Weeks 1-4:
- Restrict motion to 90° FF/ 20° ER at side/ IR to stomach/ 45° ABD, PROM > AAROM > AROM
- as tolerated
- Hold cross-body adduction until 6 weeks post-op
- Isometric in sling
- Sling for 4 weeks
- Heat before/ice after PT sessions
Weeks 4-8:
- D/C sling @ week 4
- Increase AROM 140° FF/ 40° ER at side/ 60° ABDI IR behind back to waist
- Strengthening (isometrics/light bands) within AROM limitations, horizontal abduction exercises
- Also start strengthening scapular stabilizers (traps/rhomboids/lev. scap/etc)
- Physical modalities per PT discretion
Weeks 8-12:
- If ROM lacking, increase to full with gentle passive stretching at end ranges
- Advance strengthening as tolerated: isometrics > bands > light weights (1-5 lbs.); 8-12 reps/2-3 set per rotator cuff: deltoid, and scapular stabilizers
Months 3-12:
- Only do strengthening 3x/week to avoid rotator cuff tendonitis
- Begin UE ergometer
- Begin eccentrically resisted motions, plyometrics (ex-weighted ball toss), proprioception (ex-body blade),and closed chain exercises at 12 weeks.
- Begin sports related rehab at 3 months, including advanced conditioning
- Return to throwing at 4 ½ months
- Throw from pitcher's mound at 6 months
- MMI is usually at 12 months
Other Shoulder PT Protocol
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