Penrose Physical Therapy
01
Jan 2016
Jennifer Penrose
Author
Jennifer Penrose

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

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