PEC Major Tendon Repair Rehabilitation Program
PHASE I: 1-4 WEEKS POST-OP
Range Of Motion
- Pendulum exercises under guidance of PT
Sling
- Immobilized in sling with abduction pillow at all times, may be removed for exercises and showering. Wear sling at night.
Therapeutic Exercise
- Elbow and wrist AROM (with shoulder in neutral position at side), hand exercises, patient may ride stationary bike with arm in sling
PHASE II: 4-6 WEEKS POST-OP
Range Of Motion
- AAROM in the supine position with wand
- Goal – Forward flexion to 90
Sling
- Immobilized in sling with abduction pillow at all times, may be removed for exercises and showering. Wear sling at night.
Therapeutic Exercise
- Elbow and wrist AROM (with shoulder in neutral position at side), hand exercises, shoulder shrugs/scapular retraction without resistance
PHASE III: 6-8 WEEKS POST-OP
Range Of Motion
- AROM in the pain free range – NO PROM, AAROM (pulleys, supine wand, wall climb)
- Goals – Forward flexion to 120, Abduction to 90, ER to tolerance, IR and extension (wand behind the back)
Sling
- Discontinue sling
Therapeutic Exercise
- Elbow and wrist AROM (with shoulder in neutral position at side), hand exercises, submaximal isometrics
PHASE IV: 8-12 WEEKS POST-OP
Range Of Motion
- AROM and AAROM in the pain free range – NO PROM
- Goals – Full ROM
Sling
- None
Therapeutic Exercise
- Light theraband (ER, Abduction, Extension), Biceps and Tricpes PREs, Prone Scapular Retraction Exercises (without weights), Wall push-ups (no elbow flexion > 90 degrees)
PHASE V: 3-6 MONTHS POST-OP
Range Of Motion
- Full ROM
Sling
- None
Therapeutic Exercise
- Light theraband (ER, Abduction, Extension) with increasing resistance, May start light weight training at 4.5 months post-op (no flies or pull downs), Regular push-ups
- Return to athletics 6 months post-op