Trihealth shoulder a-scope debridement

Week 3-4: (Day 15-28)
Flexibility:

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  PROM, joint mobilization, grade 3 and 4 – emphasize post capsular mobility
  

• 
  Progress ER/IR wand and PROM exercises to 90/90 position
  
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  Wall slides flexion/scaption/abduction/ER at 0 degrees in doorway
  

Strength: add 1# at a time as strength increases

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  Progress to all prone scapular exercises: horizontal abduction in neutral, thumb down, thumb up position, flexion at 105, extension, row. Week 4 can add row with ER if no pain and ROM good
  
• 
  Sidely ER with dumbell
  
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  Standing flexion and scaption to 160 degree with thumb up, abduction to 90 degrees palm down
  
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  Theraband ER/IR at 0, progress to 90 degrees week 4 if tolerated/functional for patient
  
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  Theraband horizontal abduction
  
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  Theraband D2 flexion/ext
  
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  Theraband row
  
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  Week 4 if doing well can add impulse ER/IR/Horiz Abd, and Bodyblade at 0 ER/IR, and 90 degree flexion/scaption
  
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  Progress rhythmic stabilization drills to unsupported, multi-positional D2 and Abd/ER ranges
  
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  If patient is doing well week 4 can begin light manual work: punches, D2 conc/conc, sidely ER conc/ecc, and prone row conc/ecc. Patient should be able to comfortably lift 3# throughout full ROM in order to initiate manuals
  
• 
  Wall push up plus (elbows straight)
  

Modalities: continue ice-EGS, ultrasound as needed