SLAP Repair
Indications:
- To repair the damaged origin of the long head of biceps tendon.
Protocol
| Post op | |
<3 Weeks | Wean off sling over first 3 weeks Teach postural awareness and scapular setting Assess kinetic chain control and provide exercises as required Regain scapula & glenohumeral stability working for shoulder joint control rather than range Passive ROM as tolerated Progress to Active Assisted Motion as tolerated Closed Chain exercises as Core stabiliity exercises with sling (as appropriate) |
3 Weeks | Progress to active gleno-humeral flexion, abduction, internal and external rotation Scapular stabiliser exercises Strengthen rotator cuff muscles posterior complex stretching Increase proprioception through open & closed chain exercise |
6 Weeks | Ensure posterior capsule mobility Manual therapy if indicated to eliminate any stiffness Assess biceps function and add in eccentric biceps exercises with scapula control if required Assess biceps function and add in eccentric biceps exercises with scapula control if required Assess biceps function and add in eccentric biceps exercises with scapula control if required Assess biceps function and add in eccentric biceps exercises with scapula control if requiredProgress to Sports-Specific Rehab
|
Milestones |
|
Week 6 | Full Active range of elevation |
Week 12 | Full active range of movement with dynamic scapula stability throughout range (Concentric and eccentric) |
Return to functional activities
Return to work Sedentary job: as tolerated
Manual job: 6-12 weeks*
Driving 3-6 weeks
Swimming Breaststroke: 3 weeks
Freestyle: 6 weeks
Golf 6 weeks
Lifting Light lifting can begin at 3 weeks.
Avoid lifting heavy items for 3 months.
Contact Sport E.g. Horse riding, rugby, football, martial arts,
racquet sports and rock climbing: 6-12 weeks*
