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Exercise Programme

Client Name: Sarah Taylor
Physiotherapy Start Date: November 1, 2024
Duration: 6 weeks
Injury: Rotator Cuff Tear
Goal: To reduce pain, restore range of motion (ROM), and rebuild shoulder strength for daily activities.

Physiotherapist: Dr. Emily Harris

Recovery Tips

  1. Perform exercises consistently and avoid overexertion.

  2. Maintain good posture during all activities.

  3. Apply heat or ice as needed to manage soreness.

Follow-Up Appointments:
Schedule check-ins with your physiotherapist at Week 3 and Week 6 to assess progress and adjust the program.

Week 1-2: Pain Relief and Gentle Activation

Focus: Reduce inflammation and begin light activation of the shoulder muscles.

  1. Pendulum Swings

    • Description: Stand with your uninjured arm supported on a table. Lean forward slightly and let your injured arm hang freely. Use gentle body motion to create small circular movements.

    • Sets/Reps: 3 sets of 10 rotations each (clockwise and counterclockwise).

    • Frequency: 2 times per day.

  2. Table-Supported Shoulder Flexion

    • Description: Stand facing a table with your injured arm on a towel. Slide the arm forward gently, keeping it relaxed, and return to the starting position.

    • Sets/Reps: 3 sets of 10 repetitions.

    • Frequency: 2 times per day.

  3. Ice Application

    • Description: Apply an ice pack wrapped in a cloth to the shoulder for 15 minutes after exercises to reduce pain and inflammation.

Frequency: After each exercise session.

Week 3-4: ROM and Isometric Strengthening

Focus: Increase ROM and begin strengthening the shoulder muscles with isometric exercises.

  1. Wall Crawls (Forward)

    • Description: Stand facing a wall and use your fingers to “crawl” your injured arm upward as high as comfortable. Hold for 5 seconds and return to the starting position.

    • Sets/Reps: 3 sets of 8 repetitions.

    • Frequency: 2 times per day.

  2. Isometric External Rotation

    • Description: Stand in a doorway. Place the back of your hand against the door frame and push gently without moving the arm.

    • Sets/Reps: Hold for 10 seconds, 3 sets of 8 repetitions.

    • Frequency: 2 times per day.

  3. Isometric Internal Rotation

    • Description: Stand in a doorway. Place your palm against the door frame and push gently without moving the arm.

    • Sets/Reps: Hold for 10 seconds, 3 sets of 8 repetitions.

    • Frequency: 2 times per day.

Week 5-6: Strengthening and Functional Recovery

Focus: Build strength and prepare the shoulder for functional tasks.

  1. Theraband External Rotations

    • Description: Anchor a resistance band to a stable surface. Hold the band with your injured arm at a 90-degree angle, elbow tucked into your side. Pull the band outward.

    • Sets/Reps: 3 sets of 10 repetitions.

    • Frequency: 1 time per day.

  2. Theraband Internal Rotations

    • Description: Anchor a resistance band to a stable surface. Hold the band with your injured arm at a 90-degree angle, elbow tucked into your side. Pull the band inward.

    • Sets/Reps: 3 sets of 10 repetitions.

    • Frequency: 1 time per day.

  3. Wall Push-Ups

    • Description: Stand facing a wall, arms shoulder-width apart. Lean into the wall and push back gently.

    • Sets/Reps: 3 sets of 10 repetitions.

    • Frequency: 1 time per day.