SHOULDER ARTHROSCOPY BANKART REPAIR

WEEK EXERCISE GOAL

1-3 ROM Gradual ↑
Passive range of motion-scapular plane
External rotation 0-10° wk 2
0-20° wk 3
Internal rotation 0-45° wk 2
0-60° wk 3
Passive and AAROM
Flexion/Elevation 0-60° wk 2
0-90° wk 3
Pendulum exercises
Rope/Pulley (flex, scaption)
Wand exercises-all planes within limitations
Posterior capsule stretch
Manual stretching and Grade I-II joint mobs
NO ACTIVE ER, ABDUCTION, OR EXTENSION
STRENGTH
Initiate submaximal isometrics-PAIN FREE
BRACE
Sling for 4 weeks
Brace/sling removed for exercises above
MODALITIES
E-stim as needed
Ice 15-20 minutes
GOALS OF PHASE:
• Promote healing of tissue
• Control pain and inflammation
• Gradual increase in ROM
• Independent in HEP
• Initiate muscle contraction

Phase 2: Week 3-6

Bankart Repair-Scope

WEEK EXERCISE GOAL

3-6 ROM Gradual ↑
Passive and AAROM-scapular plane
External rotation 0-30° wk 6
Internal rotation Full ROM wk 6
Passive and AAROM
Flexion/Elevation 0-140° wk 6
Pendulum exercies
Posterior capsule stretch
Rope/Pulley (flex, abd, scaption)
Wand exercises-all planes within limitations
Manual stretching and Grade II-III to reach goals
STRENGTH
Continue isometric activities as in Phase 1
Initiate supine rhythmic stabilization at 90° flexion
Initiate UBE for endurance
Initiate IR/ER at neutral with tubing
Initiate sidelying ER
Push-up progression
Prone horizontal abduction (100°, 90°), extension
Initiate flexion, scaption, empty can
Initiate scapular stabilizer strengthening
Concentrate on eccentric activities
BRACE D/C wk 4
Discharge brace end of week 4
MODALITIES
Ice 15-20 minutes
GOALS OF PHASE:

  • Control pain and inflammation
  • Enhance upper extremity strength
  • Gradual increase in ROM

 

WEEK EXERCISE GOAL

6-12 ROM Full ROM
10 wks
Passive and AAROM-scapular plane
External rotation-90deg  abduction 0-75deg wk 8
Passive and AAROM
Flexion/Elevation 0-160deg wk 8

STRENGTH
Continue all strengthening from previous phases increasing
resistance and repetition
Initiate plyotoss chest pass at wk 8-10
Initiate PNF patterns with theraband
Manual resisted PNF patterns in supine
UBE for strength and endurance
Initiate isokinetic IR/ER at neutral at wk 10-12
MODALITIES
Ice 15-20 minutes

GOALS OF PHASE:

  • Minimize pain and swelling
  • Reach full ROM
  • Improve upper extremity strength and endurance
  • Enhance neuromuscular control
  • Normalize arthrokinematics