Pt.Notes

At 90 deltoid line of action produce translatory force on glenohumeral joint

During the first 30 of shoulder abduction supraspinatus act to depress humeral head counteracting upward traction force of deltoid ms

Main protractor ms in the body is

GH joint internal rotation during shoulder abduction

60 scapulothoracic upword rotation due to

Coracoacromial space measures

The less stress ex. On repair

Passive manual stretch of pectoralis minor do from

We avoid vigrous stretch only in the later phase 2 and should be performed only in the level of alight stretch sensation

Goals of phase 2

Phase 2 intermediate post operative phase

Criteria to advance to phase 2

Which of the following is allowed in phase 1

If pandulumex ex occur from trunk moition may make moderate tension on the repair

Elevation and retraction are allowed in phase 1

In phase 1 Elevation to 90 is allowed in

Patient has tear in supraspinatus ms

Patient has a tear in infraspintus ms