Sammons Preston David S Bailie MD User manual

SHOULDER KIT
David S Bailie MD
Todd Ellenbecker DPT, MS, CSCS

Kit Components
• 3-5lb resistance band (yellow)
• 5-7lb resistance band (red)
• Shoulder pulley
• Door Anchor
• 2 Exercise Handles
• Range of Motion Bar
Band Set Includes:

PHASE I: RANGE OF MOTION ....................................................... 4
Shoulder Rope and Pulley Exercise...................................................................4
Supine Shoulder Flexion Lie on back ...............................................................5
Shoulder External Rotation 45°........................................................................5
Shoulder External Rotation Range of Motion at 90° ........................................6
Shoulder Internal Rotation Up the Back with Stick .......................................... 6
Cross Arm Adduction .......................................................................................7
Sleeper Stretch ................................................................................................7
PHASE II: STRENGTHENING......................................................... 8
External Rotation Stepout ...............................................................................8
Internal Rotation Stepout ................................................................................8
Shoulder External Rotation Neutral .................................................................9
Shoulder Internal Rotation ..............................................................................9
Standing Shoulder Extension ........................................................................10
Sidelying External Rotation ............................................................................10
Sidelying Shoulder Flexion .............................................................................11
External Rotation with Retraction ................................................................11
PHASE III: ADVANCED STRENGTHENING.................................... 12
Rows ..............................................................................................................12
External Rotation 90° ....................................................................................12
Internal Rotation 90° ....................................................................................13
Bicep Curl .....................................................................................................13
Tricep Extension .............................................................................................14
Serratus Press ...............................................................................................14
D1 Flexion .....................................................................................................15
D1 Extension .................................................................................................15
D2 Flexion .....................................................................................................16
D2 Extension .................................................................................................16
Table of Contents
Exercises shown should not be performed without consulting your physician or licensed healthcare professional.

- 4 -
Shoulder Rope and Pulley Exercise
To perform the rope and pulley exercise, the pulley should be positioned securely in
a doorway. This exercise should be initiated as instructed by your therapist with the
patient sitting in a stable chair facing the door. Position yourself as close as possible
to the door such that your knees are almost touching the door. Hold one handle in
each hand. The elbows should be slightly bent (approximately 45 degrees) to start
and hands positioned such that your palms are facing one another and thumbs are
pointing directly toward the ceiling; this hand position should be held for the entire
exercise. Your arms should be at approx. 30-45 degrees to each side so that together
(when viewed from above) your arms would form a “V” shape. Gently pull down using
the uninvolved arm to assist the elevation of the involved arm as high as possible
without causing undue pain. This position should be held for 3-5 seconds. After this
pause, the uninvolved arm should then lower the involved arm in a controlled manner
to a comfortable resting position at your side. Repeat this cycle for the designated
time below.
• As the exercise becomes easier and shoulder range of motion improves,
position the chair such that your back is to the door and the pulley is
directly overhead.
** Take special note to avoid shrugging your shoulders throughout the range of motion and avoid
leaning back, trying to keep an upright posture as much as possible **
Phase I: Range of Motion
oPerform _____ minutes ____times per day

