Shoulder adolescent/adult instability, following anterior and posterior labral repair

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Physiotherapy Prescription: 

 

• Weeks 0-3 postop

  • Sling x 6 weeks

  • No pendulars

  • Active, AAROM in shoulder flex/ext OK to 90 deg

  • Full Elbow and wrist ROM OK

  • No Shoulder ER past 0 degrees

  • No shoulder abduction

  • Deltoid isometrics OK

• Weeks 3-6 postop

  • No Forced shoulder ER or IR

  • No Forward flexion > 90 degrees

  • No Abduction > 90 degrees|

  • PROM OK

  • Pool exercises for AAROM in flex/ex, horizontal Adduction

• Weeks 6-12 postop

  • No flies or bench press

  • Exercises should be narrow grip and in front

  • OK to start light vertical rows

  • OK to start WB/Strengthening at 6-8 weeks

  • IR with arm AB is now allowed

  • Continue PT as above

  • AROM, AAROM to improve ER

    • Goal 10-20 degrees less than other side

  • No flies, No bench press

  • No posterior capsular stretching PRE’s

  • PRE’s for biceps, triceps, scapula

  • No ER PRE’s

• 3 months postop

  • AROM for FROM

  • Keep PRE’s below horizontal plane for non-throwers

• 4 months post op​

  • return to non-contact, non-throwing sports​

• 5-6 Months postop

  • Return to overhead sports