Paralegal ShumakerSHAMBHALA

Protection phase
maintainintegrityandmobilityofTHEsoftTissue CONTROLLED inflammationandpromoteHealing
promcarom of RIL SHOULDERtowards mopalities
Flexionx 10repsx 3 sets to lowintensitycrossfibermassacre
NotepainFree immobilization
saromwantexercise or crinshouldertowards
Flexion to reps x 3 sets to controlpain and maintainvointintearity
multipleanolemusclesettinoexercise tomaintain copman'sexerciseof Crn Shoulder
integrityandmobility of cries mm x 30 oscillations 3minsto
towards structure caction x secsHow
to reps x 3 sets
ineraspinatus shoulderex
subscapularis SHOULDERIr
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supraspinatus shoulderalso109309459607 posturalawareness
ineraspinatus sHouuserscaption 300,6007
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BicepsBrachii elbowFlexionwithForearm
supination anyDecreesof Flexiontext

C o n t ROLLED motion phase

Developstrong mobiletissues
Develop Balance in ten 6TH anb
cross Fiber massage siren 6TH OF SHOULDER61Rble mm
self appliedmultipleanoleisometricexercise LENGTH
toDevelopstrongmobiletissues of Crill mm manual stretching exercise of Ulm
towards Creston action x torepsx 1mm x 15secs HOLD x IO
z sets reps I set
hitofBicepsBracan shoulderFlexion pectoralis major
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self STRETCHINGexercise OF Clin
mm x issecsHOLD x10Reps
I set
pectoralismajor
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I v position sternal
aanaat.ae
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way nexion
mobilizationwithmovementOF RIL SHOULDER STRENGTH
elevation to reps x 3setsto isometricexerciseof RIL mm
note watGrabe3 4PosterolateralGuise TowaRps neocon action x 7secsHOLDx
mobilizationwithmovementOF Cru SHOULDER toreps 3sets
to x setsTo

note watGrabe3 4PosterolateralGuise
sustain Forfosecs
mobilizationwithmovementOF RIL SHOULDER
R x lo reps x 3setsTo
note wiltGrabe3 4 inferiorGuises
affected arm BeanotheBack
unaffected arm pullup
warp
writtowel
Develop muscular stabilizationandendurance
Alternating isometries ofthescapularmusclesin
openchainedposition
1 alternatingisometricexercises of cries
scapularmuscles torepsx 3sets to
2 WEIGHTBearingposition alternatingisometric
exercise ofCrmsitouloerandTrunkmuscles
usinga Ball x 10repsx 3setsto
isometricorDynamicresistance tositon erroration
isometricorDynamic
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internalrotatorsx 7secsHOLD x 10Repsx3sets
to
2 isometric exercise ofTHE CRMSHOULDER
externalrotatorsx 7 secsHOLD toreps 3sets
to
closea chainedstabilization
se
r lowertrapezius scapularDepression
MIDDLEtrapezius scapularRetraction
note noLaterality
RHOMBOIDS SCAPULAR RETRACTION
note noLATERALITY
isometricresistanceinscapularplaneelevation
1MULTIPLEangleisometricexercise ofTHESHOULD
TOWARDScaptionx 7secsHOLD X10Repsx 3setsTo
Openchainedstabilizationexercises forTHE
shoulder Girdle
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GIRDLETOWARDS DependsonTHEplane x secs
HOLDx10reps x 3 sets
Horizontal IR er
Frontal ABD ADD
SAGITTAL Flexion extension
1 CLOSEDCHAINSTABILIZATION exercisesWITH Al 0
RSX7secsHOLD X10Reps X 3Sets
91 alternatingisometrics
Rs

R eT h R h TO F U n CT l o n p Ha se
increase muscularendurance
Develop anicemotorresponses to impose
Dstresses
progresstoFunctionaltraining
progression of previousexercises
pylometricTRAINING
AFTERSTABILITYProceedtoMOBILITY
mimicmotionsDoneByathletesrelatedtoTHEIRsports
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pimmobilization
lcontraindicationextensionBeyon oo
immobilization 3weeks younger
3weeks younger 2 weeks colber
2 weeks Colbert protectednom or 1mm towarpscreaon canon
protectednom or 1mm towarpscreaon canon toreps 3setsto
musclesettingto rationale orfur Cmmi towarpscreoions
toreps 3setsto
musclesettingto rationale orfur Cmmi towarpscreoions action x 7secsHOLDxtoreps 3sets
action x 7secsHOLD toreps zsets rotatorcure shoulderextension
Deltoid SHOULDERexternalrotation
rotatorcure shoulderextension
BicepsBracha Forearm supination
Deltoid SHOULDERinternalrotation
BicepsBracity shoulderflexion Peripheralooint mobilizationon in c smoulder
Peripheralooint mobilizationon in c smoulder USINGGRADE2oscillationsandGrape2Distrac
USINGGRADE2 oscillationsandGrapezDistrac Tons innectionGuise x 3minsto maintain
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tions connectionGuise 3minsto maintain
SOFTtissuemobility purino actions r anterior er ext
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canpal i ABD

