PT Resources

LARGE ROTATOR CUFF REPAIR PROTOCOL

Includes Treatments for:

Open Repair Large Rotator Cuff Tear
Arthroscopic Repair Large Rotator Cuff Tear

Post-op

0-2 Weeks

Sling/swathe at all times, except for exercises
PROM limits to: 90 pure abduction, 20 extensions, 70 internal
rotations (not behind back)
  • 1. Pendulum exercises 3x/day minimum
  • 2. PROM within pain tolerance
  • 3. Elbow and wrist AROM 4x/day minimum
  • 4. Cryocuff/ ice: days 1-2 as much as possible, then post activity for pain

2-6 Weeks

Sling/swathe at all times, except for exercises, bathing, or
sitting quietly. ROM limits continued.
  • 1. PROM within limits and pain tolerance
  • 2. Manual resistance for scapular motions
  • 3. Postural awareness education
  • 4. Gentle soft tissue mobilization and joint mobilization
  • 5. Modalities as indicated for pain or inflammation

6-12 Weeks

Sling for comfort, but may be discontinued. No ROM limits
  • 1. Initiate AAROM (wand and pulleys), unless specified by physician to progress more slowly
  • 2. Joint mobilization for scapula and glenohumeral mobility
  • 3. Gentle exercises for scapular stabilizers and rotator cuff, may include sub-max isometrics, PNF, and supervised UBE
  • 4. Progress AROM, with education for quality of motion to avoid shoulder hiking.

*Patient must be able to elevate without hiking shoulder to progress to next phase.

12-18 Weeks

RESISTIVE EXERCISES HELD AS PER SURGEON’S INSTRUCTIONS.

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