- ♪ Bob and Brad ♪
the two most famous physical therapists on the internet. ♪
- Hi folks. I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist.
- And we have the most famous
physical therapists on the internet.
- In our opinion, of course, Bob.
- This is the one I screwed up with Brad, cuz I
I did a video for my nephew, Will.
- Oh yeah.
- And it was a little too much too soon.
So we're gonna take it back a little bit.
So.
- Oh, so this so Will had a surgery, correct?
On his shoulder?
- He did not have a surgery
but he's only two weeks out
from fracturing his, his scapula.
- Oh, okay. Fracturing.
- But this is important for anybody
who's had an injury in the shoulder.
- Yep.
Or if you've had surgery, a lot of times
these are the exercises they're gonna have you start out
with. So it's a pendulum exercise and passive range
of motion for the shoulder after surgery or after injury.
- Right.
So, and sometimes with some of these
you're actually gonna need help.
And so if you need help this, you know, the person
your caregiver is gonna watch this video
and they'll know how to do it correctly.
- Right. Typically the person's gonna be wearing a sling.
- Right. And that's what he's in.
He's in a sling right now.
- Right.
- And you can take you out of the sling
and do these exercises in a pain free manner.
So by the way, if you are new to our channel
please take a second to subscribe to us.
We provide videos on a stay, healthy, fit, pain free
and we upload every day.
Also go over to the Facebook and like us
we don't bite it's Bob and Brad.
You like us, we like you.
It's positive vibes.
It's hippie, it's a hippie world.
- (Brad laughs)
All right Brad's gonna show first
how to do pendulum exercises.
So this is one you can do on your own.
- Sure.
This one is also known as Codman's
- Codman's.
- But usually when I talk to a patient, I say pendulum
cuz it makes a lot more sense cuz your arm is to dangle
like a pendulum, like a ball on a string, get it to relax.
And we're just putting little traction
to those shoulder muscles
and you can use your body to get forward.
If you can do that and just let it relax.
It should feel, you know, like a nice stretch.
It shouldn't, you know
create any pain, particularly sharp pain.
And then you go forward and backwards.
You can see as I go forward,
that's bringing your shoulder forward so
that if you're standing was here, but don't do this.
If you gotta, if you're not supposed to like
- [Bob] But you started off with circles, Brad?
- Yeah. Well I'm start off forward and backwards.
- [Bob] Okay. Okay. Sounds good.
- And then we're gonna do circles as if you had a crayon
on your hand and you're gonna draw circles on the floor.
But get your body moving.
Let that shoulder relax.
Typically do this 30 seconds or a minute.
- [Bob] He went clockwise and he went counterclockwise.
- Yep.
- [Bob] So he's covering both directions.
- And sometimes you can go right to left as well,
depending on how it's feeling to get more range
of motion. Should be a comfortable, relaxing stretch.
- And you can do this a number of times a day.
- Oh, yeah.
- I mean, for sure.
- I mean you certainly can do at least three times a day.
- Yeah. Typically you'll be in the sling,
take it out gently.
Do your, your pendulum exercises
and then back in the sling.
- And it should be pain free.
- Right.
- All right. Brad's gonna lay down.
We're gonna show a passive range of motion exercises
for the shoulder, both supine, which means laying down flat
on your back and also we're gonna do it on in the chair.
- Sure.
- So I'm just thinking, I said it wrong, lying down.
People are lying and laying.
So he's lying down.
- We get caught on that a lot, a lot.
- A lot.
- We've got a lot of English majors.
- Yes we do, you know.
- So now I'm working on this side
on his right side.
If I was working on his left side
what I would do is I would move the pillow over like this.
So now there's room here for the shoulder to move.
- Ah yeah.
- So since I'm gonna work on this side
I'm gonna move it over this way.
So now there there's room over here for the shoulder
to move.
Now, generally what you're gonna do
you're gonna have two handheld placements here.
I like to grab one above the elbow
and run one right on about right by the wrist.
- Yep.
- So, and this person needs to relax.
