POST-OPERATIVE ROTATOR CUFF REPAIR PROTOCOL

MOONSHOULDERGROUP

ForinformationregardingtheMOONShoulderGroup,

speaktosurgeonorcontact:

RosemarySanders

4200MedicalCenterEast

121521stAvenueSouth

VanderbiltUniversityMedicalCenter

NashvilleTN37232‐8300

[email protected]

www.MOONShoulder.com

Version1.0AllIllustrationsbyJasperRichardson.



POST‐OPERATIVE

ROTATORCUFFREPAIR

PROTOCOL

TherapistInstructions

Phase4:ResistedExercises

(18‐22)WeeksafterSurgery)

Phase4:ResistedExercises18‐22Weeks.

Theseexercisesincludescapulastrengtheningandlight

stretching.

RESISTEDSCAPULASTRENGTHENING

Scapulastrengtheningexercisesincludelockedelbowextensiontowork

thetrapezius,press‐upplus‐reachingtowardtheceilingtoworkthe

serratus.Rowsmaybedonekneelingwithelasticbands ,anduprightwitha

handweight.Likeotherstrengtheningexercises,eachexerciseshouldbe

performedas10‐15

repetitions,followedby2minutesofrest,andrepeated

as3‐4sets.Strengtheningexercisesshouldbedone3days eachweek.

SHOULDERSTRETCHING

Stretchingshouldbedonedaily.Holdeachstretchfor15seconds,restfor

15seconds,andrepeat5times.Thecornerstretchwillstretchtheanterior

shoulder.Thetowelstretch,cross ‐bodystretch,andthesleeperstretchwill

stretchtheposteriorshoulder.Beginwithgentlestretching.After22

weeks,

aggressivestretchingmaybeusedifneeded. 

IntroductionsfortheTherapist

TheMOONShoulderGroupisacollectionofshoulder

expertswhostudythebestmethodstotreatpatientswith

rotatorcuﬀtears.YourPatientispartofastudyevaluating

theeﬀectoftimingofpost‐operativetherapyafterrotator

cuﬀrepair.



‐Thispatientistobegintherapy6weeksaftersurgery.



‐Thepatientshouldworkwiththetherapist1‐3x/week

untilreleasedbythesurgeon.



‐Yourpatienthasreceivedahometherapyexercise

guide.THESEBEGINSIXWEEKSAFTERSURGERY.You

shouldreviewthishomeexerciseprogramwiththe

patient.

Donotaddorskipanypartofthisprogram.Ifyouhave

concerns,pleasecontactyoursurgeon.

GENERALINSTRUCTIONS:

Modalities

Level‐1evidencesupportstheuseofcryotherapy.Patients

areencouragedtousecryotherapyaftersurgery.



SlingUse

Aslingwithasmallpillowistobewornforsixweeksafter

surgery.Thesling

mayberemovedforshoweringand

activitiesasdirected.Theslingshouldbewornwhenthe

patientisinanuncontrolledenvironment:sleeping,around

children,pets,andcrowdsduringthesesixweeks.

InstructionsfortheTherapist

ActivityRestrictions

Showering:48Hours

Deskwork:Whencomfortablewithsling

Driving:Notuntilslingisoﬀat6weeks

UsingarmforActivitiesofDailyLiving:6weeks

Usingarmtoreachoverhead:12weeks

Usingarmtoreachbehindback:6weeks

Usingarmtocarryobjects:6weeks

Pushing/Pulling:6weeks

Sport/HeavyActivity:Whenﬁnishedwiththerapyprogram



ExerciseProgram

Therapyistobegin6weeksaftersurgery.

Exercisesshouldbeperformedonceperdayathomeorwitha

therapist.Theexerciseprogramisdividedintofour

time‐dependentphases.Donotadvanceintothenextphase

untiltheappropriatetimeaftersurgery.



Questions/Concerns

Ifyouhavequestionsorconcerns,pleasecontactthepatient’s

physician.Questionsorconcernsregardingtherehabilitation

protocolmaybesenttotheMOONShoulderGroupresearch

hub,listedonthebackofthisbook.

Phase4:ResistedExercises

(18‐22WeeksafterSurgery)

Phase4:ResistedExercises18‐22Weeks.

After18weeks,thepatientcanbeginstrengtheningwith

resistedexerciseusingelasticbandsand/orhandweights.

