Arthroscopic Anterior Shoulder Stabilization

Phase I (Weeks 0-4)

1. Sling immobilization at all times except for showering and rehab under guidance of PT.
2. Range of Motion – PROM -> AAROM -> AROM as tolerated.
   • Restrict motion to 90° of Forward Flexion, 45° of Abduction, 30° of External Rotation and Internal Rotation to stomach.
3. Therapeutic Exercise
   • Elbow/Wrist/Hand Range of Motion.
   • Grip Strengthening.
   • Isometric Abduction, Internal/External Rotation exercises with elbow at side.
4. Heat/Ice before and after PT sessions.

Phase II (Weeks 4-6)

1. Discontinue sling immobilization.
2. Range of Motion – Increase Forward Flexion, Internal/External Rotation to full motion as tolerated.
3. Therapeutic Exercise
   • Advance isometrics from Phase I to use of a theraband within AROM limitations.
   • Continue with Elbow/Wrist/Hand Range of Motion and Grip Strengthening.
   • Begin Prone Extensions and Scapular Stabilizing Exercises (traps/rhomboids/levator scapula).
   • Gentle joint mobilization.
4. Modalities per PT discretion.

Phase III (Weeks 6-12)

1. Range of Motion – Progress to full AROM without discomfort.
2. Therapeutic Exercise
   • Advance theraband exercises to light weights (1-5 lbs).
   • 8-12 repetitions / 2-3 sets for Rotator Cuff, Deltoid and Scapular Stabilizers.
   • Continue and progress with Phase II exercises.
   • Begin UE ergometer.
3. Modalities per PT discretion.

Phase IV (Months 3-6)

1. Range of Motion – Full without discomfort.
2. Therapeutic Exercise
   • Advance exercises in Phase III (strengthening 3x per week).
   • Sport/Work specific rehabilitation.
   • Return to throwing at 4.5 months.
   • Return to sports at 6 months if approved.
3. Modalities per PT discretion.