Superior Capsular Reconstruction

Rehab Protocol

Keys to a Successful Outcome

  • For the first two weeks, wear the brace at all times and avoid any movement of the shoulder.

  • Avoid any weight lifting for at least the first 12 weeks.

  • Avoid any excessive motion of the surgical arm in all planes for the first 4 weeks.

Phase
Brace
ROM
WB
Exercises
Weeks 0-4
Weeks 0-2: Wear at all times*; Weeks 2-6: Worn daytime only
Weeks 0-2: No ROM; Weeks 2-4: PROM; limit: Flex 90°, Ext 20°, ER 45°, Abd 45°, ABER 45°
NWB
Weeks 0-2: Elbow/wrist ROM, grip strength/pendulums; Weeks 2-6: PROM to ER to 45°; Codman's, posterior cap mobilizations; closed chain scapular ex
Weeks 6-12
None
Begin A/AAROM; Advance to Flex 140°, Abd 135°, ABER 90°, ABIR 45°**
NWB
Begin active-assisted ex, deltoid/RTC isometrics at 8 weeks; begin resistive ex for scap stabilizers, bi/triceps, and RTC***
Weeks 12-16
None
Progress to full AROM
PWB
Begin ER and lat eccentrics, GH stabilization; muscle endurance activities; cycling/running as tolerated at 12 weeks.
Months 4-6
None
FAROM
PWB
Progress scap stabilization and eccentric strengthening; scap perturbation; begin plyo and throwing/racquet program; maintain ROM/flexibility
Months 6-8
None
FAROM
WBAT
Progress Phase IV activities, return to full activity as tolerated

 

*Off for hygiene and gentle home exercise

**if a distal clavicle excision is performed, horizontal adduction is restricted for 8 weeks post-op

***if a biceps tenodesis is performed, avoid active flexion of biceps and eccentric loads on biceps for 6 weeks post-op