By Giovanni Di Giacomo, Silvia Bellachioma
This ebook goals to equip physiotherapists rehabilitation experts and orthopedics to supply the very best take care of sufferers who've passed through surgical procedure for a number of the extra universal shoulder pathologies, together with fractures of the proximal 3rd of the humerus, arthritis and prosthesis of glenohumeral joint, glenohumeral instability, rotator cuff lesions, different athletic accidents of the shoulder. It does so via featuring info on numerous elements of the stipulations and their surgical procedure and explaining essentially how those are without delay appropriate to rehabilitation. one of the themes lined are practical anatomy, imaging, remedy symptoms, surgical recommendations and fabrics, peri- and postoperative issues, and communique with the sufferer. The booklet will advertise powerful teamwork, performed utilizing an identical language, among the health practitioner and the rehabilitator, and may facilitate the improvement and implementation of a rehabilitation software that has the easiest likelihood of effecting a quickly and entire restoration in every one person case.
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Additional resources for Shoulder Surgery Rehabilitation: A Teamwork Approach
Sample text
The displaced humeral head or greater tuberosity are reduced and fixated to the shaft through drill holes or suture anchors [43]. • Closed reduction and percutaneous stabilization → is a minimally invasive technique with limited indications. Amenable fracture patterns include 2-part proximal humerus fractures, ideally of the surgical neck, and 3- or 4-part fractures with adequate bone stock. Theoretically, this technique limits iatrogenic vascular compromise, postoperative pain, operative time, and blood loss while improving aesthetics.
41 (a-c) Slide ball exercise → Push forward the ball sliding it and come back pushing the scapula in the correct retracted position [70]. (d, e) Isometric exercises Fig. 42 (a–c) Scapular control exercises using tube with the PT assistance paying attention to the scapular retraction. We have to put in back the scapula in the kinetic chain → for this reason we must to emphasize the trunk and the hip stabilization [70] 44 G. Di Giacomo et al. a b c d e Fig. 43 (a–e) Scapular control exercises using light weights.
40a, b). The main aim in this phase is to regain passive ROM; therefore the rehabilitation program must be tailored to patient compliance and expectations as well as to the quality and stability of the reconstruction. Is advised. in this phase, to propose the PROM and the autoassisted exercises in supine position to mantain a low activation of upper trapezius during the shoulder movement and avoid to activate scapulars’ imballances. [76–98] Active Assisted: Once the patient has achieved 90° pain-free passive range of motion with stable, X-ray documented, osteosynthesis, active/assisted kinesis in the scapular plane can be started.
