Physical Therapy Standards of Care and Protocol

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


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


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


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


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


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

Physical Therapy Standards of Care


Ankle Sprain
Achilles Tendinopathy
Plantar Fasciitis


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


Acromioclavicular Separation
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


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
Meniscal Tears of the Knee
Knee Osteoarthritis
Patellofemoral 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


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
Pelvic Girdle Pain


Marfan Syndrome
Stretching and Flexibility

Inpatient-Specific Physical Therapy Standards of Care

Spinal Surgery
Cardiac Disease
Cardiac Transplantation
Mechanical Circulatory Support Devices
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
Neuromuscular Practice Pattern


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