Shoulder Arthroscopy w/o Rotator Cuff Repair

PHASE I: 1-3 WEEKS POST-OP

RANGE OF MOTION

  • Restore ROM (as tolerated)
  • AROM and PROM as tolerated

SLING

  • Sling for comfort, remove as desired for hygiene, exercises or other activities

THERAPEUTIC EXERCISE

  • Codman's Pendulums
  • Scapular exercises
  • Elbow, wrist, hand ROM
  • Ball squeezes
  • For Biceps Tenodesis:
    • No Active elbow flexion until 3 weeks (AAROM ok)

PHASE II: 6-12 WEEKS POST-OP

RANGE OF MOTION

  • Progress PROM
  • Pool Therapy if available for AAROM and AROM

SLING

  • Wean from sling

THERAPEUTIC EXERCISE

  • Supine AAROM progressing to AROM
  • Light scapular strengthening (retraction/protraction), shoulder shrugs, scapular setting
  • Gentle joint mobilization and soft tissue mobilization
  • For Biceps Tenodesis:
    • Begin active elbow flexion against gravity, no strengthening until 8 weeks

PHASE III: 6-12 WEEKS POST-OP

RANGE OF MOTION

  • Progress to full ROM without discomfort

SLING

  • None

THERAPEUTIC EXERCISE

  • Stretching, mobs, ROM exercises
  • Rotator cuff strengthening exercises
  • Progress supine to seated to standing AROM
  • Progress pool based AAROM if available
  • Begin strengthening for lats, biceps/triceps, pecs, rhomboids, deltoids
  • Progress with theraband exercises slowly to tolerance
  • Begin to add sport and job specific activities

PHASE IV: 12-24 WEEKS POST-OP

RANGE OF MOTION

  • Full ROM without discomfort

SLING

  • None

THERAPEUTIC EXERCISE

  • Progress to tolerance
  • No restrictions

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