Acute phase (0-6 weeks)​

• Sling x 4 weeks

  • Pendulums at 4 weeks postop

  • Active, AAROM in shoulder flex/ext plane is OK

  • Full Elbow and wrist ROM OK

  • No Shoulder ER past 0 degrees

  • No shoulder abduction

  • Deltoid isometrics OK

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Intermediate phase (6-10 weeks)

• Go SLOW

• DO NOT PUSH through pain to regain motion

• No Assisted shoulder ER past 0 degrees

• No Forward flexion > 90 degrees

• No Abduction > 90 degrees|

• PROM OK

• Pool exercises for AAROM in flex/ex, horizontal Adduction

• OK to start light vertical rows

• Exercises should be narrow grip and in front

• No flies or bench press

• Can do AROM, strength and isometrics

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Weeks 10-16 postop

• Continue PT as above

• Go SLOW, do not push through pain

• Advance motion slowly

• PRE’s for biceps, triceps, scapula

• No ER PRE’s

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4 months postop

• AROM, AAROM to improve ER

  • Goal 10-20 degrees less than other side

• Keep PRE’s below horizontal plane for non-throwers

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6 months postop

• Return to sports / full activity / swimming for non-throwers