Shoulder Rehabilitation

Pectoralis Major Tendon Repair

Sling When will I go home? What can I do? What can’t I do?
3 weeks You will be discharged on the same day as the operation Passive & active assisted range of movement in safe zone* Do not force or stretch range of movement. No lifting

Acute phase (0-3 weeks)

Goals

  • Pain reduction
  • Protect surgical repair

Rehabilitation

  • *Safe zone: passive and active assisted range of movement to elevation 45°, abduction 30°, external rotation to neutral
  • Closed chain exercises
  • No pendular exercises
  • Scapula setting exercises
  • Elbow, wrist, hand mobilisation exercises
  • Do not force or stretch

Criteria for progression

  • Pain control
  • Adequate range of movement

Intermediate phase (3-6 weeks)

Goals

  • Wean sling
  • Control pain
  • Progress movement
  • Regain muscular control

Rehabilitation

  • Progress range of movement
  • Aim to increase elevation to 90°, abduction 45°, external rotation to 20° by 6 week mark
  • Gentle isometric exercises in neutral respecting pain
  • Progress to open chain exercises in safe zone respecting pain
  • Do not force or stretch (particularly avoiding horizontal extension combined with external rotation)
  • Hydrotherapy permitted

Criteria for progression

  • Pain control
  • Progression in range of movement

Late phase (>6 weeks)

Goals

  • Attain functional shoulder range of movement
  • Progress muscle strengthening

Rehabilitation

  • Progress range of movement to functional ranges
  • Progress to open chain exercises in all ranges as tolerated
  • Progressive resistance training
  • Sports specific rehabilitation
  • Avoid shoulder hyperextension (ie. bench press) or high weights for 3 months and until good range and muscle control is restored with your physiotherapist

Guidelines for return to functional activities

Driving Lifting Swimming Golf
6 weeks Light lifting 6 weeks, avoid heavy until 3 months Breaststroke 6 weeks, freestyle 12 weeks 6-8 weeks

SHOULDER SPECIALIST

Mr. Devinder Garewal

MBBS, BMedSci, FRACS (Orth), FAOrthA

Mr. Devinder Garewal is an orthopaedic shoulder specialist. Devinder completed his medical qualifications from the University of Melbourne and is a Fellow of the Royal Australasian College of Surgeons and the Australian Orthopaedic Association.

Shoulder Bone Icon

Shoulder Joint

Elbow Icon

Elbow Joint

Wrist Icon

Wrist Joint

Hand Icon

Hand Joints

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