TOTALSHOULDER/HEMIARTHROPLASTY:140/40ACTIVEASSISTPROGRAM
PHASE1(0WKSTO6WKS):Holdeachstretchfor10seconds,perform3setsof10repetitions,3timeseachday.Nostrengthening,Nolifting>1lb.
GOAL:140degreesforwardelevationand40degreesexternalrotationattheside
Usingtheoppositearmforassistance,worktoelevateyourarmto140degrees.
Usingtheoppositearmforassistancewithanobjectsuchasacane,broomhandleoryardstick,worktoexternallyrotateyourarmatthesideto40degrees.
TOTALSHOULDER/HEMIARTHROPLASTY:140/40ACTIVEASSISTPROGRAM
PHASE2(6WKSTO12WKS):At6weeksprogressivestretchingisbeguntoachievefullmotionandencouragedaslongasitiscomfortable.Progressivesupinebenchisbeguntoregainforwardelevationstrength.Nointernalrotationagainstresistanceisallowedtopermitsubscapularishealing.
GOAL:Fullpainfreemotionoftheoperatedshoulderandabilitytoraisearmagainstgravitywhilestandingfullyupright.
Progressivesupinebench:Keyforregainingforwardelevationfunctionaftertheoperation.Inthefirstphase,thepatientliessupinewiththehandsclosetogetheronatowelorlightstick.Bothhandsarepresseduptowardtheceiling,finishingbyprotractionofthescapulaoffthetableasshownbelow.Inphasetwo,thehandsare
progressivelyseparated,allowingthemtoactmoreindependently.Inphasethree,onehandpressesalone.Inphasefour,weightisaddedtothehandinsmallincrementsuntiltheweighttotals2pounds.Inphasefive,thebackofthetableorchairorrecliner,isprogressivelyraiseduntilthepatientisinthesittingposition.Eachphaseiscontinueduntil20repetitionscanbeperformedeasilybeforethepatientadvancestothenextphase
PROTRACTIONOFTHESCAPULAATENDOFEACHREPETITION