Trihealth shoulder a-scope debridement

Weights and bands

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  Continue all previous exercises – increase resistance as tolerated
  
• 
  Progress push up plus to quadruped, over table with UE on balls etc.
  
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  Week 7- seated press up (elbows straight- focus on scapula)
  

Modalities: continue as needed

Core work and Leg strength

Week 8-9: (Day 50- 63)
Criteria to start plyometrics/weight training:

• 
  Full, painfree range of motion
  
• 
  Negative impingement signs
  
• 
  MMT of at least 4/5
  

Flexibility:

Continue to obtain full/functional ROM – all stretches, mobilization prn
Strength:

• 
  Progress bodyblade to D2, 90/90 positions
  
• 
  Isokinetic ER/IR scapular plane at 180/240/300 degrees/second
  
• 
  Add weight training (follow ant instability precautions for throwers). No behind the head military press- modify to in front of the plane of the body
  

Plyometrics:

Initiate 2 handed plyometrics (start with a 4# medicine ball): Chest, Rotation, Woodchop, Tricep Slam, Overhead for throwers. May also include lateral toss, underhand, backward throw if necessary for sport/function