Subacromial Decompression Rehab

Post op

Day Case Unit & 0­2 weeks

• ·  Broad arm sling ­1 week
• ·  Full ROM elbow, wrist, hand
• ·  Shoulder pendular exercises
• ·  Active assisted ext rot/int rot
• ·  Active assisted flex
• ·  Slow passive ROM
• ·  Isometric cuff strengthening

Week 2 Out patient Physio

• ·  Scapular strengthening
• ·  Biceps /triceps strengthening
• ·  Side lying ext rotation
• ·  Stick press up ­ supine
• ·  Progress to supine pendular exercises

Week 3/4

• ·  Resistance work below shoulder height
• ·  Progress ROM

Week 5/6

• ·  Advanced overhead strengthening
• ·  Proprioceptive work
• ·  Closed chain wall push ups & bclose grip press ups

Week 8

· Activity and work specific

Return to work

Sedentary job: as tolerated

Manual job: may need to modify activities for 3 months

Driving

1 week if able

Lifting

6 weeks

Swimming

Breaststroke: as able Freestyle:12 weeks

Golf

As able

Racquet sports

Avoid repetitive overhead shots for 3 months