Stage I: Initial Recovery
1
The foundational phase focuses on passive range of motion and protecting the surgical site during the critical initial healing period.
Time Frame: Weeks 1-3
Rehabilitation Focus: Emphasizes passive shoulder range of motion exercises and active exercises for hand, wrist, and elbow.
Key Details: Supervised by a physiotherapist; includes progressive flexion, external rotation, and internal rotation, performed up to four times daily.
Stage II: Active-Assisted Exercises
2
This transitional phase introduces controlled active movements while maintaining protection of the healing tissues.
Time Frame: Weeks 4-8
Rehabilitation Focus: Active-assisted shoulder exercises with restrictions on external rotation (20°) and abduction (90°).
Key Details: Exercises continue for about 4-6 weeks; initial surgical implant is removed after radiographic confirmation of proper healing.
Stage III: Strengthening Phase
3
The advanced phase focuses on rebuilding strength and preparing for return to full functional activities.
Time Frame: Weeks 9-12
Rehabilitation Focus: Introduction of isotonic strengthening exercises.
Key Details: Restrictions on terminal active shoulder range of motion and stretches are lifted by 12 weeks; unrestricted sports activities can resume by approximately 16 weeks, based on tolerance.