PHYSICAL THERAPY PRESCRIPTION:  
 
LEFT OR RIGHT SHOULDER ARTHROSCOPY WITH COMBINED ANTERIOR, 
SUPERIOR, & POSTERIOR LABRAL REPAIR 
 
Weeks 3-6: Phase I 
 
Sling Immobilizer: At all times except for showering and exercise 
Exercises: 
 Passive ER to 45 and extension to neutral 
 
 
 Passive FF in scapular plane to 140 
 
 
AROM wrist/elbow  
 
 
Scapular “pinches”  
 
 
Pain free submaximal deltoid isometrics 
 
 
Modalities as needed 
Advancement Criteria: ER to 45 
  FF in scapular plane to 140 
  Minimal pain and inflammation 
 
Weeks 6-10: Phase II 
 
Sling Immobilizer: At all times except for showering and exercise 
 
       Discontinue at week 8 
Exercises:  
Passive & Active assisted FF in scapular plane – no limits (wand exercises, pulleys)  
 
 
Passive & Active assisted ER – no limits 
    
 
Manual scapular side-lying stabilization exercises 
 
 
IR/ER submaximal, pain free isometrics 
 
 
Modalities as needed 
 
 
2 
Advancement Criteria: FF to 160 
 
 
 
 ER to 60 
 
 
 
 Normal scapulohumeral rhythm  
 
 
 
 Minimal pain and inflamation 
 
 
 
Weeks 10-14: Phase III 
 
Exercises:  
 AAROM for full FF and ER 
 
     
AAROM for IR – no limits 
 
 
IR/ER/FF isotonic strengthening 
 
 
Scapular and latissimus strengthening  
 
 
Humeral head stabilization exercises 
 
 
Begin biceps strengthing 
 
 
Progress IR/ER to 90/90 position if required 
 
 
General upper extremity flexibility exercises 
 
 
Advancement Criteria: Normal scapulohumeral rhythm 
 Full upper extremity ROM 
 Isokinetic IR/ER strength 85% of uninvolved side 
             Minimal pain and inflamation   
 
Weeks 14-18: Phase IV 
 
Exercises:  
Continue full upper extremity strengthening program 
 
 
Continue upper extremity flexibility exercises  
 
 
Activity-specific plyometrics program 
 
 
Begin sport or activity related program 
 
 
Address trunk and lower extremity demands 
 
 
 
Discharge Criteria: Isokinetic IR/ER strength equal to uninvolved side 
        Independent HEP 
       
   
        Independent, pain-free sport or activity specific program   