Trihealth shoulder a-scope debridement

Week 10 – 11: (Day 64-77)
Add one hand plyos:

2# wall dribble (semicircle and 90/90), kneeling D2 conc/ecc, 90/90 to plyoback, ER/IR and bicep theraband plyo, ER flip, supine D2, 15 foot form throw to wall

Week 12-16: (Day 78-112)
Initiate interval throwing program/interval sport program if criteria is met,
Criteria to start interval sport program:

1. 
   Full, functional, painfree range of motion
   
2. 
   85 – 90% strength of external and internal rotation compared to the opposite upper extremity
   
3. 
   external/internal strength ratio at least 58 – 62%
   
4. 
   adequate peak torque #, and peak torque to body weight ratio on biodex (see chart)
   
5. 
   adequate microfet (at least meet low # on standards)
   
6. 
   Clearance from MD
   

Criteria to return to sport:

1. 
   Isokinetic testing:
   

Ext/Int rotation ratio at least 65% dominant arm,

Peak Torque to body weight ratio at 300 degrees/sec ER at least 14 and IR at least 20

Peak Torque to body weight ratio at 180 degrees/sec ER at least 15 and IR at least 19

ER and IR strength at least 90% of uninvolved UE

2. 
   Completed interval sport program without symptoms
   
3. 
   5/5 MMT all shoulder and scapular groups
   
4. 
   Clearance from MD
   

Please call with any questions!

Beacon Orthopaedics and Sports Medicine

Summit Woods [phone]

West [phone]
Updated 1/2011