Physical Therapy for the TSA Patient: Where the Magic Happens! 5 - - PowerPoint PPT Presentation
Physical Therapy for the TSA Patient: Where the Magic Happens! 5 Tips in 5 Minutes John Cavanaugh PT MEd ATC SCS John Cavanaugh, PT, MEd, ATC, SCS Presentation will not include the discussion of commercial products or services and he does not
John Cavanaugh PT MEd ATC SCS
John Cavanaugh, PT, MEd, ATC, SCS Presentation will not include the discussion of commercial products or services and he does not have significant financial interest or relationship with the manufacturers of products
Presentation will not include discussion of off label or investigational use of products or treatments
Surgeon ↔ Patient Therapist ↔ Patient Surgeon ↔ Therapist
– Surgical Procedure – Quality of Bone & Soft Tissue (RC)
MD PT Patient
Simulation Physical Therapy
Initial Evaluation 64y/o Male S/P R TSA 17 days ago
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6
Patient Education
Pre-operative physical therapy visit Pathway to recovery book Instruct in sling use Goals/Expectations Precautions* Overview of exercise program Assess ROM and Strength Assess current ADL function (DASH)
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Knowledge of: Post-Op Restrictions Surgeon’s Prescribed Guideline
(Speer, Cavanaugh, et al AJSM ’93)
– Re-education for dyssynergic shoulders – Adjunct to traditional therapeutic exercise – Proprioceptive input
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(Scapular Plane)
PROM AAROM
External Rotation Elevation Internal Rotation
Scapular MM
Deltoid
Rotator Cuff
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Scapular MM
Deltoid
Rotator Cuff
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Scapular MM
Deltoid
Rotator Cuff 15
Total Shoulder Arthroplasty: Treatment Strategies: Post-OP Week 0-4
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a successful outcome
rehab course
timelines
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