Table 3.

Plan of Care Progression.

Phase	Goals	Treatment
Phase One (Pain Control)	•Pain Reduction •Cervicothoracic stabilization •Improve range of motion of glenohumeral joint	Exercise •Supine longus colli neuromuscular re-education   ∘10 reps x 10 sec, 2x/day •Seated Scapular Retraction (AROM)   ∘10 reps x 5 sec, 2x/day •Isometric lower trap activation (supine)   ∘10 reps x 5 sec, 2x/day •Serratus Push-ups Against Table (45 degree incline)   ∘8-12 reps, 3 sets, 1x/day Manual therapies •Cervical Traction •20-30 seconds, 3-5 repetitions •Cervical Lateral Glides   ∘With and without UE pre-positioning   ∘Contralateral grade III mobilizations for 30 seconds, 3-5 reps •Glenohumeral Rhythmic Stabilization (supine)   ∘30 degrees of shoulder flexion, 15-20 seconds, 3-5 reps
Phase Two (Strengthening)	•Increase global scapulothoracic strength/endurance •Improve rotator cuff activation •Increase core stabilization	Exercise •Upper Body Ergometer (Forward/Backward)   ∘2 minutes each direction •Prone Shoulder Extension/Horizontal Abduction/Scaption   ∘8-12 reps, 2-3 sets, 1x/day •Side Lying External Rotation   ∘8-12 reps, 2-3 sets, 1x/day •Push Up-Plus   ∘8-12 reps, 2-3 sets, 1x/day •Dumbbell Resisted D2 Shoulder Flexion   ∘8-12 reps, 2-3 sets, 1x/day Manual •Glenohumeral Rhythmic Stabilization (supine)   ∘90 degrees of shoulder flexion, 15-20 seconds, 3-5 reps
Phase Three (Return to Play)	•Improve dynamic stability of glenohumeral joint •Increase joint loading of glenohumeral joint	Exercise •Physioball Walkouts   ∘10 reps, 2 sets •Physioball Push Up Plus   ∘8-12 reps, 2 sets •Turkish Get-Up (15 lbs.)   ∘8 reps, 3 sets •Medicine Ball Toss against Rebounder (2-11 lbs.)   ∘5-8 reps, 2 sets (chest pass, diagonal chops) •Dynamic Chest Press Against BOSU   ∘5-8 reps, 3 sets •Closed Kinetic Chain Plyometrics   ∘Closed Kinetic Chain Upper Extremity Stability Tests    ▪15 seconds, 3 sets   ∘Plyometric Pushup    ▪5-8 reps, 3-5 sets •Football Catching Drills

Reps  =  repetitions, AROM  =  active range of motion