Tech How Assam. If regional anesthesia is used, you'll have no feeling in your shoulder. Arthroscopic Rotator Cuff Repair Protocol: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic assisted/mini-open rotator cuff repair. An IV (intravenous) line may be started in your arm or hand. 175 Cambridge Street, 4th Floor Boston, MA 02114 Phone: 617-643-9999 Fax: 617-643-0822 Knee ACL Injuries - Non-operative Management ACL Reconstruction Autologous Chondrocyte Implantation (ACI)-Femoral Autologous Chondrocyte Implantation (ACI)-Patella High Tibial Osteotomy Protocol Iliotibial Band Syndrome 1 0 obj LL`}*Tg/#VA|5RQSVt*#bH|5 [oB]bPY) 1ULXv$6*jthb Ylv Connect with us. The damage may be due to: Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. Back to Rehabilitation Services Physical Therapy Protocols The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. collected, please refer to our Privacy Policy. Rotator cuff repair may be done while you're asleep under general anesthesia or while you're awake under local or regional anesthesia. Pre-op. PDF Rehabilitation Protocol for Rotator Cuff Repair-Small to Medium Sized Tears At Mass General, the brightest minds in medicine collaborate on behalf of our patients to bridge innovation science with state-of-the-art clinical medicine. <>/XObject<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/Annots[ 32 0 R 33 0 R 34 0 R] /MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> When one or more of the tendons in the rotator cuff is torn, it no longer fully attaches to the head of the humerus. The arthroscope is often used along with other tools that are inserted through another small incision. ter rotator cuff repair is 30 of eleva-tion in the scapular plane, with 0 to Let us help you navigate your in-person or virtual visit to Mass General. The camera is connected to a monitoring system that allows the doctor to view a joint through a very small incision. Rotator cuff surgery may be done using an arthroscope. It allows you to lift your arm and reach up. We use cookies and other tools to enhance your experience on our website and An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities. You should keep the sling or immobilizer on as directed by your provider. to analyze our web traffic. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. The decelerated rehabilitation avoids excessive tension on the SS & IS by avoiding excessive scaption, ER, & FF until 4 weeks. PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions: The circulation and sensation of your arm will be monitored. It stabilizes the ball-and-socket joint of the shoulder and allows for normal shoulder mechanics. }@o~+msq8JJ|vd24a2e> Physical Therapy Protocols Shoulder Elbow Hip/Knee Ankle Return to Sports Guidelines Physical Therapy Standards of Care Ankle Spine Shoulder Hip/Knee Lower Extremity Pelvic Health An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities and eventually require rotator cuff surgery. ntr>&TZt`3o6?=^_.9|0dd\H c9{+'+::A{NhV{. An injury to the rotator cuff, such as a tear, may happen suddenly when falling on an outstretched hand or develop over time due to repetitive activities. All rights reserved. Microsoft Word - Rotator cuff and SLAP patient info.doc The General Hospital Corporation. We provide our patients with comprehensive, coordinated care from experts who understand the unique needs of women in sports. Day 1 - 3 weeks. to analyze our web traffic. Your surgeon may give you other instructions after the procedure, depending on your particular situation. endobj The following Standards is Care and Protocols are the real away BWH and should not be copied or otherwise used without the get of the Director of Rehabilitation Services. For more information about these cookies and the data x][~G[" $`u[6=nwgz~HH[6M} ^|jg4?/>=W6ugqAxi??