Posterior Stabilization/Reverse Bankart Repair
PHASE 1: 0-4 WEEKS
- Sling at all times except for hygiene/exercises
- ROM: up to the ‘salute position’ only
- Pendulum exercises and Codman’s only until 4 weeks post-op
PHASE 2: 4 WEEKS – 8 WEEKS
- Wean from sling
- ROM: increase as tolerated, avoid stretching posterior capsule
- Strengthening: active-assisted exercises, deltoid/rotator cuff isometrics
- Avoid using exercise arcs that stress the posterior capsule
- Keep all strengthening exercises below the horizontal plane
PHASE 3: 8 WEEKS – 3 MONTHS
- ROM: progress to full ROM w/o discomfort
- Strengthening: may begin resistive exercises for RC and scapular stabilizers
- Begin upper body ergometer
PHASE 4: 3 MONTHS – 5 MONTHS
- Strengthening: advance to include ER and latissimus eccentric exercises
- May begin muscle endurance activities (upper body ergometer)
- Start aggressive eccentric strengthening and plyometrics at 4 months post-op
PHASE 5: 5 MONTHS+
- Begin sport specific activities, increase joint velocity of motion
- Transition to home exercise program