Pyrocarbon Hemiarthroplasty

WEEK 0-2 

Sling to be worn all times accept during showering Keep wound covered and do not soak in water. 

Ice can be used post exercise. 

Exercise 

· Pendular shoulder exercises 

· Avoid external rotation of the shoulder 

· Active assisted elbow, wristand hand exercises 

WEEK 2-4 

Range of Motion 

· Active assisted shoulder exercises can commence 

· Supine (lying on your back gravity reduced) 

· Shoulder flexion 

· External rotation (with arm in slight flexion) 

Note: External rotation of the arm should be limited to neutral (0 degrees) 

Continue active assisted and active elbow wrist and hand range of motion 

Strengthening 

· Isometric scapular setting focusing on lower trapezius recruitment 

· Hand grip strengthening with squash ball squeezes 

WEEK 4-6 

Range of Motion 

· Continue active assisted range of motion exercises 

· Standing (Antigravity) 

· Shoulder flexion with broomstick or other arm 

· (Aim to achieve 90 degrees) 

· Shoulder Internal and external rotation (to 15 – 20 degrees) 

Strengthening 

· Continue scapular setting exercises and grip strengthening 

WEEK 6-8 

Range of Motion 

· Standing (Antigravity) 

· Shoulder flexion with broomstick or other arm 

· (Aim to achieve 120 degrees) 

· Shoulder Internal and external rotation (to 30 degrees) 

Strengthening 

· Continue scapular setting exercises and grip strengthening 

· Commenceisometric internal and external rotation strengthening. Repeat isometric exercises 15 repetitions with 5 second hold 

· Commence concentric external rotation strengthening  

WEEK 8-12 

Range of Motion 

· Standing (Antigravity) 

· Shoulder flexion with broomstick or other arm (Aim to achieve 150 degrees) 

· Shoulder Internal and external rotation (to 45 degrees) 

· Supine shoulder abduction 

· Stretches Shoulder flexion - slide arm forward on a table-preacher stretches 

Strengthening for Scapular Stability and Rotator Cuff 

· Continue scapular setting exercises and grip strengthening and commence internal and external rotation strengthening with light theraband  

· Repeat isometric exercises 15 repetitions with 3 sets. 

· Internal rotation 

· External rotation 

· Shoulder flexion (bent elbow) 

· Shoulder extension (bent elbow) 

· Biceps and triceps strengthening 

· Seated rows 

· Bent over rows 

Note: Avoid all over head strengthening push exercises 

WEEK 12 to 6 Months 

Continue to progress range of motion incorporating functional exercises and sport specific drills as indicated by your physiotherapist (e.g. latissimus dorsi pull downs, seated rows) 

  Note: Avoid push against resistance (e.g. bench press, deltoid press)