PHASE I- Acute
Goals:
- Decrease pain and inflammation
- Regain elbow and wrist ROM
Week 1-2: AAROM, AROM
- Putty/gripping exercises
- Isometrics: Elbow & wrist
- Isotonic strengthening: wrist
PHASE II- Sub-Acute:
Goals:
- Maintain full elbow ROM
- Progress strengthening exercises
- Gradually increase functional demands
Week 3-5:
- Initiate shoulder strengthening exercises
- Continue ROM Initiate light resistance elbow exercises
- Initiate PROM & AAROM: supination & pronation
Week 6:
- Continue PROM and AAROM: all directions
- Progress shoulder program
- Progress elbow strengthening program
PHASE III- Advanced Strengthening
GOALS:
- Maintain full ROM
- Increase power, endurance, strength
- Initiate sport activities
Week 7:
- Continue PROM & AAROM: all directions
- Initiate eccentrics for elbow
- Initiate plyometric exercise program
- Continue isotonics: shoulder, forearm, wrist
- Continue until 12 weeks
References:
Brotzman SB, Wilk KE. Clinical Orthopaedic Rehabilitation. 2nd ed. Philadelphia, PA: The Curtis Center; 2003.
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