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Rehabilitation

Rehabilitation. Upper Limb. A part of the success!. Rehabilitation = General program. Step 1 Inflammatory therapy +Early motion Step 2 Maintenance / strengthening (scapular stabilizers+ GHJ) Step 3 neuro-muscular control and plyometric exercises. Inflammatory. Posture / positionning

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Rehabilitation

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  1. Rehabilitation Upper Limb

  2. A part of the success!

  3. Rehabilitation = General program • Step 1 Inflammatory therapy +Early motion • Step 2 Maintenance / strengthening (scapular stabilizers+ GHJ) • Step 3 neuro-muscular control and plyometric exercises

  4. Inflammatory • Posture / positionning • Avoidance of painful motion • Cryotherapy • Ultrasound/ TENS • Advice for daily life activities= hygiene, dressing, eating…

  5. 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

  6. Rehabilitation • Flexibility exercise for end of motion • Scapular stabilizers • Closed kinetic chain => open kinetic chain (rythmic exercises) • Proprioceptive – neuro muscular control

  7. 1 sequence of therapy Inflammatory control + early motion Passive motion in all plan Active motion in all plan Proprioceptive neuro muscular control Plyometric

  8. Recurrent shoulder dislocation

  9. Shoulder’s muscles and bones

  10. Shoulder joint

  11. 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

  12. 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 recovery At 6 month progressive sport activity No sport with contact within 1 year

  13. Thanks you!

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