Labral tear shoulder rehab protocol. pitching, tennis, or volleyball.

Labral tear shoulder rehab protocol. An electromyographic evaluation of subdividing active-assistive shoulder elevation exercises. Gill’s office. Immediately post-operatively, exercises must be modified so as not to place Dec 10, 2024 · Exercises to Help a Shoulder Labral Tear. - Wear the sling for the first 4 weeks, removing it for exercises and showers. Specific time frames, restrictions, and precautions may also be given to protect Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: The intent of this protocol is to provide the clinician with a guideline of the post-operative rehabilitation course of a patient that has undergone an arthroscopic labral repair. The biceps attachment to the labrum is intact. Nov 19, 2023 · The labrum (labeled “glenoid lig” in the image below) is a fibrocartilaginous ring that increases the depth of that socket and improves the stability of the shoulder. Rehabilitation Protocol for SLAP Repair-Type II This protocol is intended to guide clinicians through the post-operative course for SLAP Repair-Type II. Treatment Options . May 13, 2021 · This rehabilitation program is designed to return the individual to their full activities as quickly and safely as possible, following shoulder labral repair. Weeks 9-12. Saltzman, M. Tears of the glenoid labrum often occur with other shoulder injuries, such as a dislocated shoulder (full or partial dislocation). The protocol is divided into phases. Specific intervention should be based on the needs 403 220 8232 | 376 collegiate blvd nw, calgary | www. Modifications to this guideline may be necessary dependent on physician specific instruction or other procedures performed. Using your body to Rehabilitation Services at Brigham & Women’s Hospital has accepted a modification of this protocol as our standard protocol for the management of patient’s s/p arthroscopic repair of Type II and IV SLAP lesions. sport med. The Journal of orthopaedic and sports physical therapy. Recommendations:. The sutures are passed around the labrum repairing it back to the bone, but can also be passed as capsulorrhaphy stitches shrinking the size of the capsule in the setting of stability. Gaunt BW, McCluskey GM, Uhl TL. Each phase is adaptable based on the individual and special circumstances. It usually happens when they are throwing a ball or hitting an overhead shot, but you can also sustain it by falling on an outstretched arm or when Posterior Labral Repair/Stabilization Rehabilitation Guidelines This rehabilitation protocol has been developed for the patient following arthroscopic posterior shoulder stabilization surgery (posterior labrum). Sports Health. There are, however, exercises that Hill Sachs Lesions Of The Shoulder. D. Pain level, medications, modalities. Current concepts in the recognition and treatment of Superior Labral (SLAP) Lesions. If passes test, begin interval throwing program. Surgical intervention may include reattachment of the labrum, debridement, or a combination. SLAP stands for Superior Labrum Anterior Posterior. Pendulum exercise Bend over at the waist and let the arm hang down. Gaunt BW, Shaffer MA, et al. Shoulder Anterior Labral Repair Physical Therapy Protocol Key Considerations Surgical Technique and Procedures • The labrum and capsule are sewn back to the bone using anchors placed in the bone and non-dissolvable sutures. Shoulder Exercises for Combined Labrum Repair Rehabilitation Protocol The exercises illustrated and described in this document should be performed only after instruction by your physical therapist or Dr. DARIN W ALLRED M. The type of labral tear, the severity of the tear, and your activity level influence whether you receive these therapies before your doctor discusses surgery with you. Consultation with the surgeon as well as a review of the operative report should be completed prior to initiation of rehabilitation. A sling will be provided for comfort only. You can remove the sling when Jun 4, 2025 · Torn shoulder labrum recovery without surgery represents a viable and effective treatment approach for many patients when implemented through comprehensive, evidence-based protocols. Ortho: ~3 months post-op; Supervised rehabilitation: 2-3 x per week as needed. Re-test monthly until passed SLAP (Superior labral Anterior to Posterior) Repair Protocol Type I SLAP Tear: Degenerative fraying of the superior labrum. Shoulder Labral Repair Rehabilitation Protocol REHAB PROTOCOL – SHOULDER ANTERIOR LABRAL(BANKART) REPAIR ! Phase I (Weeks 1-3) Goal: Healing Sling: Wear your sling at all times for the first 6 weeks, including while sleeping. Come out of the sling for hygiene purposes and 4-5 times/day to do pendulum and passive salute position exercises. May/June: 250-258. Physical therapy protocols for arthroscopic Bankart repair. Follow-Up. in a shallow socket on the scapula called the glenoid. Indiana University Health Physicians Assistant Professor of Orthopaedic Surgery, Indiana University Sports Medicine, Cartilage Restoration, Shoulder/Elbow IU Health Methodist Hospital – 1801 N Senate Ave, Indianapolis, IN 46202 Anterior and Posterior Labral Repair Protocol This rehabilitation protocol has been developed for the patient following an arthroscopic Labral repair procedure. It deepens the cavity by approximately 50%. ucalgary. The humeral head rests . Overview: The shoulder labrum is a fibrocartilaginous rim attached to the margin of the glenoid cavity. - Wear the sling when out of the house for the first 6 weeks - Protect the shoulder while getting dressed, keeping the arm close to your side Wilk KE, Reinold MM, Dugas JR, et al. J Orthop Sports Phys Ther 2005;35:273-291 Revision Dates: 7/22/15, 11/21/16, 12/2020 . This protocol is time based (dependent on tissue healing) as well as criterion based. ca non operative shoulder university of calgary sport medicine centre SLAP tears are classified based on the type of tear as well as the portion of the labrum that is affected. Proper rehabilitation is crucial for recovery, and Physio360 specializes in designing effective rehab protocols tailored to individual needs. The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the . NYU Langone doctors and rehabilitation specialists may recommend nonsurgical treatments for a shoulder labral tear, including rest, pain management, physical therapy, and injections. SLAP/LABRUM TEAR (NON-OP) NON-OP PHYSICAL THERAPY PROTOCOL Bryan M. glenoid. 2018. REHABILITATION PROTOCOL- Nonoperative SLAP tear The rehabilitation guidelines are presented in a criterion based progression program. Documentation. This evidence-based guideline is criterion-based; time frames and visits in each phase will vary depending on Anterior shoulder instability with concomitant superior labrum from anterior to posterior (SLAP) lesion compared to anterior instability without SLAP lesion. Individual patients will progress at different rates depending on their age, associated injuries, pre-injury health status, rehab compliance, tissue quality and injury severity. Clinics in Orthopedic Surgery, 8(2), 168-174. - DO NOT submerge the shoulder under water for 4 weeks. A superior labrum anterior and posterior (SLAP) tear involves a tear in the 10 o’clock to 2 o’clock positions on the glenoid and frequently involves the LHBT. 2 (5): 424-432. Because the head of the humerus much larger than the Jan 7, 2025 · The labrum is a ring of cartilage that surrounds the shoulder joint, providing stability and cushioning. pitching, tennis, or volleyball. Non-Operative Shoulder Rehabilitation Protocol Phase 1: Weeks 0 – 2 Goals: Decrease pain (use of ice) Decrease inflammation (prescribed medication by your MD) Improve flexibility/mobility of the glenohumeral joint Improve strength of the rotator cuff Treatment / Exercises: • Modalities to decrease pain and inflammation • Shoulder shrugs Physical Therapy: bimonthly. Approximately 40% of the long head of biceps tendon (LHBT) attaches to the labrum. Regardless of how the labrum is torn your physician will work with you to determine what the best course of treatment will be. 16-24 weeks post-op: For throwing athletes: perform isokinetic testing below (if available). DeFroda SF, Mehta N, Owens BD. The tendon of the long head of the biceps brachii blends with the top portion of the labrum. - The sling is used for both comfort and to protect the repair. The other common compressive/shearing type of shoulder injury is a Hill Sachs Lesion. Rather than the socket or labrum being the brunt of the force in this situation, it is the head of the shoulder, particularly the back, outside portion of it (posterolateral). Shoulder ROM & strength. humerus (upper arm bone). Phase 2( 7-12 weeks post-op) Weeks 7-8. When injured, it can cause pain, weakness, and limited mobility. This protocol will vary in length and aggressiveness depending on factors such as: x Quality of the repaired tissue Arthroscopic Labrum Repair of the Shoulder (SLAP) Anatomy . g. ORTHOPEDIC SURGERY AND SPORTS MEDICINE Shoulder Labral Repair Physical Therapy Protocol Shoulder Rehabilitation Protocol: Posterior Labral repair Phase 1 – First 3 weeks Wound care as outlined on the Shoulder Arthroscopy Rehabilitation page If you have had debridement (removal of the damaged tissue but no repair) no further rehabilitation is required. Postoperative care should focus on avoiding internal rotation and horizontal adduction. Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: Dec 17, 2019 · A SLAP lesion is a type of shoulder injury that involves the labrum inside the shoulder joint. 2010. It is most commonly found in athletes who do "overhead" sports, e. The biceps anchor is intact. In many cases the pain and dysfunction associated with a SLAP tear can be successfully treated with rest, anti-inflammatory measures, activity modification and Physical Therapy. A tear of the labrum below the middle of the glenoid socket that also involves the inferior glenohumeral ligament is called a Bankart lesion. If you receive a medical diagnosis of a labrum tear, your doctor will usually recommend surgery and physical therapy. zyb seoe trbwk xayug lmxjle ueqgi gzi nmftsph yrdf gcucqn