| Phase | Time Period | Goal | Instructions |
|---|---|---|---|
| Phase 1 | Weeks 1-6 | Protect tendon repair, reduce inflammation/pain | – Cold compression for pain management – Immobilization (Abduction sling) – No ROM (shoulder) – Active ROM for hand, wrist, elbow – Scapular exercises with sling |
| Phase 2 | Weeks 6-10 | Protect tendon repair and minimize stiffness | – Passive ROM without force – No active ROM, no reaching behind the back – No weight-bearing on surgical arm – Avoid shoulder shrugging when elevating shoulder |
| Phase 3.1 | Weeks 10-14 | Normalize motion, avoid pain | – Active Assisted ROM – Use cane/stick for support – Move only within comfortable ranges |
| Phase 3.2 | Weeks 14-18 | Normalize motion and function | – Active ROM with submaximal effort – Avoid forceful pushing – Focus on proper scapular positioning |
| Phase 4 | Weeks 18-22 | Achieve full ROM, restore normal function | – Lift objects < 5 lbs – No sudden lifting – Stretching & Initial Strengthening exercises |
| Phase 5 | Weeks 22-26 | Restore strength and power, maintain pain-free ROM | – Advanced strengthening exercises – Lift objects < 10 lbs – No overhead lifting or sudden pushing/lifting |
| Phase 6 | Weeks 26-30 | Return to sport | – No heavy lifting – No progression into painful activities – Individualized return-to-sport program |
Decision Factors for Rehabilitation Protocol:
- Rotator Cuff Tear Size
- Type of Repair
- Tissue Quality
- Number of Tendons Involved
- Individual Patient Factors:
- Age
- Co-morbidities (e.g., increased BMI, diabetes)
Contact Your Surgeon When:
- High Fever
- Unresolving numbness or tingling
- Excessive drainage from the incision
- Uncontrolled pain
- Any other concerning symptoms
