The information in this medical library is intended for informational and educational purposes only and in no way should be taken to be the provision or practice of physical therapy, medical, or professional healthcare advice or services. Top 21 on codman pendulum shoulder exercises healthtap. Performing the exercises two to three days a week will. It gives a wide range of motion as you lower the dumbbells well down in front giving that maximum stretch other shoulder exercises lack. Jan 28, 2016 pendulum, or codman, exercises are often prescribed for shoulder rehabilitation. Do not initiate phase ib exercises until week 5 for type ii large tears codman 4 point exercises pulley with gentle passive flexion to approximately 90 table slide for passive flexion and extension exercise shoulder shrugs towel stretch for internal rotation. Lippmann 1943 supported many of codman s observations, but argued that periarthritis or frozen shoulder resulted from. Frozen shoulder contracture syndrome aetiology, diagnosis. Hearon operative shoulder protocols advanced orthopedic. Always be sure to ice your shoulder after you complete your exercises.
Roll up a towel and hold between your arm and body. Shoulder rehabilitation treatment includes activity modification, stretching, and strengthening the affected limb. Shoulders biomechanics and physiological basis for the codman exercise. This program is designed for rotator cuff repairs involving fixation of the tendon to bone, and includes those done either open with deltoid release and. Codmans pendular exercises have been widely used for. Once you have the right form down, they can be done safely at home. You need to get clearance from your surgeon to know if your are ready for that intensive training. Even though, it is said that adhesive capsulitis is a self limiting condition, many subjects remain with. Shoulder rehabilitation exercises part 3 shoulder surgery.
Click on your rehabilitation protocol to download a pdf file containing specific. Codman sabercut shoulder approach definition of codman. Codmans, pulleys, cane exercises in all planes of motion except horizontal adduction these should stay relatively pain free. Rupture of the supraspinatus tendon and other lesions in or about the subacromial bursa by codman, ernest a. Codmans test is typically used in the assessment of a suspected rotator cuff tear. Arnold shoulder press is an excellent shoulder muscle building exercise. Pendulum, or codman, exercises are often prescribed for shoulder rehabilitation. When it comes to the best exercise with the best range of motion for shoulder muscles, arnold press stands out from the crowd. Codman angle codman cartilage clamp codman classification codman drill codman exercises codman incision codman sabercut. Lippmann 1943 supported many of codmans observations, but argued that periarthritis or frozen shoulder resulted from. The shoulder rehabilitation protocol consists of two major. If your physician feels you are ready, you will be instructed on several exercises that you can easily do in your home. Passive stage weeks 0 to 6 brace wear sling ultrasling in neutral position except for exercises passive range of motion as tolerated with gentle stretch at.
Codman exercises definition of codman exercises by medical. Codmans pendulum exercises are commonly prescribed after shoulder pathology to provide grade i and ii distraction and oscillation resulting in decreased pain, increased flow of nutrients into the joint space, and early joint mobilization. You may want to hold onto a table or chair for support. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your shoulders. Suarezsanabria, nathalia and osoriopatino, ana milena. Shoulder with palm up and down gently bend elbow as far as. Pendulum exercises for shoulder all exercises should be done 5 times daily in 5 to 10 minute sessions. Suggested therapeutic exercise begin 58 days after surgery, submaximal shoulder isometrics for internal rotation irexternal rotation er, flexion extention and abductionadduction shoulder aaromprom. To treat frozen shoulder, codman advocated hospitalisation, with the arm constrained in elevation for one to two weeks. Patients were permitted to get up, out of bed, once a day to perform pendular exercises.
Rehab practice guidelines for repair of rotator cuff tears. Arthroscopic rotator cuff repair rehab protocol if the tear is small to medium and has good tissue quality. Arthroscopic rotator cuff repair rehabilitation protocol. Pendulum sidetoside bend over at the waist and let your arm relax completely. Pendulum exercises bend forward at the waist, back parallel to ground is ideal.
