Phase I
Goals:
- Decrease pain and inflammation
- Increase ROM
- Increase strength
- Patient education
Plan:
- Ultra sling (0-2 weeks):
- Hand, elbow, wrist exercises immediately post-op in sling
- Cervical spine stretches
- Modalities PRN
- Scapular mobilization and glenohumeral mobilization
- Aquatic therapy once incisions healed (2 weeks)
- Pendulums activities/can AAROM(avoid flexion 1st three weeks)
- Bicep/triceps exercises
- Isometrics in all directions
Phase II
Goals:
- Decrease pain and inflammation
- Full ROM
- Increase strength
Plan:
- Decrease sling if comfort allows
- Self stretches
- RTC stretches
- UBE
- Initiation of gentle machine weighted program
Phase III
Goals:
- Full Pain free ROM
- Increase power and endurance
- Prepare for specific functional/sports program
Plan:
- RTC strengthening (90/90 position)
- Scapular and deltoid strengthening
- PNF
- Biodex testing if requested by M.D.
Phase IV
Goals:
- Maximum ROM
- Increase Strength
- Return patient to sport/activity
Plan:
- Continue with progressive resistive exercises
- Continue with machine-weighted program
- Sport Specific Training