There continues to be great debate over the most appropriate rehabilitation progression following rotator cuff repair. Although our surgical techniques have gradually progressed from full open repairs, to smaller mini-open repairs, to the current standard all-arthroscopic repairs, many clinicians continue to utilize the same rehabilitation guidelines from past invasive procedures. And more confusing is the lack of consensus among surgeons regarding the optimal postoperative rehabilitation protocol following arthroscopic rotator cuff repair. Protocols can vary as drastically as beginning gentle passive range of motion and isometric exercises post-operative week 1 to delaying 12 weeks for the initiation of similar exercises. I want to share the postoperative protocol that I have developed with Kevin Wilk and James Andrews to give you some guidance on how we are progressing patients.
The use of rehabilitation protocols in physical therapy continues to be common practice. However, a recent trend on social media has been to criticize these guidelines and those that follow them. Students are even coming out of college shunning the use of protocols. We should be using our brains and individualizing programs based on each person. But rehabilitation protocols can actually help us do this better if used properly. To highlight this, it helps to break down exactly what rehabilitation protocols are, and are not, in physical therapy to best understand how we should be using them in our practices.
This week's Stuff You Should Read comes from Philip Stefanov, Ryan DeBell, Dan Pope, and Jim Laird.
On this episode of the #AskMikeReinold show we talk about some advice for studying for the physical therapy boards, how to include strength training in rehab, and ACL surgery in female athletes.
I still like foam rollers for self myofascial release, but think that many people could benefit even more by upgrading to these newer tools.
This week's Stuff You Should Read comes from Mike Robertson, Dan Pope, and Tony Bonvechio.
On this episode of the #AskMikeReinold show we talk about maintaining continuity between treatments, learning at live con ed courses, and gymnastic injuries.
SLAP tears can occur from different mechanisms. These different injury types will require a different approach to evaluate and treat.
This week's Stuff You Should Read comes from Eric Cressey, Erson Religioso, and Dave Tilley.
On this episode of the #AskMikeReinold show, Greg Robins and Tony Bonvechio from TheStrengthHouse.com join us to talk about mixed grip deadlifts, self myofascial release before training, how young athletes can gain mass.