What is Shoulder Rehabilitation?
Shoulder rehabilitation is the science of restoring function to a dysfunctional
shoulder. It is a combined hands on and instructional process whereby
the therapist educates the patient in the performance of activities
designed at increasing motion, strength, endurance, and enhancing function.
Who Makes Up the Rehabilitation
Team?
The orthopaedic surgeon, therapist, and patient work together through
open lines of communication to direct and guide the patient to higher
levels of functioning as he/she progresses through his/her individual
protocol. The therapist may either be a physical therapist or occupational
therapist. Many therapists have developed additional training and expertise
in the rehabilitation of the shoulder. Adjunct members of the team include
physical and occupational therapy aids and assistants, and athletic
trainers.
What Makes Up the Shoulder Rehabilitation
Protocol?
Specific instruction, education and exercises in conjunction with the
use of certain modalities and machinery are designed based on the patient's
specific shoulder pathology and his/ her specific needs for daily functioning
at home, at work, and during athletic activities.
What Are Some of the More Specialized
Techniques Used in Rehabilitation of the Shoulder?
- Superficial and deep heating modalities
- Range of motion
and stretching exercises
- Isometric and isokinetic
strengthening
- Endurance training
- Water therapy
- Sports specific
functional rehab
- Work hardening
Specialized machinery and electronic equipment may be used for diagnosis,
evaluation, monitoring and advancement throughout these various levels
of rehabilitation.
What are the Stages of a Shoulder
Rehabilitation Program?
Rehabilitation of the shoulder may be used as a primary treatment modality,
as preparation for a surgical procedure or following a surgical reconstructive
procedure to restore function.
What Type of Shoulder Problems May be Treated with a Rehabilitation Protocol?
- Fractures
- Dislocations
- Rotator Cuff Impingement
and tears
- Acromioclavicular
joint disorders
- Arthritis
- Nerve and muscle
disorders
No Pain, No Gain?
Although satisfactory rehabilitation of the shoulder frequently requires
significant effort and occasionally some degree of discomfort on the
part of the patient, it should not be a painful process. Pain is an
important defense mechanism which frequently signifies a degree of effort
beyond acceptable physiologic boundaries. If your rehabilitation program
is consistently associated with pain, you should consult your therapist
and/or physician.
How Do I Get Enrolled in a Shoulder
Rehabilitation Program?
If you have a shoulder problem, the first step is to be evaluated by
a knowledgeable physician well versed in shoulder problems who can assess
your problem and refer you for enrollment in an appropriate protocol
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