When do you begin PROM ER with wand after cuff repair

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When do you begin PROM ER with wand after cuff repair

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When do you begin PROM ER with wand after cuff repair - June 19, 2008 12:16:50 AM

Kaden

Posts: 335
Joined: June 17, 2007
Status: online

Not a trick question, just curious what day/week folks start PROM ER with cane/wand. I usually start early, week one or two, as I think it can be done very passively.

However, I have seen various opinions recently so figured I would sort of poll the forum.

Thanks

Post #: 1

RE: When do you begin PROM ER with wand after cuff repair - June 19, 2008 10:33:06 AM

USAPT

Posts: 278
Joined: January 14, 2004
Status: offline

Kaden,
You can extrapolate what was said on the other RCR thread. Verify the repair and as long as it isn't a subscap repair, I will begin passive ER first week. As already stated, ALWAYS get specifics on the repair FIRST.
-Jason

(in reply to Kaden)

Post #: 2

RE: When do you begin PROM ER with wand after cuff repair - June 19, 2008 1:48:11 PM

Tom Reeves DPT ATC

Posts: 453
Joined: March 14, 2006
Status: offline

Agree with Jason. It depends on what was repaired. Generally, you don't want to tug on the thing that was sewn together for at least 4-6 weeks, and again that depends upon the quality of the repair and the quality of the tissue that was repaired.

(in reply to USAPT)

Post #: 3

RE: When do you begin PROM ER with wand after cuff repair - June 19, 2008 9:13:58 PM

PTupdate.com

Posts: 1478
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline

Somewhere back in my website I abstracted an article that indicated PROM into ER did not stress a repair until 70 degrees, and I use that as my rule of thumb in the early stages. I just finished reading, in JBJS, "Biomechanics of Massive Rotator Cuff Tears: Implications for Treatment", and found that interesting as well

_____________________________

John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com

(in reply to Tom Reeves DPT ATC)

Post #: 4

RE: When do you begin PROM ER with wand after cuff repair - June 22, 2008 3:26:07 PM

jma

Posts: 2415
Joined: August 24, 2000
From: NY
Status: offline

Thanks for that reference

(in reply to PTupdate.com)

Post #: 5