Rx determined by what
stage of healing and irritability
scapular or cardinal planes
scapular
what is hallmark of irritability
pain at rest
obtain what platform ASAP
scapular platform
short or long levers
short rx
rx proximal to distal to decrease shld pain and increase function
t spine
scapula
humeral head
acute phase interventions
early motion start PROM
table ex’s early then seated then standing
AROKM may be sufficent resistance
walking
global strengthening
modalities
progression to sub acute criteria
evidence of tissue healing
pain free ROM 120 or more elevation
strength in non pathologic areas at least 4+/5
scapular control present (compare to unaffected)
sub acute goals
attain full pain free ROM w/ normal joint kinematics
improve mm strength
improve NM control
restore normal mm force couples
pendulum for what patients
distraction forces
swollen
do you do pendulum for unstable
no
muscle stretch dosage vs capsulitis
5x week 10-60 secs 3 sets
over 1 min