Shoulder SLAP Repair

Indications

To repair the damaged origin of the long head of biceps tendon (Superior Labral Anterior to Posterior Tear)

Protocol

Post Operation <3 weeks

  • Wean off sling over first 3 weeks
  • Teach postural awareness and scapular setting
  • Assess kinetic chain control and provide exercises as required 
  • Regain scapula & glenohumeral stability working for shoulder joint control rather than range
  • Passive ROM as tolerated
  • Progress to Active Assisted Motion as tolerated
  • Closed Chain exercises as tolerated
  • Core stability exercises with sling (as appropriate)

3 Weeks

  • Progress to active gleno-humeral flexion, abduction, internal and external rotation
  • Scapular stabiliser exercises
  • Strengthen rotator cuff muscles
  • Posterior complex stretching
  • Increase proprioception through open & closed chain exercise

6 Weeks

  • Ensure posterior capsule mobility
  • Manual therapy if indicated to eliminate any stiffness
  • Assess biceps function and add in eccentric biceps exercises with scapula control if required
  • Progress to Sports-Specific Rehab

12 Weeks

  • Biceps strengthening.

 

Milestones

Week 6

  • Full Active range of elevation

Week 12

  • Full active range of movement with dynamic scapula stability throughout range (Concentric and eccentric)

 

Return to functional activities

Return to work

  • Sedentary job: as tolerated
  • Manual job:     12 weeks

Driving

  • 6-8 weeks

Swimming

  • Breaststroke: 6 weeks
  • Freestyle: 12 weeks

Golf

  • 12 Weeks

Lifting

  • Avoid lifting heavy items for 3 months.

Contact/High Impact Sports  (e.g. Rugby League, AFL, martial arts, racket sports and Surfing)

  • 12 weeks

 

 

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