Posterior Arthroscopic Stabilization

Weeks 0-3:

• Sling in neutral rotation for 3 weeks (padded abduction sling)
• Codman exercises, elbow and wrist ROM
• Wrist and grip strengthening

Weeks 3-6:

• Restrict to FF 90° /IR to stomach PROM - AAROM - AROM
• ER with arm at side as tolerated
• Begin isometrics with arm at side - FF/ER/IR/ABD/ADD
• Start scapular motion exercises (traps/rhomboids/lev. scap/etc.)
• No cross-arm adduction, follow ROMrestrictions
• Heat before treatment, ice after treatment per therapist's discretion

Weeks 6-12:

Increase ROM to within 20° of opposite side; no manipulations per therapist; encourage patients to work on ROM on a daily basis

Once 140° active FF, advance strengthening as tolerated: isometrics - bands - light weights (1-5 lbs.); 8-12 reps/2-3 sets per rotator cuff, deltoid, and scapular stabilizers with low abduction angles

Only do strengthening 3x/week to avoid rotator cuff tendonitis

Closed chain exercises

Months 3-12:

• Advance to full ROM as tolerated
• Begin eccentrically resisted motions, plyometrics (ex. Weighted ball toss), proprioception (ex. body blade)
• Begin sports related rehab at 3 months, including advanced conditioning
• Return to throwing at 4 ½ months
• Push-ups at 4 ½ - 6 months
• Throw from pitcher's mound at 6 months
• MM1 is usually at 12 months post-op