Shoulder Replacement Rehabilitation- Shoulder Surgeon Gold Coast

Shoulder Replacement Surgery- rehab

Exercises should be performed 3 x daily, 5 days per week

WEEK 0-2
Sling to be worn all times accept during showeringKeep wound covered and do not soak in water.

Ice can be used post exercise.

Exercise

1. Pendular shoulder exercises
2. Avoid external rotation of the shoulder
3. Active assisted elbow, wrist and hand exercises

WEEK 2-4
Range of Motion

• Active assisted shoulder exercises can commence
• Supine (lying on your back gravity reduced)
• Shoulder flexion
• Internal and 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 (neutral only)

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

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

Return to work/sport general guidelines

Please ask Dr McBride and your physiotherapist about your specific situation

Writing 2 weeks

Computer 2 weeks

Light duties 6 weeks

Moderate duties 3 months

Exercise bike 4 weeks

Running 8 weeks

Gym 12 weeks (light)

Golf 16 weeks

Swimming 6 months

Tennis 6 months

(Shoulder surgeon gold coast)