Rehab

Bankart Lesion Rehabilitation

Overview: A Bankart lesion is a tear of the labrum in the shoulder, often resulting from recurrent shoulder dislocations.

Rehabilitation Goals:

• Restore range of motion (ROM)
• Strengthen the shoulder muscles
• Improve stability and function

Rehabilitation Protocol:

• Phase 1
  • Immobilization: Use a sling for 4-6 weeks.
  • Gentle ROM Exercises: Passive shoulder flexion and abduction; avoid external rotation.
  • Isometric Exercises: For shoulder musculature.
• Phase 2
  • Active ROM Exercises: Gradual progression to active movements
  • Strengthening Exercises: Light resistance for rotator cuff and scapular muscles.
• Phase 3
  • Advanced Strengthening: Incorporate resistance bands and weights.
  • Functional Activities: Gradual return to sport-specific activities.
• Phase 4
  • Return to Sports: Sport-specific training and drills.

Rotator Cuff Repair Rehabilitation

Overview: Rotator cuff repair is performed to fix torn muscles or tendons in the shoulder.

Rehabilitation Goals:

• Restore shoulder mobility
• Rebuild strength and endurance
• Prevent re-injury

Rehabilitation Protocol:

• Phase 1 (Weeks 1-4):
  • Immobilization: Sling for 4-6 weeks.
  • Passive ROM Exercises: Start with gentle flexion and abduction
  • Isometric Strengthening: Initiate isometric exercises for shoulder muscles.
• Phase 2 (Weeks 4-8):
  • Active Assisted ROM Exercises: Gradually increase shoulder mobility.
  • Begin Strengthening: Introduce light resistance.
• Phase 3 (Weeks 8-12):
  • Active ROM Exercises: Full active range; more aggressive strengthening.
  • Functional Activities: Begin light sport-specific drills.
• Phase 4 (3-6 Months):
  • Return to Full Activity: Gradual return to sports and heavy lifting.

SLAP Repair Rehabilitation

Overview: A SLAP (Superior Labrum Anterior to Posterior) repair addresses a specific type of shoulder labrum tear.

Rehabilitation Goals:

• Restore shoulder function and strength
• Minimize pain and inflammation

• Phase 1 (Weeks 1-4)
  • Immobilization: Sling usage.
  • Passive ROM Exercises: Focus on pain-free movements.
  • Isometric Exercises: Begin with shoulder isometric exercises.
• Phase 2 (Weeks 4-8)
  • Active ROM Exercises: Gradual increase in movement.
  • Strengthening Exercises: Light resistance for scapular and rotator cuff muscles.
• Phase 3 (Weeks 8-12)
  • Increased Strength Training: Incorporate resistance bands and weights.
  • Functional Activities: Light sports training as tolerated.
• Phase 4 (Weeks 3-6)
  • Return to Sports: Focus on sport-specific conditioning and strength.

Subacromial Decompression Rehabilitation

Overview: This procedure relieves pain from shoulder impingement by removing bone spurs or inflamed tissue.

Rehabilitation Goals:

• Reduce pain and inflammation
• Restore shoulder motion and strength

• Phase 1 (Weeks 1-4)
  • Rest and Ice: Minimize pain and swelling.
  • Gentle Passive ROM Exercises: Focus on shoulder flexion and abduction.
• Phase 2 (Weeks 4-8)
  • Active ROM Exercises: Increase shoulder mobility.
  • Strengthening Exercises: Light resistance training for rotator cuff.
• Phase 3 (Weeks 8-12)
  • Advanced Strengthening: Focus on functional activities and sport-specific movements.
  • Continue Mobility Work: Maintain ROM.
• Phase 4 (Weeks 3-6)
  • Full Return to Activity: Gradual reintegration into sports and heavy lifting.

Tennis Elbow (Lateral Epicondylitis) Rehabilitation

Overview: Tennis elbow is an overuse injury affecting the elbow's lateral tendons.

Rehabilitation Goals:

• Reduce pain and swelling
• Restore strength and function

• Phase 1 (Weeks 1-4)
  • Rest and Ice: Reduce inflammation.
  • Gentle Stretching: Start wrist and elbow stretches.
  • Isometric Exercises: For forearm muscles.
• Phase 2 (Weeks 4-8)
  • Active Stretching and Strengthening: Introduce eccentric loading exercises.
  • Brace Usage: Consider using a forearm brace for support.
• Phase 3 (Weeks 8-12)
  • Advanced Strengthening: Gradually increase resistance and intensity.
  • Functional Activities: Return to sport-specific movements.

Shoulder Dislocation Rehabilitation

Overview: Shoulder dislocation occurs when the humerus is displaced from the shoulder socket.

Rehabilitation Goals:

• Restore shoulder stability and strength
• Prevent recurrence

• Phase 1 (Weeks 1-4)
  • Immobilization: Use a sling for 3-6 weeks.
  • Passive ROM Exercises: Gentle movement within pain limits
• Phase 2 (Weeks 4-8)
  • Active ROM Exercises: Gradual increase in movement.
  • Strengthening Exercises: Begin isometric and light resistance exercises.
• Phase 3 (Weeks 8-12)
  • Increase Strength Training: More aggressive shoulder exercises.
  • Functional Rehabilitation: Begin sport-specific drills as tolerated.
• Phase 4 (Weeks 3-6)
  • Full Activity Return: Gradual return to sports and activities.
  • Functional Rehabilitation: Begin sport-specific drills as tolerated.

Shoulder Replacement Rehabilitation

Overview: Shoulder replacement surgery involves replacing the damaged joint surfaces with artificial components.

Rehabilitation Goals:

• Minimize pain and inflammation
• Restore shoulder function and mobility

• Phase 1 (Weeks 1-4)
  • Immobilization: Sling usage for 4-6 weeks.
  • Passive ROM Exercises: Gentle passive movements to maintain flexibility.
  • Isometric Exercises: For shoulder and arm muscles.
• Phase 2 (Weeks 4-8)
  • Active ROM Exercises: Gradually increase shoulder mobility.
  • Focus on Scapular Stabilization: Key for shoulder function.
• Phase 3 (Weeks 8-12)
  • Advanced Strength Training: Increase resistance and functional activities..
  • Focus on Scapular Stabilization: Key for shoulder function.
• Phase 4 (Weeks 3-6)
  • Return to Activities: Gradual reintegration into daily activities and sports.

Shoulder Replacement Rehabilitation

Overview: Shoulder replacement surgery involves replacing the damaged joint surfaces with artificial components.

Rehabilitation Goals:

• Minimize pain and inflammation
• Restore shoulder function and mobility

• Phase 1 (Weeks 1-4)
  • Immobilization: Sling usage for 4-6 weeks.
  • Passive ROM Exercises: Gentle passive movements to maintain flexibility.
  • Isometric Exercises: For shoulder and arm muscles.
• Phase 2 (Weeks 4-8)
  • Active ROM Exercises: Gradually increase shoulder mobility.
  • Focus on Scapular Stabilization: Key for shoulder function.
• Phase 3 (Weeks 8-12)
  • Advanced Strength Training: Increase resistance and functional activities..
  • Focus on Scapular Stabilization: Key for shoulder function.
• Phase 4 (Weeks 3-6)
  • Return to Activities: Gradual reintegration into daily activities and sports.