Dr. Peter Johnston

PT VIDEOS

Protocol A: Initial Post-Op (Shoulder Arthroscopy)

• Supine AAROM: Flexion with Opposite Arm

• Supine Wand AAROM: Flexion

• Supine Wand AAROM: External Rotation

• Scapular Retraction

• Standing Towel AAROM: Internal Rotation

Protocol B: Initial Shoulder Labral / Rotator Cuff Repair

 2 weeks after surgery:

• Scapular Retraction

• Supine Wand AAROM: External Rotation

4 weeks after surgery:

• Supine Forward Elevation

• Supine Wand AAROM: External Rotation

• Self-Stretch: Shoulder External Rotation in Doorway (at neutral)

• Scapular Retraction

8 weeks after surgery:

• Start Physical Therapy

Protocol C: Total Shoulder Arthroplasty

Anatomical (TSA): Start 1 day after surgery:

• Supine AAROM: Flexion with Opposite Arm

• Supine Wand AAROM: Flexion

• Supine Wand AAROM: External Rotation

• Elbow Flexion AROM

• Wrist AROM 4-Way (Gravity minimized)

• Scapular Retraction

Reverse (rTSA): Start 2 weeks after surgery:

• Supine AAROM: Flexion with Opposite Arm

• Supine Wand AAROM: Flexion

• Supine Wand AAROM: External Rotation (to 40deg)

• Elbow Flexion AROM

• Wrist AROM 4-Way (Gravity minimized)

• Scapular Retraction

Protocol E: Capsular Stretches

• Self-Stretch: Posterior Capsule / Cuff Stretch

• Self-Stretch: Inferior Capsule Stretch

• Self-Stretch: Anterior Capsule / External Rotation Stretch

• Self-Stretch: Posterior Capsule (Horizontal ADD + Flexion)

• Self-Stretch: Anterior Capsule / Extension Stretch with Dowel

• Self-Stretch: Shoulder Scaption in Doorway

• Side-lying Sleeper Stretch: Internal Rotation