Accelerated rehabilitation after arthroscopic bankart repair for selected cases: a prospective randomized clinical study

Kim, Seung‐Ho; Ha, Kwon-Ick; Jung, Min-Wook; Lim, Moon-Sup; Kim, Young‐Min; Park, Jong-Hyuk

doi:10.1016/s0749-8063(03)00397-9

Cited by 92 publications

(105 citation statements)

References 31 publications

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“…10,44,46 A 12-week period is often cited as the minimum postoperative time frame to begin vigorous activities, 7,23,45,61,94 and this time frame is consistent with our review of the literature for healing rates of the capsulolabral complex. 19,96 No clinical trial evidence supports this recommendation, only consensus from a multidisciplinary group of rehabilitation specialists.…”

Section: Phase 2: Postoperative Weeks 6 To 12supporting

confidence: 87%

“…3, 46 In a randomized controlled trial comparing 3 weeks of absolute immobilization to immediate staged ROM in a select group of patients undergoing Bankart repair, Kim et al 46 found that immediate ROM yielded no greater recurrence rate in dislocation, or difference in pain or function scores. These results apply to patients with recurrent (nonacute) instability brought on by a traumatic event, and a Bankart lesion only without the presence of a bony fragment (bony Bankart).…”

Section: Guiding Principlementioning

confidence: 99%

“…Additionally, considering that the capsulolabral complex appears to be within the safe boundaries of stress with the arm in adduction and up to 30° of external rotation, 37 immediate postoperative ROM in this range is safe. 46 Based on this evidence and our significant clinical experience rehabilitating patients following this surgery, we recommend a variable period between 0 up to 4 weeks of absolute immobilization following an arthroscopic anterior capsulolabral repair, in which sutures or suture anchors are utilized. Relative immobilization (out of sling only for ROM exercises or short periods of sitting or standing) is recommended for 6 weeks, followed by sling use for comfort.…”

Section: Guiding Principlementioning

confidence: 99%

“…32,62,75 Staged ROM goals are an effective tool to guide the rate of ROM progression. 46,52 We have proposed a general guideline for staged ROM goals that we were able to achieve consensus on from our multidisciplinary team of shoulder rehabilitation specialists ( TaBle 2). As with the specific period of immobilization, ROM goals may be modified by the surgeon or rehabilitation provider, based on the individual patient.…”

Section: Guiding Principlementioning

confidence: 99%

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The American Society of Shoulder and Elbow Therapists' Consensus Rehabilitation Guideline for Arthroscopic Anterior Capsulolabral Repair of the Shoulder

Gaunt¹,

Shaffer²,

Sauers³

et al. 2010

Journal of Orthopaedic & Sports Physical Therapy

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Synopsis This manuscript describes the consensus rehabilitation guideline developed by the American Society of Shoulder and Elbow Therapists. The purpose of this guideline is to facilitate clinical decision making during the rehabilitation of patients following arthroscopic anterior capsulolabral repair of the shoulder. This guideline is centered on the principle of the gradual application of stress to the healing capsulolabral repair through appropriate integration of range of motion, strengthening, and shoulder girdle stabilization exercises during rehabilitation and daily activities. Components of this guideline include a 0- to 4-week period of absolute immobilization, a staged recovery of full range of motion over a 3-month period, a strengthening progression beginning at postoperative week 6, and a functional progression for return to athletic or demanding work activities between postoperative months 4 and 6. This document represents the first consensus rehabilitation guideline developed by a multidisciplinary society of international rehabilitation professionals specifically for the postoperative care of patients following arthroscopic anterior capsulolabral repair of the shoulder. J Orthop Sports Phys Ther 2010;40(3):155–168. doi:10.2519/jospt.2010.3186

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Section: Phase 2: Postoperative Weeks 6 To 12supporting

confidence: 87%

Section: Guiding Principlementioning

confidence: 99%

Section: Guiding Principlementioning

confidence: 99%

Section: Guiding Principlementioning

confidence: 99%

See 2 more Smart Citations

The American Society of Shoulder and Elbow Therapists' Consensus Rehabilitation Guideline for Arthroscopic Anterior Capsulolabral Repair of the Shoulder

Gaunt¹,

Shaffer²,

Sauers³

et al. 2010

Journal of Orthopaedic & Sports Physical Therapy

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“…Various authors have suggested 3-6 weeks of immobilization after labral repair [20,[23][24][25]. Kim et al found in their randomized study that immediate motion in select group of patients (traumatic soft tissue Bankart repair) yielded in no greater recurrence rate dislocation or difference in pain or functional score compared to 3 weeks of immobilization [26].…”

Section: Phase I: Immediate Phase After Anterior Labral Repair (0-6 Wmentioning

confidence: 99%

Current Concepts in Rehabilitation for Traumatic Anterior Shoulder Instability

Brimmo

et al. 2017

Curr Rev Musculoskelet Med

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Purpose of review The objectives of this review are to evaluate the current evidence-based literature and concepts surrounding rehabilitation in patients with anterior shoulder instability injuries and surgical repair. Recent findings The current literature evidence for shoulder rehabilitation for anterior shoulder instability and labral repair is limited. As a result, there are variations among surgeons and physical therapists in rehabilitation protocols after anterior shoulder instability injuries and repair. While general consensus on certain rehabilitation parameters exists, the evidence for the importance of rehabilitation and functional performance test for return to sport in future injury prevention is still lacking in literature. Summary Rehabilitation after anterior shoulder instability injury and anterior labral repair is paramount in the injured or post-operative shoulder. Restoration of soft tissue mobility, dynamic glenohumeral joint stability, and balance and strength around the shoulder not only protect healing of injured or repaired soft tissues but also potentially minimizes future re-injury or recurrence risk.

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Chronic Shoulder Instability

Willems

2011

Evidence‐Based Orthopedics

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Accelerated rehabilitation after arthroscopic bankart repair for selected cases: a prospective randomized clinical study

Cited by 92 publications

References 31 publications

The American Society of Shoulder and Elbow Therapists' Consensus Rehabilitation Guideline for Arthroscopic Anterior Capsulolabral Repair of the Shoulder

The American Society of Shoulder and Elbow Therapists' Consensus Rehabilitation Guideline for Arthroscopic Anterior Capsulolabral Repair of the Shoulder

Current Concepts in Rehabilitation for Traumatic Anterior Shoulder Instability

Chronic Shoulder Instability

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