Reverse and Total Shoulder Replacement Stage 1 - Physiotherapy Exercise and Advice - Information for patients - North Tees and Hartlepool ...
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Reverse and Total Shoulder
Replacement
Stage 1 - Physiotherapy Exercise and
Advice
Information for patients
This leaflet can be made available in other
formats including large print, CD and Braille and
in languages other than English, upon request.
This leaflet informs you about stage 1 post-operative exercises and advice following a reverse shoulder replacement or a total shoulder replacement. Before you are discharged, a member of the inpatient therapy team will guide you through the exercises. They will provide you with advice and answer any questions you may have. You will then be contacted by the outpatient physiotherapy team, who will provide you with advice and exercises to aid in your recovery. What can I do to help myself? It is very important to get as much movement back in your shoulder as soon as you can. This will mean you can start to use your shoulder normally and perform your daily functions. Managing your pain and doing your exercises every day will help this to happen quicker. If you require it, pain relief can be very useful to help minimise any pain and therefore give you the confidence to exercise and use your shoulder. If you have been given pain relief, you should take them as prescribed. You should always read the label if using over-the- counter medication and, if you are in any doubt, speak to your pharmacist or GP. If your pain becomes severe or is continuous, you should contact your GP. What exercises should I do following my surgery? Once the nerve block has fully worn off and you have feelings back in your arm, you may start your home exercise programme. This usually takes between 12 - 48 hours.
You should aim to perform the following exercises 3 times a day. Perform 10 repetitions, have a rest for 1 minute and repeat a further 10 times. During your operation, your surgeon will decide on a range of movement that you can move your shoulder in without causing any significant stress on the surgical repair. This is called the safe zone The safe zone is there to give you the confidence to perform your exercises. The inpatient therapy team will educate you on what your safe zone is and your outpatient physiotherapist will progress and guide your future rehabilitation. It is normal for you to feel aching, discomfort, or stretching feelings when doing these exercises. If you experience intense and lasting pain (e.g. longer than 30 minutes), do the exercises less forcefully or less often. If this does not help, you should discuss the problem with the Physiotherapist. Exercise 1: Seated Table Slides While sitting, rest your hands on a table. Using a duster or similar object, lean forwards and slide your hands away from your body to as far as comfortable and then return to the start position.
Exercise 2: Shoulder Short Lever Active Assisted Flexion
Lying on your back with your knees bent and feet flat on the bed.
Support your operated arm underneath your elbow with your
unaffected hand.
Using help from your unaffected arm, slowly lift your operated arm
up and away from your chest. Stop at the recommended height from
your surgeon (Safe zone). Return to the start position.
Note: You can perform the exercise lying on your back as indicated
in the above images or seated. Find which position is most
comfortable for you.
Exercise 3: Shoulder Active-Assisted External Rotation to
Neutral
Image 1 Image 2
Start with your hand on your tummy, bend your elbow to 90
degrees, as shown in Image 1 and 2. Tuck your elbow in by your
side with a rolled towel in between your upper arm and body.
Holding a stick or similar object, keeping your elbows in at your side, use your unaffected arm to push the stick outwards to rotate your operated arm through your safe zone. Return to the start position. Note: You may find it more comfortable to support your arm on a pillow. Some people find this more comfortable to do while lying (Image 2). Find which position is most comfortable for you. Contact numbers Upper Limb Secretary Telephone: 01642 624442 Monday – Friday, 9.00am - 5.00pm Physiotherapy Appointment Queries Telephone: 01429 522471 Monday – Friday, 9.00am - 5.00pm Ward 32/33 Telephone 01642 382832 or 382732 24 hours 7 days a week Useful links Upper Limb (Shoulder, elbow, hand, and wrist Surgery) – patient information. https://www.nth.nhs.uk/services/traumaorthopaedics/upper-limb/
References
1 Payne, C, Jaggi, A, LE, Leu, A, Garofalo, R and Conti, M.
(2015). (v) Rehabilitation for shoulder arthroplasty.
Orthopaedics and Trauma,29(5), PP.314-323.
2 Wolff AV, Rosenzweig L. Anatomical and biomechanical
framework for shoulder arthroplasty rehabilitation. Journal of
Hand Therapy. 2017; 30: 167/174Notes: ................................................................................................ ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ........................................................................................................... ...........................................................................................................
This leaflet has been produced in partnership with patients and carers. All patient
leaflets are regularly reviewed, and any suggestions you have as to how it may be
improved are extremely valuable. Please write to the Clinical Governance Team,
North Tees and Hartlepool NHS Foundation Trust, University Hospital of North Tees
or Email: nth-tr.leaflets@nhs.net
Comments, Concerns, Compliments or Complaints
We are continually trying to improve the services we provide.
We want to know what we’re doing well or if there’s anything which we can improve,
that’s why the Patient Experience Team is here to help.
Our Patient Experience Team is here to try to resolve your concerns as quickly as
possible. If you would like to contact or request a copy of our PET leaflet, please
contact:
Telephone: 01642 624719
Monday – Friday, 9.30am – 4.00pm
Messages can be left on the answering machine and will be picked up
throughout the day.
Freephone: 0800 092 0084
Email: nth-tr.PatientExperience@nhs.net
Out of hours if you wish to speak to a senior member of Trust staff, please contact the
hospital switchboard who will bleep the appropriate person.
Telephone: 01642 617617
24 hours a day, 7 days a week
The Patient Experience Team is available to discuss your concerns in person
Monday – Friday, 9.30am – 4.00pm. The office is based on the ground floor at the
University Hospital of North Tees.
Data Protection and use of patient information
The Trust has developed a Data Protection, Caldicott and Disclosure Policy (IG5) in
accordance with the Data Protection Legislation (General Data Protection
Regulations and Data Protection Act 2018) and the Freedom of Information Act 2000.
All of our staff respect this policy and confidentiality is adhered to at all times. If you
require further information please contact the Information Governance Team.
Telephone: 01642 383551 or Email: nth-tr.infogov@nhs.net
University Hospital of North Tees, Hardwick, Stockton-on-Tees. TS19 8PE
University Hospital of Hartlepool, Holdforth Road, Hartlepool. TS24 9AH
Telephone: 01642 617617
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