PT Resources

MEDIUM ROTATOR CUFF REPAIR PROTOCOL

Includes Treatments for:

Open Repair Medium Rotator Cuff Tear
Arthroscopic Repair Small and Medium Rotator Cuff Tear

Post-op

0-2 Weeks

Sling/swathe at all times, except for exercises.
PROM limits to: 90 pure abduction, 20 extension,70 internal
rotation (not behind back), no limitations for flexion, external
rotation as tolerated (unless specified by physician)
  • 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

Decrease use of sling during the day, except in uncontrolled situations and at night. 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

Discontinue sling at night. No ROM limits
  • 1. Initiate AAROM/ AROM including wand and pulleys
  • 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.
    Emphasis of strengthening on high reps and low weight with
    postural awareness
Goal: Involved shoulder AROM grossly WNL by 12 weeks

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