Preventing shoulder stiffening
Optimizing tendon reinsertion healing.
Day 1 – Day 30: phase of rotator cuff fragility
De-contracting massage of the periarticular muscles.
Passive glenohumeral mobilization in the plane of the scapula in dorsal decubitus position.
Passive oscillatory motion.
Lowering the humeral head.
No abduction work
Self-mobilization at home 3 times/day
Day 30 – Day 45: phase of rotator cuff relative fragility
Objectives: to stimulate tendon healing and promote proper orientation of collagen in the bone-tendon interface.
Splint withdrawal (scarf worn at night)
Very prudent active work involving the abductors and eccentric.
Active mobilization without resistance, by blocking the scapula.
After day 45: rotator cuff consolidation
Absence of constraint
Active work in progress, but without lifting weights.
Proprioceptive work in closed chain.
Dynamic muscle strength recovery.
At this stage, the recovery of active and passive mobility must be completed.
A self-rehabilitation program must be initiated.
Driving: 6 weeks
Swimming: breaststroke six weeks, crawl three months
Professional activity: office work 2 months, manual labour 3 months.