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
