Anterior Stabilization / Bankart Repair Protocol

Week 0-2

– Patient immobilized in sling for 4 weeks
– Patient to do home exercises – pendulums, elbow/wrist ROM if appropriate

Week 2-4

– Restrict ROM to 90 degrees flexion / 30 degrees ER at side / IR to stomach
– Start with PROM, and progress to AAROM and AROM as tolerated
– May perform isometrics in sling

Week 4-8

– Discontinue sling at 4 weeks
– Begin light strengthening, starting with isometrics and progressing to bands within ROM limitations
– Begin periscapular strengthening exercises
– ROM guidelines: Flexion 140 / Abd 100 / ER 30 degrees at side / IR to back pocket
– PROM should be within tolerance – no stretching into end-range or through pain barrier

Week 8-12

– May do more stretching into end-range if ROM is still limited
– Continue progression of PREs with bands and free weights– may begin UBE at 10 weeks
– Begin closed chain shoulder stabilization exercises at 10-12 weeks
– Work AROM and strengthening into 90 degrees ER at 12 weeks to focus on shoulder stability
– Full ROM at 12 weeks

Week 12+

– Begin sport-specific rehab at 3 months
– Continue progression of PREs with weights
         o Strengthening no more than 3x/week to prevent tendonitis
– Return to throwing at 4-5 months
– Return to contact sports at 5-6 months