Frozen Shoulder Protocol - UTOSM
Frozen shoulder rehabprotocol0 ‐ 2 Weeks: Sling allowed as needed for comfort only, first 5 - 7 days, taking arm out often 5 7 times a day for elbow ROMPosture education and postural exercisesBall or putty squeezing throughout the dayIcing every two hours for 15 - 20 minutes first 5 - 7 days, 3 times a day thereafterCPM (continuous passive motion) machine 4 - 6 hours per day for 1 - 4 weeksSoft tissue mobilization focused on periscapular musculature, cervical spine, androtator cuffScapular mobilizationPassive and active assisted ROM manually and using pulley at home going forfull motion as soon as able without increased irritabilityCardiovascular training program can include bike, treadmill, versa climber, UBECore stabilization program2 ‐ 4 Weeks: Full passive range of motion should be achieved by 2 - 4 weeksScapular and glenohumeral joint mobilization as indicatedBegin rotator cuff retraining and strengthening, focus on restoring properbiomechanicsIntegration of involved shoulder through bilateral UE activity and total motiontraining (full body movements using both upper and lower extremities)Continued cardiovascular and core strength trainingContinued icing 3 times per day
4 ‐ 8 Weeks: Progressive strength training contingent upon perfect biomechanicsDevelopment of independent home and gym programOkay to return to swimming with good mechanics after 6 weeks8 ‐ 10 Weeks: Progression into normal activity and exercise programPatient discharged with life-long home maintenance program to include dailyROM exercises, rotator cuff program, and cardiovascular programHome Exercises for the Stiff or FrozenShoulderStiff or frozen shoulders are usually uncomfortable, even if the degree of stiffness is not great. That's thebad news. The good news is that most stiff shoulders can be managed successfully by a simple exerciseprogram conducted by the patient in the home.Getting the shoulder movingIt is basically a question of gently and progressively getting the shoulder moving again. This program isthe safest of all treatments for frozen shoulders. Although months of these specific exercises may berequired, persistence almost always pays off. Even if arthritis is present, this program may help preserveand even improve the shoulder's range and comfort. Before beginning these exercises you shouldconsult with your physician.There are two components to the home program for stiff shoulders. The first is a series of stretchingexercises and the second relates to regular participation in a fitness program.Your opposite arm is a great therapist for your stiff shoulder. Your "therapist arm" is always available toapply a gentle stretch in any direction of tightness. Each of these gentle stretches needs to be held up toa count of 100.
Stretching Exercises for the Frozen orStiff ShoulderPhoto GalleryThe basic program includes the exercises illustrated below. Click any image below to enlarge and viewin our photo gallery.Fig. 1 ‐ Getting thearm up while lying downFig. 2 ‐ Getting the
arm up overhead while sitting down.Fig. 3 ‐ Getting the arm to
externally rotate while lying down.Fig. 4 ‐ Getting the
arm to externally rotate while standing.
Fig. 5 ‐ Getting the arm up the back.the body.Fig. 6 ‐ Getting the arm acrossInstructions for Shoulder StretchingExercisesIf other directions of stiffness are identified, they can be stretched with a similar approach. An importantprinciple of the stretching exercises is to allow your muscles to relax so that the stretch can be appliedto the soft tissues without muscle interference. Tissues of a tight shoulder do not like to be stretchedsuddenly, roughly, or with a lot of force. Thus the strategy is to apply a gentle stretch so that at mostminimal soreness results. Any soreness should go away within 15 minutes after you stop the exercises.You should carry out this shoulder stretching sequence three times a day. As much as possible, thesesessions should be performed after the shoulder has been relaxed by a hot shower, bath, or aerobicexercise. For each stretch, make a note of the maximum range obtained with each session. Try toestablish a new "bench mark" each time you do them, so that you can see your progress each time.
The beauty of this exercise program is that you are in control. You can adjust the vigor of the stretchingto do what is most easily tolerated by your shoulder. The exercise program is totally portable and can beperformed in your home, office, car, the bus, the airplane, or wherever you happen to be. This isimportant because consistency in this exercise program pays off. If pain results from the exerciseprogram, do not stop or change the frequency of your exercise sessions, just reduce the vigor of thestretches so that they become comfortable.Regular fitness exercise helps keep your joints supple. This "lubricating" effect is optimized if youperform a half‐hour of aerobic exercise each day.
Frozen shoulder rehab protocol 0 ‐ 2 Weeks: Sling allowed as needed for comfort only, first 5 - 7 days, taking arm out often 5 - 7 times a day for elbow ROM Posture education and postural exercises Ball or putty squeezing throughout the
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Frozen Shoulder Syndrome using Trigenics . Frozen shoulder syndrome (FSS), or adhesive capsulitis, is commonly used as the clinical diagnosis of choice for most painful shoulder conditions that are associated with a global loss of motion of the glenohumeral joint. However, given the degree of
Rehabilitation After Reverse Shoulder Arthroplasty Page 1 . There is a higher risk of shoulder dislocation following a reverse total shoulder arthroplasty (rTSA) than with conventional shoulder replacement. Stability and . The start of this protocol will often be delayed 3-4 weeks following rTSA for a revision.
(Adhesive Capsulitis) Adhesive capsulitis, or “frozen shoulder,” happens when the capsule of your shoulder joint becomes tight or thickened. These changes reduce the range of motion in your shoulder. This
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