Week 3-4: (Day 15-28)
Flexibility:
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PROM, joint mobilization, grade 3 and 4 – emphasize post capsular mobility
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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
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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
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Wall push up plus (elbows straight)
Modalities: continue ice-EGS, ultrasound as needed
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