Pectoralis Major Repair Rehab

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)

See Post-Operative Exercises