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Rotator Cuff Repair

Rotator Cuff Repair

PHASE 1: 0-4 WEEKS

  • Sling with abduction pillow at all times except for hygiene/exercises
  • Pendulum exercises and Codman’s only until 4 weeks post-op

PHASE 2: 4 WEEKS – 8 WEEKS

  • Wean from sling/abduction pillow at 4 weeks post-op
  • ROM: gentile passive forward flexion to 140°, abduction to 80°, 40° ER (at side)
  • May begin gentile IR behind back to T8
  • Strengthening: gentile active assisted exercises in supine position
  • May progress to active exercises with resistance at 6 weeks post-op
  • Begin joint mobilizations
  • Initiate deltoid and biceps strengthening at 6 weeks post-op

PHASE 3: 8 WEEKS – 3 MONTHS

  • ROM: full ROM w/o discomfort as tolerated
  • Strengthening: continue scapular stabilization, begin IR/ER isometrics, posterior capsular stretching

PHASE 4: 3 MONTHS+

  • Begin sport specific activities, increase joint velocity of motion
  • Transition to home exercise program