Table 2.
ROM Restriction and Duration, Strengthening, Return to Sport
| Study | ROM Restriction | Duration of ROM Restriction | Initiation of Strengthening | Targeted Strengthening | Return to Sport |
|---|---|---|---|---|---|
| Arciero et al.5 | Week 4 | Rotator cuff and scapular muscles | 4 Months | ||
| Castagna et al.28 | Active-assisted and passive shoulder abduction | 4 weeks | Week 8 | Rotator cuff, deltoid and periscapular muscles | 5 Months if return to normal ROM, shoulder muscle strength and endurance |
| Chapus et al.29 | Active-assisted and passive movements | 3 weeks | 3 months | ||
| De Carli et al.6 | Abduction and flexion of the shoulder | 4 weeks | Week 4 | Rotator cuff and scapular muscles | 4 months for noncontact sports |
| 5 months for contact sports | |||||
| DeBerardino et al.19 | Any ROM | 4 weeks | Week 8 | 4 months | |
| Aggressive external rotation | 6 weeks | ||||
| Dickens et al.18 | Any ROM | 12 weeks | Week 12 | 6 months | |
| Gigis et al.30 | Active shoulder movements | 3 weeks | Week 12 | 5 months | |
| Hughes et al.20 | Passive and active-assisted range of motion | 2-4 weeks | Approximately week 6-8 | 6 months | |
| Jones et al.21 | Active and active-assisted ROM | 4 weeks | Week 8 | Rotator cuff, deltoid and periscapular muscles | 4 months |
| Kramer et al.22 | Any ROM | 6 weeks | Week 12 | Dependent on sport-specific training and sport/activity demands | |
| Mazzocca et al.2 | Active assisted ROM | 2 weeks | 6 months, depending on ROM and strength comparison to contralateral shoulder | ||
| Nixon et al.26 | Upon completion of sport-specific rehabilitation | ||||
| Owens et al.23 | Any ROM | 4 weeks | Week 8 | 4 months | |
| Aggressive external rotation | 6 weeks | ||||
| Ozturk et al.24 | Active-assisted ROM | 3 weeks | Week 6 | Rotator cuff, deltoid and scapular muscles | 6 months |
| Active ROM in all planes | 5 weeks | ||||
| Rahu et al.31 | Passive ROM | 4 weeks | 4 months | ||
| Saper et al.25 | Active external rotation, extension, or abduction of the shoulder | 6 weeks | Week 7 | Upon completion of rehabilitation protocol (approximately 7 months) | |
| Torrance et al.27 | Any ROM | 2-4 weeks | Week 2-4 | 3 months |
ROM, range of motion.