Abduction or External Brace x4 weeks
Grip Strength, Elbow/Wrist/Hand ROM
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
ER/IR (submaximal) with arm at side
Begin strengthening scapular stabilizers
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 à bands à 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.
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.