REHABILITATION PROTOCOL FOR SLAP REPAIR

Weeks 0 to 3: Protective PhaseSling: At all timesROM Goals:REHABILITATION PROTOCOL FORSLAP REPAIRRaj Bazaz, MD(303) 321-1333 orToll free 1-888-900-1333 (outside Denver)www.western-ortho.comForward Flexion: Protected and progress to 90 degreesInternal Rotation: Protected and progress to 65 degreesExternal Rotation: Protected and progress to 30 degreesTherapeutic Exercises:ROM: Passive ROM to above goals/pendulumsStrengthening: *No biceps contraction allowedIsometrics: Submaximal rotator cuff isometricsIsotonics: PeriscapularWeeks 3 to 6: Early StrengtheningSling: WeanedROM Goals:Forward Flexion: Progressed to 145 degreesInternal Rotation: Progressed to fullExternal Rotation: Progressed to 65 degreesTherapeutic Exercises:ROM: Progress from passive to active assisted to above goalsStrengthening: *No biceps contraction allowedIsometrics: Maximal rotator cuff isometricsIsotonics: Periscapular, care strengtheningWeeks 6 to 12: Advanced Strengthening PhaseROM Goals: Progressed to full

Therapeutic Exercises:ROM: ActiveStrengthening: Gentle biceps contraction allowed, advancedscapular stabilizationIsotonics: Isotonics in functional ranges, integrate scapularstabilization and core strengtheningWeeks 12 Plus: Function/Sports Return PhaseROM Goals: Full, pain freeTherapeutic Exercises:Strengthening: Sports specific, plyometrics, advanced coreintegration