='O71R +gA^V%w?h0J6 }l?x)?VQ,QK-XTS1aM Nerves or blood vessels in the area of surgery may be injured. Arthroscopic Rotator Cuff Repair Frequently Asked Questions: {QHCr!3g6jE6YQ` HMn0F:N@_A"'( -P7Ul8 >qr5i>M___c*h?) It allows you to lift your arm and reach up. Boston, The Sports Physical Therapy Service is an integral part of the Sports Medicine Center and the Department of Physical and Occupational Therapy. The rotator cuff keeps the shoulder in the socket. PDF ARTHROSCOPIC ROTATOR CUFF REPAIR - Brigham and Women's Faulkner Hospital 175 Cambridge Street, 4th Floor Rehabilitation following reverse total shoulder arthroplasty Call 617-643-3333 if youre experiencing a sports injury. This results in weakness or numbness. General Information: <>/Metadata 1084 0 R/ViewerPreferences 1085 0 R>> The shoulder is a ball-and-socket joint: the head of the humerus (upper arm bone) fits into a socket in the shoulder blade. The American Society of Shoulder and Elbow Therapists' consensus statement on rehabilitation following arthroscopic rotator cuff repair. 2009-11-17T11:36:40-05:00 Stay Informed. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 2012-04-12T06:10:33-04:00 (2016). smoking, hypercholesterolemia and diabetes. This may include shaving off bone spurs that are pinching the shoulder or repairing torn tendons or muscles in the shoulder. stream Rotator Cuff Repair - Brigham and Women's Hospital endobj Search for condition information or for a specific treatment program. Expect full recovery to take up to 4 to 6 months. PDF Arthroscopic Labral Repair Protocol, II, IV, and complex tears Your surgeon will give you specific bathing instructions. Aspirin or certain other pain medicines may increase the chance of bleeding. In some cases, a tendon graft and joint replacement may be necessary. Once youre home, its important to keep the surgical area clean and dry. 617-732-5500, Learn more about our sports medicine offerings, Rotator Cuff Tears: Frequently Asked Questions, Rotator Cuff Tears: Surgical Treatment Options, Rotator Cuff and Shoulder Conditioning Program, Anesthesiology, Perioperative and Pain Medicine. endobj The rotator cuff is made up of muscles and tendons that hold the shoulder in place. Healing occurs at a rate of 10% per month. Prevent shoulder stiffness 4. An arthroscope is a small, tube-shaped instrument that is inserted into a joint. After surgery you'll be taken to the recovery room for observation. PDF Rehabilitation of the Rotator Cuff: An Evaluation-Based Approach Rotator cuff tears (RCT) are frequent and increase with age, yet the varying functional implications of a tear can have a unique and dramatic impact on a patient's daily life. Anesthesia, Critical Care & Pain Medicine, Billing, Insurance & Financial Assistance, Autologous Chondrocyte Implantation (ACI)-Femoral, Autologous Chondrocyte Implantation (ACI)-Patella, Medial Patellofemoral Ligament (MPFL) Reconstruction, Microfracture of Femoral Condyle & Patella/Trochlear Groove, Osteochondral Autograft/Allograft Transfer System (OATS) Procedure, Acromioclavicular Joint Reconstruction (including Coracoclavicular Ligament Reconstruction), Clavicle Open Reduction Internal Fixation (ORIF), Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Rotator Cuff Repair - Small to Medium Tear, Rotator Cuff Repair - Large to Massive Tear, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Medial & Lateral Epicondylitis (Golfers Elbow), Athletic Pubalgia (non-operative management), Hip Arthroscopy for Femoroacetabular Impingement, Interval Throwing Program Phase One - Long Toss, Interval Throwing Program Phase Two - Pitcher's Mound, Interval Throwing Program for Little League. The presence of a RCT can cause a vast array of impairments and associated dysfunctions. The rotator cuff may be damaged from a fall or other injury to the shoulder. /-BmN2'ux)>MxYLV#a$F]7W9.|EzuonDxH/?uXPoN,);? This protocol is time based (dependent on tissue healing) as well as criterion based. In some cases, a tendon graft or joint replacement may be needed. PDF Rotator Cuff Repair (Small to Medium) Rehabilitation Guideline 1 Oxford Road New Hartford, NY 13413. It consists of a system of lenses, a small video camera, and a light for viewing. PDF Rehabilitation Protocol: Massive Rotator Cuff Tear Repair - Lahey Health Brigham and Womens Hospital has long been committed to not only the care of our patients but also the many other needs that they and their families have. MA ek'eY|&~ll%h$v,*`H. Once your blood pressure, pulse, and breathing are stable and you're alert, you'll be taken to your hospital room or discharged to your home. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. PDF Rehabilitation Protocol Lower Trapezius Tendon Transfer to Greater You can ask questions. This guideline is designed to repair, other BEAR procedure, real ACL reconstructing in pre- chronic models.21,33 . 