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Shoulder- Arthroscopic and Open Capsulorrhaphy/Bankart repair for Instability |
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Range of Motion* |
Immobilizer |
Therapeutic Exercises |
Phase I 0-6 wks |
Active/Active assist: To 40° external rotation & 140° of forward flexion. Internal rotation as tolerated. |
Worn at all times except for hygiene and therapeutic exercises. |
Elbow/wrist/hand ROM, & grip strengthening. Isometric abduction and external/internal rotation exercises with elbow at side. Advance isometrics to use of a theraband at week 4. |
Phase II 6-12 wks |
Increase forward flexion and internal/external rotation to full motion as tolerated. |
None |
Continue the use of theraband. Continue ROM exercises and grip strengthening. Progress theraband exercises to the use of weights. Begin prone extensions, and scapular stabilization exercises.
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Phase III 12wks**-6 months*** |
Full without discomfort |
None |
Advance exercises in phase II. Begin functional progression to work/sports, return to previous activity level**. |
* patient is required to complete stretching exercises 3 times per day. ** patient may return to weight room at 3 months if approved. *** patient may return to competitive sports, including contact sports by 6 months if approved.
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