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Acute
0-2 Weeks
• Pain free active flexion and extension within limits of sling
• Full supination and pronation
• Full active shoulder movement with elbow flexion maintained
2-6 Weeks
• Active ROM in all directions, to point of mild stretch. No overpressure.
• Extension ROM as per post operative guidelines
• No lifting.
6-12 Weeks
• Continue with AROM
• Introduce light resistance < 2kg through full ROM
• Gradually increase resistance keeping progress pain free with easy and good quality
movement
>12 Weeks
• Biceps Strengthening
Goals:
6/52
• Full ROM flexion / extension /supination / pronation
• Pain free, Driving, Working
3-4/12
• >90% strength in comparison to opposite side flexion/Supination
Warning: Avoid Sudden loading and unplanned movements for 6/52 for both acute and chronic repairs
Return to functional/Sport Guidelines
• Return to work
• Sedentary job: as tolerated
• Manual job: 3 months
Driving
• 6-8 weeks
Swimming
• Breaststroke: 6 weeks ,
• Freestyle: 12 weeks
Golf
• 3 Months
Lifting
• Avoid lifting heavy items for 3 months.
Contact Sport
• E.g. Rugby, League, AFL, martial arts, racket sports and Surfing: 3 months