Phase I ( 0-7 days post-op):

  • Posterior splint at 90 degrees of elbow flexion.
  • Wrist and hand gripping exercises.

Phase II (1 week through 5 weeks post-op):

  • Brace locked at 90 when not working on therapy exercises.
  • Elbow PROM and self assisted.
    • 1 week post-op 45-100.
    • 3 weeks post-op 30-115
    • 5 weeks post-op 15-130
  • Shoulder Passive, Active Assisted, and Active Range of motion as tolerated all planes.
  • Scapular retraction and shoulder shrugs.
  • Active wrist flexion and extension.
  • Passive supination and pronation stretch.
  • No active elbow flexion or supination.
  • Gripping exercises.

Phase III (6 weeks post-op):

  • Begin active elbow flexion and supination at 6 weeks post-op.
  • Begin co-contraction exercises of biceps and triceps.
  • Elbow ROM.
    • Discontinue brace 8 weeks post-op (0-145).
  • 8 weeks post-op begin
    • Light isotonic triceps.
    • Isotonic wrist flexors/extensors.
    • Shoulder rotator cuff and scapular strengthening.

Phase IV (12 weeks post-op):

  • Biceps light isotonics progressing 1 pound per week beginning at week 12 weeks post-op.
  • Initiate resisted UBE.

Phase V (16 weeks post-op through week 26):

  • Progressive strengthening as tolerated.
  • Functional progression to athletic activity.
Return to full participation in athletic activity at 5 months post-op.

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