Anterior Labral (Bankart) Repair Rehab Protocol

Keys to a Successful Outcome

Since capsulolabral repair is performed with the arm in neutral rotation, any external rotation places stress on the repair. Precaution with external rotation should be taken during early rehabilitation.
No anterior glides until 8 weeks post-op
Ultimately, there may be a loss of internal rotation compared to the other shoulder, but the motion is usually adequate for most activities.

Phase	Brace	ROM	WB	Exercises
Weeks 0-2	On at all times except hygiene/showering	PROM/AAROM to tolerance; limit FF to 90°, ER to 20° in 30° of ABD	NWB	Pendulums, AROM elbow/wrist/fingers
Weeks 2-4	On at all times except hygiene/showering	PROM/AAROM to tolerance; limit FF to tolerance, ER to 20° in 30° of ABD	NWB	Begin active IR, isometric exercises (no IR), begin light resistance
Weeks 4-6	Only worn at night and in uncontrolled environments; can be taken off during day	Full AROM to tolerance except extreme ABD and ER	NWB	Body blade, progressive resistance exercises
Weeks 6-8	None	FAROM	PWB (5 lb limit)	Dumbbells, diagonal Theraband, wall push-ups
Weeks 8-10	None	FAROM	WBAT	Begin anterior glides (week 8), progressive resistance, Plyoball
Weeks 10-12	None	FAROM	WBAT	Push-ups, quadraped exercises, Plyoball, IR/ER exercises in 90° ABD
Weeks 12+	None	FAROM	WBAT	Begin sport-specific sctivities once full motion, normal strength, and no dyskinesia

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