Scapular Stabilization Exercises Post-AC Joint Reconstruction

Rehabilitation after acromioclavicular (AC) joint reconstruction requires a structured approach. Scapular stabilization is essential to restore shoulder mechanics, reduce pain, and prevent reinjury.

Phase I: Protection and Early Motion (Weeks 0–4)

• Immobilisation: Sling support protects the surgical site during healing.
• Gentle Motion: Hand, wrist, and elbow movements maintain circulation and mobility.
• Pain and Swelling Control: Cryotherapy and careful positioning assist with symptom relief.
• Scapular Awareness: Begin with gentle scapular setting exercises, focusing on retraction and depression without shoulder elevation.

Phase II: Controlled Activation (Weeks 4–8)

• Scapular Retraction: Seated or standing retractions against light resistance bands improve mid-trapezius activation.
• Serratus Anterior Work: Wall slides and supine punches engage scapular protraction in a controlled manner.
• Low Row Exercise: Resistance band rows performed at waist height promote scapular stability.
• Neuromuscular Re-education: Closed-chain activities like quadruped scapular protraction help refine movement patterns.

Phase III: Strengthening and Dynamic Stability (Weeks 8–16)

• Prone Horizontal Abduction: Performed with light weights to activate posterior deltoid and scapular stabilisers.
• Dynamic Hug Exercise: Resistance bands challenge coordinated protraction and retraction patterns.
• Push-Up Plus: Modified push-ups with added scapular protraction strengthen serratus anterior.
• Perturbation Training: External resistance applied during arm elevation improves stability under dynamic conditions.

Phase IV: Advanced Functional Training (Months 4–6)

• Overhead Drills: Medicine ball wall throws and rebound catches simulate sport-specific demands.
• Plyometric Push-Ups: Progressions restore power and shoulder girdle control.
• Sport-Specific Reconditioning: Overhead athletes gradually return to throwing or contact drills.
• Work Simulation: Functional lifting and carrying tasks restore readiness for occupational demands.

Long-Term Considerations

• Symmetry Monitoring: Ensure balanced strength between the operated and non-operated shoulder.
• Postural Training: Address rounded shoulders and thoracic posture to reduce reinjury risk.
• Maintenance Exercises: Continued scapular stabilization ensures long-term shoulder health.

Conclusion

Scapular stabilization exercises after AC joint reconstruction are vital for restoring mechanics, enhancing strength, and enabling safe return to activity. A progressive, phased program ensures protection while promoting recovery.

👉 Learn more about rehabilitation on our Happy Therapy Australia Blog
👉 Contact our team for tailored recovery support: Happy Therapy Australia Contact