing intervention plan
-tissue involved
-irritability
-precautions
-impairments
-techniques for addressing impairments
-patient goals
tendinitis healing time
3 -7 weeks
tendon rupture healing time
5 weeks - 6 months
grade 1 muscle tear healing time
days - 4 weeks
grade 2 muscle tear healing time
3 weeks - 3 months
grade 3 muscle tear healing time
5 weeks - 6 months
grade 1 ligament tear healing time
4 days - 4 weeks
grade 2 ligament tear healing time
3 weeks - 6 months
grade 3 ligament tear healing time
5 weeks - 1 yr
ligament graft healing time
2 months - 2 years
bone healing time
5 weeks - 3 months
factors affecting healing
-age
-drugs
-nutritional state
-smoking
-MOI
-diabetes
what lever arm should be prioritized earlier in rehab?
shorter lever arm
which plane is more functional to rehab in?
scapular plane
Goals in acute phase
-restore pain free movement via kinetic chain
-enhance patient comfort
-limit atrophy
-minimize effects of reduce motion and use of arm
-ensure independence with HEP
-PRICE
ROM in acute phase
pendulum, PROM, AAROM, AROM
What grade distraction does pendulum exercise provide?
grade 1 - 2
closed chain exercises provide ____ with contraction and help to balance ______ and ______ forces
joint compression, compression, shear
benefits of towel roll
-maintains 30* of abduction
-improves blood flow to rotator cuff muscles
-adduction force creates inferior movement of humeral head
-increases activity of posterior rotator cuff muscles
low trap exercises
-sidelying ER
-prone ER shoulder at 90*
-sidelying forward flexion
-Ts
-Ws
-prone Ys
mid trap exercises
-sidelying ER
-prone ER
-sidelying forward flexion
-I’s
-W’s
-prone y’s
-prone unilateral row
serratus anterior exercises
-scaption with ER
-forward flexion
-serratus punch
-dynamic hug
-push up plus
-bench press
common interventions for tendinitis/ tendinopathy
-cross friction massage
-eccentrics
what glide should be performed on someone with flexion hypomobility
posterior