Mehul R Shah, M.D. - Orthopaedic Surgeon - New York Hospital for Joint Diseases - NYU LANGONE MEDICAL CENTER
Mehul R Shah, M.D. - Orthopaedic Surgeon - New York, NY: 212-598-3897, 646-501-7067 - Lake Success, NY: 516-467-8600
Mehul R Shah, M.D. - Orthopaedic Surgeon
Mehul R Shah, M.D. - Orthopaedic Surgeon
Patient Info

Distal Biceps Repair Rehabilitaion Guidelines

Phase 1: Protection phase (Weeks 0-8)

Weeks 0-2

  • Immobilization for 2 weeks Pendulum exercises
  • Ice and pain modalities
  • Hand gripping exercises Submaximal Isometric
    • Triceps
    • Shoulder rotators

Weeks 2-4

  • Brace 0°-90°
  • Passive Pronation to neutral only/Full Supination
    (All elbow exercises done with the shoulder in 60° flexion/neutral grip)
  • Active ROM elbow flexion
  • Gentle Passive elbow extension (Week 3) Wrist strengthening

Weeks 4-8

  • Remove brace
  • Submaximal isometric progressing to isotonic biceps exercises (neutral grip)
  • Tricep isotonics to 10° from full extension Gentle (painfree) passive ROM Sup/Pron Pulleys
  • UBE for AAROM
  • Rhythmic Stabilization Flex/Ext & Sup/Pron
  • Isometric Sup/Pron

Phase 2: Weeks 8-12 Intermediate Phase

  • Submaximal isotonic Sup/Pron
  • Progression to strengthening with the shoulder in adduction
  • Joint mobilizations
  • Restoration of full ROM (12 weeks)
  • Strengthening of upper body musculature with neutral grip
  • Biceps curls Three ways (Sup/Neutral/Pron)
  • Use of Dumbbells may be better than barbell

Phase 3: Weeks >12 Advanced Strengthening Phase

  • Strengthening of Sup/Pron (Hammer, golf club, pole)
  • Move to strengthening with supinated grip Closed chain exercises
  • PNF resistance patterns
  • Isokinetics
  • Plyometrics
  • Return to sport at 4 months (Earliest)

Distal Biceps Repair Rehabilitaion Guidelines Click here to download Printable Version of Distal Biceps Repair Rehabilitaion Guidelines.

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