WEEK 0-6

• Glenohumeral ER PROM:
  • Position pt in 5°-20° ABD
  • Work toward full range ER
  • *If subscapularis muscle is repaired, check with M.D.
• Glenohumeral ABD PROM:
  • 0°-90°
  • When 60°-70° is met, it is ok to perform ER @ 45° ABD
  • *If subscapularis muscle is repaired, check with M.D.
• Gross Shoulder Elevation (Scaption):
  • 0°-90°
  • No sagittal plane flexion stretch
• Elbow/Wrist ROM
• Postural Work:
  • Upper Trapezius relaxation
  • Active scapular retraction & depression
• Codman’s/Pendulums:
  • *OK with M.D.
• Encourage walking program
• NO IR Stretch:
  • Arm to stomach when elbow at side only
• Sling 24 hrs/day
• OK to remove pillow from sling @ 4 weeks post-op

WEEK 6-8
*Goal at 8 weeks: Full ER, scaption to 160° minimal pain

• Glenohumeral ER AAROM:
  • Position pt in 0°-90° ABD
  • Work toward full range
  • *If subscapularis muscle is repaired, check with M.D.
• Scaption:
  • Begin in Supine, when 150° is reached, move to upright
  • 0°-160°
• No sling needed
• OK to use hand cautiously for functional tasks, ie typing
• OK to drive an automatic vehicle
• Aquatic therapy- with M.D. OK

WEEK 8-12

• Stretches : * Begin in Supine, when 150° is reached, move to upright
  • Begin pure Flexion and ABD
  • IR
  • ER in full ABD
• Isometrics

WEEK 12

• Begin gentle isotonic exercises
• Closed chain exercises, ie wall push ups
• OK to drive stick shift car
• OK to run

WEEK 16

• RETURN TO SOME SPORTS, ie golf, fly fishing

WEEK 18

• RETURN TO SPORT