Rehab & Recovery · Program 19

Shoulder Replacement Rebuild

For people cleared after a total shoulder replacement, focused on late-stage banded strengthening of the new joint. It wakes the new joint with gentle rotations, circles, and scapular activation, then loads it carefully with overhead reaches, wall slides, external rotation, and reverse flies. The finish builds a strong new shoulder with A-shape pulls, Y-pulls, face pulls, anti-protraction, and rows.

Focus · Post-replacementFrequency · 4-5 days / weekSession · 10-15 min
Shoulder Replacement Rebuild cover art

Phase 1 · Wake the New Joint

Wake the new joint gently. Gentle external rotations, shoulder circles, and scapular activation restore controlled, pain-free motion around the replacement. Easy movement first is what sets up safe loading.

01

Gentle External Rotations (Uncrossed)

2-3 sets of 12-15 reps (per side)Low Anchor

Universal recovery exercise with light external rotation. Promotes blood flow and gentle activation.

How To
1Perform gentle external rotation with very light resistance.
2Focus on blood flow, mobility, and gentle activation.
Coaching Cues
Very light resistance
focus on mobility
gentle movements
promote blood flow and recovery
Muscles Activated
External Rotators
02

Multi-Level Shoulder Circles (Variable)

2 sets of 10-12 slow repsMid Anchor

Universal mobility exercise for comprehensive shoulder movement. Adaptable to all programs and populations.

How To
1Perform large shoulder circles with light resistance in both directions.
2Focus on full range of motion and circulation.
Coaching Cues
Large range of motion
both directions
gentle resistance
focus on mobility and circulation
Muscles Activated
Scapular Stabilizers
03

Scapular Activation (Uncrossed)

2-3 sets of 12-15 repsLow Anchor

General scapular activation for multiple programs. Excellent for rehab and postural training.

How To
1Activate scapular muscles through various pulling and stabilization patterns.
2Focus on scapular control and activation.
Coaching Cues
Focus on scapular movement quality
control patterns
activate commonly inhibited muscles
Muscles Activated
Lower TrapeziusSerratus Anterior

Phase 2 · Load It Carefully

Load the new joint carefully. Overhead reaches, wall slides, external rotation, and reverse flies build strength through the ranges the new joint needs to own. Progressive, careful load is what makes the replacement capable.

01

Overhead Reaches (Uncrossed)

2 sets of 10-12 slow repsHigh Anchor

Promotes overhead mobility and activation. Excellent for swimming and overhead mobility restoration.

How To
1Reach arms fully overhead against light resistance.
2Focus on full extension and overhead mobility restoration.
Coaching Cues
Full overhead reach
emphasize shoulder elevation
gentle stretch feel
promote mobility
Muscles Activated
Anterior DeltoidLatissimus DorsiSerratus Anterior
02

Scapular Wall Slides (Uncrossed)

2 sets of 10-12 slow repsHigh Anchor

Promotes optimal scapular mechanics and addresses dyskinesis. Excellent for postural correction.

How To
1Stand with back against wall, arms overhead against wall.
2Slide arms up and down while pulling against bands, maintaining wall contact.
Coaching Cues
Keep back against wall
slide arms smoothly
focus on scapular movement
maintain wall contact throughout
Muscles Activated
RhomboidsLower TrapeziusSerratus Anterior
03

External Rotation Series

2-3 sets of 12-15 reps (per side)Mid Anchor

Comprehensive external rotation training at multiple angles. Excellent for endurance and rotator cuff health.

How To
1Perform external rotation at different arm angles (0, 45, 90 degrees).
2Focus on endurance and varied positions.
Coaching Cues
Vary arm angles
slow controlled tempo
focus on endurance
maintain form throughout series
Muscles Activated
Posterior DeltoidInfraspinatusTeres MinorExternal Rotators
04

Reverse Fly (Uncrossed)

2-3 sets of 12-15 repsHigh Anchor

Fundamental posterior chain exercise. Excellent for postural correction and activation across all programs.

How To
1Stand facing anchor point, arms extended forward at shoulder height.
2Pull arms apart horizontally, squeezing shoulder blades together.
Coaching Cues
Keep slight bend in elbows
lead with pinkies
pause at full retraction
avoid using momentum
Muscles Activated
Posterior DeltoidRhomboidsMiddle Trapezius

Phase 3 · A Strong New Shoulder

Build a strong, dependable new shoulder. A-shape pulls, Y-pulls, face pulls, anti-protraction, and rows develop the everyday strength that lets you use the arm freely. You finish with a new shoulder you can rely on.

