Post-operative rehabilitation program for shoulder dislocation.
1.1 week after reset or surgery
Exercise requirements at this stage: Exercises are performed without or with minimal pain; movements are slightly slow but controlled.
(1) Triangular towel suspension for protection and fixation.
(2) Open hand and fist exercise forcefully open palm and hold for 2 seconds, then clench fist to maximum strength, hold for 2 seconds, relax and repeat, awake for 5-10 minutes/hour after anesthesia awake.
(3) Triceps isometric contraction exercises: isometric contraction exercises for the dorsal muscles of the affected upper arm, can be performed with the assistance and protection of the healthy limb, 30 times/group, 3-4 groups/day.
(4) Shoulder shrugging exercise: shrug the shoulder to the maximum force tolerated, hold for 2 seconds, relax and repeat, 30 times/group, 3-4 groups/day. Also, “chest expansion” and “chest containing” exercises for muscle strength around the shoulder joint.
(5) Active wrist flexion and extension exercises: try to move the wrist joint in a wide range, 30 times/group, 3-4 groups/day.
(6) About three days after surgery: Start shoulder joint “swing exercises” according to the situation.
Bend your body forward (bend over) until your upper body is parallel to the ground, and swing your arm under the protection of the triangular scarf and the hand on your healthy side. Start with front-to-back direction, and after getting used to the basic pain-free direction, increase the left-right lateral direction, and finally increase the circular motion, gradually increasing the range of motion, but not exceeding 90°. 20-30 times/group in each direction, 1-2 groups/day.
(7) Postoperative week 2-3: . Continue and strengthen the above exercises, gradually increase the load and the angle of passive activity.
2.Weeks 4-6 after surgery.
(1) Continue and strengthen the above exercises, among which exercises that are completely painless and without fatigue can no longer be performed.
(2) Biceps isometric exercise isometric contraction of the upper arm muscles of the affected limb, which can be performed with the assistance and protection of the healthy limb, 30 times/group, 3-4 groups/day.
3.Postoperative week 7 to 3 months
The main purpose of this stage is to gradually restore joint mobility. Exercises should be performed with full relaxation of the affected limb, without or with minimal pain, gently and slowly, and without violence.
(1) Try to remove the deltoid protection from 6-7 weeks after surgery.
(2) Shoulder joint active strength exercises
Front planks: lift the arm in front of the body to a pain-free angle without shrugging the shoulder! Hold in the highest position for 2 minutes, rest for 5 seconds, 5 consecutive sets, 2-3 sets/day. Straighten the arm after the strength is increased.
Side planks: Raise the arm to a pain-free angle on the side of the body without shrugging the shoulders! Hold in the highest position for 2 minutes, rest for 5 seconds, and perform 5 consecutive sets of 2-3 sets/day. Straighten the arm after the strength is increased to perform.
(3) Exercises for upper arm related muscles
Active, slow, without increasing shoulder pain, 30 times/group, 30 seconds rest between groups, 2-4 groups in a row, 2-3 groups/day.
Shoulder joint mobility exercises in all directions
(1) Supine shoulder forward flexion
Hold and tremble gently for 1-2 minutes until you feel pain, 3-5 times/group, 1-2 groups/day. Gradually increase the passive movement angle.
(2) Supine shoulder abduction
Hold and gently tremble 1-2 minutes for 1 time, 3-5 times/group, 1-2 groups/day until pain is felt. Gradually increase the passive activity angle.
(3) Supine shoulder extension
Hold and tremble gently for 1-2 minutes until pain is felt, 3-5 times/group, 1-2 groups/day. Gradually increase the angle of passive movement.
(4) Supine external booth external rotation
Hold and gently tremble 1-2 minutes for 1 time, 3-5 times/group, 1-2 groups/day until pain is felt. And gradually increase the passive activity angle.
(5) Supine external booth internal rotation
Hold and gently tremble 1-2 minutes for 1 time, 3-5 times/group, 1-2 groups/day until pain is felt. And gradually increase the passive activity angle.
(6) Horizontal internal rotation