Total Shoulder Replacement Rehab Protocol
Keys to a Successful Outcome
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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.
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Never over-stress the anterior shoulder/capsule.
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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.
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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