Posterior Shoulder Stabilization Rehabilitation Program

PHASE I: 1-3 WEEKS POST-OP

Range Of Motion

  • Prom : None

Sling

  • Immobilized in sling with abduction pillow at all times, neutral rotation to a few degrees of ER, may be removed for exercises and showering.
  • Wear sling at night.

Therapeutic Exercise

  • No Pendulums
  • Cervical ROM
  • Begin scapula musculature isometrics / sets
  • Elbow, wrist, hand ROM
  • Ball squeezes
  • General conditioning: bike, treadmill, etc.

PHASE II: 3-6 WEEKS POST-OP

Range Of Motion

  • Gradually increase PROM
  • Forward Flexion: 90⁰
  • Abduction: 90⁰
  • Internal Rotation: 45⁰
  • External Rotation: 90⁰

Sling

  • Continue to wear sling with abduction pillow at all times, neutral rotation to a few degrees of ER, may be removed for exercises and showering.
  • Week 5 may begin wearing sling for comfort
  • Out of sling by Week 6

Therapeutic Exercise

  • Codman’s Pendulums
  • Anterior Capsule Mobilization
  • Submaximal pain free shoulder isometrics in the plane of the scapula
    1. oFlexion
    2. oAbduction
    3. oExtension
    4. oExternal Rotation
    5. No Internal Rotation yet

PHASE III: 6 - 12 WEEKS POST-OP

Range Of Motion

  • Progress to near full ROM

Sling

  • Transition out of sling

Therapeutic Exercise

  • Begin AAROM exercises
  • Pulleys
  • Joint Mobilizations (no posterior glides)
  • Rotator Cuff isometrics
  • Deltoid Isometrics
  • Initiate IR isometrics in slight ER (do not perform past neutral)
  • Progress with periscapular strengthening
  • Progress to AROM by Week 8

PHASE IV: 12-16 WEEKS POST-OP

Range Of Motion

  • Progress to full ROM without discomfort

Sling

  • None

Therapeutic Exercise

  • Continue stretching and strengthening with resistance bands
  • Can begin pushups
  • Progress free weight exercises (low weight, high reps)
  • IR/ER: sidelying
  • Supraspinatus: scapular plane
  • Shoulder flexion: through pain free range of motion
  • Arm ergometer/cycle for endurance exercise

PHASE V: 16+ WEEKS POST-OP

Range Of Motion

  • Full ROM without discomfort

Sling

  • None

Therapeutic Exercise

  • Begin practicing skills at a low intensity level for specific sport
  • For throwers, initiate a throwing program
  • Tennis may begin serves
  • Total body conditioning/ergometer cycle

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