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Post-operative Rehabilitation
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Shoulder Rehabilitation
» Subacromial Decompression Distal Clavicle Excision
Subacromial Decompression Distal Clavicle Excision
PHASE 1: 0-4 WEEKS
Pendulum exercises only until 1 week post-op
Wean from sling at 1 week post-op
ROM:
progress from passive to active ROM as tolerated
Goal: 140° of forward flexion, 40° ER (at side) at 4 weeks post-op
No abduction or 90/90 ER until 4 weeks post-op
No horizontal adduction until 4 weeks post-op if distal clavicle rxn
Strengthening: grip strengthening, pulleys/canes, Codman’s
No resisted motions until 4 weeks post-op
PHASE 2: 4 WEEKS – 8 WEEKS
ROM:
increase ROM as tolerated
Goals: 160° forward flexion, 90° abduction at 8 weeks post-op
May perform horizontal adduction if distal clavicle rxn
May begin and advance gentle posterior capsule stretching behind back
Strengthening: light isometrics with elbow at side for rotator cuff/deltoid using theraband
PHASE 3: 2 MONTHS+
ROM:
full ROM w/o discomfort as tolerated
Strengthening: advance strengthening as tolerated
May begin eccentric, resisted motions and close chained exercises
Transition to home exercise program
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