- 5 -
Supine Shoulder Flexion Lie on back
Grip stick in both hands at chest level. Push stick upward with uninjured arm by
straightening your elbows. Your shoulders will be at 90 degrees to start. Raise both
arms overhead as far as possible, using the uninjured arm to guide your injured arm
as much as possible. Hold for 5-15 seconds. Return to starting position. Repeat.
Shoulder External Rotation 45°
Lie on back with involved arm out to side of body at 45 degrees and elbow bent at
90 degrees. Grip stick in hand of involved arm and keep elbow in exed position. It
may help with positioning to place a pillow or towel roll underneath your elbow as
pictured. Use opposite arm to push involved arm into external rotation. Hold for 5-15
seconds. Return to start position. Be sure to keep elbow bent at 90 degrees.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 6 -
Shoulder External Rotation Range of Motion at 90°
Lie on Back with involved arm out to side of body at 90 degrees and elbow bent at
90 degrees. Grip stick in hand of involved arm to push involved arm into external
rotation. Hold for 5-15 seconds. Return to start position. Be sure to keep elbow bent
to 90 degrees.
Shoulder Internal Rotation Up the Back with Stick
Stand with your involved arm grasping the stick behind you. Use your other arm
to gently pull the stick up toward your head. Hold for 5-15 seconds and return to
starting position. Repeat.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 7 -
Cross Arm Adduction
Grasp elbow of involved arm with opposite hand and pull arm across front of chest.
Hold for 5 seconds. Relax and repeat.
Sleeper Stretch
Lie on your involved shoulder directly on your side. Have your involved shoulder
elevated out to 90 degrees such that your elbow is pointing straight out in front
of you. Using your other hand, slowly bend your arm down towards the table
without letting your involved shoulder or shoulder blade move upward away from
the table. You can use your chin to push down gently on your involved shoulder
to ensure that it is not raising upward as you move your hands toward the table.
Hold the stretch for 20-30 seconds, and repeat 2-3 times. You should feel this
stretch in the back of your shoulder. If pinching occurs in the front of the shoulder
while doing the sleeper stretch directly on your side (top two photos), then try the
stretch in the “roll back” position (bottom two photos) by rolling back from your side
approx. 1/3rd as pictured. If it still pinches or is uncomfortable, discontinue and
consult your therapist.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 8 -
External Rotation Stepout
Stand sideways with your exercising arm farthest from the door or attachment
site of the band. Bend your elbow to 90 degrees. Your forearm and hand should be
pointing directly in front of you as pictured. Place a small towel roll or pillow under
your exercising arm. Keeping the exact arm position, take a large step away from the
attachment point of the band, elongating it. Pause for 1-2 seconds before stepping
back to the starting position.
Internal Rotation Stepout
Using the same arm position as listed above, stand with your exercising arm closest to
the door or attachment site of the band. Take a large step away from the attachment
site of the band, pause for 1-2 seconds, and return to the starting position.
Phase 2: Strengthening
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 9 -
Shoulder External Rotation Neutral
Stand sideways to the door with the exercising shoulder furthest from the door.
Secure one end of tubing at chest level in the door. Hold the exercising shoulder
slightly in front of the body, as in the picture. Rotate the shoulder to the outside and
slowly return to the starting position.
Shoulder Internal Rotation
Stand sideways to the door, with the exercising shoulder closest to the door. Secure
one end of the tubing in the door. Hold the exercising shoulder slightly in front of the
body. Rotate the shoulder to the inside and slowly return to the starting position.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 10 -
Standing Shoulder Extension
Secure one end of tubing at waist level in door or stable object. Hold the other end
of the tubing with elbow straight and arm held out directly in front of you. With your
thumb pointed outward as pictured, move your arm backward, keeping the elbow
straight until it is even with your side. As your arm moves backward, squeeze your
shoulder blades together and downward. Hold the end position for 1-2 seconds and
slowly return to the starting position. Repeat.
Sidelying External Rotation
Lie on uninvolved side, with involved arm at side, with a small pillow between arm
and body. Keeping elbow of involved arm bent and xed to side, raise arm into
external rotation. Slowly lower to starting position and repeat.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 11 -
Sidelying Shoulder Flexion
Lie on your uninvolved side, with the involved arm starting at your side with the
elbow bent 90 degrees. Keeping your forearm parallel (horizontal), reach forward
with your arm until your elbow is straight and your shoulder is exed to 90 degrees
as pictured. It is important to ensure that you keep your entire arm level (horizontal)
during the exercise. After a brief pause of 1 second, return to the starting position
at your side. Repeat. As your shoulder improves in strength, you will add a small
weight in your hand as directed by your therapist.
External Rotation with Retraction
Hold tubing or band in your hands with your palms facing upward. With light tension in the
band, move your hands outward as pictured. Holding this tension, squeeze your shoulder blades
backward and downward as tightly as you can. Hold for 1-2 seconds and return to the starting
position. Repeat.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 12 -
Rows
Hold bands with both hands out in front of you. Bring both hands toward your side,
bending elbows and squeezing shoulder blades together and downward. Your elbows
should not pass behind your body. Hold this position for 1-2 seconds, then return to
the starting position. Repeat.
External Rotation 90°
Start with arm in 90 degrees of elevation in the scapular plane (30 degrees forward
from directly at your side as pictured), facing toward the door or tubing attachment.
Your forearm should start in a horizontal position. Externally rotate your shoulder
against the resistance of the band to a nearly vertical position as pictured, hold for
one second, then slowly return to the starting position and repeat.
oPerform _____ sets of ____ Repetitions
Phase 3: Advanced Strengthening
oPerform _____ sets of ____ Repetitions

