Shoulder Arthroscopy: Rotator Cuff Repair Rehabilitation Protocol
0-6 Weeks Post Op
Goal: Protection; passive ROM
- Sling for six weeks post operatively; No active ROM
- Wrist/Elbow ROM (if not contraindicated by concomitant surgery)
- Scapular Ex’s: elevation, depression, retraction, protraction with the use of manual resistance
- Pendulum
- Passive ROM: may use shoulder pulleys or manual assistance
- Progress as tolerated
- Goal: near full passive ROM by 6 weeks
- 4 weeks: may begin sub-maximal deltoid isometrics
6-12 Weeks Post Op
Goal: Restoration of ROM/ ADLs, light strengthening
- Advance ROM in all directions as tolerated
- Begin AAROM ex’s standing or supine with wand and progress to true AROM as tolerated
- Wall Walks for ROM and anterior and inferior capsule stretching
- Standing IR/ER with light T-band/tubing
- Standing isotonics for Rotator Cuff strengthening: advance weight to 6-8lbs as tolerated in all motions
- Scapular Stabilization ex’s:
- Elevation with shoulder shrugs
- Retraction – prone rows, banded/light cable low rows
- Protraction – supine punches
- Proprioception ex’s to include rhythmic stabilization, physioball balance exercises
12-24 Weeks Post Op
Goal: Progress strength and power
- Begin conventional weight lifting with machine weights and progress to free weight if desired as tolerated
- Any overhead or out-of-frame lifting should be light to begin
- Begin upper extremity plyometrics, no simulated throwing
- Begin eccentric exercises for posterior cuff
- Week 16: May begin light ball tossing
- Week 18: May begin interval throwing program after passing strength test- if applicable
- Week 24: Return to sport after clearance from physician