Ream and Run for Shoulder Arthritis: Conservative Reconstructive ...
Ream and Run for Shoulder Arthritis: Conservative Reconstructive ...
Ream and Run for Shoulder Arthritis: Conservative Reconstructive ...
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<strong>Shoulder</strong> & Elbow Service, University of Washington Department of Orthopaedics <strong>and</strong> Sports Medicine<br />
How Do I Strengthen My <strong>Shoulder</strong> After I Have The Full 150 Degrees Of Flexion?<br />
Maximal ef<strong>for</strong>t is needed to maintain at least 150 degrees of flexion five times a day until this<br />
is easy <strong>and</strong> com<strong>for</strong>table. After this range is com<strong>for</strong>tably achieved <strong>and</strong> after 6 weeks, gradually<br />
increasing load can be applied in the two-h<strong>and</strong> supine press series shown below. We start with<br />
two h<strong>and</strong>s together on a washcloth, pushing both h<strong>and</strong>s to the ceiling while lying flat. Then we<br />
move to two h<strong>and</strong>s on a cane or yardstick about two feet apart, per<strong>for</strong>ming the same movement.<br />
Next the same movement is per<strong>for</strong>med with the one h<strong>and</strong> alone holding a very light<br />
weight. The weight is gradually increased as is the angle of sitting up, until the h<strong>and</strong> can lift<br />
one pound overhead. The rule is that the shoulder needs to be able to do 20 repetitions<br />
com<strong>for</strong>tably at one level be<strong>for</strong>e graduating to the next step. It is CRITICAL however, that no<br />
strengthening exercise cause discom<strong>for</strong>t that last more than a few minutes after its completion.<br />
Some individuals in their enthusiasm have pushed so hard that the healing process is<br />
disrupted.<br />
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