Transcription of PECTORALIS MAJOR REPAIR REHABILITATION PROTOCOL …
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PECTORALIS MAJOR REPAIR REHABILITATION PROTOCOL …
University Orthopedics, Inc. PECTORALIS MAJOR REPAIR REHABILITATION PROTOCOL This PROTOCOL was developed for patients who have had a PECTORALIS MAJOR REPAIR . Please note this PROTOCOL is a guideline. Patients with additional surgery will progress at different rates. Achieving the criteria of each phase should be emphasized more than the approximate duration. PHASE I: 1-2 WEEKS postoperative GOALS: Protection and Pain Control AMBULATION AND BRACE USE: Shoulder Immobilizer x 6 weeks Even while sleeping Place pillow under shoulder / arm while sleeping for comfort EXERCISES: Hand squeezing exercises Elbow and wrist active motion (AROM) with shoulder in neutral position at side Stationary bike (must wear immobilizer) PHASE II: 2-4 WEEKS postoperative GOALS: Protection and Pain Control AMBULATION AND BRACE USE: Continue immobilizer x6 weeks EXERCISES: Continue appropriate previous exercises Supported pendulum exercises Resisted elbow/wrist exercises with light dumbbell (<5#), shoulder in neutral position PHASE III: 4-6 WEEKS postoperative GOAL: Supine AAROM Flexion to 90 degrees AMBULATION AND BRACE USE: Continue immobilizer x6 weeks EXERCISES.
PHASE IV: 6-8 WEEKS POSTOPERATIVE GOAL: AROM Flexion to 120 degrees, Abduction to 90 degrees AMBULATION AND BRACE USE: D/C immobilizer EXERCISES: Continue appropriate previous exercises AROM in pain-free range as tolerated, No PROM AAROM (pulleys, supine wand, wall climb) – Flexion > 90 degrees – Abduction and ER to tolerance
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