Which of the following is an inappropriate component of an exercise program 1 to 3 weeks postoperatively for a patient without preoperative rotator cuff deficiency who underwent total shoulder replacement?
A)Wand exercises for active-assistive external rotation to neutral with the arm positioned near the side of the chest
B)Wand exercises for active-assistive shoulder extension (combined with internal rotation) by placing the wand behind the back and sliding it up the back
C)Pendulum exercises
D)Wand exercises for active-assistive elevation of the arm in the plane of the scapula to approximately 90° while in a supine or sitting position

Question

Quizplus · Accepted Answer

Wand exercises for active-assistive shoulder extension (combined with internal rotation) by placing the wand behind the back and sliding it up the back should be avoided in the first 3 weeks postoperatively for a patient without preoperative rotator cuff deficiency who underwent total shoulder replacement. This exercise places excessive tension on the subscapularis, which is one of the rotator cuff muscles that may have been repaired during the surgery. The other choices are appropriate exercises for this patient population during the early postoperative phase.

Which of the Following Is an Inappropriate Component of an Exercise