Arthroscopic Rotator Cuff Repair
The information below is meant as a guideline only. The professional skills of a therapist must come into play for each individual patient.
Dr. Chris Evensen
PHASE ONE
0-6 WEEKS
RANGE OF MOTION
0-4 weeks: begin PROM
Limit 140° flexion, 45° ER, 20° extension, 45° abduction, NO IR.
IMMOBILIZER
Immobilized at all times day and night w/ abductor pillow
EXERCISES
Elbow/wrist ROM, grip strengthening and pendulums. Begin PROM.
Codman’s, counter slides, and scapular stabilization.
PHASE TWO
6-12 WEEKS
RANGE OF MOTION
Progress PROM to full. Start active assist and progress to AROM.
IMMOBILIZER
None
EXERCISES
Continue Phase I work; begin active- assisted exercises, begin passive IR. Continue scapular program. Begin wall climbs/ladder and wand exercise home program.
PHASE THREE
12-16 WEEKS
RANGE OF MOTION
Gradual return to full AROM
IMMOBILIZER
None
EXERCISES
Begin resistive strengthening in all planes.
Advance scapular strengthening.
Cycling/running as tolerated at 12 weeks.
PHASE FOUR
4-6 MONTHS***
RANGE OF MOTION
Full and pain-free
IMMOBILIZER
None
EXERCISES
Continue with strengthening and stabilization exercises.
Begin plyometric and throwing/racquet program, continue with endurance activities.
Maintain ROM and flexibility.
6 Months: Return to sport activities after clearance from physician.
