Table 1.
Week | Progressive rehabilitation (PR) | Week | Usual care (UC) |
---|---|---|---|
1- 5 | Shoulder immobilized in standard sling. | 1- 5 | Shoulder immobilized in standard sling. |
2- 5 | Physiotherapist guided PROM exercises PROM Restrictions: ABD + FLEX: None IR < 90 degrees in neutral ER < 45 degrees in neutral |
2- 5 | Physiotherapist guided PROM exercises PROM Restrictions: ABD + FLEX: None IR < 90 degrees in neutral ER < 45 degrees in neutral |
2 | Close-chain AAROM and AROM exercises AAROM and AROM Restrictions: ABD + FLEX < 90 degrees IR < 90 degrees in neutral ER = 0 degrees in neutral |
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3- 5 | Close-chain AAROM and AROM exercises AAROM and AROM Restrictions: ABD + FLEX < 90 degrees IR < 90 degrees in neutral ER < 45 degrees in neutral |
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6-12 | Therapist-supervised AROM (FLEX, ABD, EXT, ER and IR) with gradually (individually) increased loading and progression from close-chain to open-chain exercises. | 6-12 | Therapist-supervised AROM (FLEX, ABD, EXT, ER and IR) with gradually (individually) increased loading and progression from close-chain to open-chain exercises. |
12-20 | Continuation of rehabilitation in the community | 12-20 | Continuation of rehabilitation in the community |
PR progressive rehabilitation, UC usual care, ROM range of motion, PROM passive range of motion, ABD abduction, FLEX flexion, IR Internal rotation, ER external rotation, AAROM assisted active range of motion, AROM active range of motion, EXT extension