Rehabilitation: Part I. Basic


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Level 1

<20 % strength

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Level 2

21–40 % strength

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Level 3

>40 % strength





31.1.3 Equipments for the Exercise


The following equipments will be needed for exercises introduced in this book:

1.

65 cm gym ball, for patients taller than 170 cm

 

2.

55 cm gym ball, for patients shorter than 170 cm

 

3.

Rubber bands of three different strengths (for muscle exercise)

 

4.

Exercise bar

 

5.

Pulley and strap (cord)

 


31.1.4 Equipment Installation/Instructions




1.

Pulley

Install on a door (Fig. 31.1).

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Fig. 31.1
Pulley

 

2.

Exercise bar

Assemble the separated bar (Fig. 31.2).

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Fig. 31.2
Exercise bar

 

3.

Use a rubber band by fixing it to a door handle or to your foot by stepping on it (Fig. 31.3).

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Fig. 31.3
Rubber band

 



31.2 Shoulder Exercise Book



31.2.1 Range of Motion Exercise


Exercise for recovery of ROM is made with simple level 1 exercises. Progress after the following:


31.2.1.1 Pendular Exercise


Bend forward and place the uninjured arm on the table for a support. The injured arm should be outside the table toward the ground (Fig. 31.4a). Move your injured arm back and forth to make a small circle (Fig. 31.4b).

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Fig. 31.4
Pendular exercise


31.2.1.2 Forward Flexion with the Opposite Hand


The palm of the injured extremity should be facing your head (Fig. 31.5a). Using the opposite hand, grab the wrist of the injured extremity and move toward your face (Fig. 31.5c) (120°). Never exert your injured extremity, only make effort on the opposite arm. When returning to the initial position, make sure no effort is done on the injured arm.

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Fig. 31.5
Forward flexion with the opposite hand


31.2.1.3 Pulley Exercise


Prepare the exercise on a sitting position holding the pulley. The palm of the injured extremity should face you (Fig. 31.6a), and always exercise with the opposite arm to lift the injured arm till possible range is achieved (Fig. 31.6c). The injured arm should never be exerted during the exercise. When coming down, the opposite arm should lead the way down.

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Fig. 31.6
Pulley exercise


31.2.1.4 Flexion on the Table


Sitting in front of a table, place both your hands on the table (Fig. 31.7a). By sliding your hands forward, bend down on the table to increase range of motion (Fig. 31.7b).

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Fig. 31.7
Flexion on the table


31.2.1.5 Abduction on the Table


Sitting beside a table, place your hand of injured extremity on the table (Fig. 31.8a). Push your hand laterally away from your body (Fig. 31.8b).

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Fig. 31.8
Abduction on the table


31.2.1.6 Forward Flexion with Exercise Bar


Prepare by lying down on the floor, holding the exercise bar with your shoulder width (Fig. 31.9a). Lift your arm over your head. During the exercise, extend your elbow as much as is possible (Fig. 31.9c, d).

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Fig. 31.9
Forward flexion with exercise bar


31.2.1.7 Internal and External Rotation: Shoulder in Neutral with Exercise Bar


Prepare by lying down on the floor, holding the exercise bar with your shoulder width (Fig. 31.10a). Elbows should be flexed and maximally rotate both ways (Fig. 31.10b).

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Fig. 31.10
Internal and external rotation: shoulder in neutral with exercise bar


31.2.1.8 Internal and External Rotation: Shoulder in 90° with Exercise Bar


Prepare by lying down on the floor, holding the exercise bar with your shoulder width (Fig. 31.11a). Forward flex your shoulders with elbows flexed. Maximally rotate both ways (Fig. 31.11b).

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Fig. 31.11
Internal and external rotation: shoulder in 90 degree with exercise bar


31.2.1.9 Abduction and Adduction with Exercise Bar


Prepare by lying down on the floor, holding the exercise bar with your shoulder width (Fig. 31.12a). Forward flex your shoulders with elbows extended. Maximally rotate both ways (Fig. 31.12b, c).

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Fig. 31.12
Abduction and adduction with exercise bar


31.2.1.10 Diagonal Side to Side with Exercise Bar


Prepare by lying down on the floor, holding the exercise bar with your shoulder width (Fig. 31.13a). Gently move the bar from the hip (which is on the same side of your injured shoulder) to the opposite shoulder (Fig. 31.13b, c).

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Fig. 31.13
Diagonal side to side with exercise bar


31.2.1.11 External Rotation on the Table


Prepare by sitting down on a table, holding the exercise bar with your shoulder width (Fig. 31.44a). Both palms should face upward. Externally rotate in both ways (Fig. 31.14b).

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Fig. 31.14
External rotation on the table


31.2.1.12 Flexion in Standing


Standing in front of a table, place both your hands on the table (Fig. 31.15a). Fix your hands on the table and move away from the table with elbows fully extended to flex your shoulders (Fig. 31.15b). Try to stand away from the table as much as you can.

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Fig. 31.15
Flexion in standing


31.2.1.13 Abduction in Standing


Standing beside a table, place your hand of injured extremity on the table (Fig. 31.16a). Fix your hand on the table and push your body laterally away from the table to abduct your shoulder (Fig. 31.16b, c).

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Fig. 31.16
Abduction in standing


31.2.1.14 End-Range External Rotation with Exercise Bar in Lying Position


Prepare by lying down on a bed, holding the exercise bar with your shoulder width. The injured shoulder should be located outside the bed. Using your uninjured extremity, push down the bar to elevate your injured shoulder. Continue till the back of your hand reaches the floor (Fig. 31.17).

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Fig. 31.17
End-range external rotation with exercise bar in lying position


31.2.1.15 External Rotation: Stretch with Exercise Bar in Standing Position


Hold the exercise bar behind your back (Fig. 31.18a). The injured extremity should be placed at the top, and using your uninjured extremity, pull down maximally (Fig. 31.18b).

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Fig. 31.18
External rotation: stretch with exercise bar in standing position

Oct 16, 2016 | Posted by in SPORT MEDICINE | Comments Off on Rehabilitation: Part I. Basic

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