Rehabilitation Guidelines for Shoulder Arthroscopy Debridement

Rehabilitation Guidelines for Shoulder Arthroscopy Debridement

0-4 Weeks:

• Sling for Comfort (1-2 days) Then discontinue
• Passive to Active shoulder ROM as tolerated
  • 140° Forward Flexion
  • 40° External Rotation with arm at side
  • Internal rotation behind back with gentle posterior capsule stretching
  • No rotation with arm in abduction until 4 wks
• With distal clavicle excision, hold cross body adduction until 8wks.
• Grip Strength, Elbow/Wrist/Hand ROM, Codmans
• Avoid Abduction and 90/90 ER until 8wks

4-8 Weeks:

• Advance ROM as tolerated (Goals FF to 160°, ER to 60°)
• Begin Isometric exercises
• Progress deltoid isometrics
• ER/IR (submaximal) at neutral
• Advance to theraband as tolerated

8-12 Weeks:

• Advance to full, painless ROM
• Continue strengthening as tolerated
• Begin eccentrically resisted motion and closed chain activities
• Only do strengthening 3times/wk to avoid rotator cuff tendonitis