Rehabilitation Guidelines for Pec Major Repair

Post-Operative Rehabilitation Guidelines for Pec Major Repair

Weeks 0-2

• Sling at all times.  Keep incision dry.
• May begin active/passive elbow/wrist/hand ROM

Weeks 2-6

• Continue sling.
• Continue elbow/wrist/hand ROM
• Shoulder passive ROM only:
• Keep arm in front of axillary line. (no shoulder extension)
• Supine FF to 90°.
• ER to 30°
• Begin Cuff Isometrics.

Weeks 6-12

• May D/C sling.
• Begin Active/Active Assist shoulder motion.
• Restore Full passive shoulder ROM (No Limits).
• Cuff/Scapular stabilizer strengthening.

Week 12- 6 Months

• No immobilization.
• Progress with strengthening.
• Allow light bench press.

May resume full strengthening activities at 6 months