Michael Metcalf, M.D. / M. Daniel Hatch, M.D.

Download as PDF

 


Phase 1

Sling

  1. Full time sling use for first 6 weeks while awake
  2. May be out of sling for hygiene and range of motion exercises
  3. Discontinue as tolerated after week 6

Weeks 0-6

  1. Begin Continuous Passive Motion (CPM) Machine in both planes
    1. Begin with 5-10 min warm-up 5 degrees below prior days progress
    2. Advance to prior days progress for 15-30 minutes
    3. Gradually increase 1-2 degrees as tolerated every 20-30 minutes
    4. External Rotation (ROT)begin at 20 degrees and increase 5 degrees/week to a maximum of 50 degrees at 6 weeks.
    5. Elevation (ELE) – begin at 60 degrees and increase 10-15 degree/week to a maximum of 140 degrees at 6 weeks.
    6. Use the CPM daily for a total of 4-6 hours/day
  2. Hand, wrist and forearm active motion
  3. Active scapular motion (shrugs, retraction, depression)
  4. NO RESISTANCE INCLUDING BICEPS

Phase 2

Weeks 7-12

  1. Advance to full active motion (all planes)
    1. Independent HEP program: daily stretching
  2. Scapular stability
  3. Maintain proper scapulohumeral rhythm
  4. Begin resistance with activities below shoulder level
  5. Emphasize continued independent home stretching

Phase 3

Week 13+

  1. Return to regular activity
  2. Progress resistance with activities above shoulder level
  3. Maintenance Program
    — Daily Stretching (all planes)
    — Strengthening 2-3 times / week

Download as PDF


US Ski Team US Snowboarding

Start typing and press Enter to search