Question

You are working with an athlete who has recently had rotator cuff surgery. They have just completed physical therapy and are cleared for participation in an exercise program. Provide a SPECIFIC 12-week strengthening and strengthening program to help bring the athlete back to full activity. Then provide a rationale for your program

Answer 1

With importans in surgical technique and increased knowledge of rotator cuff healing,there was a need to identify a safe progression after rotator cuff repair.The rehabilitation specialist plays an integral role in the care of these patients,and criteria-based model , patients many be able to return to their prior levels of function sooner with fewer complications.

Recent findings

Timing of Progression for rotator cuff patients should aling not only healing but also putential strain on the involved tissue .recent electromyography studies have identified exercise which elict highest level of muscle activation for individual dynamic stabilizers.The physical therapist should also be aware to manage appropriately if they should arise.

Summary

During rehabilitation after rotator cuff repair these should be constant communications with the surgical term.Awareness of complication management, hearing potential of the repaired tendon,and anatomy of the shoulder complex are critical .During the early stages ,reducing pain and inflammation should be prioritize followed by progressive restoration of range of motion.when advancing rang of motion, progression from pessive ,active assisted and active movements allow for gradual introduction of stress to the healing construc.Even thought time fames are not used for progression it is important not to place excessive stress on the shoulder for up to 12weeks allow for proper tendon to bone healing.

As exercises are progressed, scapular muscle activation is initiated ,followed by isometric and lastely isotonic rotator cuff exercises.When treating overhead position is performed, followed by plyometric treating.Advanced strengthening is initiated when all preceding criteria have been early in the rehabilitation patients are educated so that can manage their experiences to realistic time frames

Keywords.Rotator cuff shoulder,post -operative rehabilitation

Introduction

Shoulder pain results in over three million visits to physician each year .of these visits.rotator cuff disease is the most common cause [1] Yamamoto et al.[2] showed 20.7%1366 shoulder had full -thickness rotator cuff tears in the general population with the biggest risk trauma .

Even with advance surgical management of rotator cuff injures recurrent tears of large or massive remain a problem in some cases running from 13,to94%[3]it is imperative that patients not only have extremely skilled surgical care but a knowledge and experienced physical therapist to help guide their post operative progression.successful treatment of rotator cuff repair relies pain and restore range of motion as well as prior levels of function in order to prolly progression are essential

Anatomy

The rotator cuff is composed of a group of four muscleand tandons that surrounded the shoulder.these include the supraspinatus, ingredients , subscapular,and ters minor which function to assist in glenohumeral (GH)

As well as moment with stability however or tone thought injury or disease dysfunctional may occur

Complications

Although surgical technicaes have imporved and post operative rehab technique have advance, complications management should be addressed .in a recent systematic review the most frequently encountered complications wase be ruptur or re tear of the repair ranging from 11and 95%followed complications which renged from 1.5to 11.1%[5] Numerous auther reported stiffreness as the most common complication ranging from 2.7to 15%[6,7]other reported complication include nerve injury ,reflex sympathetic dystrophy, infection 12 weeks surgery [11]