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