|Range of Motion||Sling||Therapeutic Exercises|
|Passive ROM to tolerance. Maintain elbow at mid-axillary line while supine. Limit IR with arm at 90° abduction to 40° and behind back to T12.||Sling or abduction pillow for 4 wks at all times.||Codman’s elbow/wrist/hand ROM, grip strengthening, isometric scapular stabilization. Scapular stretching. Pec minor stretch.|
4-6 wks: Gentle passive stretch to 140° FF, ER 40° at side, Abd 60°-80°, Increase IR at 90° to 60° and behind back to T7-T8.
6-8 wks: Increase ROM to tolerance
4-6 wks: Begin gentle active assistive active exercises, begin gentle joint mobs.
6-8 wks: Biceps* strengthening.Rotator cuff isometric strengthening at 12 wks. Cont Active ROM until wk 12.
|Progress to full motion||None||Scapular strengthening/stabilization, continue biceps, at 12 wks begin IR/ER Rotator Cuff isometrics, stretch post capsule when arm is warmed up.|
12 wks-5 months
|Full without discomfort||None||Advance exercises. Begin sports-specific activities, maintain flexibility, increase velocity of motion, return to sports activities.**|
*If biceps tenodesis is concomitantly performed, NO biceps strengthening until 8 weeks post-operatively.