Rotator cuff repair >2cm
This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase.
Pre-op
- ROM Exercises
- Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers.
Day 1 - 3 weeks
- Mastersling with body belt
- Wrist/hand/finger exercises
- Elbow flex/ext, pro/supination
- Shoulder girdle exercises
- Scapula setting exercises
- Pendular exercises
- Passive ROM in all directions as tolerated
- Mobility stage 1
3-6 weeks:
- Do not force or stretch
- Gentle isometric exercises in neutral as pain allows
- Wean off sling
- Begin active assisted exercises ensuring glenohumeral movement, not scapulothoracic.
- Mobility Stage 2
6 weeks +:
- Progress to full active exercises in all ranges
- Begin rotator cuff strengthening (pain free)
- Closed chain exercise
- Begin stretching the capsule
- Begin proprioceptive exercises
- Strenthening exercises
- Strenthening exercises
Milestones
| ||
4 Weeks | > 50% pre op passive ROM | |
6 Weeks | Active assisted ROM equal to pre op level | |
12 Weeks | Active ROM equal to pre op level |
Return to functional activities
Driving 6 Weeks
Swimming Breaststroke: 6 weeks
Freestyle: 3 months
Golf 3 Months
Lifting 3 Months (Then guided by the strength of the individual patient)
Return to work Sedentary job: 3 weeks
Manual job: Guided by Surgeon
