MUA/Capsular Release Rehab

Manipulation under anaesthetic (MUA) / Arthroscopic Capsular Release

Indications:

Primary and secondary frozen shoulder
Post-traumatic stiff shoulder.

Procedure:

Usually performed under combined general anaesthetic & Interscalene Block
Full ROM is usually achieved operatively unless otherwise stated. The aim of rehab is to retain that motion. Therefore early and active rehab is started as soon as possible post-operatively.

Post Op

Day 1

Day Case

Passive & active ROM is begun
Ensure the joint is taken through all planes of movement
Book out patient physio appointment within 5 days or into the shoulder class

Out Patient

Levels 1-3 Exercises

Aims:

Reduce pain to enable ROM to be achieved
Restore full ROM as quickly as possible through passive & active assisted exercise, maintain & improve this range
Ensure normal movement pattern with ROM
Improve shoulder strength through a graduated strengthening programme
Continue physio until the patients' full potential has been reached

Milestones
6 Weeks	ROM greater than the pre-op range
6 Months	Full ROM achieved