WHAT YOU CAN, AND CAN'T DO AFTER HAVING A REVERSE TOTAL SHOULDER REPLACEMENT. POST OP WEEKS 0-6 скачать в хорошем качестве

WHAT YOU CAN, AND CAN'T DO AFTER HAVING A REVERSE TOTAL SHOULDER REPLACEMENT. POST OP WEEKS 0-6

The reverse total shoulder replacement is usually used for patients who have a really bad rotator cuff tear along with some arthritis in the shoulder. These patients are really limited! They often can't reach overhead, can't lift and carry things. They usually say that their shoulder just doesn't have any strength. So, why a replacement. Why not just repair the torn rotator cuff. In these cases, the tear is too severe to repair. The reverse total shoulder replacement changes the biomechanics of the shoulder so we don't need the rotator cuff. The deltoid muscle takes over for the damaged rotator cuff, restoring shoulder function once patients recover from surgery. Physical therapy after this surgery progresses through three general stages: 1. Early post -op. In this stage, the focus is on protecting the new shoulder, preventing muscle atrophy and minimizing shoulder stiffness. It is during this stage that patients are the most restricted. For example, patients are instructed to not reach, lift, or carry with the hurt arm during this stage because the replaced shoulder can dislocate if moved in certain directions or with sufficient force. 2. The range of motion stage. This usually lasts from post op week 6-12. During this stage patients can start reaching, mostly. We still don't want patients to reach behind their back (as if tucking in a shirt) as this movement increases the risk of joint dislocation until sufficient healing is completed (usually by the 12th post op week). 3. The strengthening stage. Post op week 12+. During this stage shoulder muscle strength can be gradually progressed to restore normal function. In this video, I demonstrate the home exercises that I usually give patients in the early post-op stage. Also, the movement restrictions that I explain are super important during these stages of recovery to ensure that proper healing has an opportunity to occur. Disclaimer: This content is for educational purposes only. Do not use this content to self-diagnose and/or self treat any condition. Work with your medical providers on what treatment strategies are best for you.