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Bailey lockhart exercise handout_1

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Week 6 exercise handout

Week 6 exercise handout

Published in: Sports

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  • 1. SPORTS FIRST AID WEEK 6ROTATOR CUFF INJURYNickesha Bailey-Lockhart
  • 2. Rotator cuff tear is an injury that is caused when the rotator cufftendons are pulled away from their usual attachment.Rotator cuff tear can occur from sudden powerful movement on theshoulder, such as when an athlete falls on outstretched hands and/orin conjunction with a dislocated shoulder or broken collarbone.
  • 3. Shoulder stretching of a rotator cuffinjury is conducted in two exercisephases. Phase 1 Passive Range of motionand phase 2 active range of motion.Passive ROM exercises are to beconducted in the first 6 weeks aftersurgery. The uninjured arm alwayssupports or assist the affected arm withthe exercises.
  • 4. Supine Passive Arm Elevation Exercise: Lie on back. Use the uninjured arm to support the injured arm at the elbow. Slowly use the uninjured arm to lift the injured arm overhead, then slowly lower the arm back to starting position. 1 Set of 5-10 repsIce 15-20mins 4-5 times per day 4 sessions per dayWARNING: Discontinue exercise if excruciating pain is felt.
  • 5. Pendulum Exercise: Stand close to a table or solid structure. Bend over at the waist and let arm hang loosely. Move your body, allowing the arm to swing in a circular motion and backwards and forwards. 1-2 Sets of 15-25 repsIce 15-20mins 4-5 times per day 4 sessions per dayWARNING: Discontinue exercise if excruciating pain is felt.
  • 6. Shoulder Shrug Exercise: Sit on a chair. Shrug shoulders upwards, hold 5 sec., relax and repeat. 1-2 Sets of 10-15 repsIce 15-20mins 4-5 times per day 4 sessions per dayWARNING: Discontinue exercise if excruciating pain is felt.
  • 7. Shoulder Blade Pinches: Sit on chair. Pinch shoulder blades together, hold 5 sec., relax and repeat.Ice 15-20mins 4-5 times per day 1-2 Sets of 10-15 repsWARNING: Discontinue exercise if excruciating pain is felt. 4 sessions per day
  • 8. An athlete can typically advance to the active ROM phasearound week 7 of the rehabilitation program or after thephysician have decided satisfactory progress have beenmade.After the athlete’s full range of motion is return (~week 12),they will advance to a strengthening exercise program.
  • 9. Supine External Rotation Exercise: Lie on back. Place both hands behind head. Slowly lower elbows towards the ground as shown. Hold 10 sec. then repeat. 1 Set of 5-10 reps 4 sessions per dayIce daily 4-5 times per day as neededWARNING: Discontinue exercise if excruciating pain is felt.
  • 10. Shoulder Circles: Sit on chair. Roll shoulder forward in a circle then roll them backwards. Relax and repeat. 1 Set of 5-10 repsIce daily 4-5 times per day as needed 4 sessions per dayWARNING: Discontinue exercise if excruciating pain is felt.
  • 11. Horizontal Abduction/Adduction: Sit in Chair. Clasp hands with arms outstretched at shoulder level. Move arms from center to each side then return to center. Relax and repeat. 1 Set of 5-10 reps 4 sessions per dayIce daily 4-5 times per day as neededWARNING: Discontinue exercise if excruciating pain is felt.
  • 12. Shoulder Abduction/Adduction: Begin with your arms extended out to the side. Slowly raise your arms above your head, then return to the starting position. Relax and repeat. 1 Set of 5-10 repsIce daily 4-5 times per day as needed 4 sessions per dayWARNING: Discontinue exercise if excruciating pain is felt.
  • 13. The Exercises listed in this handout are designed to help you regainfull range of motion NOT regain full strength to affected area.Remember to adapt or stop doing the exercises if you feel anypain. Please contact your physician or OT/PT provider for additionalguidance.
  • 14. Flegel, Melinda J. (2008). Sports First Aid: A Coach’s Guide to the Care and Prevention of athletic injuries. United States: Human Kinetics.Killingworth, A.D. & Pedretti, L.W. (2006) Chapter 21. Evaluation of muscle strength. In. H.M. Pendleton & W. Schultz-Krohn (eds). Pedretti’s Occupational therapy: Practice skills for physical dysfunction (6th ed. pp. 469-512). St. Louis: Mosby, IncSanders, Brett. Shoulder Rotator Cuff Repair. Center for Sports Medicine and Orthopedic. Chattanooga, TN: DPT and the Massachusetts General Hospital Sports Medicine Service.