Passive range of motion exercises after rotator cuff surgery

August 02, 2019

Passive range of motion exercises after rotator cuff surgery
 

If you just had shoulder surgery, you may feel a bit more pain compared to before the surgery. This is because your body needs time to heal properly after the trauma of surgery.

A physical therapist can guide you through specific shoulder exercises that can help you improve affected muscles and regain your strength. In this article, you will learn about different shoulder exercises to help speed recovery of your shoulders after surgery.

Shoulders require different types of exercises after a surgery, depending on the type of surgery that was performed and the affected area of your shoulder. For example, range of motion exercises help determine how far or how wide can your shoulders move and help keep you limber to avoid straining your shoulders. Strengthening exercises help you regain power and sturdiness in the shoulders to ensure you are capable of lifting items and carrying out other daily tasks. Endurance exercises help improve your overall health and allow you to carry out movements and tasks without feeling exhausted. Endurance exercises also help determine how fast your shoulders adapt and recover.

Best Post-Surgery Shoulder Exercises

Below are five of the most recommended shoulder exercises for patients recovering from a shoulder surgery. Always consult with your doctor or physical therapist before including a new exercise to your post-surgery rehabilitation.

  1. Assisted Shoulder Elevation. This exercise can be performed sitting or lying down. To do this, you must cuff your hands together and slowly lift your arms going towards your head, straightening it as much as possible. Maintain your arms together for about 20 seconds, then slowly lower your arms back in resting position. 
  2. Rotator Cuff Strength. In a standing position, place your arms a little behind your back and clasp your hands together. Stretch it out as much as you can. While both arms are behind, slowly lift them up and down to add some pressure on your shoulders.
  3. Reaching Exercises. While sitting down, raise your arms forward and straighten them as much as you can, then alternate moving each arm forward as if trying to reach for something. Try adding some pressure on the shoulders for an even better exercise.
  4. Internal Rotation. Lie down on the affected shoulder and bend the elbow on that side to a 90-degree angle. Using the same arm, slowly lift a dumbbell or a light weight then bring the arm back to place. Do this repeatedly and alternate with the other shoulder if possible.
  5. Shoulder Adduction. Place a small cushion in between the side of your chest and arm (a little bit below the armpit). Slowly squeeze the pillow and try to lessen the gap between your elbow and the side of your chest. Hold this position for 10 seconds. Slowly release the pressure to relax your arms then do 10 more rounds.

If you had shoulder surgery and are experiencing pain, your orthopedic doctor may recommend physical therapy to help you recover. Get the advice you need to heal better, faster by calling the orthopedic and physical therapy experts at The Bone & Joint Center at (800) 424-2663 or you may request an appointment now.

Regular exercises to restore motion and flexibility to your shoulder and a gradual return to your everyday activities are important for your full recovery after shoulder surgery.

Your orthopaedic surgeon and physical therapist may recommend that you exercise for 10 to 15 minutes, 2 or 3 times a day during your early recovery period. They may suggest some of the exercises included in this guide. They may also recommend additional exercises to help prevent stiffness in your elbow and hand.

Check with your physical therapist or orthopaedic surgeon before performing any of the exercises shown below. In addition, remember to always use pain as your guide when exercising. Doing too much, too soon may delay healing.

  • Bend forward 90° at the waist, placing your uninvolved hand on a table for support.
  • Rock your body in a circular pattern to move your arm clockwise 10 times, then counterclockwise 10 times. Keep your arm relaxed during the exercise. The circle your hand is making should be about 1 to 2 feet wide. The circular pendular movement should occur through your shoulder joint.
  • Do 3 sessions a day.

This exercise can be done either lying down (A) or sitting down (B).

  • Clasp your hands together and lift your arms above your head. Keep your elbows as straight as possible. Maintain the elevation for 10 to 20 seconds.
  • Slowly lower your arms.
  • Repeat 10 to 20 times per session.
  • Do 3 sessions a day.
  • Slowly increase the elevation of your arms as the days progress, using pain as your guide.

