Rehabilitation Program Following Proximal Biceps Tendon Repair

Rehabilitation Program Following Proximal Biceps Tendon Repair H Shoulder Brace: wear for daily activities & sleeping for 4 weeks H Range of motion y Week 1-2 • Shoulder PROM flexion approx. 90° initially then gradually increase during first 2 weeks • Shoulder PROM ER/IR @ 45° ABD to tolerance (caution w/ excessive ER) • Elbow PROM initially 20°- 90 then gradually increase • Elbow PROM week 2: 10° - 125° y Week 3-4: shoulder PROM full flexion • Initiate shoulder ER/IR @ 90° ABD (gradually increase) y Week 4: • shoulder ER to 65° • IR to 50° y Week 5-6: shoulder PROM: • ER/IR full PROM @ week 6 y Able to initiate gentle horizontal ABD PROM y Able to initiate gentle shoulder extension PROM @ week 6 H Strengthening exercises o No biceps brachii contractions for 4-6 weeks o No active shoulder flexion for 4-6 weeks y Week 1-2: • Sub-maximal, pain-free isometrics for shoulder musculature • No isometric contractions for shoulder flexion or elbow flexion y Week 3-4: • Initiate T-band ER/IR @ 0° ABD
• Initiate scapular strengthening exercises (no prone horizontal ABD) ALL EXERCISES W/ ELBOW @ 90° y Week 5-6: • Initiate active shoulder scaption to 90° (full cans) • Initiate active shoulder ABD to 90° (no weight) • Initiate isometric biceps week 6-8 y Week 8-12: • Initiate light resistance PRE strengthening program y Week 12-16: • Progress strengthening program • Gradually increase resistance y Week 16: • Gradual progression to normal activities