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Published byAdrian Cobb Modified over 9 years ago
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M. Mardani Kivi (M.D) Guilan university of Medical sciences
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Strengthening program of shoulder muscles has an effective role in non- operative management of shoulder instabilities.
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Training tape is applied across the back of the shoulder as a reminder to avoid unbalanced positions.
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Rehabilitation program after open anterior capsulo-labral reconstruction
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Shoulder abduction pillow
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Isometric abduction & Horizontal adduction
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Ball squeeze
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Rehabilitation program after open anterior capsulo-labral reconstruction
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Shoulder shrugs / Resistance tubes Prone extension
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Upper body ergometer
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Rehabilitation program after open anterior capsulo-labral reconstruction
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Chin-up
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Throwing Programs
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Codmans exercise Other names: pendulum exercise or Tic-Toc exercises Codmans exercises in performed by swinging the freely hanging upper extremity in a pendulous fashion and are assisted by gravity. Exercise have three parts: Circumduction or rotation Forward and backward movement Side to side movement
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Rotation in codmans exercise Never use more than 3 lbs to 5 lbs additional weight for this exercise Allow your affected arm to hang straight down to the floor, keeping the shoulder muscles relaxed. Rotate your arm in a clockwise pattern ten times then counter-clockwise ten times and you should perform this exercise three times per day.
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Rotation in codmans exercise
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Forward and backward motion Perform 20 repetitions (a repetition is one cycle of the back-and-forth movement) three times per day.
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Side-to-side motion Perform 20 repetition three times per day.
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These exercise may be performed in a prone (face down) position or standing while leaning on a chair with the opposite arm.
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Initially arm swing should begin at 15 degree angles and eventually progress to 30-45 degree angles as pain subside within time.
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Rehabilitation after arthroscopic Bankart repair It is paramount to protect healing tissue of anterior capsule during early stages of rehabilitation. Avoidance of terminal ABD/ER is crucial during this period.
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A sling immobilizer is applies after surgery. Physiotherapy is started 7-10 days post op. Active-assisted ROM is performed at 2-8 wks. Isometric strengthening is performed at 8-12 wks.
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When sport is allowed? The athlete is allowed to return to pre-injury conditioning programs and weight training at 12 wks. At 6 months the athlete is allowed to participate in contact sports if full and functional ROM and normal muscle strength have gained.
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