Subacromial Decompression Rehab Protocol.

Weeks 0-4:

  • Sling for Comfort (1-2 days) Then discontinue
  • Passive to Active shoulder ROM as tolerated
    • 140° Forward Flexion
    • 40° External Rotation with arm at side
    • Internal rotation behind back with gentle posterior capsule stretching
  • No rotation with arm in abduction until 4 wks
  • With distal clavicle excision, hold cross body adduction until 8wks
  • Grip Strength, Elbow/Wrist/Hand ROM, Codmans
  • Avoid Abduction and 90/90 ER until 8wks

Week 4-8:

  • Advance ROM as tolerated (Goals FF to 160°, ER to 60°)
  • Begin Isometric exercises Progress deltoid isometrics ER/IR (submaximal) at neutral
  • Advance to theraband as tolerated

 

Weeks 8-12:

  • Advance to full, painless ROM
  • Continue strengthening as tolerated
  • Begin eccentrically resisted motion and closed chain activities
  • Only do strengthening 3times/wk to avoid rotator cuff tendonitis

 

 
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