SUBSCAPULARIS REPAIR REHABILITATION PROTOCOL

PHASE I

0-6weeks

RANGE OF MOTION

0- 6 weeks: None

IMMOBILIZER

0-6 weeks: Immobilized at all times day and night

EXERCISES

Off for hygiene and gentle home exercise according to instruction sheets

0-6 weeks: Elbow/wrist ROM, grip strengthening at home only

2-6 weeks: Add pendulum

PHASE II

6-12 weeks

RANGE OF MOTION

Begin active/active- assisted ROM, passive ROM to tolerance

Goals: 135°flexion, 120° abduction

IMMOBILIZER

None

EXERCISES

Continue Phase I work; begin active- assisted exercises, deltoid/rotator cuff isometrics at 8 weeks

No resisted IR

PHASE III

12-16 weeks

RANGE OF MOTION

Gradual return to full AROM

IMMOBILIZER

None

EXERCISES

Begin resistive exercises forscapular stabilizers, biceps, triceps androtator cuff
Advance activities emphasize external rotation and latissimus eccentrics, glenohumeral stabilization

Begin muscle endurance activities (upper body ergometer)

Cycling/running okay at 12 weeks

PHASE IV

4-5 months

Aggressive scapular stabilization and eccentric strengthening

Begin plyometric and throwing/racquet program, continue with endurance activities

Maintain ROM and flexibility

PHASE V

5-7months

Progress Phase IV activities, return to full activity as tolerated