Shoulder Stabilization — Posterior / Posterior-Inferior Capsular Shift

Mammoth Orthopedic Institute / Sierra Park PT · Brian B. Gilmer MD; Jennifer McMahon PT

Weight-Bearing

N/A (shoulder) — postoperative brace in 30-45 deg abduction, 15 deg ER x4-6 weeks (all times except exercise/bathing)

Key Restrictions

Postop brace in 30-45 deg ABD and 15 deg ER x4-6 weeks; no overhead activity; no flexion or ABD x4 weeks; avoid posterior GH glides throughout ALL phases; IR limited to 40 deg wks 6-9; no WB before wk 10; strength 70% contralateral for Phase III progression; MD clearance required for Phase IV

Timeline & Phases

4 phases: Phase I (0-6 wks, brace, PROM/AAROM within restrictions — ER to 25-30 deg at 30-45 ABD, no flex/ABD x4 wks), Phase II (6-12 wks, full AROM except IR by wk 8, no WB until wk 10, isotonic deltoid/biceps/serratus from wk 6, IR at 90/90 from wk 10), Phase III (12-20 wks, high-speed strengthening, PNF, dynamic stabilization, eccentric training), Phase IV (20+ wks, interval programs, plyometrics, return to sport)

Notes

References Brigham and Women's Hospital; avoid posterior GH glides throughout all phases is a consistent key restriction; IR limited 40 deg wks 6-9; no WB before wk 10; Jennifer McMahon PT 2/15/2017; Gilmer MD March 2017; strength 70% contralateral required for Phase III; RTS criteria: full ROM, no pain, MD clearance

Surgeon / Author

Brian B. Gilmer MD; Jennifer McMahon PT

Published

March 2017