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Post Op Exercises

Also See:
Living with a Sling
 
Physio Protocol

Following Rotator Cuff Repair Surgery

Please Print and give this page to your Physiotherapist, who will assist you with your exercise programme.

POSTURE

Correct posture is one of the most important things to achieve following your surgery. It allows the shoulder to move in the way it was supposed to do without placing stresses and strains on the joint and muscles. See diagram for correct posture position.


The scapula or shoulder blades should be moved back and down. This is the normal or neutral position for them and should be maintained during all of the exercises

Achieving scapula neutral should be done regularly as soon as possible and can be done with the arm still in the sling.


 EXERCISES

You will be expected to perform the following exercises when you leave hospital.

1. Keep your arm in the sling and move your hand up and down at the wrist. (Repeat ……….)

2. With arm in the sling regularly shrug shoulders up and down and circle forwards and backwards
(Repeat ……….)

3. With your arm in the sling and the elbow bent at your side, turn the hand to face the ceiling and then the ground.
(Repeat ……….)

4. With your arm out of the sling bend and straighten the elbow. (Repeat ……….)
Repeat these exercises four times per day. The number you should perform at each session will be recorded for you by your physiotherapist. Continue these exercises until otherwise advised by your physiotherapist


Only do the exercises below when instructed to by your physiotherapist.
This may not be for three weeks post operation.


 You can start this exercise now. (Sign and Date)…………………………………………..


Stand. Lean well forwards. Let your arm hang down. Swing your arm forwards and backwards and then in a gentle circular motion.
Repeat 10 times each direction. (Shown for the right shoulder).


You can start this exercise now. (Sign and Date)…………………………………………..

 
Lying on your back. Support your operated arm with the other arm and lift it up overhead. Repeat 10 times. (Shown for right shoulder). Begin lying on your back and progress into sitting as able.


  You can start this exercise now. (Sign and Date)…………………………………………..


Standing, with elbow flexed to 90 degrees, and held close to body, grasp the wrist of the affected arm with the good hand. Attempt to move the hand of the affected arm outward resisting the motion with the good hand. Keep the affected arm still.


You can start this exercise now. (Sign and Date)…………………………………………..


Standing with your back against a wall. Keep the arm close to your side, elbow bent. Push the elbow back into the wall. Hold for 5 seconds. Repeat 10 times.


 You can start this exercise now. (Sign and Date)…………………………………………..


Standing side on to the wall. Push arm into the wall. Do not allow the operated arm to move. Hold for 5 seconds. Repeat 10 times.


  You can start this exercise now. (Sign and Date)…………………………………………..


Lie on your back. Keep the scapula in the ‘neutral’ position, lift both arms towards the ceiling and over the head. 


You can start this exercise now. (Sign and Date)…………………………………………..


Lying on good side lift opposite forearm up towards the ceiling making sure that you do not roll backward.
Repeat 10x


 You can start this exercise now. (Sign and Date)…………………………………………..


 Strengthening

You can start this exercise now. (Sign and Date)…………………………………………..

 
Tie some elastic to a banister. Keep the elbow tucked in against body and scapula in the neutral position. Slowly pull the elastic out to the side away from your body. Hold 5 sec and then very slowly return to the resting position.
Repeat 10x


 You can start this exercise now. (Sign and Date)…………………………………………..

 
Tie some elastic to a banister. Keep the elbow tucked in against body and scapula in the neutral position. Slowly pull the elastic into body. Hold 5 sec and then very slowly return to the starting position.
Repeat 10x


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