Postoperative Rehabilitation Guidlines Pectoralis Major Repair

0-2 Weeks:

• Sling at all times. Keep incision dry.
• May begin active/passive elbow/wrist/hand ROM

2-6 Weeks:

• Continue sling.
• Continue elbow/wrist/hand ROM
• Shoulder passive ROM only
• Keep arm in front of axillary line. (no shoulder extension)
• Supine FF to 90°, ER to 30
• Begin Cuff Isometrics.°

6-12 Weeks:

• May D/C sling.
• Begin Active/Active Assist shoulder motion.
• Restore Full passive shoulder ROM (No Limits).
• Cuff/Scapular stabilizer strengthening.

Week 12-6 Months:

• No immobilization.
• Progress with strengthening.
• Allow light bench press.
• May resume full strengthening activities at 6 months.