SLAP Repair Rehab

SLAP / Labral repair rehabilitation

Indications:

To repair the damaged origin of the long head of biceps tendon ( SLAP Tear )

Protocol:

	Post Op
< 3 Weeks Level 1 Exercises	Wean off sling over first 3 weeks Teach postural awareness and scapular setting Assess kinetic chain control and provide exercises as required Regain scapula & glenohumeral stability working for shoulder joint control rather than range Passive ROM as tolerated Progress to Active Assisted Motion as tolerated Closed Chain exercises as tolerated Core stabiliity exercises with sling (as appropriate)
3 Weeks Level 2 Exercises	Progress to active gleno-humeral flexion, abduction, internal and external rotation Scapular stabiliser exercises Strengthen rotator cuff muscles Posterior complex stretching Increase proprioception through open & closed chain exercise
6 Weeks Progress to Level 3 Exercises	Ensure posterior capsule mobility Manual therapy if indicated to eliminate any stiffness Assess biceps function and add in eccentric biceps exercises with scapula control if required Progress to Sports-Specific Rehab

Milestones
Week 6	Full active range of elevation
Week 12	Full active range of movement with dynamic scapula stability throughout range (Concentric and eccentric)

See Post-Operative Exercises

Return to Functional Activities

Return to Work	Sedentary job: as tolerated Manual job: at least 3 months
Driving	Approx. 6-8 weeks
Swimming	Breaststroke: from 6 weeks Freestyle: 12 weeks
Golf	Can start from 3-6 months
Lifting	Light lifting can begin at 3 weeks Avoid heavy lifting for 3 months
Contact Sport	E.g. Horse riding, football, martial arts, racket sports and rock climbing: after 3 months