AC Reconstruction Rehabilitation Program

PHASE I: 0-8 WEEKS POST-OP

Range Of MotioN

Gentle supine PROM as tolerated avoiding horizontal adduction

Sling

0-6 weeks: Remove only for exercise and hygiene which should be performed supine with gravity eliminated

Therapeutic Exercise

Closed chain scapular stabilizers, deltoid and rotator cuff while supine or with gravity eliminated

ROM and strengthening: elbow and shoulder isometric exercises

PHASE II: 8-16 WEEKS POST-OP

Range Of MotioN

Active ROM as tolerated in prone position

Sling

None

Therapeutic Exercise

Progress Phase I exercises

Active assisted strength work in all ROMs

Begin vertical positioned strengthening at 12 weeks

PHASE III: 16-24 WEEKS POST-OP

Range Of MotioN

Progress to full AROM in all planes

Sling

None

Therapeutic Exercise

Advance strengthening as tolerated

Progress Phase II and Phase I exercises

Begin sport-specific exercises after week 20 when cleared by MD

Related Links