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| Basic Shoulder Rehabilitation | | |
ACTIVE WARM-UP
Saratoga Upper Body Ergometer
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Cybex Upper Body Ergometer
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Complete
an active warm-up prior to any stretching and/or exercise routine. Complete
the UBE for a total of 8-10minutes with backwards and forward motions.
Codman's Exercise
Assume the position
as shown, letting the injured arm hang relaxed. Sway your body back
and forth to start a pendulum action of the arm. Do not let your
arm tense up. Repeat, with the arm moving side to side.
Repeat, with the arm
moving counterclockwise and clockwise. Repeat each motion for one
minute.
Horizontal Abduction Shoulder
Stretch
Assume the position shown
by bringing the injured shoulder across the front of the body.
Use the opposite hand to grab
the elbow and pull injured arm across the body until you feel a stretch
in shoulder. Hold stretch for 10 second. Repeat for 1
set of 10-15 reps.
Apley's Stretch (internal
rotation/abduction)
Stand
with a towel as shown, with injured arm/shoulder behind back.
Stretch the arm up behind your
back by pulling upward on the towel with the other hand for assistance.
Hold for 10 seconds. Repeat
stretch for 1 set of 10-15 reps.
Isometric Contraction??? What is it???
An isometric contraction is the contraction of a muscle, against stationary
resistance, without moving the joint through active range of motion. For
example: contracting the shoulder muscles by pushing against the
wall.
Shoulder Isometrics
Shoulder Abduction
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N/A
Shoulder Adduction
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Shoulder Extension
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N/A
Shoulder Flexion
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Shoulder Internal Rotation
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Shoulder External Rotation
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Stand along a wall as shown
with injured shoulder along wall. Use a pillow between arm and wall.
Push arm into the wall/pillow.
Hold the "contraction" for 10 seconds.
Repeat exercise for 1-2 sets
of 10-15 reps.
Shoulder Abduction
Start with dumbbell in hand with arm at side.
Lift weight up to the side. (Try to obtain full range of motion.
If pain
occurs then complete the range of motion before pain
is present.) Slowly lower arm down to side. Complete this exercise
for 3 sets of 10 reps. Complete same exercise using a theraband for
resistance.
Shoulder Extension
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Place injured arm in the "start" position
as shown with dumbbell in hand. Slowly extend arm backwards. Stay within
pain free range of motion. Return to start position and complete exercise
for 3 sets of 10 reps. Additionally, the same exercise can be completed
with using a theraband for resistance.
Shoulder Flexion
Place injured arm in the "start" position
as shown with dumbbell in hand. Slowly raise arm forwards. Stay within
pain free range of motion. Return to start position and complete exercise
for 3 sets of 10 reps. Additionally, the same exercise can be completed
with using a theraband for resistance.
Shoulder Scaption ("Empty Can")
Place injured arm in the "start" position
as shown with dumbbell in hand. It is very important to keep the
thumb
down throughout this exercise as if emptying a can of soda.
Slowly raise arm to side on a 45 degree angle, (not out to the side and
not out to the front but in between). Stay within pain free range
of motion by stopping at 90 degrees. Return to start position and complete
exercise for 3 sets of 10 reps. Additionally the same exercise can be completed
with using a theraband for resistance.
Shoulder External Rotation w/
Dumbbell and/or Theraband
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Lay on your non-injured
side holding a dumbbell in the start position shown. Slowly rotate
at the shoulder, lifing dumbbell up and away from body. Be sure to
pivot at the elbow. Keep elbow pinned to your side. Complete
exercise for 3 sets of 10 reps.
This exercise can also be done
with Theraband as shown. Remember to pivot at the elbow. Stand so that
there is enough tension on the Theraband throughout the entire range of
motion.
Shoulder Internal Rotation w/
Dumbbell and/or Theraband
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Lay on injured side, holding the dumbbell
in the position shown. The elbow should be bent at a 90deg. angle and held
against the body. Slowly rotate at the shoulder bringing the hand up and
in towards the body. Slowly return to the start position in a controlled
manner. This exercise can also be performed using theraband. Be sure to
keep elbow at side with tension on band throughout the entire range of
motion. Complete both exercise for 3 sets of 10 reps.
Horizontal Abduction
w/ Dumbbell - Lying Prone
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Lay on your stomach with injured arm hanging off
side of bed/treatment table with dumbbell in hand. Slowly lift arm until
it is parallel with the floor. Slowly return to start position. Complete
this exercise for 3 sets of 10 reps.
Horizontal Abduction w/ Theraband
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This is another way to strengthen the thoracic
region. Complete exercise as shown squeezing shoulder
blades together. Repeat this exercise for 3 sets of 10 reps. Do not
hold reps.
Shoulder Protraction w/ Dumbbell
Lay on your back (on the floor or on a bed)
with arm straight up as shown. Push arm straight up as if trying
to touch the ceiling. Hold this position for 3-5 seconds then return to
the start position. Complete this exercise for 3 sets of 10 reps.
Shoulder Retractions w/ Dumbbell
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With a dumbbell in hand, lean over as shown supporting
yourself with your other arm on a stationary object. Shrug the involved
shoulder upwards squeezing shoulder blades together. Hold for 3-5 seconds
and then return to start position. Complete this exercise for 3 sets
of 10 reps.
SHOULDER RETRACTION
w/ Theraband
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This is another way to strengthen
the thoracic region. Complete exercise as shown squeezing shoulder
blades together. Be sure to keep
elbows parallel to floor. Repeat this exercise for 3 sets of 10 reps.
Do not hold reps.
Shoulder Shrugs
This exercise will help strengthen the trapezius
muscle with is completed in a simple shrug. Use dumbbells
or theraband to complete this exercise. Simply hold on to the resistance
device and shrug your shoulders. For best results rotate shoulders
backwards when doing this shrug. Complete this exercise for 3 sets of 10
reps. Do not hold reps.
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