It is very difficult to completely relax while someone, or something else moves your shoulder. Strengthening- This begins 12 weeks after surgery.Active range of motion- This begins about 8 weeks after surgery.Passive range of motion only- This is for the first 8 weeks after surgery.I recommend thinking about rotator cuff rehabilitation as a sequence of 3 main phases: Too much active range of motion, too soon, could cause the repair to fail. Inadequate stretching (passive range of motion) could cause stiffness. Improperly rehabilitated rotator cuff repairs could result in problems. Rehabilitating a repaired rotator cuff takes time, involves discomfort, and is not fun. This is where the hard work begins for the patient. Patients usually go home the same day, wearing a special brace to protect the repair. I perform this surgery using an arthroscope, and it takes about an hour for me to repair the average rotator cuff tear. Repairing rotator cuff tears makes up a large part of my practice. The rotator cuff is a commonly injured tendon. This force could be gravity, or another person (like a physical therapist), or a machine (like a stretching brace, or pulley). It requires a person to relax and allow their joint to be moved by an outside force. Passive range of motion much less common in our normal daily activities. Muscles cross joints, which are where bones meet and move relative to each other. Our body normally functions using a coordinated series of active motions. Although I do my best to demonstrate each motion, and patients usually voice understanding, it is common for them to then demonstrate that they do not indeed understand.Īctive range of motion is what we normally do all day every day. The difference between active and passive range of motion is easy for surgeons and physical therapists to understand, but is often unclear to patients.ĭistinguishing between these two motions is crucial to properly rehabilitate certain surgeries, especially for a rotator cuff repair.
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