%PDF-1.3 stream %��������� 4 0 obj Advance shoulder strengthening - external rotation - internal rotation (Week 3) - supraspinatus The most frequently utilized tissue is a palmaris longus autograft tendon. This procedure is normally performed on the overhead athlete or throwing athlete with severe instability or acute trauma to the UCL. Initiate isotonic exercises • wrist curls • wrist extension • pronation/supination • biceps/triceps 3. Immediate Motion Phase (weeks 0 through 2) Goals: - Increase range of motion - Promote healing of uInar collateral ligament - Retard muscular atrophy - Decrease pain and inflammation 1. 1. Conservative Treatment Following Ulnar Collateral Sprains of the Elbow I. Rehabilitation following surgical reconstruction of the UCL begins with range of motion and initial protection of the reconstruction, along with resistive exercises to keep the shoulder and core strong. x�\[��~�_���Ln�Z}� ��6U� l*,f���k��%N�}>]��Wi��+�3����U~Wߪߕ���0������z�y����*���㪲n��헾��lu}��\�v����z|y��V���A��?��K�ܒ�n�R�F��l���A�xr����j��j=���Î�M��ДC��$]8F����e�Wry�vC']kS�v&��qZ����c�?�Ó�zը�s��U����F��O�PW�c�1xU�1x�m�@#�WWG!����Gu�W�b�(cL��&�Y:���b��Ǐe\Ħ��`�q�v�npV,p��;\>�"�������l?iھ4�0)@'�VWe�L6�G�l-Ι�`� �� ��ح�����U���ū�����|�No��v��jp&�� ����z��"t�X�}k�3o��Zk��#(#Ù�}W��ꪦ4֓�/�T;j�����Z���j�����n�E��f���/��Q�w�ϳ����tT�:��`�/ݓۣ���Q��y��~$P�'�n����g��X���������[���֑��'1F�W��q���c�"������d��w����X`W�;C��V�D��9/^j~1��k')��n�8��(����Q�k���r��a�o��3M�up� +�[v,u�a�m���CP4������4[��#�"$H�~ ����Xò��)��=z���2�a u?Z��l�U��#�4�8.�%\$L�"6�}��8�O~>� ��>.��C��{�X�W���{p+����@Lf� �T�TO~C��`��*���A�5V?�7����D%o���� c������rS2Pf�2�����&t. The most frequently utilized tissue is a palmaris longus autograft tendon. This rehabilitation protocol has been developed for the patient following an ulnar collateral ligament reconstruction surgical procedure. This procedure is normally performed on the overhead athlete or throwing athlete with severe instability or acute trauma to the UCL. UCL RECONSTRUCTION REHAB UCL Strain with PROM Bernas: AJSM ‘09 UCL RECONSTRUCTION REHAB Muscular Strength Training • Wrist & hand isometrics day 1 • Isometrics UE week 1-2 • Active ROM week 2-3 • Isotonics program week 3-4 • Thrower’s Ten program week 4/5 • Weight lifting week 10-12 • Sports (golf) week 11 • Plyometrics Thumb Ulnar Collateral Ligament Repair Post-Operative Protocol Days 0- until first Post-Op Apt. Rehabilitation Protocol for Ulnar Collateral Ligament Reconstruction (Palmaris Longus Graft, Gracilis Graft) PHASE I: IMMEDIATE POST-OP (0-3 WEEKS AFTER SURGERY) Rehabilitation Goals • Protect healing tissue • Decrease pain/inflammation • Protect graft site • … Sports Medicine Physical Therapy 617-643-9999 We use cookies and other tools to enhance your experience on our website and to analyze our web traffic.
The Sports Physical Therapy Service is an integral part of the Sports Medicine Center and the Department of Physical and Occupational Therapy. If any of these occur, decrease activity level and ice. This rehabilitation protocol has been developed for the patient following an ulnar collateral ligament reconstruction surgical procedure. ROM exercises - gradual increase in motion (0 → 135 degrees) • 5 degrees of extension, 10 degrees of flexion 2. << /Length 5 0 R /Filter /FlateDecode >> ULNAR COLLATERAL LIGAMENT (UCL) REPAIR REHABILITATION PROTOCOL General Notes As tolerated should be understood to include with safety for the surgical procedure; a sudden increase in pain, swelling, or other undesirable factors are indicators that you are doing too much too soon. : Keep post-operative dressing clean, dry, and in place Keep hand elevated above the level of your heart May use hand for very light activities of daily living, such …
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