ROTATOR CUFF REPAIR REHABILIATION PROTOCOL
STAGES : | BRACE | ROM | THERAPEUTIC EXERCISE | ADVISE TO PATIENT |
Pre rehab | Not reqired | Normal ROM of elbow,wrist.finger | Elbow,wrist,finger ROM exercise, scapular exercise ,core exercise | Avoid heavy weight lifting, avoid jerky movement |
Post rehab PHASE-1 (upto 6 weeeks) | Shoulder brace with abductor pillow | -Shoulder resting position (Elbow keep 90degree position) -ER upto neutral rotation | Finger flexion, Finger extension, Finger abduction, Wrist flexion, Wrist extension, Wrist supination-pronation, Elbow flexion- extension, Scapula keep in military position | Avoid heavy weight lifting, avoid jerky movement, avoid affected side sleeping |
PHASE-2 (6-8 weeks) | Shoulder brace with abductor pillow | -Shoulder resting position (Elbow keep 90degree position) -ER upto neutral rotation | Continue above all exercise, Scapular protrection, retraction, depression, elevation, Deltoid (Ant. , Middle & Post) isometric, Table glide, | Avoid heavy weight lifting, avoid jerky movement, avoid affected side sleeping |
PHASE-3 (2-4 months ) | Discontinue shoulder brace, only in travelling | Shoulder in normal position | Continue above all exercise, shoulder passive movement, gentle pendulum | Avoid heavy weight lifting |
PHASE-4 (3-4 months) | No brace | Shoulder in normal position | Continue above all exercise, Shoulder active assisted exercise, Shoulder active exercise, Wand exercise, Capsular stretching ,Shoulder circumduction, Wall glide, Multiple angle isometric, Scapular strengthening exercise | Avoid heavy weight lifting overhead, Start moderate weight lifting in arm adduction |
PHASE-4 (>4 months) | No brace | Shoulder in normal position | -Continue above all exercise, Shoulder strengthening exercise with send bag & therabend -Activity specific exercise | Start Mild to Moderate weight lifting overhead |
NOTE