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