Labrum — SLAP Repair

Saint Louis University (SLUCare)

Weight-Bearing

N/A

Key Restrictions

Sling at all times except showering/exercise wks 1-4; DC sling after wk 4; passive ER/extension to neutral only wks 1-6; AAER limit 30 deg wks 6-10; latissimus limited to 90 deg FF until wks 10+; isokinetic IR/ER 85% uninvolved before Phase IV; throwing not until wks 14-18

Timeline & Phases

Wks 1-6: sling at all times except showering/exercise, DC after wk 4, passive ER/extension to neutral, passive FF to 90 deg scapular plane, AROM wrist/elbow, scapular pinches, pain-free submaximal deltoid isometrics; advancement criteria: ER neutral, FF 90 deg; Wks 6-10: AAFF to 145 deg, AAER to 30 deg, manual scapular stabilization, IR/ER isometrics progressing to isotonics at wk 6, humeral head stabilization, latissimus strengthening limited to 90 deg FF; advancement criteria: FF 145 deg, ER 60 deg, normal scapulohumeral rhythm, IR/ER 5/5; Wks 10-14: AAROM full FF and ER, AAROM IR no limits, aggressive scapular and latissimus strengthening, begin biceps strengthening, progress IR/ER to 90/90 if required, isokinetics; advancement criteria: full ROM, isokinetic IR/ER 85%, normal scapulohumeral rhythm; Wks 14-18: full UE strengthening, plyometrics, sport/activity program, throwing program (20-30 ft 60% velocity progressing), isokinetics at high speeds, posterior capsule stretching; discharge: isokinetic IR/ER equal to uninvolved, independent HEP, pain-free sport program

Notes

SLU Sports Medicine and Shoulder Service; diagnosis: SLAP tear; 4-month protocol 2-3 visits/week