Biceps Strain! Ortho Rehab Tips скачать в хорошем качестве

Biceps Strain! Ortho Rehab Tips

Biceps Muscle Strain Rehabilitation Program 3-Phase At-Home Framework for Clinicians Intended Audience This program is designed for rehabilitation clinicians (OTs, PTs, ATs) as a general clinical framework for managing mild–moderate (Grade I–II) biceps muscle strains. Exercise selection, dosage, and progression should be guided by clinical judgment and individual patient presentation. ⸻ GLOBAL PAIN RULE (ALL PHASES) Pain should stay ≤4/10 during exercise and return to baseline within 24 hours. ⸻ PHASE 1: Acute / Protection Phase (Days 0–7) Primary Goals Pain reduction, tissue protection, gentle mobility, prevention of stiffness Exercises (2–3×/day) 1. Elbow Flexion → Extension (Active → Active-Assisted ROM) • 10–15 reps • May assist initially with the unaffected hand/arm • Progress to fully active motion as tolerated • Slow, controlled movement 2. Forearm Supination ↔ Pronation (Elbow at Side) • 10–15 reps • Use unaffected hand/arm to assist initially if needed • Progress to unassisted motion when tolerated • No resistance 3. Shoulder Pendulums • 1–2 minutes • Arm fully relaxed • Body motion initiates movement ⸻ PHASE 2: Early Strengthening / Subacute Phase (Week 1–3) Primary Goals Restore ROM, initiate biceps activation, reduce guarding, improve scapular control Exercises (1–2×/day) 1. Biceps Isometric Hold (Elbow ~90°) • Hold 5–10 seconds • 5–10 repetitions 2. Active-Assisted Cane Shoulder Elevation / Flexion • Uninvolved arm provides assistance • Move through pain-limited range • 2 × 10 reps 3. Scapular Retraction (Band or Bodyweight) • 2 × 10–12 reps • Emphasize scapular motion over elbow dominance ⸻ PHASE 3: Strengthening / Return-to-Function Phase (Week 3–6+) Primary Goals Restore strength, shoulder–biceps coordination, and functional load tolerance Exercises (Every Other Day) 1. Biceps Curl (Light Dumbbell or Band) • 2–3 × 10–12 • Elbow close to side • Controlled tempo 2. Eccentric Biceps Curl • Lift with both arms, lower with involved arm • 2 × 8 reps • 3–5 second eccentric phase 3. Hammer Curls (Neutral Grip) • 2 × 10 • Emphasize functional carry demands 4. Scapular Retractions / Rows (Resistance Band) • 2–3 × 12–15 • Scapula-driven movement 5. Shoulder Scaption (Light Dumbbell) • 2 × 10–12 • Thumbs up, raise to ~90° • Maintain upward rotation and control ⸻ RETURN-TO-ACTIVITY / DISCHARGE CRITERIA • Full elbow and shoulder ROM • Symmetrical upper-extremity strength • No pain with lifting, pulling, or reaching • Pain remains ≤4/10 and resolves within 24 hours ⸻ DISCLAIMERS This is not a fully comprehensive program. Patients should undergo a thorough medical history review and clinical examination. Individualized plans must be developed after appropriate clinical decision-making, accounting for diagnosis, tissue irritability, healing stage, comorbidities, and functional demands. This content is provided for educational and informational purposes only and does not constitute medical advice. ⸻ #OrthopedicOT #RehabProtocols #occupationaltherapy #UpperExtremityRehab #OTClinicians #ChadGOrthoOT