Post-Surgical UCL Rehabilitation Program

1. Advanced Stage Exercises

1.1. Push-Ups

1.2. Planks

1.3. Medicine Ball Squats with a partner or against wall

1.4. "Lat" Pull-Downs (machine)

1.5. Row Machine

1.6. Chest Press Machine

1.7. Bicep Curls

1.8. Upper-Body Ergometer

1.9. Over-Head Tricep Extensions

1.10. Cardiovascular Exercise

1.10.1. Biking

1.10.2. Running with brace

1.10.3. Lateral lunges with Thera Band

1.11. Modalities

1.11.1. Ice

1.11.2. Massage

1.11.3. Myofascial Release

2. Return-To-Play Exercises (Baseball)

2.1. Interval Throwing Mechanics

2.2. Side-Shuffle Chest Passes

2.3. Lateral-Rotation Wall Passes

2.4. Swinging Off of Tee Mechanics

2.5. Side Lunge with Diagonal Shoulder Abduction (Thera Band/Tubing)

2.6. Wide Staggered Position with Diagonal Shoulder Abduciton (Thera Band/Tubing)

2.7. Base Running

2.8. Ground Ball Catching Mechanics in Defensive Position

2.9. Jumping with Weighted Ball to Simulate Air-Borne Catching

3. Home Exercise Program

3.1. Self-Assisted Wrist Flexion: Isometric

3.2. Self-Assisted Wrist Extension: Isometric

3.3. Towel Roll Squeeze

3.4. Paper Crumpling Exercise

3.5. Elbow Flexion Stretch: Sling

3.6. Self-Assisted Finger Flexion: Resisted

4. Intermediate Stage Exercises (*weight can be adjusted based on athlete's progression and ability)

4.1. Elbow abduction & adduction with Thera Band

4.2. Elbow supination & pronation - 1 lb with elbow fixed at 90 degree flexion on table

4.3. Ulnar & Radial deviation with resistance tubing

4.4. Wrist flexion & extension - 1 lb with elbow fixed at 90 degree flexion on table

4.5. Elbow flexion & extension with Thera Band

4.6. Body Blade - elbow stable against trunk and forearm outstretched at 90 degrees

4.7. Weighted Extension Hang - 3 lbs

4.8. Ball Toss - 90 degree flexion at shoulder and elbow throwing ball against wall

4.9. Weighted ball drop - 6 lbs with arms outstretched while dropping ball over trampoline and catching

4.10. D1 and D2 PNF pattern

4.11. Cardiovascular Exercise

4.11.1. Biking

4.11.2. Walking

4.11.3. Light Jogging towards end of walking with brace

4.12. Modalities

4.12.1. Ice/Cryotherapy

4.12.2. Stretching

4.12.3. Static Stretching

5. Beginning Stage Exercises

5.1. Gripping with putty ball

5.2. Rice bucket - alphabet motions

5.3. Elbow flexon & extension - elbow fixed at 90 flexion on table

5.4. Elbow pronation & supination - elbow fixed at 90 degree flexion on table

5.5. Elbow abduction & adduction - elbow fixed at 90 degree flexion on table

5.6. Ulnar & Radial deviation - elbow fixed at 90 degree flexion on table

5.7. Wrist flexion & extension - elbow fixed at 90 degree flexion on table

5.8. Codman Pendulum

5.9. Weighted Extension Hang - 1 lb, distal arm hanging off of table

5.10. Should abduction & adduction - prone on table

5.11. Cardiovascular exercise limited to biking and walking with brace

5.12. Core Stability exercises

5.13. Modalities

5.13.1. Cryotherapy/Ice

5.13.2. Cryotherapy/Ice

5.13.3. Joint Mobilizations

5.13.4. STEM