Dr Matsen, and Sarah Jackins PT, have an excellent protocol, outlined in a book, sorry I am not sure of the
title. Essentially, Do not work on abduction. The folks we see get 140 degrees forward elevation (flexion)
and 40 degrees external rotation by discharge, 2 or 3 days after surgery. This is passive or active assist. They
carry on 3 reps 5 times a day until 6 weeks when they do a strengthening program. No resisted internal
rotation to avoid re avulsing subscapularis.
Any specific questions,and I can ask Sarah, as I work with her.
Tracey.
--------
>From: [log in to unmask]
>To: [log in to unmask]
>Subject: RE: Total Shoulder(s)
>Date: February 23, 1999
>
>
>Dear Listers,
>
>I have recently had a patient referred who has had avascular necrosis in
>multiple joints(sickle cell anemia based). She has presently undergone
>a THR(L), TSR(R) and will soon be going for a second TSR(L). I have
>only seen a couple TSR patients and I was wondering re protocols and
>limitations. As I remember there was only an expectation that the
>patient should achieve 90' active flexion/abduction(because of the
>design of the prosthesis). Can anyone inform me of recent expectations
>for these joint replacements? I would be grateful to anyone who can
>send me an up to date protocol. Thanks, Ross.
>
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