- is an effective way to initiate recruitment of the supraspinatus muscle fibers
- This exercise can be progressed to "the full can acvivity", which is known th exhibit high supraspinatus muscle activity
AAROM ex
Deltoid reeducation
□ This deltoid muscle rehabilitation regimen, associated with pain medication, was effective in improving the function and pain in elderly patients with massive cuff tears, reverse total shoulder arthroplasty
Isometric & muscle recruitment
Back & periscapular exe
Started CKC exercise
□ started closed chain stability exercises
* improve neuromuscular control of the shoulder complex
□ Rhythmic stabilization(supine, quadruped)
* increase muscle activation and improve static stability of the shoulder complex
□ The exercise may be started at elevations of 60° or less and then moved up to 90° as tissue healing allows.
□ 3 weeks after surgery for glenoid labral repair or instability repair
□ 5 weeks after rotator cuff repairs
reference
Myers, Joseph B.shoulder muscle reflex latencies under various levels of muscle contraction.Clinical Orthopaedics & Related Research. 407:92-101, February 2003.
Frederick A. Matsen, III, Caroline Chebli and Steven Lippitt.Principles for the Evaluation and Management of Shoulder Instability.J Bone Joint Surg Am. 2006;88:647-659.
Morrey BF, An KN (1990)Biomechanics of the shoulder. In: Rockwood CR, Matsen FA (ed) The shoulder. Saunders, Philadelphia, pp 208–245Google Scholar.
Philip Mcclure, Lori A. Michener.Direct 3-dimensional measurement of scapular kinematics during dynamic movements in vivo.Published in Journal of shoulder and elbow surgery 2001
Parsons IM1, Apreleva M, Fu FH, Woo SL.The effect of rotator cuff tears on reaction forces at the glenohumeral joint.J Orthop Res. 2002 May;20(3):439-46.
MET
Young Jin Jo1, Young Kyun Kim.Consideration of Shoulder Injury Prevention and Rehabilitation Exercise for Overhead Sports Population.Asian J Kinesiol 2019; 21(2): 40-50 · DOI:https://doi.org/10.15758/ajk.2019.21.2.40
Ofer Levy, Hannan Mullett,The role of anterior deltoid reeducation in patients with massive irreparable degenerative rotator cuff tears.Medicine Published in Journal of shoulder and elbow surgery2005 DOI:10.1016/j.jse.2008.04.005
Olivier A. van der Meijden, MD1.Rehabilitation after arthroscopic rotator cuff repair: Current concepts review and evidence-based guidelines.International Journal of Sports Physical Therapy · April 2012
