🛠️ Phased Recovery Protocol
Retracted Infraspinatus + Supraspinatus Repair
Aligned with athlete rehab logic and milestone tracking
Aligned with athlete rehab logic and milestone tracking
🔒 PHASE 1: Protection & Passive Motion (Weeks 0–6)
| Milestone | Details | Status logic |
|---|---|---|
| 🎯 Sling use | 24/7 with abduction pillow (30–45°) | status: immobilized |
| ❄️ Pain control | Cryotherapy + neuromuscular stim | status: pain-managed |
| 🧘 Passive ROM | Only under PT guidance (no active motion) | status: PROM-only |
| 🖐️ Hand/Wrist/Elbow AROM | Allowed, but no shoulder activation | status: distal-free |
| 🚫 Restrictions | No reaching, lifting, pushing, pulling | status: guarded |
⚠️Trigger card: If subscapularis was also involved, restrict ER past 0° and abduction past 90°.
🧠 PHASE 2: Controlled Mobility (Weeks 6–10)
| Milestone | Details | Status logic |
|---|---|---|
| 🧘 PROM expansion | Supine-assisted shoulder slides, scapular retraction | status: guided-mobility |
| 🧺 Sling weaning | Gradual removal with surgeon clearance | status: sling-weaning |
| 📚 Home exercise program | Begin light PROM exercises daily | status: HEP-active |
| 🚫 Restrictions | No internal rotation, no resistance | status: motion-only |
⚠️Trigger card: If pain-free PROM and good healing markers, initiate gentle AAROM.
🏋️ PHASE 3: Strength & Function (Weeks 10–16)
| Milestone | Details | Status logic |
|---|---|---|
| 🧠 AAROM → AROM | Progress to active motion with PT | status: active-motion |
| 🧵 Strengthening | Theraband IR/ER, mid-trap rows, pulldowns | status: light-strength |
| 🧪 Load testing | Begin 2 oz to 1 lb resistance | status: load-initiation |
| 🧘 Endurance focus | High reps, low weight | status: endurance-mode |
⚠️Trigger card: If impingement or pain persists, pause strengthening and reassess tissue integrity.
🏁 PHASE 4: Return to Activity (Weeks 16–24)+
| Milestone | Details | Status logic |
|---|---|---|
| 🧠 Full AROM | No restrictions, full range | status: motion-restored |
| 🧵 Functional strength | Resume ADLs, light sport drills | status: functional |
| 🧪 Final load test | Return to work/sport clearance | status: cleared |
| 🧘 Maintenance | Ongoing scapular and rotator cuff conditioning | status: sustain-mode |