As for regaining normal ROM for shoulder dysfunction,
I rarely find extension limited, and if it is would be
the first to act upon as it is easiest to regain. At
the same time though I would work on flexion. Reason
being it seems to be the most functional.
I usually send pts. home with flexion exercise, but
when seeing them check and mobilise other ROM
directions. As some respond better than others to
mobilisations and PROM. If there is any other movt.
that responds favourable to treatment, I will once
again get them working on that movt. as well.
My last movt. is usually Hand Behind Back.
HOpe it helps.
--- "Dr.Sarveshwar Sood" <[log in to unmask]> wrote:
> Dear friends,
> We see, in this shoulder
> dysfunction ,loss of ROM in more then one direction
> ,in our effort to recover the lost ROM we use Mobs
> and exercises in addition to physiotherapy ,I wish
> to invite opinion of the house regarding preference
> of movements to recover and rationale behind it. .I
> have read that flexion ,then extension follower by
> medial rotation then lateral rotation and last
> glenohumral abduction ,one should work to regain ROM
> in this way ,instead of working in all the
> directions.Please tell us your experiences.
> Thanking you,
> DrSarveshwar Chander Sood
> Orthopaedic Surgeon & Head Department of Physical.
> 812/1,Housing Board Colony
> Model Town,Jalandhar city
> Punjab State.India
> E-mail [log in to unmask]
> "For all the happiness mankind can gain is not in
> pleasure....but relief from pain."
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