Resistedexercisesshouldbedone3daysperweek.Each

exerciseshouldbeperformedas10‐15repetitionsfollowedby

2minutesofrest,andrepeated3‐4times.

ROTATORCUFFSTRENGTHENING

Withthearmtuckedclosetothebody,userubbertubingtoprovide

resistancetointernalrotationofthearm.Turnaroundtousethetubingto

provideresistancetoexternalrotationofthearm.Alternatively,youmay

lieonyoursideandusesmallhandweightsto

provideexternalrotation

resistance.Do10‐15repetitions,for3‐4sets,for3days/week.

DELTOIDSTRENGTHENING

Withthearmtuckedclosetothebody,userubber

tubingtoprovideresistancetoforwardpunches.

Turnaroundtousethetubingtoprovideresistance

topullingthearm.Do10‐15repetitions,for3‐4

sets,for3days/week.

DONOTDOFULL‐

CANOREMPTY‐

CANEXERCISES!

Theseplacetoo

muchstressonthe

rotatorcuﬀ.

Phase3:IsometricExercise

(14‐18WeeksafterSurgery)

Phase3:IsometricExercises14‐18Weeks

Beginning14weeksaftersurgerythepatientcanbegin

isometricexercises.Usingapilloworfoldedtowelthepatient

appliespressuretothewallwithoutmovingtheshoulder.

ISOMETRICPUSHANDPULL

Withapillowagainstthewall,andthearmtuckedclosetothebody,create

pressurewiththeﬁstforforwardpush,andwiththeelbowtopush

backward.Holdthepositionfor15secondsthenrestfor30seconds.Repeat

this10‐15times.This

canbedonedaily.

ISOMETRICEXTERNALANDINTERNALROTATION

Withapillowagainstawall,andthearmtuckedclosetothebody,create

pressurewiththebackofthehandforexternalrotation,andwiththepalm

ofthehandforinternalrotation.Holdthepositionfor15secondsthenrest

for30seconds.

Repeatthis10‐15times.Thiscanbedonedaily.

InstructionsfortheTherapist

EXERCISEPROGRAM:Therapybegins6weeksafter

surgery.Exercisesshouldbeperformeddailysupervisedby

atherapist1‐3x/week,andathomeontheotherdays.



Phase1:PassiveRangeofMotion6‐10Weeks

Passiverangeofmotionbegins6 weeksaftersurgery.

Passiverangeofmotionrequiresthetherapistoran

assistantathometoputthearmthroughacomfortable

rangeofmotionwhilethepatientissupine.Motionsinclude

forwardelevation,externalrotation,andabduction–allwith‐

inacomfortablerange.Pendulumexercisesarebegundur‐

ingthistime.Scapulaexercisesbeginat6weeks.Scapula

exercisesshouldincludeshrugs,depression,retractionand

protraction.Hand,wrist,andelbowmotionshouldbedone

adlib.



Phase2:ActiveAssistedRangeofMotion10‐18Weeks

Thisphaseintroducesactiveassistedrangeofmotion.The

patientliessupineandusestheirotherarm(orcaneorstick)

tomovetheaﬀectedarmintoforwardelevation,external

rotation,andabduction.Thepatientdoesthissupineat

week10,45degreesuprightforweek11,andcompletely

uprightatweek12.Afterweek12,thepatientcanuse

pulleysforforwardelevation.



InstructionsfortheTherapist

Phase3:ActiveRangeofMotion14‐18Weeks

Whilecontinuingtoworkonactiveassistedmotion,thepatient

nowbeginsactiverangeofmotioninforwardelevation,external

rotation,andabduction.Inaddition,isometricstrengthening

exercisesbeginatthistime.



Phase4:ResistedExercise18‐22Weeks

After18weeksthepatientcanbeginstrengtheningwith

resistedexerciseusinganelasticbandorhandweights.Scapula

musclestrengtheningexercisesareintroduced.Full‐andEmpty

‐Canexercisesarenotallowed!

Phase3:ActiveMotion

(14‐18WeeksafterSurgery)

Phase3:ActiveRangeofMotion14‐18Weeks

Whilecontinuingtoworkonactiveassistedrangeofmotion,

thepatientnowbeginsactiverangeofmotioninforward

elevation,externalrotationandabduction.Inaddition,

isometricstrengtheningexercisesbeginatthistime.These

exercisescanbedonedaily.

