All times and exercises are to serve as guidelines. One of these conditions is an injury to a small structure in the shoulder called the labrum. Nov 18, 2019 exercises for your rotator cuff may be prescribed by your pt after a shoulder labrum tear. Exercises to strengthen the muscles that support your shoulder can relieve pain and prevent further injury. Download postoperative shoulder exercises pdf, 75 kb check with your doctor to make sure these instructions apply to your case. Labral fraying is also part of the normal aging process. Use at 20 minute intervals for the first week and for 20 minutes after exercise. A slap tear superior labrum anterior and posterior is an injury to the labrum of the shoulder and is usually caused by acute trauma to the shoulder or repetitive motion. Perform a special technique called manual therapy to decrease pain and improve movement. Improving shoulder stability and strength darrell barnes, lat, atc, cscs. A labral tear can be hard to diagnose because it lies so deep in the complex anatomy of the shoulder. An unstable shoulder joint can be the cause or the result of a labral tear.
These four muscles surround your shoulder and help to keep your shoulder in place when you move your arm. Rehabilitation guidelines for slap lesion repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee. Tears may lead to shoulder pain, an unstable shoulder joint. Nonoperative shoulder rehabilitation protocol ben rubin, m. Th e full recovery from these procedures occurs after 69 months. Mccarthy et al3 reported that 73% of patients with labral pathology have chondral damage. Rehabiliation of a shoulder labrum tear verywell health. Strength prehabilitation for the shoulder complex final1. Active wrist, forearm, and elbow exercises, all planes 2. Shoulder labral repair rehabilitation protocol labral repairs are limited by the inherent limitation of softtissue healing to bone. Shoulder active range of motion exercises with a dumbbell. Physical therapists guide to labral tear of the shoulder. Intraarticular hip pathologies can refer pain to the anterior groin, buttock, greater trochanter, thigh andor medial knee.
This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. By design and necessity, it is incomplete, to allow for individualization of the. Surgical intervention may involve debridement or repair depending on the size of the tear, the mechanism of injury and the age of the patient. Phase i immediate post surgical phase protected motion days 1 to week 6 04 weeks pain control.
Physical therapy protocol shoulder anteriorposterior. Physical therapy in baton rouge for shoulder pain labral. A superior labrum anterior and posterior slap tear involves a tear in the 10 oclock to 2 oclock positions on the. The shoulder is the most mobile joint in the body, but to have this amount of motion, it is also less stable and more likely to dislocate than other joints. May remove sling for exercises, showering, and dressing modalities prn 1. Shoulder labrum tear exercise program verywell health. Do so only if instructed by the surgeon after your surgery. The biceps tendon, which comes from the muscle on your arm, goes through the shoulder. Rehabilitation guidelines for posterior shoulder reconstruction with or without labral repair the anatomic configuration of the shoulder joint glenohumeral joint is often compared to a golf ball on a tee. Common symptoms associated with a labral tear include pain, clicking, locking, instability, catching, giving way andor stiffness. This is because the articular surface of the round humeral head is approximately four times greater than that of the relatively flat shoulder blade face glenoid fossa1 figure 1. Perform shoulder exercises as above, active and passive ranges of. Rehabilitation guidelines for slap lesion repair uw health.
This is because the articular surface of the round humeral head is approximately four times greater than that of the relatively flat shoulder. Avoid activities that may cause additional damage to the labral tear, such as arm. Return to sport is based on provider team physician, physician assistant, athletic trainer, therapist input and appropriate testing. Shoulder rehabilitation western orthopaedic clinic. The muscles of the shoulder can be divided into two groupings. If any of these occur, decrease activity level and ice. Performing the exercises two to three days a week will. Shoulder arthroscopic labral debridement rehabilitation. Your doctor will also prescribe gentle, passive, painfree rangeofmotion exercises. It is designed for rehabilitation following shoulder arthroscopic labral debridement.
See more ideas about hip workout, hip pain and bursitis hip. Latarjet protocol the intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone a latarjet procedure for anterior. On occasion, a single acute injury will cause the problem. Outcome following nonoperative management of superior labral anterior to posterior slap lesions has been under reported with little empirical data demonstrating the ef fectiveness of conservative treatment.
A slap tear of the shoulder is a tear of the labrum at the superior aspect of the glenoid or top of the shoulder. Perform wrist and finger range of motion exercises daily. Ice should be applied to the shoulder for 1520 minutes following each exercise, therapy, or training session. Labral tears have been found to result in degenerative changes to the acetabular articular surface. Shoulder anterior labral repair rehab protocol nirschl. The shoulder joint is a ball and socket joint the ball arising from the top of the humerus upper arm bone and the scapula shoulder blade giving rise to the socket. Shoulder joint tear glenoid labrum tear orthoinfo aaos. When the sling is removed, you will need to do motion and flexibility exercises and gradually start to strengthen your shoulder. Pain free, gentle passive range of motion for shoulder flexion, abduction, internal. You may be instructed to start simple shoulder exercises the 1st or 2nd day after your surgery. Exercises for a slap tear to help you recover quickly.
Patient guide to labral tears what is a labral tear. A slap tear superior labrum anterior and posterior is an injury to the labrum of the shoulder and is usually caused by acute trauma to the. Passive external rotation to neutral position only for weeks 1 4 c. Arthroscopic labral repair protocoltype ii, iv, and. Jun 06, 2019 after surgery for a torn labrum, your doctor might prescribe gentle rangeofmotion exercises as part of the shoulder labral tear rehab protocol.
