Accessibility Tools

POST OP DAY 1 THROUGH 1st POST-OP VISIT (APPROX. WEEK 2)

Instructions:

  • Sling worn at all times in public and at bedtime. For comfort only when sedentary inside
  • Exercise 2-3 times per day with 10 repetitions per session

Exercises:

  • AROM of hand, wrist and elbow- encourage this immediately
  • AAROM and AROM forward flexion in supine and standing positions
  • Active ER to neutral
  • NO PROM
  • NO PENDULUMS
  • Scapular squeezes in the sling

1st POST-OP VISIT THROUGH 2nd POST-OP VISIT (APPROX. WEEK 6)

Instructions:

  • Sling worn at all times in public and at bedtime. For comfort only when sedentary inside
  • Exercise 2-3 times per day with 10-15 repetitions per session

Exercises:

  • Continue AROM of hand, wrist and elbow
  • AAROM and AROM in forward flexion
  • No PROM
  • Continue scapular squeezes
  • ER to neutral, gentle abduction, NO extension, NO IR behind back

2nd POST-OP VISIT THROUGH 3RD POST-OP VISIT (APPROX. WEEK 12)

Instructions:

  • Discontinue sling
  • Exercises daily until maximum ROM is achieved
  • Perform all activities of daily living as tolerated

Exercises:

  • Continue AROM of hand, wrist and elbow
  • Continue scapular stabilization exercises
  • Progress to AROM for all motions supine and upright with gradual increase in ER per patient’s tolerance
  • Wall-walks
  • Side lying ER
  • Start isometric exercises for all motions
  • Wand Exercises

AFTER 3rd POST-OP VISIT AND ON

Instructions:

  • All activities as patient tolerates and confidence allows

Exercises:

  • Start strengthening with light weights and therabands
  • Wall pushups
  • American Academy of Orthopaedic Surgeons
  • 
American Shoulder and Elbow Surgeons
  • New England Shoulder and Elbow Society
  • Boston Sports & Shoulder Center
  • Tufts University