ACTIVERANGEOFMOTION

Whileupright,thepatientmovesthearminfrontofthebody(forward

elevation)andtothesideofthebody(abduction).

ACTIVERANGEOFMOTION

Itisimportanttoavoid“hiking”theshoulder.Placetheuninvolvedhandon

theaﬀectedshoulder,ordotheseexercisesinfrontofamirrortoavoid

this.

Phase2:ActiveAssistedMotion

(11‐14WeeksafterSurgery)

Phase2:ActiveAssistedRangeofMotion11‐14Weeks

Elevenweeksaftersurgerythepatient’sbackisproppedup

approximately45degreesandusestheunaﬀectedarmto

movethepostoperativearm(oracaneorstick)intoforward

elevation,externalrotation,andabduction.Aftertwelve

weeks,thepatientcandotheseexerciseswhileupright.These

exercisescanbedonedaily.

45DEGREEACTIVEASSISTEDRANGEOFMOTION

Whileproppedonapillowat45degreesandusingastickorcane,the

normalarmwillmovetheaﬀectedarmoverthehead.Thearmismovedin

forwardelevation,abduction,andexternalrotation.Thisbegins11weeks

aftersurgeryand

isdonedaily.

UPRIGHTACTIVEASSISTEDRANGEOFMOTION

Twelveweeksaftersurgeryusingastickorcane,thenormalarmwillmove

theaﬀectedarminexternalrotation,abductionandforwardelevation

whileupright.Sittinginachairwhileusingpulleysisallowedatthistimeas

well.Theseexercisesshouldbe

donedaily.

Phase1:PassiveMotion

(6‐10WeeksafterSurgery)

Phase1:PassiveRangeofMotion6‐10Weeks

Passiverangeofmotionistobegin6weeksaftersurgery.

Passiverangeofmotionrequiresthetherapistoranassistant

athometoputthearmthroughacomfortablerangeof

motionwhilethepatientissupine.Motionsincludeforward

elevation,externalrotation,andabduction‐allwithina

comfortablerange.Theseexercisesaredonewitheach

therapyvisit,threetimeseachweek.



Inaddition,pendulumexercisescanbeinitiatedduringthis

time.Thesecanbedoneathome,twiceeachday.

PASSIVERANGEOFMOTION

Thepatientliessupineandrelaxes.The

therapistwillmovethearm.The

patientshouldrelaxandshouldnot

contractanymuscleswhilethether‐

apistmovesthearm.Thisshouldbe

doneateachtherapyvisit,threetimes

eachweek.

PENDULUMEXERCISES

Usetorsotomovearmby

rockingbodyweight.Go

inclockwisedirectionthen

counterclockwise.

Pendulumexercisescan

bedonetwiceeachday.

Phase1:ScapulaExercises

(6‐18WeeksafterSurgery)

Phase1:ScapulaStabilizerExercises

Scapulaexercisesbeginafter6weeks.Scapulaexercises

shouldincludeelevationwithshrugs,depression,retraction

andprotraction.Thesearedoneoutoftheslinguntilstrength‐

eningexercisesbegin,18weeksaftersurgery.Theseexercises

canbedonedaily.

SCAPULAEXERCISES

Thesecanbedonedaily.

Phase2:ActiveAssistedMotion

(10WeeksafterSurgery)

Phase2:ActiveAssistedRangeofMotion10Weeks

Thissecondphaseoftherapybeginswithactiveassistedrange

ofmotion,andstarts10weeksaftersurgery.Thepatientlies

supineandusestheunaﬀectedarm(orastickorcane)to

movethepostoperativearmintoforwardelevation,external

rotation,andabduction.Thesecanbedonedaily.

SUPINEACTIVEASSISTED

FORWARDELEVATION

Usingastickorcane,the

normalarmwillmovethe

aﬀectedarmoverthehead.

SUPINEACTIVEASSISTEDEXTERNAL

ROTATION

Keeptheaﬀectedarmtuckedcloseto

thebody.Bendtheelbowto90degrees

sothehandispointedtotheceiling.

Usingacane,thehealthyarmmovesthe

aﬀectedarminexternalrotation.

SUPINEACTIVEASSISTEDABDUCTION

Whilekeepingtheelbowoftheaﬀectedarmstraight,theunaﬀectedarm

willmovetheaﬀectedarmouttothesideofthebodyashighasis

comfortable.

