Surgical Explanations
Rehabilitation Protocols
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Arthroscopic Subacromial Decompression
Rehabilitation following arthroscopic decompression is rapid. It is imperative that you engage a physical therapist immediately after surgery to embark on an ever-changing and progressive rehab program. Strict adherence to rehabilitative protocol should allow you to make rapid improvement in the first month after surgery. Be sure to ask your physical therapist what activities he or she might consider reasonable during your rehabilitation.
PHASE 1: WEEK 1-2
EXERCISE GOAL:
1-2 ROM Gradual°
Wand exercises in all planes as tolerated
Rope/Pulley (flexion, abduction, scaption)
Posterior capsule stretch
Pendulum exercises
Manual stretching and mobilization of post capsule
STRENGTH:
Supine PNF patterns, punches
Initiate IR/ER, biceps, triceps with tubing
Initiate scapular stabilizer strengthening
Shoulder shrugs and retractions
Supine rhythmic stabilization at 60°, 90°, 120° flexion
MODALITIES:
Electric stimulation as needed
Ice 15-20 minutes
GOALS OF PHASE:
Promote healing of tissue
Control pain and inflammation
Gradual increase in ROM
Enhance upper extremity strength
Independent in HEP
PHASE 2: WEEK 2-5
Two weeks after arthroscopic shoulder decompression, you should be in a position to progressively advance your shoulder function, with the goal that you’ll be carrying out moderate activities within 5 weeks of surgery. Keep in mind that impingement syndrome might have come about due to untoward excessive activity, hence, a hasty return to those same activities is unwise! Expand your activities at the direction of your physical therapist and physician.
PHASE 3: WEEK 5-12
During this phase, the effects of surgery should pass and the shoulder should return to more normal function as you continue rehabilitation.
At this time, your physical therapist will help you return to more functional activities. It is important for the therapist to design a home program which includes activities representative of the sports- or work-related activities to which you will eventually return. The primary goal of this phase is to diversify your exercise routine and increase the number of repetitions you perform. |
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