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Rehabilitation guidelines for Arthroscopic shoulder stabilisation and Latarjet procedure

  • The time-lines mentioned are approximate and actual progression depends on individual recovery.
  • You will need to wear a sling for 4 weeks. Please remove the sling for shower and exercises 3 times daily for 15-20 minutes each time.
  • Please follow the advice and exercises demonstrated by Dr Reddy and your therapist to give yourself the best possible chance of recovery and a good outcome.
  • Therapist to please demonstrate JPL (Jean Pierre Liotard) technique of rehab. Encourage clasped hand forward elevation (passive / active-assisted) in reclined or supine position only for first 2 weeks. Then perform same in sitting position.
  • I encourage Hydrotherapy commencing 2-3 weeks after surgery. The exercises in warm water allows for comfort, pain control and muscle relaxation.
  • No forceful stretching. Please allow movement to return gradually. This can take many months.
  • For the first 2 weeks – Apply icepacks 3-5 times daily for 10 minutes each time.
  • Remember to take pain medication as advised to assist with exercises and keeping you comfortable.

First 6 weeks

  • Strictly avoid external rotation beyond neutral and abduction of shoulder.
  • Passive and active assisted exercises can start as soon as able. Start gentle isometric deltoid and cuff exercises.
  • Elbow, wrist and hand exercises.
  • Can start driving after 4-5 weeks depending on movement achieved and arm control.

6-12 weeks

  • Cease use of the sling. Avoid pushing and pulling movements. Resume gentle ADLs.
  • Progress with ROM, but restrict ER to neutral and abduction to 90 degrees.
  • Progress with isometric rotator cuff strengthening. Start scapular stabiliser strengthening exercises. Light therabands okay. NO advanced strengthening exercises till 12 weeks.
  • Core strengthening and cardiovascular conditioning.

After 12 weeks

  • Strengthening exercises of rotator cuff and progress with scapular stabiliser strengthening and core strengthening.
  • Progress with ROM.
  • Integrate functional exercises.
  • After 4 months include sport specific training activities.

After 6 months

  • Progressive return to full sporting activities.
  • May use a brace as per therapist advice during initial return to sport.