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 toleratedRestrict motion to 140° of Forward Flexion, 40° of External Rotation and Internal Rotation to stomachNo Internal Rotation up the back/No External Rotation behind the head
- 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
- Therapeutic ExerciseWrist/Hand Range of MotionGrip StrengtheningIsometric Abduction, Internal/External Rotation exercises with elbow at sideNo resisted Forward Flexion/Elbow Flexion (to avoid stressing the biceps origin)
- 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 ExerciseAdvance isometrics from Phase I to use of a theraband within AROM limitationsContinue with Wrist/Hand Range of Motion and Grip StrengtheningBegin Prone Extensions and Scapular Stabilizing Exercises (traps/rhomboids/levator scapula)Gentle joint mobilization
- 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 StabilizersContinue and progress with Phase II exercisesBegin UE ergometer
- 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 rehabilitationReturn to throwing at 4.5 monthsReturn to sports at 6 months if approved
- Sport/Work specific rehabilitation
- Return to throwing at 4.5 months
- Return to sports at 6 months if approved
- Modalities per PT discretion