Post-Operative Rehabilitation Guidelines For UCL/MCL Repair With Internal Brace

Weeks 0-4:

• Posterior mold splint and sling until first post-op visit
• Splint removed and use hinged elbow brace for weeks 2-4
• PROM into AAROM and AROM at elbow and shoulder as tolerated
• Progress elbow ROM to 10-125 by post op week 3
• Initiate Thrower’s Ten exercise program by week 3
• Scapular and light isotonic strengthening
• No lifting
• Desensitization and scar massage as soon as sutures are removed

Weeks 4-8:

• Progress ROM to 0-145 degrees
• Progress to Advanced Thrower’s Ten program
• Progress elbow and wrist strengthening exercises once motion achieved

Weeks 8-10:

• Progress to one-hand plyometrics and prone planks by week 8
• Plyometrics program (1 and 2 hand) and side planks by week 9
• Seated machine bench press and interval hitting program by week 10
• Continue Advanced Thrower’s Ten program 1

Weeks 11-16:

• Initiate Interval Throwing program week 11-12
• Long Toss program – Phase I
• Continue prior exercises

Weeks 16-20:

• Initiate Interval Throwing program – Phase 2
• Initiate mound throwing when ready and completed ITP – Phase I