Advanced Elbow Acute Injury Rehabilitation

Pain at rest < 3/10 on visual analog scale,Elbow swelling reduced by 50% as measured by circumference,Full passive elbow extension without significant resistance at medial and lateral epicondyle,Able to tolerate neutral elbow position without ulnar nerve paresthesia,Active wrist and finger flexion/extension without exacerbating elbow pain,No valgus or varus stress instability at elbow joint line

→ Advance to: Phase 2 - Early Motion and Neuromuscular Activation

Elbow active range of motion: flexion 30-110 degrees without pain,Full forearm pronation and supination achievable,Ulnar nerve neurodynamic test negative for provocation,Isometric elbow flexor and extensor strength at least 3/5 MMT,No pain with gentle palpation of lateral and medial epicondyle origins,Grip strength within 20% of contralateral side

→ Advance to: Phase 3 - Progressive Strengthening and Functional Training

Elbow active range of motion: flexion 15-130 degrees,Full pain-free range of motion in wrist flexion/extension and radial/ulnar deviation,Ulnar nerve sensation intact at 4th and 5th fingers with Tinel sign negative,Manual muscle testing elbow flexors and extensors ≥ 4/5,Cartilage loading tolerance demonstrated without joint line pain,Functional reach and lift activities completed without compensation

→ Advance to: Phase 4 - Advanced Strengthening and Return to Activity

Full active and passive elbow range of motion (0-145 degrees),Ulnar nerve motor function intact with no intrinsic weakness,Isokinetic elbow strength ≥ 85% of contralateral side at 60 degrees/second,No pain with resisted wrist flexion at medial epicondyle origin,No pain with resisted wrist extension at lateral epicondyle origin,Sport-specific or occupation-specific tasks completed without symptoms

→ Advance to: Discharge to maintenance program