- Hi, I'm Bob Schrupp, physical therapist,
- Brad Heineck, physical therapist.
- And together we are the most famous physical therapists
on the internet...
- In our opinion, of course.
- I'm glad you didn't slap me on this shoulder.
- Yeah. What's going on, Bob?
It looks like you got a sling there,
big, generic sling.
- I'm pretending I've had shoulder rehab surgery.
- Surgery.
- Right.
This is about rehab of the shoulder after surgery.
- Curb your bet.
- So, it doesn't matter
if it was a a rotator cuff repair or shoulder replacement.
- Right.
- Or they have the reverse total shoulder replacement now,
which are really cool by the way.
And why didn't we use a real sling, Brad?
- Well, Bob, I don't know.
- Let's be honest.
- No, let's not tell them.
- Let's be honest.
- Let's just get on with it.
- Yeah, we didn't have one.
We couldn't find one.
We're at a physical therapy department.
We couldn't find one.
We have a ton.
- They're all being used, as well.
- Yeah. So, we just fashioned one up here.
So these are exercises for you
when you're still in the sling,
and I'm pretty much sure,
these are all okay with your doctor,
but you may...
- Well, you gotta double check.
- Yeah.
- The idea is after surgery, it's very, very common,
they do not want you to move that site
until that soft tissue heals before you start moving.
- Right.
- But at the same time, you still have, you know,
muscles from here to here that can be worked.
- Right.
- Without irritating that.
Your neck might be getting stiff cause of the sling.
- Absolutely.
- And you want to work with that.
And then your legs,
I mean, you want to keep your body,
you just don't wanna be a couch potato
because blood clots,
that potential's there as well
as just gaining weight and other side effects.
- So, number one's gonna be cervical or getting...
Yeah, like Brad said, these are going to get,
you're going to get sore in here.
- Right.
- And you can't even do these yet.
You know, we can't do any movement at all here and say,
So, we're going to start with some cervical range
of motion or neck range of motion as the lay person says.
- Sure.
- Alright.
- Let's just start with some rotations, Brad. Right?
- Sure.
- So we're gonna turn to the left,
give a little stretch.
Wow, I actually felt that.
- Good.
- Turn to the right.
And I would go five times each direction, wouldn't you Brad?
- Yep.
- Okay. You could go more rotations.
- 20 is too many.
- And you can do these throughout the day.
- Yeah.
- You really can't overdo them.
- Not really. Yeah.
- I would say three times a day.
- Oh yeah.
- As a good, at least three.
All right.
That's one, number two,
I would do the side bending ones.
- You bet.
These are good stretches.
- Get those (indistinct) muscles
and the lateral muscles there,
which are gonna be compressed a little bit
by that sling.
- I don't know about you,
but I don't even want 'em doing this one.
- No.
- I want 'em doing this one.
- Sure.
- But I don't want em going forward.
We spend too much of our day like this already.
- Right, right.
- We don't need to stretch it that way.
- Right.
- So, stretch back like this.
Again, if any of these cause you undue pain,
you know, too much pain,
don't do it.
- What I might have 'em do is forward and off the side,
like you're looking down your pocket.
- Oh, sure.
- To get that levator scattered,
that muscle right inside.
- Sure.
- I like that.
- All right. I'll buy that one.
- Yeah.
- And then you can do chin tucks.
- Sure.
- Show a chin tuck.
- Oh, chin tuck.
Well, profile it up, back in like this.
- So, if I was gonna throw a pie in Brad's face,
he's gonna back off.
- Okay.
- So, it's the cervical exercise.
- To be complete for the next.
- Now we're gonna go to the elbow,wrist in hand.
Now sometimes they do want you moving the elbow.
- Yep.
- Sometimes they don't.
If they do,
you can take the arm out of the sling.
And sometimes they want you having the other arm
actually do it.
- Passive.
- Passive. Yep. Or active assistive, really with someone.
But, you're just moving the arm up and down.
Straighten the elbow, bending the elbow.
- So, the shoulders stay remaining still.
All motion is in the elbow.
- Sometimes they'll let you do it without,
but this muscle does go all the way to the shoulder.
So you have to be very aware of that.
Now you can also just turn it this way and that way.
- Right.
- That supination pronation.
Yep.
Okay. Five times.
And then with it back in here even.
- You bet.
- You can then do the wrist ones up and down.
- All right. Side to side, circle.
- Yep.
- And then..
- Get a squish ball.
- Get a squish ball ball.
And this is a great thing
'cause you want to keep your grip strength up
and you're just gonna do a lot of squeezing.
- That's kind of a fun one.
- Yeah. Got a little color to it.
- Yeah, you don't have to have a green one with color,
but any kind of stress ball works good there.
Alright Brad, why don't you talk about the legs
and what what could be done with the legs?
Well, you wanna do ankle pumps for sure.
Now, this depends on your age of the person.
- Right.
If you're, you know, 85 years old,
and we're using a walker before that,
you're not gonna get up and walk.
- Right.
- But you are gonna do ankle pumps.
That's a real critical one to do.
- That's to prevent blood clots right in the caps,
because that blood clot can travel up
to your lungs and actually it could kill you.
- Oh yeah.
- Clots are a big no-no.
So, ankle pumps are good for that as well.
Just keeping the muscles there in the ankles
strong for balance when you're up, up and moving, you know,
if you're unable to get up and walk
you want to do leg or kicks like this.
If you are able to get up and your balance is fine,
you walking around just fine,
I would get on a stationary bike
and work that as long as this arm is protected.
- Sure.
- So, anything where you can maintain
and keep this safe.
- You want to keep things moving, so...
- You better believe it.
- All right.
- Anything else, Bob?
- I think that's it, Brad.
- I really think that if you're 40 and over,
you should subscribe to us
because we will continue to give good advice
on topics like this.
- And I concur.
- He concurs.
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