Office Hours: M-F 8:30 AM - 5:00 PM
Physical Therapy Hours: M-F 7:00 AM - 8:00 PM
Rehab Protocols

Arthroscopic Rotator Cuff Repair

Phase I (Weeks 0-4)

  • Sling immobilization with supporting abduction pillow to be worn at all times except for showering and rehab under guidance of PT
  • Range of Motion – True Passive Range of Motion Only to Patient Tolerance
    • Goals: 140° Forward Flexion, 40° External Rotation with elbow at side, 60-80° Abduction without rotation, Limit Internal Rotation to 40° with the shoulder in the 60-80° abducted position
    • Maintain elbow at or anterior to mid-axillary line when patient is supine
  • Therapeutic Exercise – No canes or pulleys during this phase
    • Codman Exercies/Pendulums
    • Elbow/Wrist/Hand Range of Motion and Grip Strengthening
    • Isometric Scapular Stabilization
  • Heat/Ice before and after PT sessions

Phase II (Weeks 4-8)

  • Discontinue sling immobilization
  • Range of Motion
    • 4-6 weeks: Gentle passive stretch to reach ROM goals from Phase I
    • 6-8 weeks: Begin AAROM -> AROM as tolerated
  • Therapeutic Exercise
    • 4-6 weeks: Being gentle AAROM exercises (supine position), gentle joint mobilizations (grades I and II), continue with Phase I exercises
    • 6-8 weeks: Progress to active exercises with resistance, shoulder flexion with trunk flexed to 45° in upright position, begin deltoid and biceps strengthening**
  • Modalities per PT discretion

 Phase III (Weeks 8-12)

  • Range of Motion – Progress to full AROM without discomfort
  • Therapeutic Exercise
    • Continue with scapular strengthening
    • Continue and progress with Phase II exercises
    • Begin Internal/External Rotation Isometrics
    • Stretch posterior capsule when arm is warmed-up
  • Modalities per PT discretion

 Phase IV (Months 3-6)

  • Range of Motion – Full without discomfort
  • Therapeutic Exercise – Advance strengthening as tolerated: isometrics -> therabands -> light weights (1-5 lbs),
    • 8-12 repetitions/2-3 sets for Rotator Cuff, Deltoid and Scapular Stabilizers
    • Return to sports at 6 months if approved
  • Modalities per PT discretion

Comments:

**IF BICEPS TENODESIS WAS PERFORMED – NO BICEPS STRENGTHENING UNTIL 8 WEEKS POST-OP

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, based in Brookfield, CT and Danbury, CT, provides comprehensive orthopaedic care, sports medicine, joint replacements, and interventional pain management to patients of all ages.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, provides orthopedic care including: orthopedic examination, foot surgery, ankle surgery, hand surgery, hip surgery, hip replacement, hip resurfacing, knee surgery, knee replacement, orthopedic oncology, shoulder surgery, elbow surgery, and MAKOplasty.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, also provides sports medicine, physical therapy, pain management, interventional pain management, radiology, x-ray, ultrasound, cortisone injection, and PRP injections.

Orthopaedic Specialists of Connecticut, also known as Orthopedic Specialists of Connecticut, treats sprains, fractures, ligament tears, arthritis, musculoskeletal pain, neurological pain, cancer pain, neck pain, and back pain.

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