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