After rotator cuff repair, progression of range of motion typically begins with which type of movement?

• A. Passive ROM
• B. Active ROM
• C. Resistive ROM
• D. Isometric holds

Answer: (A)

The movement progression after rotator cuff repair starts with passive ROM because the repaired tendons are vulnerable to stress from muscle contractions. Passive ROM involves moving the shoulder through its range without the patient actively using the shoulder muscles, so a therapist or device moves the joint while the patient relaxes. This protects the repair site while gradually restoring joint mobility.

Active ROM would place the muscle contractions across the healing tendon, which can place tension on the repair and risk compromising healing. Isometric holds involve muscle activation without joint movement, which doesn’t increase range of motion. Resistive ROM adds load to strengthen but only after ROM has been safely restored, so it isn’t the initial progression.

So, beginning with passive ROM best supports safe, gradual restoration of motion after rotator cuff repair.