SPORTS MEDICINE / SHOULDER SERVICE
GEORGETOWN UNIVERSITY MEDICAL CENTER
John J. Klimkiewicz, MD
Stage I (0-4 weeks)
A. Shoulder sling: wear for 4 weeks. May remove for dressing, hygiene and tabletop use of hand/wrist/elbow.
B. Exercises: Pendulum (2-3X per day), Elbow ROM.
Stage II (4-12 weeks)
A. Start Physical therapy at 4 weeks post-op.
B. P/AAROM/AROM program: 1-2x/day until full active and passive ROM.
Goal: Full AROM at 10 weeks post-op.
C. Strengthening: Isotonic exercises
a. Repetitions: 20-40 before adding/progressing weights.
b. Start against gravity only – progress as tolerated to:
– 2 oz (butter knife)
– 4 oz (tuna can)
– 8 oz (soup can)
- 1 lb weight
- 2 lb weight etc
c. Goal: Thrower/Pitcher: 5-8% body weight times 50 reps.
General rehab candidate: 2-3% body weight times 50 reps.
Stage III (3-6 months)
A. Overhead lifting/traction (pull-ups) as tolerated at 4 months
B. Throwing activity: start 4 months post-op. Follow functional progression per IAM protocol. Full throwing status at 6-8 months.
C. Contact activities: can start at 4 months post-op