Rotator Cuff Repair

This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase.

Pre-op

• ROM Exercises
• Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers.

Day 1 - 3 weeks

• Mastersling with body belt
• Wrist/hand/finger exercises
• Elbow flex/ext, pro/supination
• Shoulder girdle exercises
• Scapula setting exercises
• Pendular exercises
• Passive ROM in all directions as tolerated
• Level 1 Exercises

3-6 weeks:

• Do not force or stretch
• Gentle isometric exercises in neutral as pain allows
• Wean off sling
• Begin active assisted exercises ensuring glenohumeral movement, not scapulothoracic.
• Level 2 Exercises

6 weeks +:

• Progress to full active exercises in all ranges
• Begin rotator cuff strengthening (pain free)
• Closed chain exercise
• Begin stretching the capsule
• Begin proprioceptive exercises
• Level 3-4 Exercises

Milestones

> 50% pre op passive ROM

Active assisted ROM equal to pre op level

Active ROM equal to pre op level

Return to functional activities

Driving 6 Weeks

Swimming Breaststroke: 6 weeks

Freestyle: 3 months

Golf 3 Months

Lifting 3 Months (Then guided by the strength of the individual patient)

Return to work Sedentary job: 3 weeks

Manual job: Guided by Surgeon

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