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

Related Links