Phase I: (0-6 weeks)
Goals:
- Protect surgery
- Decrease pain and inflammation
- Increase pain free ROM
- Patient education
Plan:
- Ultra sling (0-6 weeks): Sling is off while sitting and with exercise after 2 weeks
- Hand, elbow, wrist exercises immediately post-op in sling
- Cervical spine stretches
- Modalities PRN
- Scapular mobilization and muscle tone
- Thoracic mobilization
- Aquatic Therapy once incisions healed (2 weeks)
- Pendulums activities/can AAROM(avoid flexion 1st three weeks)
- PROM (flexion to 90°, abduction to tolerance – being cautious with this movement, Isometric IR/ER at end phase I
Phase II (6-12 weeks)
Goals:
- Control pain and inflammation
- Continue to work on ROM near end of phase I
- Begin/increase strengthening
- Home Exercise Program
Plan:
- Modalities PRN
- Aquatic therapy
- Scapular and glenohumeral joint mobilizations
- Gradual RTC IR/ER and supraspinatus strengthening with theraband
- Gentle deltoid strengthening when RTC is good
- Advance scapular stabilization strengthening
- Advance phase I strengthening
- Begin UBE mid phase II