Phase1:ScapulaExercises

(6‐18WeeksafterSurgery)

Phase1:ScapulaStabilizerExercises

Scapulaexercisesbeginafter6weeks.Scapulaexercises

shouldincludeelevationwithshrugs,depression,retraction

andprotraction.Thesearedoneoutoftheslinguntilstrength‐

eningexercisesbegin,18weeksaftersurgery.Theseexercises

canbedonedaily.

SCAPULAEXERCISES

Thesecanbedonedaily.

Phase2:ActiveAssistedMotion

(10WeeksafterSurgery)

Phase2:ActiveAssistedRangeofMotion10Weeks

Thissecondphaseoftherapybeginswithactiveassistedrange

ofmotion,andstarts10weeksaftersurgery.Thepatientlies

supineandusestheunaﬀectedarm(orastickorcane)to

movethepostoperativearmintoforwardelevation,external

rotation,andabduction.Thesecanbedonedaily.

SUPINEACTIVEASSISTED

FORWARDELEVATION

Usingastickorcane,the

normalarmwillmovethe

aﬀectedarmoverthehead.

SUPINEACTIVEASSISTEDEXTERNAL

ROTATION

Keeptheaﬀectedarmtuckedcloseto

thebody.Bendtheelbowto90degrees

sothehandispointedtotheceiling.

Usingacane,thehealthyarmmovesthe

aﬀectedarminexternalrotation.

SUPINEACTIVEASSISTEDABDUCTION

Whilekeepingtheelbowoftheaﬀectedarmstraight,theunaﬀectedarm

willmovetheaﬀectedarmouttothesideofthebodyashighasis

comfortable.

Phase2:ActiveAssistedMotion

(11‐14WeeksafterSurgery)

Phase2:ActiveAssistedRangeofMotion11‐14Weeks

Elevenweeksaftersurgerythepatient’sbackisproppedup

approximately45degreesandusestheunaﬀectedarmto

movethepostoperativearm(oracaneorstick)intoforward

elevation,externalrotation,andabduction.Aftertwelve

weeks,thepatientcandotheseexerciseswhileupright.These

exercisescanbedonedaily.

45DEGREEACTIVEASSISTEDRANGEOFMOTION

Whileproppedonapillowat45degreesandusingastickorcane,the

normalarmwillmovetheaﬀectedarmoverthehead.Thearmismovedin

forwardelevation,abduction,andexternalrotation.Thisbegins11weeks

aftersurgeryand

isdonedaily.

UPRIGHTACTIVEASSISTEDRANGEOFMOTION

Twelveweeksaftersurgeryusingastickorcane,thenormalarmwillmove

theaﬀectedarminexternalrotation,abductionandforwardelevation

whileupright.Sittinginachairwhileusingpulleysisallowedatthistimeas

well.Theseexercisesshouldbe

donedaily.

Phase1:PassiveMotion

(6‐10WeeksafterSurgery)

Phase1:PassiveRangeofMotion6‐10Weeks

Passiverangeofmotionistobegin6weeksaftersurgery.

Passiverangeofmotionrequiresthetherapistoranassistant

athometoputthearmthroughacomfortablerangeof

motionwhilethepatientissupine.Motionsincludeforward

elevation,externalrotation,andabduction‐allwithina

comfortablerange.Theseexercisesaredonewitheach

therapyvisit,threetimeseachweek.



Inaddition,pendulumexercisescanbeinitiatedduringthis

time.Thesecanbedoneathome,twiceeachday.

PASSIVERANGEOFMOTION

Thepatientliessupineandrelaxes.The

therapistwillmovethearm.The

patientshouldrelaxandshouldnot

contractanymuscleswhilethether‐

apistmovesthearm.Thisshouldbe

doneateachtherapyvisit,threetimes

eachweek.

PENDULUMEXERCISES

Usetorsotomovearmby

rockingbodyweight.Go

inclockwisedirectionthen

counterclockwise.

Pendulumexercisescan

bedonetwiceeachday.

InstructionsfortheTherapist

Phase3:ActiveRangeofMotion14‐18Weeks

Whilecontinuingtoworkonactiveassistedmotion,thepatient

nowbeginsactiverangeofmotioninforwardelevation,external

rotation,andabduction.Inaddition,isometricstrengthening

exercisesbeginatthistime.