The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic labral. Exercises to increase shoulder strength should focus on the muscles called the rotator cuff. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your shoulders. Shoulder sling with abduction pillow at all times 2. The labrum is a cartilage ring which surrounds the shoulder socket. Approximately 40% of the long head of biceps tendon lhbt attaches to the labrum. As stated, a labral tear is commonly associated with a traumatic injury to the shoulder joint, with full or partial dislocation of the shoulder. May begin passive shoulder range of motion beginning the week after surgery i. Conservative treatment for patients with suspected slap tears. Shoulder arthroscopic labral debridement rehabilitation guideline. Your pt will likely prescribe exercises for you to do as a part of your rehab program for your shoulder labrum tear.
After the injury, patients may experience severe pain, inability to move the affected arm, weakness, or numbness. The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. A labral tear of the shoulder is a condition characterized by tearing of the cartilage tissue within the shoulder joint known as the labrum. What to expect after your shoulder arthroscopy and labral. Physical therapy in baton rouge for shoulder pain labral tears. Overuse or an accident, often due to collision sports or games that depend on overhead throwing can lead to labrum or labral damage or a tear.
The shoulder is the most mobile joint in the body and undergoes a lot of wear and tear. If you have a shoulder labrum tear, you may benefit from physical therapy to help control your shoulder pain and improve the way you are able to use your arm. Each exercise can be done 10 to 15 repetitions three or four times per week. Sometimes, what appears as a minor injury causes the labrum to give way. Arthroscopic labral repair protocol, ii, iv, and complex tears. If you have physical therapy after a shoulder labrum tear, learn which areas of your shoulder youll work on and what exercises might be. The shoulder works like a ball and socket joint, but the bones are much more like a golf ball. Zero to two weeks after surgery, you can do the pendulum exercises, which is when you bend over at the waist and let your arm hang down, swinging it gently in small circular motions. Rotator cuff and shoulder conditioning program orthoinfo aaos. The shoulder joint is generally termed a ball and socket joint, where the head of the humerus the ball sits in the glenoid socket. Labral tears are reported more often in females than in males. Passive and activeassistive shoulder rom exercises as follows.
Mccormick what to expect after shoulder labral repair restrictions for the first 6 weeks you may use your hand for writing and typing you may drive when out of sling, usually at 6 weeks post surgery you must be able to react quickly so try it in an empty parking lot if unsure. Shoulder arthroscopy with posterior labral repair rehabilitation protocol general notes as tolerated should be understood to include with safety for the surgical procedure. These signs and symptoms should be evaluated by an orthopedic provider sooner than later. Shoulder instability following a subluxation or dislocation can lead to an eventual labral tear. Specific exercises will restore movement and strengthen your shoulder. The following list of exercises and treatment options is an approximate order of progression. Instability dislocation labral tears the shoulder is the most mobile joint in the body, but to have this amount of motion, it is also less stable and more likely to dislocate than other joints. You may do exercises in the pt clinic, or you may be required to perform exercises. Labral repair and shoulder rehabilitation exercises sportsrec. The shoulder labrum is a fibrocartilaginous rim attached to the margin of the. Since orthopedic surgeons began using a tiny tv camera called an arthroscope to diagnose and treat shoulder problems, they have discovered several conditions that no one knew existed.
The labrum is a specialized type of cartilage that acts like an oring or gasket on the socket side glenoid of the shoulder. After surgery, you will need to keep your shoulder in a sling for 3 to 6 weeks, depending on your doctors recommendation. Flexibility and rangeofmotion exercises will include stretching the shoulder capsule, which is the strong connective tissue that surrounds the joint. The shoulder works like a ball and socket joint, but the bones are much more like a golf ball on a tee. Shoulder arthroscopic labral debridement rehabilitation guideline this rehabilitation program is designed to return the individual to their activities as quickly and safely as possible. Physical therapy protocol shoulder anteriorposterior labral repair, slap repair, capsulorrhaphy. Active assistive range of motion of the involved elbow, wrist and hand in the plane of the body. After surgery for a torn labrum, your doctor might prescribe gentle rangeofmotion exercises as part of the shoulder labral tear rehab protocol. Strengthening the muscles around your shoulder blade and in your arm may also help to provide stability to your shoulder after a labrum tear. Conservative treatment for patients with suspected slap.
A labral tear can cause pain and a catching sensation in the shoulder. Superior labral lesion anterior to posterior department of orthopaedic surgery. Wear your sling at all times for the first 6 weeks, including while sleeping. Arthroscopic labral repair protocoltype ii, iv, and complex tears. Shoulder labrum tears occur in sports that involve repetitive overhead throwing or movement or by direct trauma, such as landing on your shoulder while diving to catch a ball.
The shoulder joint is a ball and socket joint the ball arising from the top of the humerus upper arm bone. A superior labrum anterior and posterior slap tear involves a tear in the 10 oclock to 2. The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone an arthroscopic labral repair. Review functional anatomy of the shoulder identify physical imbalances that may lead to shoulder injury andor decreased performance learn exercises that will improve shoulder stabilitystrength and decrease the chance for injury. Slap lesion is a superior labral buckethandle tear that extends into the. Aug 08, 2016 a slap tear superior labrum anterior and posterior is an injury to the labrum of the shoulder and is usually caused by acute trauma to the shoulder or repetitive motion. Mar 20, 2019 a slap tear of the shoulder is a tear of the labrum at the superior aspect of the glenoid or top of the shoulder. Exercises for a slap tear to help you recover quickly youtube. When you have completed the strengthening exercises, repeat the stretching exercises to end the program. Also known as a superior labral tear, it is frequently seen in pitchers and. The ball and socket joint are the most mobile joints of the body.
801 823 167 407 916 383 793 577 1051 191 270 479 1485 760 1569 1393 265 1560 123 547 1375 591 1112 124 185 1526 1512 807 113 684 809 1003 796 257 194 51 1441 1248 885 914 715 1021