CONTROLLED motionphase
CONTROLLED motionphase
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careenon Guise 3minsto DistractionTron careenon Guise 3minsto
posterior IR Flex r anterior er ext
canpal i ABD r CauDali ABD
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Towaros ander x secs
112 H ousxweepsx 3setsto towaros112anper secsHousxweepsx 3setsto
partialWEIGHTBearingandstabilizationexercise partialWEIGHTBearingandstabilizationexercise
notesameWITHopenanocloses chain notesameWITHopenanocloses chain
Dynamicresistanceexerciseto strengthen Lik Dynamicresistanceexerciseto strengthen Lik
mm towaros cream faction y mm towarps cream factions y
secsHOLD x 10Reps x 3 sets secsHOLD x loreps x 3 sets
note Limiter toJoo noteLimit 1k Tosoo
Isokineticresistanceexercise Isokineticresistanceexercise

ReturntoFunctionphase ReturntoFunctionphase
STRENGTHENINGexercise
STRENGTHENINGexercise
coorpinationBetweenscapularandarmmonons cooepinationBetweenscapularandarmmonons
enduranceexercise enduranceexercise
eccentricTraining eccentricTraining
 Frozen Shoulda
Maximum protection phase
stage maintain soft tissue inrearing ammonium
GradualonsetofpainTHATincreaseswithmovement promaaromopcm sitoniper towards
presentarmour nocturnalpain toreps a sets to
loss or er motionwaitintact rotatorcurestrenant Flexion
Duration lessthan 3 months
r extension
staoez Freeanosiaoe r appuction
persistent ant moreintensepaineven atrest peripheral joint mobilization onCR
motion is limited in all Directions andcannotBe sitoucoee using grape 2 oscillations and
Fully restored WITHintraarticular injection crape Distraction careenon coupe amins
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emotions
atonuser
control enema 1 muscle GUARDING r anterior cure extension
prom aaron of 427 shouldertowards posteriorcurse Flexion
emotion
to reps x 3 sets to conman's exercise OF Ca ritoncoen
Flexion x 30oscillations to
extension musclesettingexercise to maintain arenata
apparition muscle
or.cn towanpsstomper emotions
secsHOLD x toreps asets
control pain shoulder
ineraspinatus scaption
peripheral Joint mobilization onCRI r teresmason shoulder
exisitoucoee subscapularis shoulderapp
using Grape 2 osculations ane
careenon
crape1 Distraction coupe amins
to Decrease rainpurine atonuser emotions maintain integrity and Function of associated
anterior cure extension areas
posteriorcurse Flexion squeezeBallexercise on Cr Hang
reps I set to
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to maintain inteGRIM ANDMo Blum of CR
muscle towarps neocon 7 secs
HOLD x 10 reps x 3 sets
LONGHeapof Biceps Brachii elbow
Flexion WITH Forearmsupination
Brautians elbow Flexion
Triceps brachii elbowextension
pronator teres Forearm pronation
Brautioramaus elbowFlexion
proml daRom19120M Of CR neocon
towards K x 10reps x 3sets to
CONTROLLED motion phase
stage 3 Frozen stage INHIBIT musclespasm and correctFaulty
painonly with movement mechanics
significant adhesions peripheral vomit mobilization on cm Stomper
Limited GH motions inTHEscapula using Grabe 1 or 2 oscillations
Deltoid Biceps Braun sustained cantaloupe 3 mins to
Rotator cuff triceps Brauth 1h14BIT musclespasm During in Fcexion
Duration 9 To 15 months DURING Stouuben aberration
resistance exercise towarps CMSHOULDER
control pain edema andJointeffusion anyaction using l LB DumpsBell X
wand exercise OF CR shouldertowards 0 reps x 3 sets
motion lo reps n sets to note protecters wecoat Bearing
Flexion ABD le Resistanceexercise to strengthen R
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10Reps x asets
progressively increase joint AND soft in teresmajor subscapular's
tissue MOBILITY ER ineraspinatus teresminor
peripheral pint mobilization on CRS Improve joint TRACKING
SHOULDER USING Raise 4 oscillations MWM OF R SHOULDER canon x coreps
andGrape 3 Distraction e Guide n sets
X 3 mins to progressively increase r er posterolateral Guise
action r IR Inferior Guise
anterior cure extension er r activeelevation posterolateral Gape
posteriorcurse Flexion er
canpal cube Agonition Improve muscle performance
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toreps 3 sets
muscle
Crete Towarps SHOULDER
manualstretatino on r x 7 secs Holo x coreps x 3 sets
towards canon 15 secsitocox ineraspinatus shoulderer