Phase4:ResistedExercise18‐22Weeks

After18weeksthepatientcanbeginstrengtheningwith

resistedexerciseusinganelasticbandorhandweights.Scapula

musclestrengtheningexercisesareintroduced.Full‐andEmpty

‐Canexercisesarenotallowed!

Phase3:ActiveMotion

(14‐18WeeksafterSurgery)

Phase3:ActiveRangeofMotion14‐18Weeks

Whilecontinuingtoworkonactiveassistedrangeofmotion,

thepatientnowbeginsactiverangeofmotioninforward

elevation,externalrotationandabduction.Inaddition,

isometricstrengtheningexercisesbeginatthistime.These

exercisescanbedonedaily.

ACTIVERANGEOFMOTION

Whileupright,thepatientmovesthearminfrontofthebody(forward

elevation)andtothesideofthebody(abduction).

ACTIVERANGEOFMOTION

Itisimportanttoavoid“hiking”theshoulder.Placetheuninvolvedhandon

theaﬀectedshoulder,ordotheseexercisesinfrontofamirrortoavoid

this.

Phase3:IsometricExercise

(14‐18WeeksafterSurgery)

Phase3:IsometricExercises14‐18Weeks

Beginning14weeksaftersurgerythepatientcanbegin

isometricexercises.Usingapilloworfoldedtowelthepatient

appliespressuretothewallwithoutmovingtheshoulder.

ISOMETRICPUSHANDPULL

Withapillowagainstthewall,andthearmtuckedclosetothebody,create

pressurewiththeﬁstforforwardpush,andwiththeelbowtopush

backward.Holdthepositionfor15secondsthenrestfor30seconds.Repeat

this10‐15times.This

canbedonedaily.

ISOMETRICEXTERNALANDINTERNALROTATION

Withapillowagainstawall,andthearmtuckedclosetothebody,create

pressurewiththebackofthehandforexternalrotation,andwiththepalm

ofthehandforinternalrotation.Holdthepositionfor15secondsthenrest

for30seconds.

Repeatthis10‐15times.Thiscanbedonedaily.

InstructionsfortheTherapist

EXERCISEPROGRAM:Therapybegins6weeksafter

surgery.Exercisesshouldbeperformeddailysupervisedby

atherapist1‐3x/week,andathomeontheotherdays.



Phase1:PassiveRangeofMotion6‐10Weeks

Passiverangeofmotionbegins6 weeksaftersurgery.

Passiverangeofmotionrequiresthetherapistoran

assistantathometoputthearmthroughacomfortable

rangeofmotionwhilethepatientissupine.Motionsinclude

forwardelevation,externalrotation,andabduction–allwith‐

inacomfortablerange.Pendulumexercisesarebegundur‐

ingthistime.Scapulaexercisesbeginat6weeks.Scapula

exercisesshouldincludeshrugs,depression,retractionand

protraction.Hand,wrist,andelbowmotionshouldbedone

adlib.



Phase2:ActiveAssistedRangeofMotion10‐18Weeks

Thisphaseintroducesactiveassistedrangeofmotion.The

patientliessupineandusestheirotherarm(orcaneorstick)

tomovetheaﬀectedarmintoforwardelevation,external

rotation,andabduction.Thepatientdoesthissupineat

week10,45degreesuprightforweek11,andcompletely

uprightatweek12.Afterweek12,thepatientcanuse

pulleysforforwardelevation.



InstructionsfortheTherapist

ActivityRestrictions

Showering:48Hours

Deskwork:Whencomfortablewithsling

Driving:Notuntilslingisoﬀat6weeks

UsingarmforActivitiesofDailyLiving:6weeks

Usingarmtoreachoverhead:12weeks

Usingarmtoreachbehindback:6weeks

Usingarmtocarryobjects:6weeks

Pushing/Pulling:6weeks

Sport/HeavyActivity:Whenﬁnishedwiththerapyprogram



ExerciseProgram

Therapyistobegin6weeksaftersurgery.

Exercisesshouldbeperformedonceperdayathomeorwitha

therapist.Theexerciseprogramisdividedintofour

time‐dependentphases.Donotadvanceintothenextphase

untiltheappropriatetimeaftersurgery.



Questions/Concerns

Ifyouhavequestionsorconcerns,pleasecontactthepatient’s

physician.Questionsorconcernsregardingtherehabilitation

protocolmaybesenttotheMOONShoulderGroupresearch

hub,listedonthebackofthisbook.

