Indications:
- Performed for recurrent
posterior dislocation
- May involve soft tissue or bony
reconstruction
Protocol
|
|
Post op |
|
Day 1 In patient |
- Gunsling with body belt for 3
weeks
- Finger, wrist and radio ulnar
movements
- Assisted elbow flexion &
extension in standing
- Teach axillary hygiene
- Teach postural awareness and
scapular setting
- Home when comfortable
|
|
3 Weeks Clinic |
- Body belt removed
- Gentle pendular exercises for
flexion & extension
- No combined forward
flexion and Internal rotation exercises
|
|
6 Weeks Physio |
·
The sling is removed & formal physio
begins
Aims:
- Regain scapula & glenohumeral
stability working for shoulder joint control rather than range
- Gradually increase ROM
- Strengthen rotator cuff muscles
- Increase proprioception through
open & closed chain exercise
After 2 months any residual tightness to internal rotation may be
addressed by specific stretching exercises
|
Return to functional activities:
Return to work
Sedentary job: as tolerated
Manual job: 3
months
Driving
6-8 weeks
Swimming
Breaststroke: 6 weeks
Freestyle: 12
weeks
Golf
3 Months
Lifting Light
lifting can
begin at 3 weeks. Avoid lifting heavy items for 3 months.
Contact Sport E.g.
Rugby, horse riding,
football, martial arts, racket sports and rock climbing: 3 months
For more information please contact
therapists@shoulderdoc.co.uk
11/02/2004 |
