Total Shoulder Replacement

Phase I (Weeks 0-6)

• Sling immobilization  for first 4-6 weeks–out of sling to do home exercise program (pendulums) twice daily
• Range of Motion – PROM -> AAROM -> AROM as tolerated except No Active Internal Rotation/Backwards Extension For 6 Weeks (Protect Subscapularis Repair)
  • Week 1 Goal: 90° Forward Flexion, 20° External Rotation at the Side, Maximum 75°Abduction
  • Week 2 Goal: 120° Forward Flexion, 40° External Rotation at the Side, Maximum 75° Abduction
• Therapeutic Exercise
  • Grip Strengthening
  • Pulleys/Cane
  • Elbow/Wrist/Hand Exercises
  • Teach Home Exercises — Pendulums
• Heat/Ice before and after PT sessions

 Phase II (Weeks 6-12)

• Discontinue sling if still being worn
• Range of Motion –AAROM/AROM –  increase as tolerated with gentle passive stretching at end ranges
  • Begin Active Internal Rotation and Backward Extension as tolerated
• Therapeutic Exercise
  • Begin light resisted exercises for Forward Flexion, External Rotation and Abduction – isometrics and bands – Concentric Motions Only
  •  No Resisted Internal Rotation, Backward Extension or Scapular Retraction
• Modalities per PT discretion

 Phase III (Months 3-12)

• Range of Motion – Progress to full AROM without discomfort
• Therapeutic Exercise
  • Begin resisted Internal Rotation and Backward Extension exercises
  • Advance strengthening as tolerated – Rotator Cuff, Deltoid and Scapular Stabilizers
  • Begin eccentric motions, plyometrics and closed chain exercises
  • 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.