3. 5. Connect with us. The intent of posting these criteria a care and protocols a to provide clinicians and patients an understanding of ours current standards of care and protocols at BWH. The rotator cuff keeps the shoulder in the socket. COPYRIGHT*2014*CRC*"BRIAN*J. Physical Therapy Standards of Care and Protocol - Brigham and Women's In older patients, there may not be an injury or event to cause the tear. Protocol Delays: o The start of this protocol will be delayed 3-4 weeks following rTSR for a revision or in the presence of poor bone stock based on the surgeon's assessment of the integrity of the surgical repair. 1 Chung SW et al. The incision will be closed with stitches or surgical staples. Rotator Cuff Repair. Stay Informed. 617-732-5500, Rehabilitation Services - Physical and Occupational Therapy, Arthroscopic Anterior Shoulder Stabilization Protocol, Latissimus Dorsi Tendon Transfer Protocol, Open Anterior Shoulder Stabilization Protocol, Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol, Proximal Humeral Fracture Open Reduction Internal Fixation (ORIF), Reverse (Inverse) Total Shoulder Arthroplasty Protocol, Rotator Cuff Repair Small to Medium Tear, Rotator Cuff Repair Large to Massive Tear, Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol, Autologous Chondrocyte Implantation Protocol, Medial Patellofemoral Ligament (MPFL) Reconstruction, Post-operative Rehabilitation Protocol following Arthroscopic Hip Surgery for Femoroacetabular Impingement, Ankle Fracture with Open Reduction and Internal Fixation (ORIF), Brostrom Gould Repair for Ankle Instability, Functional Activity Progression Protocol following Lower Extremity Stress Injury, Return to Sport Following Knee Injury/Surgery, Running Injury Prevention Tips & Return to Running Program, Running Injury Prevention Tips & Strength Training Program, Reverse (Inverse) Total Shoulder Arthroplasty, Anterior Cruciate Ligament (ACL) Non-surgical Management, Non-Operative Management of Labral Tear of the Hip, Pelvic Floor Considerations in the Transgender and Gender Nonconforming Patient, Breast Reconstruction following Mastectomy, Physical Therapy Treatment of Blocked Milk Ducts, Inpatient-Specific Physical Therapy Standards of Care, Inpatient PT and OT Services: Main Campus, Anesthesiology, Perioperative and Pain Medicine. /*jthpUxYl*ABB'.4dG^td}AU Women's Sports Medicine Rotator Cuff Repair - Brigham and Women's Hospital <> If your rotator cuff is injured, you may need to repair it surgically. 3 0 obj Arthroscopic Rotator Cuff Repair is performed when there is a tear of one or more of the four muscles that comprise the Rotator Cuff. You'll be positioned on the operating table. Learn about Real Therapy Standards of Care and Protocols since that Rehabilitation Services at Brightam additionally Women's Infirmary. There may be other reasons for your healthcare provider to recommend rotator cuff repair. PROM shoulder flexion/abduction/ER/IR. You may meet with a physical therapist before your surgery to talk about rehabilitation. ROM Exercises; Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers. endstream endobj 770 0 obj<>stream Medical treatments for rotator cuff injury may include, but are not limited to, the following: If medical treatments are not satisfactory, rotator cuff surgery may be an effective treatment for shoulder repair. ajp5 A sterile bandage or dressing will be applied. You shouldn't drive until your surgeon tells you to. Sports Medicine Physical Therapy Rehabilitation Protocols Phase I: 1 through 4 to 6 weeks post-op: First 3 weeks: Patient education: movement limitations, posture, proper sling fitting, joint protection, and positioning. Bone spurs will be removed if there are any. In arthroscopic shoulder repair, the surgeon inserts a small camera called an arthroscope into the shoulder joint, which displays pictures onto a screen so that the surgeon may guide surgical instruments. vywh0*-)Ha[ %2+$t^> K5$*{c Z Q.@B[,4nr^{.zlqE@`Cu.