PT Resources

ARTHROSCOPIC ACROMIOPLASTY PROTOCOL

Includes Treatments for:

Arthroscopic Acromio-Clavicular Excision
Arthroscopic Partial Thickness Rotator Cuff Debridement

Post-op

0-1 Week

Sling worn for comfort
  • 1. Pendulum exercises 3x/day minimum
  • 2. Elbow and wrist AROM 3x/day minimum
  • 3. Cryocuff/ ice: days 1-2 as much as possible, then post activity for pain

1-2 Weeks

Avoid active elevation (anterior deltoid) until 6 weeks
  • 1. PROM/AAROM (wand, pulley) within pain tolerance
  • 2. Sub-maximal isometrics for shoulder musculature
  • 3. Manual resistance for scapular motions
  • 4. Postural awareness education
  • 5. Gentle soft tissue mobilization
  • 6. Modalities as indicated for pain or inflammation
  • 7. Therapist supervised UBE for motion, avoiding substitution or Impingement

2-6 Weeks

  • 1. Progress PROM and AROM as tolerated
  • 2. Joint mobilization for scapula and glenohumeral mobility (posterior capsule stretching)
  • 3. Strengthening exercises for scapular stabilizers and rotator cuff. Emphasis of strengthening on high reps and low weight, with postural awareness. May include PRE’s, theratube/ band, PNF and weight equipment
Goal: Involved shoulder AROM grossly WNL without shoulder hiking by 6 weeks

6-12 Weeks

  • 1. Progress to independent strengthening program.
  • 2. Reinforce postural awareness, quality of exercise techniques, and proper PRE progression.

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