Rehabilitation Following Rotator Cuff and Labral Repair Surgery
Presented by Lenny Macrina
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In this course, Lenny Macrina will teach learners about postoperative rehabilitation for common shoulder pathologies. SLAP lesions and rotator cuff repairs will be covered. For each pathology, Lenny discusses relevant anatomy, mechanism of injury, common clinical presentation, operative procedures, postoperative guidelines, and rehabilitation protocols. The course also reviews the evidence to determine the appropriate time to initiate physical therapy after these surgeries and how the outcomes may be affected. The PT, PTA, OT, or ATC will learn the current research and evidence in support of the techniques discussed.
Meet your instructor
Lenny Macrina
Leonard (Lenny) Macrina is the cofounder and director of physical therapy at Champion Physical Therapy and Performance in Waltham, Massachusetts. He received his master’s degree in physical therapy from Boston University. He has been teaching continuing education courses on shoulder rehabilitation and presenting at…
Chapters & learning objectives
1. Introduction to the Anatomy and Involved Structures Post Shoulder Surgery
The relevant anatomy and involved structures will be briefly introduced. It is critical to demonstrate a good understanding of the importance of these structures as they apply to the postsurgical rehabilitation.
2. Clinical Presentation and Decision-Making
This chapter will highlight the common differential diagnoses when someone presents with a shoulder pathology. Understanding who would benefit from this surgery may help the clinician to better guide their patients.
3. Postoperative Rotator Cuff Considerations
This chapter will highlight some key issues to consider when planning and progressing a patient after a rotator cuff repair. Timeframes and protocol considerations are important to understand for various rotator cuff repair variables.
4. Rehab Specifics for a Rotator Cuff Repair
Specific timeframes and guidelines are presented to help the clinician better implement an evidence-based rehabilitation program for their patient. Current research is also presented to aid the clinician’s postoperative rehab techniques.
5. SLAP II Lesions: Overview and SLAP Classification
A brief anatomy overview and specific classification system is presented in order for the clinician to become better acquainted with the different SLAP presentations. This is a critical aspect to understand and will aid in the postoperative rehabilitation decision-making.
6. Clinical Examination
This chapter will present the common exam techniques and help differentiate multiple diagnoses based on the literature and a good history taking. It is critical for the clinician to have a strong understanding of clinical presentation and how it affects the rehabilitation process.
7. Treatment of SLAP Lesions
This chapter will discuss the surgical options and outline some specific rehabilitation guidelines for the patient beginning immediately after a surgery. A safe and progressive approach to rehab is important when progressing a patient after a SLAP repair.
