Learn more about shoulder replacement rehabilitation following shoulder replacement surgery here: [ Ссылка ].
Welcome to Dr. Matthew Boes’s Shoulder Replacement Rehabilitation video series. This video is designed to help maximize your recovery following shoulder replacement surgery. The goals of our Phase I program for shoulder replacement rehabilitation are to protect the shoulder as it heals and to start gentle motion and muscle contraction exercises. Remember the following as you engage in Phase 1 shoulder replacement rehab exercises:
Remove your sling after first 10-14 days at your physician’s direction and begin light daily use of the arm at home
After removing the sling, start motion exercises [Exercises 4-9 in this video]
Start with Table Slides, progress to Pulleys, and then perform Stick Exercises as tolerated
Perform 1-2 sets of 20 repetitions of each exercise
Use sling for comfort when out in public for up to 4 weeks
Avoid arm motion behind the back for 8 weeks after surgery
Do not push off with operative arm (i.e. – when getting up from chair or bed) for 8 weeks following surgery
Start Isometric strengthening [Exercises 15, 16, & 17 in this video] at 3 weeks post-op as comfort allows
Hold contracted position for 2-3 seconds to activate muscle contraction
The following shoulder stretching and strengthening exercises, which are demonstrated in this video, should be conducted during phase 1 of your shoulder replacement rehab:
PENDULUMS
STICK – SUPINE FORWARD ELEVATION
STICK – SUPINE EXTERNAL ROTATION
TABLE SLIDES – ELEVATION
TABLE SLIDES - ABDUCTION
PULLEYS – FORWARD ELEVATION AND ABDUCTION
STICK EXERCISES – UPRIGHT FORWARD ELEVATION
STICK EXERCISES – UPRIGHT ABDUCTION
STICK EXERCISES – UPRIGHT EXTERNAL ROTATION AT SIDE
ACTIVE ROM – ELBOW, WRIST, AND HAND
GRIP STRENGTHENING
SCAPULAR – SHRUGS
SCAPULAR – FORWARDS ROLLS
SCAPULAR – BACKWARD ROLLS
ISOMETRICS – FORWARD ELEVATION
ISOMETRICS – ABDUCTION
ISOMETRICS – EXTERNAL ROTATION
Icing is very important after each therapy session, so be sure to place an ice pack or cooling pad on the affected shoulder for 10 minutes to help limit any irritation from exercise. If the shoulder joint is stiff, try using moist heat for 10 minutes prior to exercise to help loosen things up.
This video should not be used as a substitute for regular physical therapy visits and guidance from your physician. Only progress from one phase to the next based on recommendation from your physician. Most therapy regimens, particularly after shoulder replacement surgery, are based on a healing timeline. Progressing too quickly, even though it may feel okay at first, may put you at risk for injury. Regular physical therapy visits are valuable for giving you feedback on your progress and helping to ensure you are doing exercises properly. If you develop any questions or concerns regarding your condition while using this video, contact your physician. Best of luck in your recovery from shoulder replacement surgery.
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