Rotator Cuff Rehab after a unique shoulder surgery with beyond predictors of outcome.

Sally Skurdahl, PT

I chose this b/c when I searched
for stuff on the internet after initially evaluating this client,  I didn’t come up w/ much.
Maybe this can help people! I found it unique in that the rehab and integrative manual therapy resulted in an outcome that was beyond what is usually expected.

Topic: latissimus dorsi transfer to repair torn rotator cuff
I had the pleasure of evaluating and treating my first patient s/p
latissimus dorsi transfer this year and wanted to comment on the success of
this surgery.  My patient came to me after having arthroscopic shoulder
surgery without success to repair his torn rotator cuff. His surgeon then
decided to try a procedure in which he detaches the latissimus dorsi muscle
from its proximal attachment and splits it into strands to reattach in the
rotator cuff muscle attachments. I searched for literature re: the rehab
after this procedure and came up w/ nothing.  This patient had about 10
degrees of active range of motion and hardly any strength. With persistence
and patience we have increased ROM to near full and allowed him to throw a
football to his son pain free for the first time in 3 years!  Rehab for this
particular patient included Integrative Manual Therapy, joint and soft
tissue mobilizations, graded exercise including functional and weight
bearing stability exercises.  In addition, the progress was made possible
through a consistent home exercise regime by the patient.

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