Posterior Labral Repair Protocol
Keys to a Successful Outcome
Avoid excessive motions in all planes for the first 6 weeks to allow the repaired capsule to heal.
Refrain from lifting any weight for the first 6 weeks.
Prevent post-operative stiffness by gradually increasing range of motion with the guidance of a physical therapist.
Weeks 0-2: Wear at all times; Weeks 2-6: Worn daytime only
None >> PROM; Limit 90° flexion, 45° IR, 90° Abd
Weeks 0-3: Elbow/wrist ROM, grip strengthening at home only; Weeks 3-6: May begin PROM activities; posterior capsule mobilizations; closed chain scapula**
PROM >> AAROM/AROM; Goals: Full ER, 135° flexion, 120° Abd
Begin AA exercises, deltoid/rotator cuff isometrics at week 8; Begin resistive exercises for scapular stabilizers, biceps, triceps and rotator cuff***
Emphasize external rotation and latissimus eccentrics, glenohumeral stabilization; may begin muscle endurance activities; cycling/running as tolerated at 12 weeks
Aggresive scapular stabilization and eccentric strengthening; begin plyometric and sport-specific RTP program; continue endurance activities; maintain ROM/flexibility
Progress with Phase 4 activities, return to full activity as tolerated
*limited return to sport activities
**avoid stretch of anterior capsule
***avoid resistant exercises that stress the anterior capsule; keep all strengthening exercises below the horizontal plane