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781-429-7700 (P)
781-429-7701 (F)
team@ortho.boston
AC Joint Reconstruction Rehab Protocol
Keys to a Successful Outcome
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Avoid excessive reaching and external/internal rotation for the first 6 weeks.
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Do not elevate the surgical arm above 70 degrees in any plane for the first 4 weeks.
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Do not lift any objects above 5 pounds for the first 6 weeks.
Phase | Brace | ROM | WB | Exercise |
|---|---|---|---|---|
Weeks 0-6* | Worn at all times** | No shoulder A/AAROM; gentle PROM week 2; limitations: FF 90°, ABD 80°, EXT 0°, ER/IR 45° (w/arm in 45°ABD), scapular retraction | NWB | Gentle shoulder pendulum exercises w/ therapist; elbow/wrist/hand ROM and grip strengthening; begin isometrics when comfortable |
Weeks 6-12 | None | Can begin PROM->AAROM->AROM; Increase ROM parameters by 15° per week IF NOT PAINFUL | NWB | No resistance exercises other than pain-free isometric exercises (deltoid, RTC), wall slides, gentle RTC and scapular strengthening @ 8 weeks, no pushing exercises |
Months 3-6 | None | Gradual return to full AROM; humeral head stabilization; horizontal adduction stretch okay, IR behind back OK | PWB | Advance strengthening as tolerated: isometrics->therabands->light weights; initiate push-ups onto wall; scapular and latissimus strengthening; seated bench @ week 16 |
Months 6-9 | None | FAROM | WBAT | Progress with exercises as tolerated without restrictions |
* No horizontal adduction until 6 weeks. At 6 weeks, active horizontal only until week 12. At week 12, can initiate horizontal adduction stretch.
**Worn day and night and off for hygiene and exercises only, avoid unsupported arm
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