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Posterior Stabilizationreverse 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