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Rehabilitation
Upper Limb
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A part of the success!
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Rehabilitation = General program
Step 1 Inflammatory therapy +Early motion Step 2 Maintenance / strengthening (scapular
stabilizers+ GHJ) Step 3 neuro-muscular control and plyometric
exercises
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Inflammatory
Posture / positionning Avoidance of painful motion Cryotherapy Ultrasound/ TENS Advice for daily life activities= hygiene,
dressing, eating…
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Early motion
Soon after surgery/accident Protect repaired damaged tissue
Treatment Active or/and assisted motion for sound joint Passive joint mobilization with respect to pain
ex: Pendulum exercise
To avoid retraction, amyotrophy, complex pain syndrome
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Rehabilitation
Flexibility exercise for end of motion
Scapular stabilizers Closed kinetic chain
=> open kinetic chain (rythmic exercises)
Proprioceptive – neuro muscular control
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1 sequence of therapy
Inflammatory control
+ early motion
Passive motion in all plan
Active motion in all planProprioceptive neuro muscular control
Plyometric
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Recurrent shoulder dislocation
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Shoulder’s muscles and bones
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Shoulder joint
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Recurrent Shoulder Dislocation 1
J0-J2 = antalgic (PCA-AINS) immobilisation + sling Elbow mobilization +hand
J 2-J5 = (AINS + ICE) sling Passive abduction in scapular plane for hygiene =
pendulum Isometric contraction
*************
After 10 days = no pain
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Recurrent Shoulder Dislocation 2
4th to 6th weeks Passive motion and assisted => 150degrees
6th to 8th weeks Active motion without rotation
8 to 12th weeks Active motion with progressive resistance
At 3 month complete flexion + intensive recoveryAt 6 month progressive sport activity No sport with contact within 1 year
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Thanks you!