Shoulder adolescent/adult anterior instability and post-op from arthroscopic anterior labral repair

​

Physiotherapy Prescription: 

 

• Weeks 0-3

  • postop Sling x 6 weeks

  • No pendulars

  • 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 4-6 postop

  • No Assisted shoulder ER past 0 degrees

  • No Forward flexion > 90 degrees

  • No Abduction > 90 degrees|

  • PROM OK

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

  • OK to start light vertical rows

  • Exercises should be narrow grip and in front

  • No flies or bench press

  • Can do AROM, strength and isometrics

  • start weaning out of sling

• Weeks 6-12 postop

  • Continue PT as above

  • AROM, AAROM to improve ER

  • Goal 10-20 degrees less than other side

  • No flies, No bench press

  • PRE’s for biceps, triceps, scapula

  • No ER PRE’s

  • aim to be out of sling altogether at 6 weeks post op

• 3 months postop

  • AROM for FROM

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

• 4 months postop

  • Return to sports for non-throwers

• 6 Months postop

  • Return to overhead sports