Rehabilitation Guidelines Superior Labrum Repair

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Verma or either Physician Assistant supersede the instructions below and should be followed.

Week 0-1:

• Patient to do Home Exercises given to the post-op (pendulums, elbow ROM, wrist ROM, grip strengthening)

Weeks 1-4:

• No IR up the back; No ER behind the head
• ROM goals: 90º FF/40º ER at side
• No resisted FF or biceps until 6 weeks post-op as to not stress the biceps root
• Sling for 4 weeks
• Heat before/ice after PT sessions

Weeks 4-8:

• D/C sling
• Increase AROM 140° FF/ 40° ER at side/ 60° ABD/ IR behind back to waist
• Strengthening (isometrics/light bands) within AROM limitations
• Also start strengthening scapular stabilizers (traps/rhomboids/lev. scap/etc)
• Physical modalities per PT discretion

Weeks 8-12:

• If ROM lacking, increase to full with gentle passive stretching at end ranges
• Advance strengthening as tolerated: isometrics à bands à light weights (1-5 lbs); 8-12 reps/2-3 set per rotator cuff, deltoid, and scapular stabilizers

Months 3-12:

• Only do strengthening 3x/week to avoid rotator cuff tendonitis
• Begin UE ergometer
• Begin eccentrically resisted motions, plyometrics (ex weighted ball toss), proprioception (ex body blade), and closed chain exercises at 12 weeks.
• Begin sports related rehab at 3 months, including advanced conditioning
• Return to throwing at 4 ½ months
• Throw from pitcher’s mound at 6 months
• MMI is usually at 12 months

**May require Functional Sports Assessment (FSA) 5-6 months post op for clearance to return to sport