Rotator Cuff Repair
- Performed for Painful symptomatic rotator cuff tear.
Rotator Cuff Repair (Arthroscopic or Open)
- 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.
- ROM Exercises
- Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers.
Day 1 - 3 weeks
- Polysling with body belt
- Wrist/hand/finger exercises
- Elbow flex/ext, pro/supination
- Scapula setting exercises
- Pendular exercises
- Passive ROM in all directions as tolerated
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.
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
- >50% pre op passive ROM
- Active assisted ROM equal to pre op level
- Active ROM equal to pre op level
Return to functional activities
- 6 Weeks
- Breaststroke: 6 weeks
- Freestyle: 3 months
- 3 Months
- 3 Months (then guided by the strength of the individual patient)
Return to work
- Sedentary job: 3 weeks
- Manual job: Guided by Surgeon may be between 3-6 months.
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