Patients were immobilized in a shoulder sling for the first 2 weeks postoperatively. While in the sling, isometric deltoid exercises and passive ER, internal rotation (IR), and elbow flexion/extension exercises were performed twice a day. Active movements within painless range of motion were introduced from the second week. Starting from week 6, gradually forced active movements in closed kinetic chain were introduced to restore muscle strength and full range of motion with caution to avoid overstressing. Special attention was given to pain-free ER exercises. After week 12, isolated exercises for the ISP and SSP muscles were introduced. Patients were allowed to return to daily activities after 4 weeks and to the previous sport 3 months postoperatively if pain free.
Protocol detail
Rehabilitation Protocol for Shoulder Injury
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Attention
Deltoid
Elbow
Isometric exercises
Kinetic
Movements
Muscle strength
Muscles
Pain free
Patients
Shoulder
Corresponding Organization :
Other organizations : Worcestershire Acute Hospitals NHS Trust
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Variable analysis
independent variables
- Duration of immobilization in shoulder sling (2 weeks)
- Exercises performed while in sling (isometric deltoid exercises, passive ER, IR, and elbow flexion/extension exercises, twice a day)
- Introduction of active movements within painless range of motion (from second week)
- Introduction of gradually forced active movements in closed kinetic chain (from week 6)
- Introduction of isolated exercises for the ISP and SSP muscles (after week 12)
- Time to return to daily activities (4 weeks)
- Time to return to previous sport (3 months)
- Muscle strength
- Range of motion
- Pain level
- Immobilization in shoulder sling for the first 2 weeks postoperatively
- Caution to avoid overstressing during forced active movements in closed kinetic chain
- Special attention to pain-free ER exercises
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