Total Shoulder Replacement Rehab Protocol
Keys to a Successful Outcome
Early protection of the subscapularis is essential to its integrity. This is the main reason 4–6 weeks of bracing is required and AROM and strength exercises are delayed until 6 weeks from surgery.
Never over-stress the anterior shoulder/capsule.
While lying supine for the first 6 weeks, a small pillow or towel roll should be placed behind the elbow to avoid shoulder hyperextension / anterior capsule stretch / subscapularis stretch.
Forceful stretching and mobilization/manipulation is NEVER indicated at any phase of therapy.
*Worn day and night; off for therapy/hygiene
**Used for sleeping only from weeks 6-8 and removed gradually during the day