肩部康复（运动篇）

jacky

• Surgical Rehabilitation Protocols
• Rehabilitation Exercises
• As with any other joint, the goal of rehabilitation of the shoulder falls into 5 phases
• 1. Control inflammation (Swelling,Pain)
• 2. Restore range of motion
• 3. Restore strength
• 4. Improve function
• 5. Return to activity
• Inflammation is typically controlled through a varitey of means including-medication, rest, ice, elevation, and compression. Typically shoulder injuries do not cause a great deal of swelling, but they can be quite painful, particularly at night. The use of medication, rest, and regular icing can help decrease pain as can the use of a pillow for support of the shoulder at night.
• Once the pain has been controlled, range of motion exercises are begun. Typically these are performed with the use of an exercise wand or towel to allow the uninjured shoulder to guide the injured shoulder through its available range of motion
• Stretching Exercises
  
  

Cross Body Adduction Stretch

Wand Exercise- External Rotation

Wand Exercise- Flexion

Towel Stretch

• During supervised rehabilitation, devices such as the overhead pulleys or finger ladder can also be used to improve overhead range of motion.
  

Finger Ladder

Pulleys

• Strengthening Exercises
• Strengthening can be performed with light dumbbells or an elastic band. The elastic band provides portability and convenience, but is limited to only 5-6 resistance levels. Dumbbells offer a wider variety of resistance levels, but are not easily portable and a wide range of weights will be needed to challenge the shoulder appropriately through all of its various motions.
• The important factor is not which mode of exercises one chooses, but that the exercises are done properly and consistently. It should be obvious by now, the importance of a strong rotator cuff and these muscles are not well addressed during a typical circuit-training regimen.
  

Theraband- External Rotation

Theraband- Internal Rotation

Theraband- Full Can

Dumbbells- External Rotation

Dumbbells- Internal Rotation

• Finally, the rotator cuff can only function appropriately if these muscles have a firm base to pull from- once again highlighting the importance of the scapular muscles to stabilize the shoulder blade.
  

Scapular Retraction

Punches

Dumbbells- Rows

Theraband- Rows

• As range of motion and strength are returning, it is important to address any remaining functional deficits and to begin to focus the rehabilitation on tasks to which the individual would like to return. If athletic participation is desired, devices such as the body blade or Plyoballs will be helpful for enhancing neuromuscular control and dynamic, explosive strength about the shoulder.
  

Plyoballs- Catching

Plyoballs- Push

Plyoballs- Throwing

  

Body Blade

Body Blade

Body Blade

• The final stage of rehabilitation involves the successful return of the patient/athlete to their desired activities.
  

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