Bankart / Anterior Inferior Capsular Shift Rehabilitation Program – Dr Klein

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TIME POST-OP ACTIVITY RANGE OF MOTION STRENGTHENING

0 – 10 Days Sling immobilizer full
time, including night-
time for the first 6
weeks.
10 Days to 3 Weeks Sling except for P.T.
Follow-up with M.O. @ exercises. Aerobic
2 weeks conditioning with arm in
sling.
3 – 4 Weeks Same as above
Wrist and elbow ROM
Passive ER to 10
degrees, passive FWD
elevation in plane of
scapula to 90 degrees
Passive ER to 20
degrees. Passive FE to
140 degrees
Gripping exercises
Begin gentle isometrics
in neutral shoulder
position. (“1 finger
isometrics”)
Gradually progress
resistance with
isometrics.

4 – 6 weeks May remove sling when Begin pulleys @ 4 Gravity eliminated

Follow up with M.O. @
6 weeks
6 – 12 weeks
Follow up with M.O. @
3 months and thereafter
at the direction of M.O.
arm is in a protected weeks cane and pulley exercises progressing to
position. AAROM. ER to 40 anti-gravity exercises.
degrees. FE to 160
degrees. AROM by 6
weeks
Discontinue sling. Begin PR to 50 degrees. Rubber tubing for IR
light use of arm. Jogging FF to 180 degrees and ER. Light weights.
allowed @ 3 months

12 Weeks – 6 Months No heavy overhead ER progressed Progressive rotator cuff

lifting, overhead according to functional and shoulder girdle
throwing or contact requirements. strengthening.
sports. May begin
swimming. No overhead
strokes.
6 – 9 months May begin overhead Progress as directed Progressive resistive
activities. Progress to exercise (PRE)
unrestricted activities.
Begin preparing for
PRT, etc.
After 9 Months Anticipate full Sport-Specific training.
unrestricted activity