They, they have to trust you
and they have to know that you're gonna do all the work. So.
- Which is not always easy to do.
If they're very protective of a sore shoulder.
- There's people that'll help you all the way up.
And a lot of times I do a little bit
of shaking like this, then try to help 'em relax.
So, and if they, they still don't relax.
And I take the hand I slap 'em a little bit.
- (laughs)
- No, I don't do that. Honestly.
- (laughing)
- Okay. So, all right.
- (laughing)
- Relax, Brad.
So I'm gonna go ahead and, and I want thumb going up.
- Yep.
- Okay. So thumb's gonna go up
and I'm just gonna gently bring it up.
You go up to the point where he starts to feel the pain
and then we back off a little bit.
- Oh right there.
- Yeah, right there.
- So the thumb goes up
because that positions the humorous up here
in a more freer position for range of motion.
- It's not gonna impinge as well.
- Yes.
- Why don't we do internal and external rotation right now?
- Sure.
- So I'm putting his arm like in a right angle
like this. 90 degree angle and I'm like this I'm holding it.
This one's a nice gentle one.
Sometimes you start off with this one.
- Yeah.
- [Bob] Because I'm just going back and forth.
I'm maintaining the right angle
but this is internal and external rotation.
Real important to have these. Again,
go within what he can tolerate,
or she can tolerate.
- And really be careful of going out.
- Right.
- Is where it's most vulnerable.
- [Bob] It's probably gonna more
more likely to hurt going out like this.
- Right.
- [Bob] So that's the second
and third exercises, I guess, internal, external rotation.
And the last one, again, you're gonna thumb is gonna kind
of go up.
So I'm going out this direction here for a little bit
of abduction. So if I show you on me, I'm going like this
my thumbs up.
I'm going out to the side like this.
- Sure.
- So, and again, all passive, meaning
that you're just relaxing.
Brad. You're doing a good job, Brad.
- Oh yeah. Thank you.
- [Bob] You're a good boy.
- Should be pain free.
- [Bob] Pain free.
- So typically the higher you're going may be stretching
a little bit.
Watch, you know, watch the person's eyes cuz sometimes
people's therapists squint before it hurts and
- Yeah, that's where we always cue in onto their face of
of what they're doing.
We can do it in the chair here too, Brad.
We can show how. You can go ahead.
So again with the, the shoulder, why don't we turn this way?
- Yep.
- There we go.
And I'll bring a chair over.
You got matching chairs.
- Yeah. That's nice, Bob. It's, you know,
really, people notice that.
- So, again we're gonna work.
I'll probably start with internal external rotation here.
Real simple.
- See how he's maintaining my elbow.
So that's the point of the pivot point I should say.
And we're just doing some general motion.
This is really doing a lot for that rotator cuff.
It doesn't look like much, but you know
if someone's got a sore shoulder
when you get out this way is when
- You're gonna start to feel it.
- Yep. Those eyes will open up if it starts to hurt.
- [Bob] And then again, I'm gonna work
on flexion. Going straight up.
Again, I got my two handholds right
above the elbow and right by the wrist here.
- Now sometimes on this I'll find going up goes pretty good
but going down, people will try to out help
out and then they get a little pain.
- [Bob] Sometimes what helps with that, Brad,
is to actually bend the elbow like this and go down.
- Oh sure. Yep.
- It just, it helps 'em relax.
So sometimes you bring it up like this,
bend the elbow and then go down.
- Right.
It just, it just seems to relax them a little more and
and the same, the final one again
we're gonna go out to the side here, thumb up again.
And again, I get up to this point.
Maybe it's a little sore.
I'll bend the elbow and come down.
- Sure. Yep.
- You know, these are all little secrets
and tips that we've learned
as therapists over the last 20, 30 years and we're, yeah.
We're, we're letting you know or passing 'em on.
- We're passing on the pearls to you.
- There you go.
- Yeah. It's like passing on grandma's pearls to her,
her ears.
- Okay, Bob.
- All right.
(Brad laughing)
- Thanks everybody for watching.