Download Posterior Stabilization/Labral Repair Rehab Protocol

0-4 Weeks:

  • Abduction or External Brace x4 weeks
  • Grip Strength, Elbow/Wrist/Hand ROM
  • Codmans Exercises

4-6 Weeks:

  • Discontinue brace at 4 weeks unless otherwise indicated
  • Begin Passive→AAROM → AROM
  • Restrict FF to 90º, ER at side to tolerance
  • IR to stomach., No cross body adduction
  • No Manipulations per therapist
  • Begin Isometric exercises with arm at side
    • Deltoid/Scapular
    • ER/IR (submaximal) with arm at side
  • Begin strengthening scapular stabilizers

6-12 Weeks:

  • Increase ROM to within 20º of opposite side. No manipulations per therapist. Encourage patient to work on ROM daily.
  • Cont. Isometrics
  • Once FF to 140º, Advance strengthening as tolerated: isometrics → bands → light weights (1-5 lbs); 8-12 reps/2-3 set per rotator cuff, deltoid, and scapular stabilizers.
  • Only do strengthening 3times/wk to avoid rotator cuff tendonitis Closed chain exercises.

3-12 Months:

  • Advance to full painless ROM
  • Begin eccentrically resisted motions, plyometrics (ex weighted ball toss), proprioception (ex body blade), and closed chain exercises at 12 weeks.
  • Begin sports related rehab at 3 months, including advanced conditioning
  • Return to throwing at 4 ½ months
  • Throw from pitcher’s mound at 6 months
  • MMI is usually at 12 months

Please note that these instructions are general guidelines to be followed; however, any written or verbal instructions provided by Dr. Nwachukwu supersede the instructions below and should be followed.