Beginner Shoulder Post-Surgical Rehabilitation

Glenohumeral joint maintained in sling immobilization per surgical protocol,Passive forward flexion limited to 90 degrees respecting rotator cuff repair precautions,External rotation restricted to 0 degrees protecting labral repair,Scapular stabilization exercises initiated with scapular retraction in neutral,Pain controlled below 3/10 at rest with prescribed analgesics,AC joint unloading through proper sling positioning and postural awareness

→ Advance to: Phase II - Early Passive Motion

Passive forward flexion progressed to 120 degrees within tolerance,Passive external rotation at 0 degrees abduction allowed to 30 degrees,Glenohumeral joint capsule mobility maintained with pendulum exercises,Subscapularis activation avoided protecting biceps tendon repair,Scapular kinematics assessed for proper upward rotation pattern,Pain reduced to 2/10 or less with activity

→ Advance to: Phase III - Controlled Motion

Active forward flexion achieved to 145 degrees with proper scapulohumeral rhythm,External rotation at 90 degrees abduction permitted to 60 degrees,Glenohumeral internal rotation gain within 15 degrees of contralateral side,Labral stability tested with pain-freefunctional movements,Rotator cuff isometric contractions initiated at submaximal effort,Scapular control demonstrated during active arm movements

→ Advance to: Phase IV - Strengthening

Full active range of motion achieved in all planes,External rotation strength at 90 degrees abduction at least 4/5 on MMT,Internal rotation strength progressed with resistance bands,Biceps tendon loaded through progressive resistance protocol,Scapular strengthening including serratus anterior and lower trapezius,Functional reaching tasks completed without compensation

→ Advance to: Phase V - Return to Function

Rotator cuff strength graded 5/5 on MMT in all planes,Glenohumeral proprioception restored with closed-chain exercises,AC joint load tolerance demonstrated through overhead activities,Biceps tendon endurance measured with resisted flexion repetitions,Scapulohumeral rhythm normal during fast movement tasks,Patient-reported outcome scores at acceptable functional level

→ Advance to: Discharge/Maintenance

Full symmetric range of motion compared to contralateral shoulder,Rotator cuff and biceps tendon strength within 10% of contralateral side,Scapular stability maintained during complex athletic movements,Patient discharged with independent home exercise program,Return to desired activity level achieved or cleared,No apprehension signs with labral stability testing