Rehabilitation

Upper Limb

A part of the success!

Rehabilitation = General program

Step 1 Inflammatory therapy +Early motion Step 2 Maintenance / strengthening (scapular

stabilizers+ GHJ) Step 3 neuro-muscular control and plyometric

exercises

Inflammatory

Posture / positionning Avoidance of painful motion Cryotherapy Ultrasound/ TENS Advice for daily life activities= hygiene,

dressing, eating…

Early motion

Soon after surgery/accident Protect repaired damaged tissue

Treatment Active or/and assisted motion for sound joint Passive joint mobilization with respect to pain

ex: Pendulum exercise

To avoid retraction, amyotrophy, complex pain syndrome

Rehabilitation

Flexibility exercise for end of motion

Scapular stabilizers Closed kinetic chain

=> open kinetic chain (rythmic exercises)

Proprioceptive – neuro muscular control

1 sequence of therapy

Inflammatory control

+ early motion

Passive motion in all plan

Active motion in all planProprioceptive neuro muscular control

Plyometric

Recurrent shoulder dislocation

Shoulder’s muscles and bones

Shoulder joint

Recurrent Shoulder Dislocation 1

J0-J2 = antalgic (PCA-AINS) immobilisation + sling Elbow mobilization +hand

J 2-J5 = (AINS + ICE) sling Passive abduction in scapular plane for hygiene =

pendulum Isometric contraction

*************

After 10 days = no pain

Recurrent Shoulder Dislocation 2

4th to 6th weeks Passive motion and assisted => 150degrees

6th to 8th weeks Active motion without rotation

8 to 12th weeks Active motion with progressive resistance

At 3 month complete flexion + intensive recoveryAt 6 month progressive sport activity No sport with contact within 1 year

Thanks you!