Table 1: Rehabilitation protocol.
Week 1 (0-7 days) | Week 2 (7-14 days) | Week 3 (14-21 days) | Week 4 (21-28 days) | Week 5 (28-35 days) | Week 6 (35-42 days) | |
Passive ROM | Elbow flexion & Extension - 3' each Wrist Flexion & Extension - 3' each |
Same as week 1, add forearm pronation and supination | Same as week 2 | Same as week 2 | Same as week 2 | Same as week 2 |
Active ROM | On day 4- Introduce Elbow/Wrist flexion & extension - 3' each | Same as week 1, add forearm pronation and supination | Same as week 2 | Same as week 2 | Same as week 2 | Same as week 2 |
Exercises | None | Isometric wrist and elbow flexion and extension | Isometric, Isotonic, Eccentric wrist and elbow extension | Isometric, Isotonic, Eccentric wrist and elbow extension | Begin to incorporate joint integrated movements. | Progress joint integrated movements. Begin to incorporate sport specific training |
Avoid | Sustained gripping | Sustained gripping | Exercises that force non-neutral grip | Exercises that force non-neutral grip | Exercises that force non-neutral grip | None. |
Manual Therapies | None | None | None | Soft tissue manipulation or Graston Technique | Soft tissue manipulation or Graston Technique | Soft tissue manipulation or Graston Technique |
Post Activity | Ice 20' | Ice 20' | Ice 20' | Ice as needed | Ice as needed | Ice as needed |