Phase4:ResistedExercises

(18‐22WeeksafterSurgery)

Phase4:ResistedExercises18‐22Weeks.

After18weeks,thepatientcanbeginstrengtheningwith

resistedexerciseusingelasticbandsand/orhandweights.

Resistedexercisesshouldbedone3daysperweek.Each

exerciseshouldbeperformedas10‐15repetitionsfollowedby

2minutesofrest,andrepeated3‐4times.

ROTATORCUFFSTRENGTHENING

Withthearmtuckedclosetothebody,userubbertubingtoprovide

resistancetointernalrotationofthearm.Turnaroundtousethetubingto

provideresistancetoexternalrotationofthearm.Alternatively,youmay

lieonyoursideandusesmallhandweightsto

provideexternalrotation

resistance.Do10‐15repetitions,for3‐4sets,for3days/week.

DELTOIDSTRENGTHENING

Withthearmtuckedclosetothebody,userubber

tubingtoprovideresistancetoforwardpunches.

Turnaroundtousethetubingtoprovideresistance

topullingthearm.Do10‐15repetitions,for3‐4

sets,for3days/week.

DONOTDOFULL‐

CANOREMPTY‐

CANEXERCISES!

Theseplacetoo

muchstressonthe

rotatorcuﬀ.

Phase4:ResistedExercises

(18‐22)WeeksafterSurgery)

Phase4:ResistedExercises18‐22Weeks.

Theseexercisesincludescapulastrengtheningandlight

stretching.

RESISTEDSCAPULASTRENGTHENING

Scapulastrengtheningexercisesincludelockedelbowextensiontowork

thetrapezius,press‐upplus‐reachingtowardtheceilingtoworkthe

serratus.Rowsmaybedonekneelingwithelasticbands ,anduprightwitha

handweight.Likeotherstrengtheningexercises,eachexerciseshouldbe

performedas10‐15

repetitions,followedby2minutesofrest,andrepeated

as3‐4sets.Strengtheningexercisesshouldbedone3days eachweek.

SHOULDERSTRETCHING

Stretchingshouldbedonedaily.Holdeachstretchfor15seconds,restfor

15seconds,andrepeat5times.Thecornerstretchwillstretchtheanterior

shoulder.Thetowelstretch,cross ‐bodystretch,andthesleeperstretchwill

stretchtheposteriorshoulder.Beginwithgentlestretching.After22

weeks,

aggressivestretchingmaybeusedifneeded. 

IntroductionsfortheTherapist

TheMOONShoulderGroupisacollectionofshoulder

expertswhostudythebestmethodstotreatpatientswith

rotatorcuﬀtears.YourPatientispartofastudyevaluating

theeﬀectoftimingofpost‐operativetherapyafterrotator

cuﬀrepair.



‐Thispatientistobegintherapy6weeksaftersurgery.



‐Thepatientshouldworkwiththetherapist1‐3x/week

untilreleasedbythesurgeon.



‐Yourpatienthasreceivedahometherapyexercise

guide.THESEBEGINSIXWEEKSAFTERSURGERY.You

shouldreviewthishomeexerciseprogramwiththe

patient.

Donotaddorskipanypartofthisprogram.Ifyouhave

concerns,pleasecontactyoursurgeon.

GENERALINSTRUCTIONS:

Modalities

Level‐1evidencesupportstheuseofcryotherapy.Patients

areencouragedtousecryotherapyaftersurgery.



SlingUse

Aslingwithasmallpillowistobewornforsixweeksafter

surgery.Thesling

mayberemovedforshoweringand

activitiesasdirected.Theslingshouldbewornwhenthe

patientisinanuncontrolledenvironment:sleeping,around

children,pets,andcrowdsduringthesesixweeks.

MOONSHOULDERGROUP

ForinformationregardingtheMOONShoulderGroup,

speaktosurgeonorcontact:

RosemarySanders

4200MedicalCenterEast

121521stAvenueSouth

VanderbiltUniversityMedicalCenter

NashvilleTN37232‐8300

[email protected]

www.MOONShoulder.com

Version1.0AllIllustrationsbyJasperRichardson.



POST‐OPERATIVE

ROTATORCUFFREPAIR

PROTOCOL

TherapistInstructions