01

A Shape Pulls

2-3 sets of 12-15 repsMid Anchor

Isolated scapular retraction at 45 degree arm angle. Targets mid-trapezius and rhomboids for postural correction. Excellent for addressing rounded shoulder posture and upper crossed syndrome. Can be used in isolation or as part of combination sequences.

How To
1Stand facing mid-level anchor, arms extended forward and down at approximately 45 degree angle forming letter A shape.
2Pull bands back horizontally, squeezing shoulder blades together while maintaining arm angle.
3Focus on scapular retraction without excessive shoulder elevation.
4Return with control to start position.
Coaching Cues
Maintain 45 degree arm angle throughout
lead with elbows and pinkies
avoid shrugging shoulders
focus on horizontal pull
squeeze shoulder blades at end range
control eccentric phase
chest up and proud throughout.
Muscles Activated
Posterior DeltoidRhomboidsMiddle TrapeziusExternal RotatorsScapular Stabilizers
02

Y-Pulls (Uncrossed)

2-3 sets of 12-15 repsLow Anchor

Activates lower trap and serratus anterior. Critical for scapular upward rotation and overhead function.

How To
1Stand facing low anchor, arms at sides.
2Pull bands up and out forming a Y shape overhead.
3Focus on lifting through shoulder blades.
Coaching Cues
Initiate movement from shoulder blades
keep arms straight
reach tall at top position
control the descent
Muscles Activated
Posterior DeltoidLower TrapeziusSerratus Anterior
03

Face Pulls

2-3 sets of 12-15 repsHigh Anchor

Premier corrective exercise for the upper back and shoulder complex. Combines scapular retraction with shoulder external rotation to heavily target the posterior deltoids, infraspinatus, teres minor, and mid-to-lower trapezius. Vital for reversing rounded shoulder posture and building rotator cuff resilience.

How To
1Stand facing away from the high anchor point with a narrow stance.
2Begin with arms fully extended forward at shoulder height, holding the resistance bands with a neutral or slightly overhand grip.
3Pull the hands back toward the face by flaring the elbows out to the sides.
4Finish by pulling the hands completely back past the ears while keeping the elbows high and bent at a 90 degree angle, achieving full external rotation at the peak contraction.
5Mindfully extend the arms back to the starting position.
Coaching Cues
Keep the elbows high and aligned with the shoulders throughout the pull
focus on pulling the hands apart as they approach your ears
squeeze the shoulder blades tightly together at peak contraction
avoid shrugging the shoulders up toward the neck
maintain a strong braced core to prevent the lower back from arching.
Muscles Activated
04

Anti-Protraction Strengthening (Uncrossed)

2-3 sets of 12-15 repsLow Anchor

Counters forward shoulder posture from prolonged sitting. Strengthens posterior chain.

How To
1Stand facing low anchor, resist forward pull of bands by maintaining retracted shoulder position.
2Focus on posterior strength.
Coaching Cues
Resist protraction forces
maintain good posture
engage posterior chain
counter forward positioning
Muscles Activated
Posterior DeltoidRhomboidsMiddle Trapezius
05

Single Arm Rows (Alternating)

2-3 sets of 12 reps (per side)High Anchor

Unilateral pulling strength. Excellent for functional strength and imbalance correction.

How To
1Stand facing high anchor, one arm extended forward.
2Pull band to ribs with rowing motion.
3Alternate arms or single arm focus.
Coaching Cues
Pull elbow to ribs
squeeze shoulder blade
maintain athletic stance
control the return
Muscles Activated
Posterior DeltoidLatissimus DorsiRhomboids
Get the gear

Train this program with Iron Neck shoulder bands

Cloth wrapped bands with graduated resistance and a door anchor for high, mid, and low setups. Everything this program calls for, in one kit.

Prehab and Performance Shoulder Bands (Set of 6)
Prehab and Performance Shoulder Bands (Set of 6) $199.00
Set your resistance

Light, medium, or heavy?

We call for an effort level instead of a specific weight, because the right resistance depends on you, the movement, and where you are in your training. For the sets and reps listed on each exercise, pick the resistance that makes the last few reps feel like the level shown.

Light

You finish the set with several clean reps still in the tank. The work stays easy and fully controlled from the first rep to the last.

Medium

You could manage a few more reps at the end, but not many. The final reps take real effort while your form holds.

Heavy

You reach the last prescribed rep with little or nothing left. Completing every rep with good form is genuinely hard.

These are starting points, not rules. Everyone is built differently, so adjust to fit you: size down if your form breaks before the final rep or a movement aggravates a symptom, and only size up once every rep feels smooth and pain free. When you are unsure, choose the lighter option.