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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