> %PDF-1.7 . Shoulder Precautions Medical treatments for rotator cuff injury may include the following: Nonsteroidal anti-inflammatory drugs (NSAIDs). PDF Arthroscopic Rotator Cuff Repair Frequently Asked Questions 617-732-5500, New Patients: vOuAt#v;TcdMGb6 0,-oNflh$pF0lLP6r2))"9 8n`*VKNwp|d.)o6KCgiwM;UFPeM/w;%(HqPG{CZBf6vr"m 4 A surgical repair is indicated when pain cannot be managed with conservative methods and is associated with weakness that causes a significant loss of function. Our inpatient satisfaction survey, sent to patients to assess their total care experience, helps us to monitor what we are doing well and what areas may need improvement. PDF Rotator cuff and SLAP patient info - Massachusetts General Hospital Brigham and Womens Hospital is committed to providing all of our patients with the safest, highest-quality, most-satisfying care possible and following established protocols that have been shown to improve patient outcomes. General Information: You'll be asked to sign a consent form that gives your permission to do the procedure. Turners Cuff . It consists of a system of lenses, a small video camera, and a light for viewing. Brigham and Women's Hospital, Division of Rheumatology, Inflammation, and Immunity, nonsteroidal anti-inflammatory medications. The rotator cuff is a group of four muscles: the supraspinatus, the infraspinatus, the subscapularis, and the teres minor. Other activity restrictions may apply. Women's Orthopedic and Joint Disease Center, Anesthesiology, Perioperative and Pain Medicine. Rehabilitation Services at Brigham & Women's Hospital has accepted a modification of this protocol as our standard protocol for the management of patient's s/p arthroscopic repair of Type II and IV SLAP lesions. They should not be copied or otherwise used without the permission of the Director of Rehabilitation Services. collected, please refer to our Privacy Policy. You will eventually be prescribed strengthening exercises. In the case of a delayed therapy start, the following timeframes are to be adjusted so that day 1 is the first day of therapy. 02114. Comprehensive and innovative bone and joint care is the foundation of the Center, beginning nearly a century ago when one of our founding hospitals, the Robert Breck Brigham Hospital, became the first teaching hospital in the country wholly devoted to arthritis treatment and related diseases. If medical treatments aren't working, rotator cuff repair surgery may be an effective treatment. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. 4 0 obj Tell your provider if you have a history of bleeding disorders or if you're taking any anticoagulant (blood-thinning) medicines, aspirin, or other medicines that affect blood clotting. Your surgeon will make a cut (incision) in the shoulder area. Arthroscopic repair of massive rotator cuff tears: outcome and analysis of factors PDF BANKART REPAIR REHABILITATION PROTOCOL (Arthroscopic/Open) ns6K2*\2 9LSs. Small/Medium Rotator Cuff Repair Protocol; Subscapularis Repair Protocol; Superior Capsule Repair Protocol; Triceps Tendon Repair Protocol; Locations: HAMILTON. Physical Therapy Protocols - Brigham and Women's Faulkner Hospital Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: The rotator cuff consists of muscles and tendons that hold the shoulder in place and allows a person to lift his and her arm and reach up. Equate active and passive range of motion. BRIGHAM AND WOMEN'S HOSPITAL. Full recovery from the surgery may take several months. A Teaching Affiliate of Harvard Medical School 75 Francis St. Boston, Massachusetts 02115. . Shoulder injuries are common. 2 0 obj This philosophy of patient- and family-focused care involves systems and services that emphasize healing in a comfortable, relaxed environment. Rotator cuff strengthening with light Theraband - ER and IR with arm at side and pillow or towel roll under arm - Flexion to 60 degrees - Abduction to 60 degrees - Scaption to 60 degrees - Extension to 30 degrees Standing rows with Theraband Prone scapular retraction exercises (with light weight) Ball on wall (arcs, alphabet) Read the form carefully and ask questions if something isn't clear. <>/Metadata 702 0 R/ViewerPreferences 703 0 R>> 833 0 obj <>/OCGs[835 0 R 836 0 R]>>/StructTreeRoot 164 0 R/Type/Catalog>> endobj 98 0 obj <> endobj 2783 0 obj <>stream The incision will vary depending on the type of surgery (open surgery, arthroscopy, or a combination of both) that may be done. Tell your provider about any of the following: Redness, swelling, bleeding, or other drainage from the incision site, Numbness or tingling in the affected arm or hand. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. Recurrent pain, limited ability to move the arm, and muscle weakness are the most common symptoms. An arm sling is used for 4 weeks post-op. Elbow/wrist/hand AROM w/ no resistance. skip to Cookie . Some possible complications may include: The joint pain and weakness may not be relieved by the surgery. Adobe Acrobat 8.0 Combine Files The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. % PDF Rotator Cuff Repair Protocol - Boston Shoulder Institute Mass General Brigham's network of Harvard Medical School-affiliated experts leads the nation in sports medicine research, technology, and innovations. 4. The rotator cuff is a slow healing structure due to poor blood supply. Damage may also occur slowly over time. collected, please refer to our Privacy Policy. Be sure to discuss any concerns with your provider before the procedure. Surgical techniques that may be used to repair a tear of the rotator cuff include arthroscopy, open surgery, or a combination of both. The rotator cuff consists of muscles and tendons that hold the shoulder in place and allows a person to lift his and her arm and reach up. Generally, rotator cuff repair surgery follows this process: You'll be asked to remove clothing and given a gown to wear. Follow any directions you're given about not eating or drinking before your procedure. Women's Sports Medicine Rotator Cuff Repair The shoulder is a ball-and-socket joint: the head of the humerus (upper arm bone) fits into a socket in the shoulder blade. For over a century, a leader in patient care, medical education and research, with expertise in virtually every specialty of medicine and surgery. The tendons attach the humerus to the shoulder blade and aids in lifting and rotating the arm. collected, please refer to our Privacy Policy. Take a pain reliever for soreness as recommended by your healthcare provider. Quick Links. Abstract. 4 0 obj The conservative rehabilitation protocol allows Sharpey fibers to form before stressing the repair with resistive exercises. The following Protocols are the property of Brigham and Women's Hospital (BWH) and are linked here with permission. ;#O#t4\i_"+O/G?|tg1}*$27VsO] k\pU2=" Injuries to the shoulder are common. You may not recover full range of motion in the shoulder joint. Before you agree to the test or the procedure make sure you know: The reason you're having the test or procedure, What results to expect and what they mean, The risks and benefits of the test or procedure, What the possible side effects or complications are, When and where you're to have the test or procedure, Who will do the test or procedure and what that persons qualifications are, What would happen if you didn't have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or problems, How much you'll have to pay for the test or procedure. Rehab Plans and Exercises Minor Rotator Cuff Repair Protocol for Physiotherapy Following Surgery. PDF Arthroscopic Repair of RTC tear SOC - Brigham and Women's Hospital The stitches or surgical staples will be removed during a follow-up office visit. We have remained at the forefront of medicine by fostering a culture of collaboration, pushing the boundaries of medical research, educating the brightest medical minds and maintaining an unwavering commitment to the diverse communities we serve. Connect with us. `6B3}"{PT(3 _x g"8. Control pain and swelling Activities: 1. QlR#D' 85 College Street Hamilton, NY 13346. Always follow your healthcare professional's instructions. Rotator Cuff Repair - Physical Therapy Haven The rotator cuff consists of four muscles that come together as tendons to cover the head of the humerus. For more information about these cookies and the data endobj For more information about these cookies and the data Rotator Cuff Repair (Arthroscopic) This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase. Rehabilitation after Rotator Cuff Repair. For more information about these cookies and the data PDF Rotator Cuff Repair with Biceps Tenotomy/Tenodesis SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL ! You may get a medicine (sedative) before the procedure to help you relax.
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