REHABILITATION PROTOCOL:ARTHROSCOPIC SLAP REPAIR

Phase I (Weeks 0-4)

• Sling immobilization at all times except for showering and rehab under guidance of PT

• Range of Motion: AAROM🡪AROM as tolerated

• Restrict motion to 140° Forward Flexion, 40° External Rotation Internal Rotation to stomach

• No Internal Rotation up the back/No External Rotation behind the head

• Therapeutic Exercise

• Wrist/Hand Range of Motion

• Grip Strengthening

• Isometric Abduction, Internal/External Rotation exercises with elbow at side

• No resisted Forward Flexion/Elbow Flexion (to avoid stressing the biceps origin)

• Heat/Ice before and after PT sessions

Phase II (Weeks 4-6)

• Discontinue sling immobilization

• Range of Motion – Increase Forward Flexion, Internal/External Rotation to full motion as tolerated

• Therapeutic Exercise

• Advance isometrics from Phase I to use of a theraband within AROM limitations

• Continue with Wrist/Hand Range of Motion and Grip Strengthening

• Begin Prone Extensions and Scapular Stabilizing Exercises (traps/rhomboids/levator scapula)

• Gentle joint mobilization

• Modalities per PT discretion

Phase III (Weeks 6-12)

• Range of Motion – Progress to full AROM without discomfort

• Therapeutic Exercise – Advance theraband exercises to light weights (1-5 lbs)

• 8-12 repetitions/2-3 sets for Rotator Cuff, Deltoid and Scapular Stabilizers

• Continue and progress with Phase II exercises

• Begin UE ergometer

• Modalities per PT discretion

Phase IV (Months 3-6)

• Range of Motion – Full without discomfort

• Therapeutic Exercise – Advance exercises in Phase III (strengthening 3x per week)

• Sport/Work specific rehabilitation

• Return to throwing at 4.5 months

• Return to sports at 6 months if approved

• Modalities per PT discretion