The Guide to Rehabilitation after Shoulder surgery

First month after the surgery 20 minutes Cryotherapy Shoulder brace, every two hours a day.
From 2 to 4 months, Cryotherapy Shoulder brace could be used at will following the patients’ pain.
Each cryotherapy session lasts 20 minutes only in a comfortable posture.

Cryotherapy Shoulder brace SHOULDERFREEZ® , Watch Instruction for Use:

REHABILITATION WITH PHYSIOTHERAPIST & SELF REHABILITATION

Shoulder recovery range of motion : LIOTARD Protocol is the evolution of NEER Protocol. Selfmuscle stretching: to provide the flexibility. Follow the instructions for use below.

The main purpose of the physiotherapists/doctors is to provide a customized support to learn the right
gesture (to control & correct), Cervico-dorsal massages helps to promote the relaxation.

This protocol do not include repetitive passive motion – the mechano-therapy (pulleys, sticks,…) – any form of active work including a strength (weight, elastics…)

Objective:

  1. Analgesic
  2. Anti-inflammatory
  3. Flexibility work

Principle undesirable:

  1. No intensive or aggressive work: any pain should disappear when we stopped the exercise. If
    not the stretching work has been to strong or not done in the right way. Do not do more
    exercises recommended (defeats the purpose: inflammatory side-effect) Do no more, no less.
  2. Distribute working time to avoid too long immobilization.
  3. Be consistent over time and in the way of working.
  4. Start in the morning by a warm shower or bath.

AFTER YOUR SURGERY:
• AVOID LONG-TERM WALKING (15-20 minutes in the morning & afternoon)
• AFTER EACH SESSION: 20 MINUTES REST INCLUDING 10 MINUTES CRYOTHERAPY SESSION

>Step I : Preoperative program

5 times a day:
Exercise N°1: Lean forward X2 times
Exercise N°2: A recumbent series (5 movements)
Exercise N°3: Seated stretches X1 time
Exercise N°4: 5 sermons

• After each session: Rest is essential 20 minutes
• Including 10 minutes Cryotherapy session

TO KNOW
Lean forward= Analgesic of the shoulder
• 2 times 30 seconds including 1 minute of rest between each session.
• Each time before each session & regularly during the day.
• Bend over progressively by intertwining the fingers, drop the head and arms without
swinging by relaxing on the breath.
• To adapt in case of lumbar problems and dizziness

N°1: Lean forward

TO KNOW
5 movements
• Ventral cushion.
• Lying position or half-lying position.
• Arms swing backward together, open elbow joints.
• Two successive breathing cycles at the end of every movement.

N°2: A recumbent series

TO KNOW
Seated position
• Crossed hands, open palms, climb together above the head and maintain two
breathes without lowering head.
• Then hands pull up, still together, driving arms extend outward (maintain two
breathes).
• You must not pull more with the healthy hand tan the other hand operated.
• Let the elbows bend to go down, without hampering, at regular speed

N°3: Seated stretches

TO KNOW
5 movements, seated position
• Hands leave from the navel.
• They move apart by rotating arms and shoulders. ELBOWS MUST NOT BE TIGHT TO
THE BODY, they are free (maintain two breathes).
• NEVER FORCE: external rotation Will release more or less late.
• NEVER USE STICKS DURING THIS EXERCISE.

N°4: Sermons

>Step II : Immediate Post-operative program

• 5 times a day:
Exercise N°1: Lean forward X2 times
• 3 times a day:
Exercise N°2: A recumbent series (5 movements)
Exercise N°4: 5 sermons


• After each session: Rest is essential 20 minutes
• Including 10 minutes Cryotherapy session

TO KNOW
Lean forward= Analgesic of the shoulder
• 2 times 30 seconds including 1 minute of rest between each session.
• Each time before each session & regularly during the day.
• Bend over progressively by intertwining the fingers, drop the head and arms without
swinging by relaxing on the breath.
• To adapt in case of lumbar problems and dizziness.

N°1: Lean forward

TO KNOW
5 movements
• Ventral cushion.
• Lying position or half-lying position.
• Arms swing backward together, open elbow joints.
• Two successive breathing cycles at the end of every movement.

