Arthroscopic SLAP Repair

Phase I (Weeks 0-4)

1. Sling immobilization at all times except for showering and rehab under guidance of PT
2. Range of Motion – AAROM → AROM as tolerated
   • Restrict motion to 140° of Forward Flexion, 40° of External Rotation and Internal Rotation to stomach
   • No Internal Rotation up the back / No External Rotation behind the head
3. 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)
4. Heat/Ice before and after PT sessions

Phase II (Weeks 4-6)

1. Discontinue sling immobilization
2. Range of Motion – Increase Forward Flexion, Internal/External Rotation to full motion as tolerated
3. 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
4. Modalities per PT discretion

Phase III (Weeks 6-12)

1. Range of Motion – Progress to full AROM without discomfort
2. 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
3. Modalities per PT discretion

Phase IV (Months 3-6)

1. Range of Motion – Full without discomfort
2. 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
3. Modalities per PT discretion