Prof. Lennard Funk’s Education Portal

Call: 01625 545071
Email: [email protected]
For treatment enquires visit The Arm Clinic

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)

 


See Post-Operative Exercises

 

Return to functional activities (guide to commence activity)
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 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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