N°2: A recumbent series

TO KNOW
5 movements, seated position
• Hands leave from the navel.
• They move apart by rotating arms and shoulders. ELBOWS MUST NOT BE TIGHT TO
THE BODY, they are free (maintain two breathes).
• NEVER FORCE: external rotation Will release more or less late.
• NEVER USE STICKS DURING THIS EXERCISE

N°4: Sermons

>Step III : Program N°3

More complete recovery of mobility as soon as the range of motion is sufficient in recumbent self-mobilisation.

• 5 times a day:
Exercise N°1: Lean forward X2 times
Exercise N°3: Seated stretches X5 times
Exercise N°4: 5 sermons
• After each session: Rest is essential 20 minutes
• Including 10 minutes Cryotherapy session

TO KNOW
Lean forward= Analgesic of the shoulder
• 2 times 30 seconds including 1 minute of rest between each session.
• Each time before each session & regularly during the day.
• Bend over progressively by intertwining the fingers, drop the head and arms without
swinging by relaxing on the breath.
• To adapt in case of lumbar problems and dizziness.

N°1: Lean forward

TO KNOW
Seated position
• Crossed hands, open palms, climb together above the head and maintain two
breathes without lowering head.
• Then hands pull up, still together, driving arms extend outward (maintain two
breathes).
• You must not pull more with the healthy hand tan the other hand operated.
• Let the elbows bend to go down, without hampering, at regular speed.

N°3: Seated stretches

TO KNOW
5 movements, seated position
• Hands leave from the navel.
• They move apart by rotating arms and shoulders. ELBOWS MUST NOT BE TIGHT TO
THE BODY, they are free (maintain two breathes).
• NEVER FORCE: external rotation will release more or less late.
• NEVER USE STICKS DURING THIS EXERCISE.

N°4: Sermons

RECOVERY OF MOBILITY CANNOT ACCELERATE WOUND HEALING, WHICH STAY THE OBJECTIVE OF YOUR SURGERY (RESPECT THE DELAY AND THE INSTRUCTIONS OF YOUR SURGEON).

FLYING

There is no universal agreement as to when it is safe to travel by plane after a shoulder surgery. It seems that most Orthopaedic Surgeons advise their patients not to fly for 4 to 6 weeks following the surgery.
Short flights do not seem to be a problem. However, long intercontinental flights are a potential problem as there is an increased incidence of spontaneous DVT (deep venous thrombosis), even in the young and healthy passengers.

SURGEON PROFILE

Johannes BARTH is an orthopaedic surgeon working in a private hospital in the Grenoble area. His main clinical interests are knee and shoulder arthroscopy with an emphasis on sports injuries. He did his residency in Grenoble, and his clinical fellowship with Dr. Pierre Chambat in Lyon, France (in 2001) where he also met Dr. Gilles Walch. He subsequently spent six months with Pr. Stephen Burkhart in San Antonio, Texas, USA (in 2003), as research fellow. He participated in the 2016 travelling-fellowship in Asia (APKASS) for ESSKA. He became a member of the Lyon School of Knee Surgery and the Burkhart Research Association of Shoulder Surgeon both involved in education, research, and meeting organization. He managed a project to build an institution exclusively dedicated to muscular and skeletal diseases from 2010 to 2013 and the Centre Ostéo-Articulaire des Cèdres (a 1,500 m2 facility) opened in October 2013. He is the president of the French Society of Arthroscopic and a member of the SOFCOT, ESSKA and ISAKOS. He has published several articles in peer-reviewed journals and is a reviewer of the AJSM, OJSM, JSES, OTSR, and IJSS. He is operating approximately five hundred cases per year (including forty shoulder arthroplasties, two hundred rotator cuff repair, eighty shoulder instabilities, one hundred fifty ACLs and PCLs). He started a clinical and research fellowship program in 2012 involving Resident or surgeon from E.U. and over-seas. He manages a yearly fellowship (one fellow for a one-year period, minimum six months) to allow the transmission of technical skills and where the fellow is expected to assist in all aspects of the profession (e.g. surgery, scientific research, etc.).

