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Sub-Acromial
Decompression/Acromioplasty (SAD/A) and Distal Clavicle Resection (DCR)*
Steve
A. Mora, MD
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Range of Motion |
Immobilizer |
Therapeutic
Exercises |
Phase I
0-4 weeks |
ROM Goals:
140° FF
40°
ER at side
IR behind back with gentle post. capsule stretching.
No abduction or 90°
/90°
ER until 4-8 wks
post op. |
0-2 wks:
Sling to be worn for comfort only.
2-4 wks: Discontinue sling |
Grip
strengthening, pulley/canes, elbow/wrist/hand ROM, Codman's.
No resisted motions |
Phase II
4-8 weeks |
Increased ROM
as tolerated.
ROM Goals:
160°
FF
60°
ER at side
IR behind back with gentle
post. capsule stretching and at 90°
of abduction |
None |
Light
isometric with arm at side, rotator cuff, and deltoid. Advance
to Therabands as tolerated, passive stretching at end ranges to
maintain flexibility. |
Phase III
8-12 weeks |
Progress to
full motion |
None |
Advance
strengthening as tolerated, begin eccentrically resisted motions and
closed chain activities. |
*If
DCR is performed, horizontal adduction is restricted for 8 weeks post-op
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