Post-Operative Home Exercise Program
Phase I (pre-functional): Maximum protection phase
Day 1 post-op – 4 weeks
1. Pendulum exercise
Directions:
While standing, bend forward and let your affected arm hang loosely. Prop the unaffected arm on a table or place your hand in the seat of a chair, to maintain balance. Relax your shoulder and initiate swinging of the arm by moving your upper body forwards and backwards, side to side, and in a circle.
*Complete each of these three movements for 2-3 minutes, 3 times a day.
2. Cross-body stretch
Directions:
While sitting or standing, stretch affected arm across the chest towards the opposite shoulder. With the unaffected arm, apply pressure to the elbow towards the chest.
*Complete this stretch three
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Grab the other end of the band with your affected arm. With your thumb towards the ceiling, squeeze your shoulder blades and slowly raise the resistance band to just above shoulder level – keeping the band halfway between the front and side of your body. Hold here for five seconds and repeat 10 times. *Complete exercise three times a day.
2. Scapular retraction
Directions:
This exercise can be performed in standing or seated position. With the resistance band securely anchored in the middle just above shoulder level, grab a hold of both ends with each hand. Bend arms to shoulder level and bend elbows, hands up towards the ceiling. With arms in this position, squeeze your shoulder blades as you slowly pull the bands back. Hold here for five seconds and repeat 10 times.
*Complete exercise three times a day.
3. Dynamic closed-chain
Take a deep breath, reaching your arms up above your head as you inhale, and lowering your arms out to the sides and down as you exhale.
1 Hold your left / right arm at your side and bend your elbow as much as you can using your left / right arm muscles.
2. After this, light aerobic activity may be resumed. Examples include walking, swimming, or other exercise that raise the athletes heart rate no more than 30% of their maximum. No resistance training is required. The athlete should try and move their neck to their full range of motion - neck rolls, 10 repetitions completed 3 times daily.
O: Patient participated in a 50-minute OT treatment session in the outpatient rehabilitation gym to increase functional ROM and strength in the L UE, bilateral use, decrease edema in the distal L UE and education on community involvement. Patient presented with subluxation brace, personal manufactured sling, and compression glove to therapy session. Also, presented with a decreased in edema in the distal L UE since previous session.
exercise for 2 weeks, and elastic resistance exercises for internal and external rotation every other day for a month."
• Raise (elevate) your arm above the level of your heart while you are sitting or lying down.
Then with your weight transferred, bring your glove hand in towards your chest, so that your elbow is
How to: Stand with a weight in each hand, near hips, palms forward. Shoulders and elbows should be pinned against the wall. Without moving upper arms, curl weights up until dumbbells are shoulder level, then lower to starting position. Aim for 14 to 22 reps with good form shoulders flat against the wall, raising arms for a count of two and lowering them for a count of two.
Kneel in front of a stability ball with your hands clenched and resting on the ball. Keeping your back straight, slowly roll the ball away from your body by letting your hands roll over the ball. Fully extended you will have a straight line from your knees, throughout your core and extending through your stretched out arms. Slowly return to the starting position.
First, place the barbell in front of your shoulder and stabilize it. Then, slowly cross your arms and grab hold of the barbell by laying your hands on the barbell itself. Your elbow should be facing forward instead of facing down. The starting position can be tough at first but once you get used to it, it will be very easy. Next, slowly while stabilizing the barbell, concentrate on lowering your butt down while keeping your knees bend. Then slowly bring yourself up to the starting position. Even though this exercise is training your leg muscles, you will feel that you are actually using a lot of stabilizing strength from the abs too.
Tightly hold the bar overhand so that your palms are facing away from you and your arms are bent.
A shoulder exercise - Bear Crawl – For this you need to make sure that there is enough space to crawl up a decent length. Put the slam ball on floor before you and get into the posture of a bear crawl. Begin with your hands and knees. Once you are in a proper position, push up the toes with your buttock in
You can relieve the weight on your wrists by using a block underneath your palms or you can complete the pose up on your elbows. By way of lifting your hands on blocks, folded towel, or the seat of a chair, you can help to release and open your shoulders.
Lower your body properly at a proper distance in order not to harm your shoulders.
Alternate crossing every arm across and hold the opposing arm. Hold for sixty seconds on either side.