-A +A

Anatomic Coracoclavicular Reconstruction Rehab

PHASE I - IMMEDIATE POST-SURGICAL PHASE (DAYS 1 - 14)

Goals :

  • Maintain integrity of the repair
  • Diminish pain and inflammation
  • Prevent muscular inhibition

Days 1 - 14

  • "Gunslinger" brace
  • Pendulum exercises 4x per day
  • Elbow/hand gripping & ROM exercises
  • Cryotherapy/Ice for pain and inflammation - 15-20 minutes every hour
  • Sleeping - sleep in sling or brace

Precautions to be maintained through Week 6:

  • Maintain arm in brace/sling, remove only for exercise
  • No lifting of objects
  • No excessive or aggressive stretching or sudden movements
  • No supporting of body weight by hands
  • No bimanual activities (pulling on pants/socks, etc.)

PHASE II - PROTECTION PHASE (WEEKS 3 - 6)

Goals:

  • Allow healing of soft tissue
  • Do not overstress healing tissue
  • Gradually restore full AA/PROM by Week 6
  • Decrease pain & inflammation

Weeks 3-6:

  • Continue pendulum exercises
  • Start formal physical therapy(PT)
    • AAROM, gentle PROM as tolerated to match uninvolved shoulder
  • Continue use of cryotherapy/ice as needed if still swollen

PHASE III - INTERMEDIATE PHASE (WEEKS 7 - 12)

Goals:

  • Maintain full A/AA/PROM
  • Dynamic shoulder stability

Weeks 7-12:

  • Discontinue use of brace/sling
  • Continue AA/PROM
  • Work on scapulo-humeral rhythm
  • May use arm for light activities of daily living(ADL's)
  • May begin gentle AROM
  • No lifting or strengthening

PHASE IV – EARLY STRENGTHENING PHASE (WEEKS 13 - 16)

Goals:

  • Maintain full non-painful ROM
  • Enhance functional use of upper extremity
  • Improve muscular strength

Weeks 13-16:

  • Continue ROM & stretching to maintain full ROM
  • Self capsular stretches
  • Iometric strengthening on

PHASE V – PROGRESSIVE STRENGTHENING (WEEKS 17 - 23)

Goals:

  • Maintain full non-painful ROM
  • Enhance functional use of upper extremity
  • Improve dynamic muscular strength

Weeks 17-23:

  • Continue stretching, if motion is tight
  • Begin dynamic strengthening and scapular strengthening (no push-ups)
  • May initiate interval sport program (i.e., golf, etc)

PHASE VI – RETURN TO UNRESTRICTED ACTIVITY (WEEKS 24+)

Goals:

  • Maintain full non-painful ROM
  • Enhance functional use of upper extremity
  • Regain full strength and unrestricted activity

Weeks 24+:

  • Continue stretching, if motion is tight
  • Continue dynamic strengthening and scapular strengthening
  • May initiate contact sports

Please use the link provided to learn more about anatomic coraclavicular reconstruction rehabilitation.   

Download Anatomic Coracoclavicular Reconstruction Rehabilitation (PDF)