SMALL FULL ROTATOR CUFF
SMALL FULL ROTATOR CUFF
SMALL FULL ROTATOR CUFF
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<strong>SMALL</strong> <strong>FULL</strong> <strong>ROTATOR</strong> <strong>CUFF</strong>TEARS PROTOCOLArthroscopic orMini Open TechniquesRaj Bazaz, MD(303) 321-1333 orToll free 1-888-900-1333 (outside Denver)www.western-ortho.comThis protocol is based on goal-oriented progression. Each patient is different andshould be treated according to their tolerance in therapy. Please feel free to callwith any questions.Phase I:0-6 weeksGoals:Protect surgeryDecrease pain and inflammationIncrease pain free range of motionPatient educationPlan:Ultra sling (0-6weeks):*Sling is off while sitting and with exercise after 2 weeks)Pendulum activities/cane AAROM (avoid flexion 1 st three weeks)Cervical spine stretchesScapular mobilization/strengtheningMaintain elbow/wrist ROMInitial bicep and tricep strengtheningAquatic therapyIsometric IR/ER at end phase IModalities as needed: ice; electrical stimulationAquatic therapy as needed for ROMPhase II:(6-12 weeks)Goals:Control pain and inflammationFunctional ROM near end phaseBegin/increase strengtheningHome Exercise ProgramPlan:Modalities PRNScapular and glenohumeral joint mobilizations
Advance scapular stabilization strengtheningContinue AAROM and advance to gradual RTC IR/ER and supraspinatus strengtheningwith therabandGentle deltoid strengthening when RTC is goodBegin UBE mid phase IIAdvance phase I strengtheningPhase III(12-26 weeks)Goals:Functional ROMImprove strengthImprove powerReturn to sportPlan:Self stretches to shoulderContinue RTC, scapular and deltoid strengtheningMachine weighted strengtheningCoordination exercises (ball toss, body blade)Progress back to work or sport
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