Office Hours: M-F 8:30 AM - 5:00 PM
Physical Therapy Hours: M-F 7:00 AM - 8:00 PM
Rehab Protocols

Arthroscopic Subacromial Decompression/Distal Clavicle Excision

Phase I (Weeks 0-4)

  • Sling immobilization for comfort Weeks 0-2 – Discontinue sling use at 2 weeks
  • Range of Motion –PROM -> AAROM -> AROM as tolerated
    • Goals:  140° of Forward Flexion, 40° of External Rotation at side, Internal Rotation behind back with gentle posterior capsular stretching
    • No abduction-external or internal rotation (90/90) until 4-8 weeks post-op
  • Therapeutic Exercise
    • Codman’s/Pulleys/Cane
    • Elbow/Wrist/Hand Range of Motion
    • Grip Strengthening
    • No resistive exercises
  • Heat/Ice before and after PT sessions

 Phase II (Weeks 4-8)

  • Range of Motion – Increase Forward Flexion, Internal/External Rotation to full motion as tolerated
    • Goals: 160° of Forward Flexion, 60° of External Rotation at side, Internal Rotation behind back and at 90° of abduction with gentle posterior capsular stretching
  • Therapeutic Exercise
    • Begin light isometrics with arm at the side for rotator cuff and deltoid
    • Advance to therabands as tolerated
    • Passive stretching at end range of motion to maintain shoulder flexibility
  • Modalities per PT discretion

 Phase III (Weeks 8-12)

  • Range of Motion – Progress to full AROM without discomfort
  • Therapeutic Exercise – Advance strengthening as tolerated
    • Isometrics -> therabands -> weights
    • Begin eccentrically resisted motions, closed chain exercises and plyometrics
    • 8-12 repetitions/2-3 sets for Rotator Cuff, Deltoid and Scapular Stabilizers
  • Modalities per PT discretion

 

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

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