Board of Certification for the Athletic Trainer (BOC) Practice Test

Which of the following exercises are most appropriate for the immediate post-operative phase of a Bankart repair?

1. Passive external rotation in scapular plane to 35-40 degrees at 90 degrees of abduction

2. Resistive flexion to 120 degrees with a one-pound dumbbell

3. Active assistive internal rotation to 35-40 degrees in 90 degrees of abduction

4. Active elbow/hand ROM

The correct answer is: Passive external rotation in scapular plane to 35-40 degrees at 90 degrees of abduction

In the immediate post-operative phase of a Bankart repair, the focus is on protecting the repaired structures while maintaining some range of motion to promote healing. Passive external rotation in the scapular plane to 35-40 degrees at 90 degrees of abduction is particularly appropriate during this phase because it allows for gentle movement without placing excessive stress on the shoulder joint. This specific motion aids in preserving joint mobility and preventing stiffness, which is crucial after such a surgical procedure. During this phase, it's vital to avoid exercises that could compromise the repair or involve significant muscle contraction around the shoulder. Therefore, passive external rotation is beneficial because it provides movement while ensuring that the muscles and ligaments are not actively engaging in a manner that could jeopardize the surgical work. Other options, such as resistive flexion or active assistive internal rotation, may introduce unneeded stress or engagement on the shoulder, potentially leading to complications in recovery. Active elbow and hand range of motion is typically safe, but it does not address the specific needs of the shoulder during the early rehabilitation phase following a Bankart repair.