Physical Therapy Standards

The following Standards of Care and Protocols are the property of BWH and should not be copied or otherwise used without the permission of the Director of Rehabilitation Services.

The information contained in these standards of care or protocols is not intended in any way to be used as primary medical advice or to replace medical advice offered by physical, occupational, speech therapists or other health care professionals. The intent of posting these standards of care and protocols is to provide clinicians and patients an understanding of our current standards of care and protocols at BWH.

Physical Therapy Protocols

Shoulder

Arthroscopic Rotator Cuff Repair Protocol (Patient & Therapist Version)
Arthroscopic Anterior Shoulder Stabilization Protocol
Biceps Tenodesis Protocol
Biceps Tenotomy Protocol
Latarjet Protocol
Latissimus Dorsi Tendon Transfer Protocol
Open Anterior Shoulder Stabilization Protocol
Posterior and Posterior Inferior Capsular Shift of the Shoulder Protocol
Reverse (Inverse) Total Shoulder Arthroplasty Protocol
Reverse (Inverse) Total Shoulder Arthroplasty with Latissimus Dorsi Tendon Transfer Protocol
SLAP I & III Protocol
SLAP II & IV Protocol
Subacromial Decompression Protocol
Total Shoulder Arthroplasty Protocol

Elbow

Distal Biceps Tendon Repair Protocol
Distal Biceps Tendon Repair Protocol - Accelerated
Lateral Epicondyle Debridement Protocol
Ulnar Collatoral Ligament of the Elbow Reconstruction Protocol
Total Elbow Arthroplasty

Hand

Extensor Tendon Repair Protocol
Flexor Tendon Repair Protocol Zone 1
Flexor Tendon Repair Protocol Zone 2-5
FPL Repair Protocol
Upper Extremity Distal Fractures


Hip/Knee

ACL Reconstruction - Patella Tendon Autograft
ACL Reconstruction - Hamstring Tendon Autograft
ACL Reconstruction - Allograft
Autologous Chondrocyte Implantation Protocol; Also see the Cartilage Repair Center Website. 
Mensical Repair Protocol
Partial Menisectomy of the Knee Protocol
PCL Reconstruction
Total Knee Arthroplasty

Ankle

Brostrom Gould Repair for Ankle Instability

Return to Sports Guidelines

Functional Activity Progression Following LE Stress Fracture
Return to Sport following knee injury/surgery
Running Injury Prevention Tips & Return to Running Program
Running Injury Prevention Tips & Strength Training Program

Please contact us at rwilcox@partners.org for information regarding:

• Return to Golf Program
• Return to Recreational Throwing Program
• Return to Throwing Program
• Return to Tennis Program

Physical Therapy Standards of Care

Ankle

Ankle Sprain
Achilles Tendinopathy
Plantar Fasciitis

Spine

Ankylosing Spondylitis
Cervical Radiculopathy
Costochondritis
Spinal Stenosis, Lumbar Region
Vertebral Augmentation   (Kyphoplasty/Vertebroplasty)

Shoulder

Acromioclavicular Seperation
Adhesive Capsulitis
Arthroscopic Rotator Cuff Repair
Latissimus Dorsi Tendon Transfer
Reverse (Inverse) Total Shoulder Arthroplasty
Shoulder Impingement
Subacromial Decompression of Shoulder (SAD)
Thoracic Outlet Syndrome
Vascular Thoracic Outlet Syndrome
Total Shoulder Arthroplasty

Hip/Knee

Anterior Cruciate Ligament (ACL) non-surgical management
Autologous Chondrocyte Implantation
High Tibial Osteotomy
Iliotibial Band Syndrome
Labral Tear of the Hip
Medial Collateral Ligament Sprain
Mensical Tears of the Knee
Knee Osteoarthritis
Patellafemoral Pain
Pes Anserine Bursitis
PCL Standard of Care
Greater Trochanteric Pain Syndrome
Tibial Plateau Fractures
Total Knee Arthroplasty
Total Hip Arthroplasty

Lower Extremity

Amputation, Lower Extremity
Tibial Stress Injuries

Hand/Elbow

Carpal Tunnel Syndrome
Carpal Tunnel Release
DeQuervain's Release
Flexor Tendon Laceration
Radial Tunnel Syndrome

Women's Health

Deep Inferior Epigastric Perforator Breast Flap Reconstruction
High Risk Pregnancy
Lymphedema
Pelvic Girdle Pain

Other

Bariatric

Marfan Syndrome

Osteoporosis
Stretching and Flexibility
TMJ

Inpatient-Specific Physical Therapy Standards of Care

Spinal Surgery
Burn
Cardiac Disease
Cardiac - Ventricular Assist Device
Cardiac Transplantation
Peripheral Vascular Disease
Pulmonary Disease
Wound Care

Inpatient-Specific Physical Therapy Guidelines

Acute-Care Physical Therapy Referral Response Standard
Guidelines for Frequency of Physical Therapy Patient Care in the Acute-Care Hospital Setting  
Cardiovascular/Pulmonary Practice Pattern
Integumentary Practice Pattern
Musculoskeletal Practice Pattern
Neuromusclar Practice Pattern