You’re working with an athlete who recently had rotator cuff surgery. They have already completed physical therapy and are cleared for participation in an exercise program. Provide a 12-week strengthening and stretching program to help bring the athlete back to full activity. Then, provide a rationale for your program. You can use outside resources in addition to the course textbook.
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Introduction:
Rotator cuff surgery is a common procedure observed in athletes. Post-surgery rehabilitation is necessary to bring the athlete back to the full activity level. The primary objective of post-surgery exercises is to strengthen the rotator cuff muscles and address the symptoms associated with it. This program includes strengthening and stretching exercises to support the athlete in returning to their previous level of activity.
Answer:
Week 1-4:
The initial phase of the program involves resting and gentle exercise to strengthen the rotator cuff. The first four weeks focus on low-intensity exercises to reduce pain and inflammation, improve range of motion, and maintain blood circulation in the injured area. The program involves:
1. Pendulum swings
2. Supine and assisted passive range of motion exercises
3. Internal and external rotation exercises with the arm supported
4. Scapular stabilization exercises
Week 5-8:
The second phase of the program includes moderate-intensity exercises to strengthen the rotator cuff and improve shoulder mobility. The exercises involve:
1. Wall push-ups
2. Shoulder blade squeeze
3. Seated dumbbell presses
4. Lateral raises
5. External and internal rotation with resistance band
Week 9-12:
The final phase of the program includes high-intensity exercises to condition the rotator cuff to withstand strains and high-intensity activities. The exercises include:
1. Standing cable rotation
2. Bicep curls
3. Dumbbell reverse flyes
4. Single-arm rows
5. Medicine ball throws
Rationale:
The 12 weeks post-surgery program helps the athlete to gain strength and flexibility in the rotator cuff. The program is designed to progress gradually from low to high-intensity exercises to avoid re-injury. The initial phase of the program helps to reduce inflammation and pain, maintaining fluid circulation in the injured area. The second phase of the program improves strength and mobility, and the final phase prepares the athlete to return to full activity. The exercises selected are based on evidence-based practices that have been proven to be effective in post-surgery rehabilitation.
