Exercises
The shoulder is a muscle-led joint. The small joint socket and the large joint head do not provide good bony guidance, which is why the stability of the shoulder is largely determined by the muscles surrounding it. Good muscular support is also very important in a shoulder TEP in order to maintain the functionality of the shoulder in everyday life and at work.
The structures surrounding the joint tend to disintegrate and stick together particularly quickly if too little load is applied, thus further reducing mobility and strength. Particularly in the case of shoulder arthrosis and after surgery, it is important to start early with suitable exercises to prevent stiffening. Any movement restrictions should be observed depending on the postoperative phase in order to avoid loosening or luxation of the shoulder prosthesis and not to slow down the healing process.
Example exercise early phase Stand in front of a wall at a distance of about 30 cm and crawl up the wall with your hand until you feel a pain in the shoulder. Take care to pull the shoulder blades towards the spine and not to turn the arm outwards. Hold this position for about 30 seconds and repeat this 3 times.
A comprehensive collection of exercises which can create a positive aftercare after a shoulder TEP can be found in the following article: Shoulder TEP Exercises Example exercise early phase Stand in front of a wall at a distance of approx. 30 cm and crawl up the wall with your hand until you feel a pain in the shoulder. Take care to pull the shoulder blades towards the spine and not to turn the arm outwards. Hold this position for about 30 seconds and repeat this 3 times. A comprehensive collection of exercises which can create a positive aftercare after a shoulder TEP can be found in the following article: Shoulder TEP exercises
Which sport is allowed?
Which type of sport is permitted with a shoulder TEP and after which period of time the sport can be resumed should always be clarified with the treating physician. In general, sports that involve a high risk of falling or are associated with jerky, rapid movements should be avoided. These include, for example, most ball sports such as handball, soccer and tennis as well as mountain biking or downhill skiing.
Likewise, more extreme sports such as wind or kite surfing and climbing are not recommended. On the other hand, sports such as walking or jogging, mountain hiking, cross-country skiing, dancing, swimming, cycling and also yoga and Pilates are permitted after consultation with the trainer. Training on equipment, for example in the gym, is also possible and recommended with an individually adapted training plan.
Excessive or unsuitable training can lead to loosening or even dislocation of the shoulder TEP. However, the load limit must be determined individually for each patient and adequate, adapted training can have a very positive effect on the therapy result, as the muscles are strengthened and mobility is improved. More information on this topic can be found in the article: Shoulder TEP Physiotherapy
