Distal Biceps Repair Rehab Program

PHASE 1: 0-4 WEEKS

• Immobilization in a splint until 1 week post-op
• ROM: increase passive elbow ROM as tolerated once splint is discontinued
  • May perform active elbow extension and pronation
  • Avoid forceful, active elbow flexion and supination
• Shoulder and wrist ROM as tolerated

PHASE 2: 4 WEEKS – 8 WEEKS

• ROM: increase as tolerated
  • May begin active elbow flexion and supination
• Strengthening: begin rotator cuff isometrics

PHASE 3: 8 WEEKS – 3 MONTHS

• ROM: progress to full ROM as pain allows
• Strengthening: formal elbow strengthening exercises as tolerated

PHASE 4: 3 MONTHS+

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