Tenodesis Protocol

Tenodesis protocol details the rehabilitative process necessary after surgery to reattach the bicep tendon. The protocol allows patients to progress from simple gravity exercises for short periods to a self-directed gym program.
  1. Stages One and Two

    • Klamath Orthopedic Clinic recommends specific protocol in four stages. The first stage lasts between one day and one month. This stage begins with gravity pendulum exercises. Patients should wear an immobilizer except when showering or exercising, The second stage generally lasts from four to eight weeks beginning with a wall climb forward to 110 degrees.

    Stages Three and Four

    • The third stage begins at four weeks with elastic tubes, free weights and wall pulleys. The fourth stage begins at 12 weeks and continues on as necessary. The goal is for the patient to progress up 100 percent of a normal load over a four-week period.

    Alternative Protocol

    • While similar in structure, the University of Kentucky has a protocol that lasts longer. The first stage begins with a passive range of motion program (PROM). The option of a sling or immobilizer is included in this protocol. The second stage lasts from four to 12 weeks and begins with isometric exercises. The third stage lasts from three to 12 months. This stage begins with maximum theraband exercises and attempts to reach maximum medical improvement (MMI) by six months.

Bones, Joints Muscles - Related Articles