SLING DURATION | WHEN DO I START PHYSIO? | WHEN CAN I START DRIVING? |
1-2 weeks. | You will begin physiotherapy two weeks after your operation. | In approx 2 weeks, when you’re no longer using the sling and have full control of the vehicle. |
Acute phase (0-2 weeks)
Goals
- Reduce pain
- Restore range of movement
- Minimise muscle inhibition
- Discard sling 1-2 weeks after operation
Rehabilitation
- Active assisted/active supported mobilization respecting pain
- Isometric rotator cuff exercises
- Ensure scapular control
- Scapular stabiliser exercises
- Postural correction
Criteria for progression
- Reduction and control of pain
- Range of movement (should achieve >90° elevation by end of first week)
- Compliance with exercises
Intermediate phase (2-6 weeks)
Goals
- Reduce pain further
- Restore functional range of movement
- Cuff and scapular control
Rehabilitation
- Progress cuff and scapula recruitment and control through range
- Continue to increase range of movement
- Progress kinetic chain integration
- Increase functional emphasis movement pattern correction
- Hydrotherapy permitted
Criteria for progression
- Pain free functional range of movement
- Control of cuff and scapular through functional range
Late phase (>6 weeks)
Goals
- Restore optimal cuff and scapula control through range
- Optimise function specific power, strength and endurance
- Return to work, sport and recreational activities
Rehabilitation
- Ensure neuromuscular control through range and incorporated with kinetic chain
- Function specific strengthening and endurance exercises
- Continue to strengthen cuff and scapular musculature
Guidelines for return to functional activities
LIFTING | SWIMMING | GOLF |
As able. | Breaststroke 2 weeks, Avoid freestyle for 6 weeks. | 6 weeks. |
