Superior Labral Repair (SLAP)
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
0-4 WEEKS
RANGE OF MOTION
2-4 weeks: PROM to 140° flexion, 45° ER IR as tolerated. Active/active-assisted stretch to 45° ER, 140° forward flexion, IR as tolerated.
IMMOBILIZER
0-6 weeks: Immobilized at all times day and night.
Off for gentle home exercise only.
EXERCISES
Wrist/hand ROM, grip strengthening, isometric abduction. External/internal rotation w/ elbow at side. Counter slides. Begin cuff/deltoid isometrics and pendulums at 2 weeks.
PHASE TWO
4-8 WEEKS
RANGE OF MOTION
Increase forward flexion and internal/external rotation to full ROM as tolerated.
IMMOBILIZER
None
EXERCISES
Advance isometrics in phase I to use of theraband, continue with wrist/hand ROM and grip strengthening. Begin prone extensions and scapular stabilizing exercises, gentle joint mobs. Avoid resisted shoulder flexion and bicep contraction.
PHASE THREE
8-12 WEEKS
RANGE OF MOTION
Progress to full AROM without discomfort.
IMMOBILIZER
None
EXERCISES
Advance theraband exercises to use of weights and progress phase II work. PNF strengthening, rhythmic stabilization exercises. Outdoor running and planks/push-ups at 10 weeks.
PHASE FOUR
12-20 WEEKS
RANGE OF MOTION
Full and pain-free.
IMMOBILIZER
None
EXERCISES
Strengthening as tolerated, higher reps with lower weight.
Begin functional progression to return to previous activity level*.
Throwers may begin interval throwing program at 16 weeks
