Subacromial Decompression/Distal Clavicle Excision
The information below is meant as a guideline only. The professional skills of a therapist must come into play for each individual patient.
Dr. Chris Evensen
PHASE ONE
0-4 WEEKS
RANGE OF MOTION
PROM as tolerated*.
IMMOBILIZER
0-2 weeks: Worn for comfort only.
2-4 weeks: Discontinue.
EXERCISES
0-2 weeks: Elbow/wrist/hand ROM, pendulums, wall climbs. Shoulder AAROM/AROM.
2 weeks: Deltoid cuff isometrics
Begin scapular protraction/retraction.
PHASE TWO
4-8 WEEKS
RANGE OF MOTION
Increase as tolerated to full.
IMMOBILIZER
None
EXERCISES
Advance to therabands and dumbbells as tolerated, capsular stretching at end-ROM to maintain flexibility.
PHASE THREE
8-12 WEEKS
RANGE OF MOTION
Progress to full without discomfort.
IMMOBILIZER
None
EXERCISES
Advance strength training as tolerated including PNF. Begin eccentrically resisted motions.
Advance to sport and full activity as tolerated after 12 weeks.
PHASE FOUR
12+ WEEKS
RANGE OF MOTION
Full AROM in all planes.
IMMOBILIZER
None
EXERCISES
Begin weight-bearing activities in prone and quadruped positions.
Advance overhead cuff strengthening.
Begin sport-specific exercises after week 16 when cleared by MD.
