Pectoralis Major Repair
This protocol is based on maintaining range of movement in the first phase and then gradually building strength in the middle to the last phase.
Pre-op
• ROM Exercises; should have full range of motion pre-op
• Maximise shoulder strength of deltoid, intact cuff muscles and scapula stabilisers.
Day 1 - 3 weeks
• Shoulder immobiliser
• Closed chain exercise as tolerated
• Passive / Active Assisted ROM in safe zone as tolerated
• Do not force or stretch
• Avoid pendular exercises and stick exercises
• Wrist/hand/finger exercises
• Elbow flex/ext, pro/supination
• Scapula setting exercises
• (Level 1 Exercises)
3-6 weeks:
• Do not force or stretch
• Gentle isometric exercises in neutral as pain allows
• Wean off sling
• Progress to Open Chain Exercises in safe zone as tolerated
• Do not force or stretch
• Avoid pendular exercises and stick exercises
• (Level 2 Exercises)
6 weeks +:
• Progress to open chain exercises in all ranges as tolerated
• progressive resistance
• sports-specific rehabilitation
• Avoid hyperextending in bench press or flyes or pec-deck.
• Avoid high weights with low reps and warm up slowly
• (Level 3 Exercises)
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| Return to functional activities (guide to commence activity) |
|
| Return to work |
Sedentary job: as tolerated |
| Driving | approx. 6-8 weeks |
| Swimming |
Breaststroke: from 6 weeks |
| Golf | can start from 3-6 Months |
| Lifting | Light lifting can begin at 3 weeks. Avoid lifting heavy items for 3 months. |
| Contact Sport | E.g. Horse riding, football, martial arts, racket sports and rock climbing: after 3 months |
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