Arthroscopic Acromioplasty Protocol

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33 Sewall Street

Portland, ME 04102
(207) 828-2100

www.orthoassociates.com

ARTHROSCOPIC ACROMIOPLASTY PROTOCOL

Includes Treatments for:


Arthroscopic Acromio-Clavicular Excision
Arthroscopic Partial Thickness Rotator Cuff Debridement

Post-op

0-1 Week Sling worn for comfort


1. Pendulum exercises 3x/day minimum
3. Elbow and wrist AROM 3x/day minimum
4. Cryocuff/ ice: days 1-2 as much as possible, then post activity
for pain

1-2 Weeks Avoid active elevation (anterior deltoid) until 6 weeks


1. PROM/AAROM (wand, pulley) within pain tolerance
2. Sub-maximal isometrics for shoulder musculature
3. Manual resistance for scapular motions
4. Postural awareness education
5. Gentle soft tissue mobilization
6. Modalities as indicated for pain or inflammation
7. Therapist supervised UBE for motion, avoiding substitution or
Impingement

2-6 Weeks 1. Progress PROM and AROM as tolerated


2. Joint mobilization for scapula and glenohumeral mobility
(posterior
capsule stretching)
3. Strengthening exercises for scapular stabilizers and rotator cuff.
Emphasis of strengthening on high reps and low weight, with
postural
awareness. May include PRE’s, theratube/ band, PNF and weight
equipment
Goal: Involved shoulder AROM grossly WNL without shoulder hiking
by 6 weeks
33 Sewall Street
Portland, ME 04102
(207) 828-2100

www.orthoassociates.com

 
6-12 Weeks 1. Progress to independent strengthening program.
2. Reinforce postural awareness, quality of exercise techniques,
and proper PRE progression.

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