Rehabilitation Documentation and Goal planning

Name of Injury: Ulnar Collateral Ligament tear- Autogenous graft

Long Term Goals: Gain full range of motion,return to Baseball, pain freethrowing and overhead movements,
have perfect mechanics throwing the baseball

Weeks/ Short-term goal Pain Exercise Patient feedback Additional notes

months scale

Post operation Protect healing tissue, 6 Foam ball squeezes
decrease pain and
inflammation, Delay muscle
atrophy, protect graft
Patient had to use their Patient has a posterior
3x10 other hand for assistance splint at 90 degree
Forearm pronation and to get full range of motion flexion, Elbow
supination 3x10 on wrist flexion and compression wrap every
Active wrist radial and extension, Wrist radial other day to reduce
ulnar deviation 3x10 and ulnar deviation was swelling , continue grip
Active wrist flexion and uncomfortable. exercises
extension (can be
assisted) 3x10
Scapular clocks 2x5
each
Isometric shoulder
flexion 3x10
Hamstring stretches
Weeks 3-7 Increase range of motion,
regain muscle strength,
reduce swelling
Weeks 8-12 Increase strength and
power, gain full elbowROM,
return to light sports activitiy,
begin plyometrics
2 20 mins stationary bike Patient was doing well Added a functional brace
Band scapular with wrist curls and 30-100 degrees, increase
retractions 3x10 extensions, increased the 5 degrees extension and
Wrist curls 3x10x1lb weight to 2 lbs, Patient 10 degrees flexion a
(week 4-6) felt the push-up plus was week, continue elbow
Elbow extension and to easy added bosu ball, extension and flexion,
flexion 3x10x1lb (week patient experienced add core strengthening
4-6) discomfort with external exercises
Internal rotation rotation isometrics
isometrics 3x10, add
external rotations week
5-6 (week 4-6)
Prone row, flexion and
extension 3x10 (wrist
weights)
Push-up Plus
1 Side lying Patient experienced Removed functional
internal/external increased slight pain from brace, stabilization has
rotations 2x10 (wrist the over the shoulder progressed well, continue
weights) deceleration, enjoys plyometrics and
Rhythmic stabilization at swimming, wants to do swimming, Full range of
90 degree 4x15 sec more bicep exercises motion in the elbow
Prone quick drops
(flexion, external
rotation and horizontal
abduction) 3x10eac
Body blade internal
external rotation 5x10
sec
Med ball overhead
throws/slams 3x5 5lb
(week 11-12)
Over the shoulder
deceleration 3x5x1lb

Weeks 13-16 Increase strength, maintain
ROM,, increase speed on
movements
Weeks 16-22 Increase strength, clean up
throwing mechanics, begin
throwing pending physician
approval
Months 4-9 Start full throwing program,
having them throwing
competitively off a mound,
build arm strength, throw
3-4 times a week
(week 12)
Light swimming 10mins
Planks 3x45 sec
0 90 degree wall dribbles Patient wants to start Patient has no
4x40x1lb throwing inflammation, Full Rom of
Med Ball side throws elbow and shoulder
3x10x5lbs
Fast banded internal/
external rotations 3x10
each
Supine med ball chest
pass 3x5x5lb
DB Bicep Curls 3x15
Seated row and lat pull
banded 2x10 eac
0 Running 15-20 mins Patient notices increased Physician has cleared the
Pushups 3x10 soreness after the patient to start throwing,
15ft throws into wall throwing sessions, but Ice after each throwing
start light 2x15 did not experience pain, session, Had pitching
Jaeger band routine 2 x felt stiff within the coach work with the
10 reps each throwing motion patient to maintain proper
Pushpress 3x10 form, elbow high, good
Russian twists 3x20 eac deceleration using arm
and core
0 Throwing no wind up Patient does not Arm strength was a slow
up to 40 feet 50-60 experience pain in build, pitching form has
throws (light) everyday life but while become much better, did
Throwing with easy throwing there is not respond well to
wind-up 30-70 feet occasional pain at a 2, weighted ball initially had
50-70 throws This only occurred in the pain and increased
 (occasional throw at half early throwing phases, soreness, patient became
speed, gradual increase patient had initial stiffness bored with the lack of
to 150 feet over months) with throwing and intensity of throwing,
Throwing off a mound ½ increased soreness, did patient made a full
speed to ¾ speed 50-70 cryotherapy post throwing recovery
throws 40-150 feet days
(45-60 feet off the
mound)
Up down bullpens 60
feet 70 pitches 60 feet
75-90 percent (30, rest,
20 rest, 20)
Weighted ball spiral
throws, standing
sequence drill, hop step
sequence, delivery 1x10
eac

References
https://medicine.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/ulnarcollater
alligamentreconstruction.pdf?la=en&hash=20F3D97FAF68517250F938BDB3BC77482C541A16

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3445125/#:~:text=Initial%20Postoperative%20Management,involved%20in%20the%2
0nerve%20transposition.