Postoperative Rehab Shoulder Replacement
Dr. Brian Hill provides a structured postoperative physical therapy and rehabilitation guide for patients recovering from shoulder replacement surgery.
Core Overview & Rehabilitation Phases
- Sling & Joint Protection:
- Emphasizes the importance of wearing the protective sling during early healing to allow soft tissue and artificial components to settle safely.
- Guidelines on when and how to safely remove the sling for gentle mobility exercises.
- Early Passive Range of Motion (Phase 1):
- Pendulum Exercises: Lean forward and allow the surgical arm to dangle loosely, moving it in small, gentle circles using body momentum rather than shoulder muscles.
- Passive External Rotation & Forward Elevation: Gentle assistance using the non-surgical hand or a cane/stick to restore mobility without actively engaging the repaired muscles.
- Active-Assisted & Active Motion (Phase 2):
- Transitioning into active-assisted stretching (e.g., wall climbing or pulley systems) as healing progresses.
- Gradual restoration of overhead reach, internal rotation, and functional range of motion.
- Strengthening & Functional Recovery (Phase 3):
- Light resistance band (theraband) exercises targeting the rotator cuff, deltoid, and scapular stabilizer muscles.
- Progression toward everyday functional activities, lifting restrictions, and long-term joint health care.
