Adhesive Capsulitis — Manipulation / Arthroscopic Capsular Release

Saint Louis University (SLUCare)

Weight-Bearing

N/A

Key Restrictions

DC sling post-op day 1; ROM all planes to tolerance immediately; 4-5 visits first week then 3x/week; functional activities begin wk 6

Timeline & Phases

Wks 1-6: DC sling POD 1, anti-inflammatory modalities, ROM all planes to tolerance (ABD/FF/ADD/ER/IR), Codmans/pendulums/pulleys/cane AROM, daily HEP, biceps/triceps isotonics + elbow/wrist motion, scapular stabilization, cardiovascular training (running/bike), anterior and posterior capsular stretching; 4-5 visits wk 1 then 3x/week; Wks 6+: ROM all planes to tolerance, UE PREs, scapular stabilization/strengthening, IR/ER isotonics below horizontal (emphasize eccentrics), biceps PREs, shoulder/neck flexibility, modalities PRN, functional activities (ADLs/sports) beginning wk 6, plyometrics

Notes

SLU Sports Medicine and Shoulder Service; diagnosis: adhesive capsulitis; covers shoulder manipulation and arthroscopic capsular release; 4-5 visits week 1 then 3x/week; 4-month protocol