The sling should be removed periodically throughout the day to perform codman exercises cane exercises can be initiated do not passively force external rotation for the first 6 weeks. Hagan rotator cuff repair rehabilitation protocol overview. Sling with supporting abduction pillow to be worn at all times except for hygiene and therapeutic exercise codmans pendulum exercise, elbowwristhand rom, grip strengthening, isometric scapular stabilization phase 2 46 weeks gentle aarom to 140. Codmans pendulum exercises are commonly prescribed after shoulder surgery and. Arm slide table arm slide wall codmans pendulum exercise external rotation er strengthening using theraband finger ladder internal rotation ir strengthening using theraband latissimus strengthening exercise middle trapezius strengthening exercise pectoral stretch t pectoral stretch v posterior capsule stretch rhomboids strengthening scapular squeeze shoulder i exercise. Medical library exercise 62 total motion physical therapy. Avoid abduction avoid external rotation greater than 90. Gently rock your body weight from your left to your right foot or in a circular motion to move your arm in circular pattern. Johns hopkins shoulder surgery rotator cuff rehabilitation program johns hopkins shoulder surgeons introduction. The patient then lowers the arm back to neutral with the palm down.
Pendulum and codman exercises for shoulder rehabilitation the mvic was recorded as the participant abducted the arm and pressed as hard as they could into a pillow against the wall. Make sure to rest from all painful activities until swelling subsides. Pendular exercises for the shoulder oxford university hospitals. Pdf codmans paradox in adhesive capsulitis case study. Bend forward at the waist, back parallel to ground is ideal. Contact ohio state sports medicine physical therapy at 6142932385 if questions arise. Medical library exercise 62 performance physical therapy. The safer, better alternative to shoulder codmans pendulums 6.
Adhesive capsulitisfrozen shoulder clinical practice guideline progression is time and criterionbased, dependent on soft tissue healing, patient demographics, and clinician evaluation. The therapist passively raises the patients arm to 90 degrees of abduction. Johns hopkins shoulder surgery rotator cuff rehabilitation. Medical library exercise 62 physioworks inc physical therapy. Apr 24, 2014 exercicio aliviar dor ombro tendinite bursite clinica fisioterapia dr. However, it is important that your shoulder should not be. Medical library exercise 62 college park physical therapy. Medical library exercise 62 advanced physical therapy. For the traditional codman pendulum exercise which is a sort of threepart stretching routine done from one starting position youll need a sturdy table or chair thats about thighhigh. Post stabilization posterior bankart repair protocol. Allow involved arm to hang down, perpendicular to the floor. Passive stage weeks 0 to 6 brace wear sling ultrasling in neutral position except for exercises passive range of motion as tolerated with gentle stretch at available end range exercises if good form. Using a sample size of ten healthy volunteers, the authors tested various exercises commonly used postoperatively following shoulder surgery using surface electrodes. Then youve got all you need to give your shoulders a little swing.
This test is also commonly referred to as the droparm test or sign. The nurses in the otolaryngology clinic will assess your shoulder function and level of discomfort when you return for one of your. Following injury to your shoulder it may be necessary to rest your arm for short periods e. Ice shoulder for pain and inflammation control remove sling tid for codmans exercises milestones comfortably sleep through the night weeks 35 begin pt 23 visitsweek continue sling use 24 hours per day. Codman s pendulum exercises are commonly prescribed after shoulder pathology to provide grade i and ii distraction and oscillation resulting in decreased pain, increased flow of nutrients into the joint space, and early joint mobilization. Codman s test is typically used in the assessment of a suspected rotator cuff tear. Total shoulder arthroplasty with lesser tuberosity osteotomy. Medical library exercise 62 independence physical therapy. This shoulder conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. Codman s pendulum exercises are commonly prescribed after shoulder surgery and injury to provide grade i and ii distraction and oscillation resulting in decreased pain, pendupum flow of nutrients into the joint space, and early joint mobilization.