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