- 13 -
Internal Rotation 90°
Start with arm in 90 degrees of elevation in the scapular plane (30 degrees forward
from directly at your side as pictured). Stand with your back to the door or tubing
attachment. Your forearm should start in a vertical position. Internally rotate
your shoulder against the resistance of the band until your forearm is in a nearly
horizontal position as pictured, hold for one second. Slowly return to the starting
position and repeat.
Bicep Curl
Secure one end of tubing
under the foot on the same
side of your exercising arm.
Keeping your arm at your
side and with very little if any
shoulder motion, bend your
elbow generating tension in
the tubing to perform the
bicep curl. Hold in the bent
position for approximately 1
second and then return to the
start position and repeat.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 14 -
Tricep Extension
Secure one end of the tubing
at the top of the door using
the door anchor. Begin the
exercise with your elbow bent
at your side. Using little if any
shoulder motion, straighten
your elbow by moving your
hand downward until it is
nearly fully extended. Do not
hyperextend or force the elbow
straight. Hold the end position
for one second under tension
and return to the starting
position and repeat.
Serratus Press
Secure the tubing in the door using the door anchor at approximately shoulder level.
Stand with your back facing the door and your exercising arms in the other end of the
tubing grasping the handle. Your shoulder should be at 90 degrees of elevation and
your forearm/hand positioned in neutral (thumb up) position as pictured. Keeping
your elbow straight, push forward with a small motion 3-6 inches, slightly rounding
your back. Hold the end position under tension for approximately 1 second and return
to the starting position and repeat. Be sure to isolate the motion at your shoulder/
shoulder blade and don’t bend your elbow.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 15 -
D1 Flexion
Secure the tubing using the door anchor near the bottom of the door and stand with
your exercising shoulder sideways nearest the door as pictured. Using a diagonal
pattern, bring hand up across your body rotating forearm such that, when you nish
your palm is facing towards you. Hold this end position as pictured for approximately
one second and then return with control to the starting position and repeat.
D1 Extension
Secure the tubing using the door anchor just above the shoulder level. Stand with
your non-exercising shoulder facing toward the door as pictured. Grasp the handle to
start, such that your palm is facing toward your face. Using a diagonal pattern, move
your arm across your body and downward while straightening your elbow against the
resistance of the tubing, nishing just to the side of your hip, such that your palm
is now facing backward.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions

- 16 -
D2 Flexion
Secure one end of tubing
under the foot on the same
side of your exercising arm.
Grasp the tubing using the
handle provided. Using a
diagonal pattern and keeping
the elbow relatively straight,
pull down across your body
nishing at a level right
beside your opposite hip.
When you reach your hip, your
palm should be facing toward
you. Hold that position and
slowly return to the starting
position and repeat.
D2 Extension
Secure one end of the tubing
in the top of the door using
the door anchor. Grasp the
other end of the tubing using
the handle provided. Using a
diagonal pattern and keeping
the elbow relatively straight,
pull down across your body
nishing at a level right
beside your opposite hip.
When you reach your hip, your
palm should be facing toward
you. Hold that position and
slowly return to the starting
position and repeat.
oPerform _____ sets of ____ Repetitions
oPerform _____ sets of ____ Repetitions