  • Keep your elbow in place and your shoulder blades down and together.
  • Slide your forearm back and forth, as shown. You can also perform this exercise using a stick or cane to assist your arm outward (keeping your elbow at your side).
  • Repeat 10 times per session.
  • Do 3 sessions a day.

Note: Your surgeon may restrict the degree of outward movement (external rotation) of your operated shoulder after surgery. Before performing this exercise, check with your surgeon or physical therapist to determine if you have an external rotation limit.

  • Use your other hand or a towel to help bring your involved hand behind your back and across to the opposite side.
  • Repeat 10 times per session.
  • Do 3 sessions a day.

  • With your elbow straight, use your fingers to "crawl" up a wall or door frame as far as possible. Hold for 10 to 20 seconds.
  • Repeat 5 to 10 times per session.
  • Do 3 sessions a day.

  • Raise your arm upward to point to the ceiling, keeping your elbows straight and leading with your thumb, as shown. Hold for 10 seconds.
  • Repeat 5 to 10 times per session.
  • Do 3 sessions a day.

Tip: Avoid shrugging or bringing up your shoulder blade. It may be beneficial to watch yourself do this exercise in front of a mirror.

  • Raise your arm out to the side, with your elbow straight and your palm downward. Do not shrug your shoulder or tilt your trunk.
  • Repeat 3 times per session.
  • Do 3 sessions a day.

Note: This exercise may not be recommended after certain surgeries. Check with your surgeon or physical therapist to ensure that it is appropriate for you.

  • Stand with your back against the wall and your arms straight at your sides.
  • Keeping your elbows straight, push your arms back into the wall. Hold for 5 seconds, and then relax.
  • Repeat 5 to 10 times per session.
  • Do 3 sessions a day.

  • Stand with the involved side of your body against a wall. Bend your elbow 90°.
  • Push the back of your hand slowly into the wall. Hold for 5 seconds, and then relax.
  • Repeat 10 times per session.
  • Do 3 sessions a day.

  • Stand at a corner of a wall or in a door frame. Place your involved arm against the wall around the corner, bending your elbow 90°.
  • Push the palm of your hand into the wall. Hold for 5 seconds, and then relax.
  • Repeat 10 times per session.
  • Do 3 sessions a day.

  • Place a small pillow between your inner arm and the side of your chest, as shown.
  • With your arm, squeeze the pillow against the side of your chest. Hold for 5 seconds, and then relax.
  • Repeat 10 times per session.
  • Do 3 sessions a day.

  • Resisting upward motion to the side, slowly and gently push your arm against the back of a sturdy chair or sofa. Hold for 5 seconds, and then relax.
  • Repeat 10 times per session.
  • Do 3 sessions a day.

  • Lie on your involved side. Keep your elbow bent at 90°.
  • Holding a light weight, raise your hand toward your stomach. Slowly return.
  • Repeat 10 times per session.
  • Do 3 sessions a day.

  • Lie on your uninvolved side. Keep your elbow bent at 90°.
  • Holding a light weight, raise your hand away from your stomach. Slowly return.
  • Repeat 10 times per session.
  • Do 3 sessions a day.

Is early passive motion exercise necessary after arthroscopic rotator cuff repair?

Background: Early passive motion exercise has been the standard rehabilitation protocol after rotator cuff repair for preventing postoperative stiffness.

How long does it take to get range of motion back after rotator cuff surgery?

It takes 1 year to fully regain external rotation after small and medium tears, whereas mild residual stiffness remains after large tears. Full forward elevation is restored by 3 months for small tears vs 6 months for medium and large tears.

What are passive range of motion exercises?

In passive range of motion exercises, the patient does not perform any movement themselves; instead, the therapist moves the limb or body part around the stiff joint, gently stretching muscles and reminding them how to move correctly.