Affiliations

• President of the French society of Arthroscopy (SFA) (2021)
• Member of the French society of Orthopaedic and Traumatology surgeries (SOFCOT)
• Member of the European society of the Shoulder and the Elbow (ESSSE-SECEC)
• Member of the European Society of Sport Traumatology Knee Surgery andArthroscopy (ESSKA)
• Member of the International Society of Arthroscopy, Knee surgery and Orthopaedic Sports
Medicine (ISAKOS)
• Member of Lyon School of Knee surgery (LSKS)
• Reviewer of peer-reviewed journals (AJSM, OJSM, JSES…)

Specialty
Sport traumatology & surgery, Knee surgery (arthroscopy, meniscal repair, ACL Reconstruction) Shoulder surgery (Rotator Cuff Repair, Shoulder
prothesis).

Languages spoken
• French
• English
• German

CENTER DETAILS

Established in 2013, Clinique Ostéo-Articulaire des Cèdres has developed an excellent reputation as a well renowned Centre of Excellence (CoE) for sports medicine based in Echirolles, Grenoble.
The clinic isfully equippedwitha comprehensive imaging suite andboasts aselect groupofspecialists inthe fieldofsports medicine, orthopaedic, physiotherapists, nurses, orthotist, and radiology. Within the field of sports medicine, Clinique du Sport not only specialises in sports related surgery but also incorporates facilities that provide medical monitoring for high-level athletes, including rehabilitation monitoring, psychological and cardiological assessments as well as injury preventionpathways.

Publications

► The „Jardé” Law: The shambles threatening to kill off clinical research in France. How to reconcile clinical research with data protection, informed consent and scientific rigor? Barth J., Bauer T, Sonnery-Cottet B.Orthop Traumatol Surg Res. 2020 Dec;106(8S):S181-S182.
► Prospective study of tendon healing and functional gain after arthroscopic repair of isolated supraspinatus tear, Bagheri N, Bonnevialle N, Gallinet D, Barth J, Labattut L, Metais P, Godeneche A, Garret J, Clavert P, Fatras-Meyer I, Collin P; Francophone Arthroscopy Society. ,Orthop Traumatol Surg Res.
2020 Dec;106(8S):S201-S206.
► Benefits of distal clavicle resection during rotator cuff repair: Prospective randomized single-blind study Gallinet D, Barth J, Labattut L, Collin P, Metais P, Bonnevialle N, Godeneche A, Garret J, Clavert P; Francophone Arthroscopy Society (SFA). Orthop Traumatol Surg
Res. 2020 Dec;106(8S):S207-S211.
► Increased T2 signal intensity in the distal clavicle does not justify acromioclavicular resection arthroplasty during rotator cuff repair. Métais P, Gallinet D, Labattut L, Godenèche A, Barth J, Collin P, Bonnevialle N, Garret J, Clavert P; Francophone Arthroscopy Society (SFA) Orthop Traumatol Surg Res. 2020 Dec;106(8S):S217-S222.
► Arthroscopic Trillat Procedure: A Guided Technique. Swan J, Boileau P, Barth J. Arthrosc Tech. 2020 Apr 23;9(4):e513-e519.
► Superior Capsular Reconstruction With the Long Head of the Biceps Autograft Prevents Infraspinatus Retear in Massive Posterosuperior Retracted Rotator Cuff Tears. Barth J, Olmos MI, Swan J, Barthelemy R, Delsol P, Boutsiadis A. Am J Sports Med. 2020 Apr 8:363546520912220.
► How to Succeed in Arthroscopic Anterior Cruciate Ligament Primary Repair? Step-by-Step Technique. Olmos MI, Sonnery-Cottet B, Barth J. Arthrosc Tech. 2018 Dec 17;8(1):e37-e46.
► Influence of uncemented humeral stem proximal geometry on stress distributions and torsional stability following total shoulder arthroplasty. Barth J, Garret J, Geais L, Bothorel H, Saffarini M; Shoulder Friends Institute, Godenèche A.; J Exp Orthop. 2019 Feb 25;6(1):8

For more information see the official site Ambelio>>

Other solutions offered by the content creator Enlife Solutions>>

Cryotherapy solutions for:

KNEEFREEZ® 

Cryotherapy solutions for:

SHOULDERFREEZ®

Cryotherapy solutions for:

ABDOHIP®

For more information about solutions see the videos:

Powered by WordPress.com. de Anders Noren.

SUS ↑

%d blogeri au apreciat: