Phase I – Immediate Post Surgical Phase (Day 1-14): Goals: • Restore non-painful range of motion (ROM) • Prevent muscular atrophy and inhibition • Decrease pain/inflammation • Improve postural awareness • Minimize stress to healing structures • Independent with activities of daily living (ADLs) • Wean from sling Precautions: • Care should be taken with
GENERAL CONSIDERATIONS : USE OF A SLING ONLY AS NEEDED OR PRESCRIBED. NO PASSIVE FORCEFUL STRETCHING IN EXTERNAL ROTATION/EXTENSION FOR 3 MONTHS FOLLOWING AN ANTERIOR REPAIR AND INTO INTERNAL ROTATION FOR POSTERIOR REPAIR. GOOD POSTURE IS CRITICAL THROUGHOUT THE REHABILITATION PROCESS TO IMPROVE HEALING AND DECREASE THE RISK OF DEVELOPING POOR MECHANICS.
Phase I: Immediate post surgical phase (day 1-10) Goals: Maintain integrity of the repair Gradually increase Passive ROM Diminish pain and inflammation Prevent muscular inhibition Day 1-6 • Sling/Abduction brace • Passive Supine ROM (No Pendulums) o Flexion to tolerance 0-140 0 o ER 0-40 0 with wand 5 times a day 20 repetitions •
DAYS 1 - 7 control edema and inflammation: apply ice for 20 minutes two or three times a day. Gentle hand , wrist , and elbow ROM exercises. exercises should be done in a pain free range. Active shoulder ROM . lower trapezius setting. weeks 2 - 4 remove sling Advance ROM passive motion .
Type I SLAP lesions consist of degenerative fraying of the superior labrum but the biceps attachment to the labrum is intact. The biceps anchor is intact. Type II SLAP lesions are created when the biceps anchor has pulled away from the glenoid attachment. Type III SLAP lesions involve a bucket-handle tear of this superior labrum