Postoperative adjunct therapy |
Type of immobilization, length of immobilization, brace for return to play |
Early range of motion (ROM) |
Periscapular stretching, elbow/wrist/hand, pendulum, supine forward elevation (FE), supine external rotation (ER), supine cross-chest adduction, wand, sleeper stretch, hand up spine, shoulder pinches, scapular clocks, standing internal rotation (IR) |
Passive ROM start dates and goals |
Passive forward flexion (PFF), passive ER, passive IR |
Late ROM exercises and goals |
Isometric deltoid, scapular stabilization, submaximal isometrics, isotonic resistance, serratus punches, normal scapulothoracic motion, full passive ROM, start active ROM, full active ROM |
Resistance exercises and strengthening |
Band training, light resistance, cocking weight, plyometrics, medicine ball, closed chain training, push-ups, resisted ER and IR cables, dumbbell training/free weights, light biceps curls, bench press, lat pull-downs/pull-ups |
Sport-specific activities |
Aquatic therapy (ROM), jogging, stationary bike, walk on treadmill, stairmaster, jogging, running, swimming, upper body ergometer, sport-specific activities (nonoverhead), overhead sports activities (throwing), throw from mound, return to sport, return to game |