Article Snippets and link. With visual representation of statistics and tools for passive range of motion exercises.

Shoulder Consensus Protocol

The American Society of Shoulder and Elbow Therapists

US Population of 60+ Aged Adults

By the age of 60, over 30% of the population has had a rotator cuff tear. By the age of 80, that number increases to 60%
  • There is not any strict human evidence to support immobilization versus early, protected range of motion exercises.

  • 96% of ASSET respondents start with limited range of motion exercises.

  • Passive range of motion exercises can be used to minimize any chance for postoperative range of motion loss while simultaneously protecting the repair.

Goals of Shoulder Rehabilitation

The shoulder consensus protocol was created with three different goals in mind.

  1. Re-establish full, symmetrical passive and active motion of the injured shoulder.

  2. Balance glenohumeral and scapulothoratic force couples.

  3. Restore pain free function to the shoulder.

Suggested Programming

This following is the suggested protocol for those post-shoulder surgery. As always, these are general guidelines and there may be variations from patient-to-patient.

  1. Start with two weeks of strict immobilization of the shoulder

  2. Begin passive protected range of motion exercises for 2 weeks post-operatively.

  3. At 6 weeks, begin active range of motion exercises.

  4. Once the patients has reach 12 weeks of post-operation, gradual strengthening progressions can begin.

           

Glenohumeral Joint