ACROMIOPLASTY WITH OR WITHOUT - Shoulder & Elbow …
POSTERIOR STABILIZATION
Name_____________________________________________________________________________ Date__________________
Diagnosis________________________________________________________________________________________________
Date of Surgery_________________________
Frequency: 1 2 3 4 times/week Duration: 1 2 3 4 5 6 Weeks
______Weeks 0-3:
• Sling in neutral rotation for 3 weeks (padded abduction sling)
• Codman exercises, elbow and wrist ROM
• Wrist and grip strengthening
______Weeks 3-6:
• Restrict to FF 90(/IR to stomach PROM ( AAROM ( AROM
• ER with arm at side as tolerated
• Begin isometrics with arm at side – FF/ER/IR/ABD/ADD
• Start scapular motion exercises (traps/rhomboids/lev. scap/etc)
• No cross-arm adduction, follow ROM restrictions
• Heat before treatment, ice after treatment per therapist’s discretion
______Weeks 6-12:
• Increase ROM to within 20( of opposite side; no manipulations per therapist; encourage patients to work on ROM on a daily basis
• Once 140( active FF, advance strengthening as tolerated: isometrics ( bands ( light weights (1-5 lbs); 8-12 reps/2-3 sets per rotator cuff, deltoid, and scapular stabilizers with low abduction angles
• Only do strengthening 3x/week to avoid rotator cuff tendonitis
• Closed chain exercises
______Months 3-12:
• Advance to full ROM as tolerated
• Begin eccentrically resisted motions, plyometrics (ex. Weighted ball toss), proprioception (es. body blade)
• Begin sports related rehab at 3 months, including advanced conditioning
• Return to throwing at 4 ½ months
• Push-ups at 4 ½ - 6 months
• Throw from pitcher’s mound at 6 months
• MMI is usually at 12 months post-op
Comments:
____Functional Capacity Evaluation ____Work Hardening/Work Conditioning ____ Teach HEP
Modalities
___Electric Stimulation ___Ultrasound ___ Iontophoresis ___Phonophoresis ____ Heat before/after ____Ice before/after ___Trigger points massage ___TENS ___ Other _____________________________ ____ Therapist’s discretion
Signature__________________________________________ Date__________________
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