Early Mobilisation Following Arthroscopic Shoulder Stabilisation Surgery

Recent research comparing 1-week vs. 3-week immobilisation following arthroscopic anterior capsulo-labral repair (AACR) offers valuable insight into postoperative shoulder rehabilitation. The findings support shorter immobilisation periods, challenging traditional protocols and aligning with evolving evidence-based physiotherapy practice.

Key Findings from the Study

• Both 1-week and 3-week immobilisation groups achieved equivalent outcomes for pain, range of motion (ROM), function, and recurrence at 12 weeks and 30-month follow-up.
• The 1-week group regained flexion earlier, showing superior forward elevation at 4 weeks (p=0.02).
• No difference in long-term recurrence or instability was reported.
• Structured home-based rehab programs with periodic physiotherapy supervision proved effective and cost-efficient.

Clinical Implications

1. Shorter immobilisation is safe – One week of absolute immobilisation does not compromise repair integrity, pain control, or long-term function.
2. Early motion promotes recovery – Controlled early mobilisation improves patient satisfaction and reduces post-operative stiffness.
3. Personalised protocols – Immobilisation duration can be tailored to surgical findings, tissue quality, pain tolerance, and patient compliance.
4. Home-based programs are effective – Regular review and progression by a physiotherapist are key to maintaining outcomes and cost-efficiency.

At The Physio Crew, our post-shoulder stabilisation protocols incorporate this evidence to promote safe early mobility and progressive rehabilitation.

Visit us at:
Tullamarine Clinic: 1/191 Melrose Drive, Tullamarine, 3043
Carlton Clinic: 2/221 Drummond Street, Carlton, 3053

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Tullamarine: 03 9116 8691
Carlton: 03 9116 8693

Or Book Online at thephysiocrew.com.au

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