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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