Prof. Lennard Funk’s Education Portal

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

SLAP Repair

Shoulder SLAP Repair

Indications:

 

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

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 levels 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
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 (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


For more information please contact us


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