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

Physiotherapy Prescription: 

 

  • Weeks 0-3 postop

    • Sling x 3 weeks

    • Pendulums to start straight away 

    • Active, AAROM in shoulder flex/ex OK

    • 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

    • Can do AROM, strength and isometrics

  • 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 postop

    • Return to sports for non-throwers (baseball, softball)

    • OK to toss

  • 5 Months postop

    • Return to overhead sports

©2020 Kemble Wang Orthopaedics

 

Disclaimer: All information provided on this webpage should be considered as general guidelines. Actual practice and (expected) outcomes may differ in your case. The contents has been created online for information purposes only. It is not intended to be a substitute for professional medical advice.