After an operation of the shoulder, it is of great importance to get a large range of motion(ROM)and to relieve pain.
In order to achieve these objectives effectively, it is important to start passive ROM exercises as soon as possible after the operation.
Since 1989, we have adopted two techniques for obtaining an effective rehabilitation
1. To prevent voluantary contraction during a passive ROM exersise, a relaxation exercise was performed preoperatively.
2. To minimize damage to the deltoid muscle, and to preserve the continuity of the muscle fiber between the trapezius muscle and the deltoid muscle, these muscles were lysed under the periosteum of the acromion.
As a result, we can start passive ROM exercise on the first day after an operation. This is effective to gain the ROM of an intermal rotation needed when “Making knot in back” or for “Self hygiene care”.
