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

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Phase 1

Sling

1. Discontinue after 1-2 days

Weeks 0-6

1. Begin Active shoulder motion in all planes (Supine to Seated)
2. Hand, wrist and elbow active motion
3. Initiate independent home motion
• Home exercise program – AAROM to AROM (wand exercise for external rotation, wall climbs, etc…)
4. Active scapular motion (shrugs, retraction)
5. Isometrics

Phase 2

Weeks 7-9

1. Continue to advance to full active motion (all planes)
2. Continue facilitating scapular stability
3. Begin PRE/strengthening if full AROM
4. Progress to overhead resistance with proper scapulohumeral rhythm
5. Emphasize continued independent home stretching and transition to Independent home exercise program

Week 10

1. Return to regular activity as tolerated
2. Maintenance Program (Independent HEP)
• Daily Stretching (all planes)
• Strengthening 2-3 times / week