Shoulder Arthroplasty Rehabilitation

Pre-Operative Evaluation

  • Document ROM
  • Discuss Post-op Protocol
  • Set up appointment to be seen on POD#4
  • Daily physical therapist first 2 weeks post-op, then 2-3 times/week for 4 weeks
  • Go over home exercises to be done by patient

 

Post-Operative

Cryotherm unit and sling to shoulder, change ice every 2 hours. Encourage wrist, elbow & finger ROM. Passive range of motion started almost immediately.

  • Elevation to 60°
  • Internal Rotation
  • External Rotator Isometrics
  • Anterior, Middle, and Posterior Deltoid Isometrics
  • External Rotation Limited to 25°
  • Cross Body Adduction
  • Grip Strengthening

Expect 5 Exercise Sessions for 10 Minutes Throughout the Day Done by Patient

Week 1-2
Prom-aarom Phase
Physical Therapist
  • Supine Elevation to 140°
  • Forward lean
  • Supine External Rotation to 40°
  • Functional Internal Rotation & Adduction.
  • Swelling control
Week 3-4
Strengthening Phase
Physical Therapist
  • Isometric-isotonics to deltoid & external rotators
  • Strain-counterstrain
  • Scapular stabilization
Week 5-6
Adl Phase
Physical Therapist
  • Functional adduction to wash & comb hair
  • External Rotation - door opening
  • Large ball & net, chest pass, underarm pass
  • Swinging golf club