Week | Progressive rehabilitation (PR) | Week | Usual care (UC) |
---|---|---|---|
1- 5 | Shoulder immobilized in standard sling. | 1- 5 | Shoulder immobilized in standard sling. |
2- 5 | Physiotherapist guided PROM exercises PROM Restrictions: ABD + FLEX: None IR < 90 degrees in neutral ER < 45 degrees in neutral | 2- 5 | Physiotherapist guided PROM exercises PROM Restrictions: ABD + FLEX: None IR < 90 degrees in neutral ER < 45 degrees in neutral |
2 | Close-chain AAROM and AROM exercises AAROM and AROM Restrictions: ABD + FLEX < 90 degrees IR < 90 degrees in neutral ER = 0 degrees in neutral | ||
3- 5 | Close-chain AAROM and AROM exercises AAROM and AROM Restrictions: ABD + FLEX < 90 degrees IR < 90 degrees in neutral ER < 45 degrees in neutral | ||
6-12 | Therapist-supervised AROM (FLEX, ABD, EXT, ER and IR) with gradually (individually) increased loading and progression from close-chain to open-chain exercises. | 6-12 | Therapist-supervised AROM (FLEX, ABD, EXT, ER and IR) with gradually (individually) increased loading and progression from close-chain to open-chain exercises. |
12-20 | Continuation of rehabilitation in the community | 12-20 | Continuation of rehabilitation in the community |