Therapy Protocols

Tennis Elbow Protocol

Exercises: 1) Wrist extension, 2) Wrist flexion, 3) Pronation (holding onto the end of a dumbbell, or a theraband), 4) Supination (holding onto the end of a dumbbell, or a theraband), 5) Finger extension (using a rubber band wrapped around all 5 digits), 6) Ball squeeze. More

Rotator Cuff Exercise Protocol

Exercises: 1) Internal Rotation, 2) External Rotation, 3) Forward Flexion, 4) Abduction, 5) Extension, 6) Diagonal PNF. More

Rotator Cuff Repair Post-Operative Protocol

Abduction pillow x6 weeks, unless exercising. No active ROM for 6 weeks.

Weeks 1-2: No motion. Keep the shoulder immobilized. May use keyboards and computers. Encourage hand, wrist and elbow motion.

Weeks 3-4: Codman’s and Pendulum exercises to 90°.

Weeks 5-6: Full passive motion within the plane of the scapula (i.e. – forward flexion).

At 6 weeks Active ROM is OK. No strengthening until 12 weeks.

12 weeks: Strengthening allowed.

4 months: May return to athletics, full weight lifting (use a spotter).

Arthroscopic Rotator Cuff Debridement (ARCD) Post-Operative Protocol

Early motion without restrictions. Strengthen shoulder when comfortable. No restrictions. Let pain be your guide.