Dr Andrew McBride Orthopaedic
surgeon

Dr Andrew McBride Orthopaedic surgeonDr Andrew McBride Orthopaedic surgeonDr Andrew McBride Orthopaedic surgeon

Dr Andrew McBride Orthopaedic
surgeon

Dr Andrew McBride Orthopaedic surgeonDr Andrew McBride Orthopaedic surgeonDr Andrew McBride Orthopaedic surgeon
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Sub-acromial Decompression Rehabilitation

Please use the below guideline in consultation with a physiotherapist experienced in shoulder rehabilitation to teach and individualise your program

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


Week 0-2

Range of Motion

Active assisted shoulder flexion in sling


Strengthening

Scapular setting focusing on lower trapezius


Proprioception

Weight bearing through a theraball with arm by side and elbow bent


Week 2-6

Sling can be weaned as comfort permits


  • Range of Motion
  • Progress active assisted shoulder flexion to 100 degrees
  • External rotation to 45 degrees
  • Avoid active abduction


Strengthening

Scapular setting

Begin isometric shoulder internal and external rotation with arm by side


Proprioception

Progress weightbearing exercises through theraball to 70 degrees flexion 


Week 6-12

Strengthening for scapular stability and rotator cuff

  • Continue scapular setting exercises and grip strengthening.
  • Scapular setting can be done prone with horizontal extension, elbow bent with weight 
  • Abduction external rotation drills with arm in higher ranges of abduction ie 45, 60 then 90 degrees.
  • Internal rotation strengthening in differing ranges of shoulder abduction (in the plane of the scapula).
  • Progress internal and external rotation strengthening with moderate theraband. 


15 repetitions with x 3 sets

  • Internal rotation
  • External rotation
  • Shoulder flexion (bent elbow)
  • Shoulder extension (bent elbow)
  • Biceps and triceps strengthening
  • Seated rows for mid and lower trapezius strengthening
  • Bent over rows
  • Avoid all over head strengthening push exercises


Proprioception

Semicircles with a theraball in 90 degrees abduction/flexion


Week 12 to 6 months

Continue to progress range of motion and incorporating functional exercises and sport specific drills as indicated by your physiotherapist. This may include

  1. Plyometric training- supine with balls of differing weights throwing and catching supported by therapist (caution this exercise should be performed just prior to return to sport under the supervision of an experienced physiotherapist as re-dislocation is possible risk)
  2. Core stability training
  3. Proprioceptive retraining
    -plyometric type theraball work against a wall
    -body blade
  4. Use of mirrors for motor recruitment retraining
  5. Theraband strengthening in the scapular plane at increasing ranges of motion
  6. Gym type scapular strengthening including seated rows, latissimus pull downs.
  7. Gentle biceps strengthening from 4 months


Note: Avoid all overhead push exercises


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 6 weeks

Gym 8 weeks (light)

Golf 12 to 16 weeks

Swimming 6 months

Tennis 6 months

Contact sport, usually 4 months discuss with Dr McBride

Throwing sport, discuss with Dr McBride


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Orthopaedic Shoulder Surgeon Gold Coast

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