|Range of Motion||Immobilizer||Therapeutic Exercises|
|ROM Goals: 140° FF40° ER at sideIR 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|
|Increased ROM as tolerated.ROM Goals:160° FF60° ER at sideIR 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.
|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