Rotator Cuff Repair Protocol

Phase I – 0 to 6 weeks post-op

• Use sling as directed by the surgeon.
• Passive external rotation to normal range of motion (ROM) – Rotation only to 0 degrees in the case of a subscapularis tear.
• Home exercise program (HEP) with a cane and scapular retraction.
• Elbow and wrist – active ROM

Phase II – 6 to 12 weekspost-op

• Discontinue sling use
• Initiate passive ROM for elevation and internal rotation
• Use pulleys for HEP

Phase III – Begins at 12 weeks post-op

• Initiate strengthening exercises.

Phase IV – Begins around 6 months post-op

• Resume overhead activities that accelerate arm such as golf, tennis and baseball.