Exercise guidelines
| TYPE | SESSION LENGTH, MIN | SESSIONS/WK | NO. OF WK | COMMENTS |
|---|---|---|---|---|
| ROM | 40–60 | 3–5 | 8–12 | Focus on shoulder abduction, external rotation, and flexion movements Options include direct anatomic plane movements, scapular plane movements, or functional and combined movements (eg, hand behind head, which will combine all movements) There are no guidelines on the optimal number of repetitions or duration of each stretch |
| Strength | 30–60 | 2 | 8–12 | Resistive exercises should address all the main upper extremity muscle groups Use 1-RM to determine each patient’s lifting weight; patients should exercise at 60%–70% of estimated 1-RM Two sets of 8–12 repetitions per exercise; increase weights when the patient can perform 12 repetitions with minimal difficulty |
| Endurance | 45 | 3–5 | 8–12 | Target heart rate should be 60%–80% of heart rate reserve (Karvonen formula) or 3–5 on the Borg Rate of Perceived Exertion |
ROM—range of motion, 1-RM—1-repetition maximum.