w reps x nsets subscapularis shoulderin

intraspinatus sitouloerir supraspinatus shoulderapsis
subscapularis shoulberer shoulder
ineraspinatus scaprion
supraspinatus shoulderaop teresmason shoulderexi
teresmason shoulderFlexion subscapularis shoulderapp
subscapular's shoulder D manual stretching on n Cmuscle

towards cachon x 15 secsitocox

Hep noreps nsets
self mobilization of CR SHOULDER intraspinatus shoulder in
using connections
coupe x 3minsto subscapularis shoulberer
caudal supraspinatus shoulderaop
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posterior subscapularis shoulder D
RETURN TO Function PHASE
STAGE4 THAWINGSTAGE
minimal pain
no synovitis
significant capsular restrictions From
antesion
motion may graduallyimproveDuring
THISstage
Duration 15 24 months orlonger
progressively increase FLEXIBILITY AND
STRENGTH
resistance exercise Toprocressivey peripheral voint mobilization on cm sitoulpen
increase Flexibility AND STRENGTHOF USING Grabe 4oscillations and Grape 3
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action using 2435 DUMBBELL x DURING Shoulder caction
sees HOLD x 10 reps x 3Sets r anterior cure extension er
ineraspinatus sitouloerer posteriorcurse Flexion IR
subscapularis SHOULDERIr canpal aure Agonition
shoulderABD
supraspinatus
shoulder
ineraspinatus scaption
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teresmason shoulderexi SELF STRETCHING on CR SHOULDER
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reps I set
 They.dkiiee Trauma Symphoniker
Maximum Protection Phase
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cryotherapy ice cups oointTissue mobility of era mm
avoirau AGGRAVATINGactivities towards structure caction x 6secsHow
to reps x 3 sets
maintain upperextremity function wristextensormuscles
groin ofCrs neocon towarps cannons
toreps PTposition sitting elbowFlexesForearm
asetsto Pronatedand wristextenoe wineresin
SHOULDER Fingers ontable
anyaction a isometric contractionoesitoriene wristexre
resistiveexercise of cm creaion towars cannon 27How6 secs
x 7secsHOLD x 10Reps asets 37Relax
SHOULDER 4 Repeat
anyaction IF wristFlexion is obtainedinto pain
1 elbow in GreaterDecreesofextension
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wrist flexor muscles
piposition sitting elbowFlexes andwrist
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a isometric contractionoesaorreneowmsrr.ie
2 How6secs
3 Relax
4 Repeat
IFwristextensionis obtainedinto pain
1 elbow in GreaterDecreesofextension
isometricexerciseorwrustFlexors
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Hep
self administered submaximalisometric
cross Fazer massage
CONTROLLED MOTION PHASE ANDRETURN TO Function phase
increase muscle Flexibility and scar mopsum improvemuscleperformance and Function
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issecs HOLDx 10keeps x i set 17multipleanoceisometricexercise ofCH muscle
extensors Flexion toimprove pearonmanceanoFunctionor creaion
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2 Dynamicexercises
a progressiveresistanceexercise
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inpolometrics

eccentric strengtheningexercise of cr waist Cmm

to improveperformanceandFunction nsecsHour
weeps x 3 Sets
GRIP STRENGTHENINGexercises OF CRIWRIST
using x 10Rees x 3 sets
powerweb
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9 olbs
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SELFSTRETCHINGexercise of R wristextensors r THERAPUITY
x 15secsHours toreps set ACTIVITYmopleication

againstTHE wall
crossFriction massage

RESTORE jointTRACKING AT RADIOUlnarjoint

mobilizationwith movement OF CR wrist
extensionX 10Repsx 3sets To
note lateral Gupe To proximalForearm
Hep
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extension toreps x 3sees to
towelBetweenelbowandWau
supinatedForearm
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expo
othermanagement
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