ACROMIOPLASTY WITH OR WITHOUT - Shoulder & Elbow …
Ulnar Nerve Transposition Protocol
Name_______________________________________________________________________________ Date__________________
Diagnosis__________________________________________________________________________________________________
Date of Surgery_________________________
Frequency: 1 2 3 4 times/week Duration: 1 2 3 4 5 6 Weeks
______ Weeks 1
• Splint at 90 degrees elbow flexion with wrist free for motion
• Compression dressing
• Exercise: gripping exercises, wrist ROM, shoulder isometrics
______ Week 2
• Remove splint for exercise and bathing
• Progress elbow ROM (passive ROM 15-120 degrees)
• Initiate elbow and wrist isometrics
• Continue shoulder isometrics
_____ Week 3-6
• Progress elbow ROM, emphasize full extension
• Initiate flexibility exercises for
• Wrist extension-flexion
• Forearm Supination-pronation
• Elbow extension-flexion
• Initiate strengthening exercises for
• Wrist extension-flexion
• Forearm Supination-pronation
• Elbow extension-flexion
• Shoulder program
_____ Weeks 6
• Continue all exercises listed above
• Initiate light sport activities
_____ Week 8
• Initiate eccentric exercise program
• Initiate plyometrics exercise drills
• Continue shoulder and elbow strengthening and flexibility exercises
• Initiate interval throwing program
_____ Week 12
• Return to competitive throwing
Comments:
____Functional Capacity Evaluation ____Work Hardening/Work Conditioning ____ Teach HEP
Modalities
___Electric Stimulation ___Ultrasound ___ Iontophoresis ___Phonophoresis ___TENS ____ Heat before/after
___Ice before/after ___Trigger points massage ___ Other _____________________________ ____ Therapist’s discretion
Signature___________________________________________________________________________ Date__________________
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