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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.

Phase	Brace	ROM	WB	Exercises
Weeks 0-6	Weeks 0-2: Wear at all times; Weeks 2-6: Worn daytime only	None >> PROM; Limit 90° flexion, 45° IR, 90° Abd	NWB	Weeks 0-3: Elbow/wrist ROM, grip strengthening at home only; Weeks 3-6: May begin PROM activities; posterior capsule mobilizations; closed chain scapula**
Weeks 6-12	None	PROM >> AAROM/AROM; Goals: Full ER, 135° flexion, 120° Abd	PWB	Begin AA exercises, deltoid/rotator cuff isometrics at week 8; Begin resistive exercises for scapular stabilizers, biceps, triceps and rotator cuff***
Weeks 12-16	None	AROM	PWB	Emphasize external rotation and latissimus eccentrics, glenohumeral stabilization; may begin muscle endurance activities; cycling/running as tolerated at 12 weeks
Months 4-5*	None	FAROM	WBAT	Aggresive scapular stabilization and eccentric strengthening; begin plyometric and sport-specific RTP program; continue endurance activities; maintain ROM/flexibility
Months 5+	None	FAROM	WBAT	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