PHASE I: (WEEK 0-6)
- Wear sling except for exercises and showering
- NO AROM
- Elbow & wrist ROM & grip strengthening
- Start Codmans
WEEK 2:
- AAROM in supine (wand)
- FLEX to 90°
- ABD to 90°
- IR to belly
- ER 30° @ neutral
WEEK 3:
- Submaximal isometrics pain free, *Avoid ABD
WEEK 4:
- PROM
- FLEX to 135°
- ABD to 135°
- Pulleys AAROM
- FLEX 90°-110°
- ABD 90°-110°
WEEK 6:
- Pt should have 75% of PROM compared to uninvolved side
PHASE II: (WEEKS 6-12)
- D/C immobilizer
- Regain full PROM through:
- Stretching
- Joint mobilizations
- AAROM to AROM
- Begin PNF
- Begin PRE in painfree range
- AVOID IMPINGEMENT
WEEKS 6-8:
- Submaximal isometrics in all planes
WEEKS 8-10:
- Begin theraband exercises
- Start with IR & ER in neutral
- Work toward FLEX & ABD to 90°
- Then EXT & ADD
WEEKS 10-12:
- Begin free weights
- Start with standing FLEX, ABD
- Side-lying ER
- Supine IR
- Hughston exercises started in prone
- Emphasis on proper scapular stabilization and control
WEEK 12:
- Patient should have full AROM and PROM with good scapular control
- Adequate strength to perform pain free ADL’s
- PT visits may decrease to 1-2x/month to progress home program
PHASE III: (3-6 MONTHS)
- Aggressive stretching
- Increase resistance strengthening program
- Progress back to sports or more strenuous work related functional activities
- General timeline:
- 3-4 months to return to full activity
- 9-12 months to reach full rehab potential
- At 6 month follow up, hope to have 90% of strength compared to uninvolved side & pain free with activities
Click here to download: Open Rotator Cuff Repair
