Anterior Capsular Plication Protocol
Anterior Capsular Plication Protocol
• ROM Weeks 0-3
Ultra Sling x 3 weeks at all times except when exercising
PROM to shoulder
AROM to c-spine, elbow, wrist
No combined abduction/external rotation
Weeks 3-6
AAROM progressing to AROM
• Strength 0-3 weeks
Shoulder isometrics (sub-maxial)
Scapular stability/mobility
Proprioception and neuromuscular control drills
Active elbow
3-6 weeks
AAROM to AROM
Begin gravity-eliminated exercises
PNF patterns
6-12 weeks
Progressive resistance exercises
Sport-specific drills/functional activities
• Restrictions If thermal capsulorrhaphy performed, strict shoulder
Immobility first 3 weeks then begin both PROM and AROM progressions.
No heavy lifting (>15 lbs) weeks 0-6
No combined abd/ext rotation weeks 0-3; at week 3, begin gentle end-range movement into combined abduction/external rotation.
• Special Ice frequently
Notify MD in infection suspected
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