Rehabilitation Following Arthroscopic Subacromial Decompression
Phase 1: Immediate postoperative period (weeks 0-1)
- Finger, wrist, and elbow AROM (3x/day minimum).
- Pendular exercises (3x/day minimum).
- Ice for pain and inflammation.
- May do general conditioning program, i.e. walking, stationary bicycle, etc.
- Sling worn for comfort only.
Keep incision clean and dry for first two weeks.
Phase 2: Passive and active motion (weeks 1-2)
- ADL’s as tolerated.
- Begin PROM and AAROM guided by pain.
- Gentle soft tissue massage.
- Scapular/glenohumeral joint mobilization as tolerated.
- Postural and proprioceptive training.
- Continue icing as needed.
Phase 3: Early strengthening (weeks 2-6)
- Normal AROM at 6 weeks.
- Eliminate shoulder hitching.
- Continue PROM and AROM as tolerated.
- Continue scapular/glenohumeral joint mobilisation (posterior capsular stretches) as tolerated.
- Start strengthening program for scapula stabilisers and rotator cuff (exercise bands, weights - low weights, high repetitions, no hitching).
Phase 4: Advanced strengthening (weeks 6-12)
- Continue stretching if motion is tight.
- Continue strengthening (progressive resistance exercises).
- Reinforce postural training (avoid shoulder hitching).