Rotator Cuff Repair

Weeks 1 - 2

 

  • Passive range of motion 

  • Soft tissue manipulation 

  • Isometric exercises - 50%

  • Initiate loading on elbows 

  • Continuous passive Movement (CPM) - increasing 8° Flexion and 4° external rotation every other day. 

  • Begin home exercise program

  • Example exercises 

    • Isometric Flexion, Extension, External Rotation, Internal Rotation 

 

Weeks 3 - 4

  • Increase Isometrics exercises to 100% 

  • Cross friction massage to scars and adhesion tissue 

  • Introduce assisted active range of motion - broomstick exercises

  • Introduce quadraped loading (hands and knees) 

  • Initiate sling removal - start with 1 hour out of the sling. 

  • Scapular stability exercises

  • Example Exercises 

    • Broomstick shoulder flexion, external rotation, quadraped rocking

 

Weeks 5 - 6

  • Introduce resisted shoulder range of motion - Therabands 

  • Introdcue Weighted exercises

  • Introduce shoulder bike / UBE

  • Establish full range of motion into flexion

  • Introduction of frontal plane movement (lateral movement)

  • Example Exercises

    • Broomstick exercises with Hold at the top, Theraband resisted flexion, extension, Internal rotation, External Rotation, biceps, triceps,

 

Weeks 7 - 8

  • Establish full ROM into Abduction 

  • Advance theraband exercises

  • Continued to improve scapular activation (shoulder blade)

  • Patient should be completely out of the sling

  • Assisted circumduction exercises

  • Advancing quadraped exercises (hands and knees)

 

Weeks 9 - 12

  • Establish full ROM

  • Improve strengthing in all planes

  • Preparation  for work duties if needed

  • Improve all ADLs that were effected post-op

  • Preparation for work conditioning if needed.