AC Reconstruction Rehabilitation Program
PHASE I: 0-8 WEEKS POST-OP
Range Of MotioN
Gentle supine PROM as tolerated avoiding horizontal adduction
Sling
0-6 weeks: Remove only for exercise and hygiene which should be performed supine with gravity eliminated
Therapeutic Exercise
Closed chain scapular stabilizers, deltoid and rotator cuff while supine or with gravity eliminated
ROM and strengthening: elbow and shoulder isometric exercises
PHASE II: 8-16 WEEKS POST-OP
Range Of MotioN
Active ROM as tolerated in prone position
Sling
None
Therapeutic Exercise
Progress Phase I exercises
Active assisted strength work in all ROMs
Begin vertical positioned strengthening at 12 weeks
PHASE III: 16-24 WEEKS POST-OP
Range Of MotioN
Progress to full AROM in all planes
Sling
None
Therapeutic Exercise
Advance strengthening as tolerated
Progress Phase II and Phase I exercises
Begin sport-specific exercises after week 20 when cleared by MD