Rehab & Recovery · Program 87

Shoulder Labrum Repair Recovery

For recovery after a labral repair, including Bankart, SLAP, and posterior labral procedures, once your surgeon has cleared you to start band work. The early phase keeps the arm working safely with scapular activation, anti-protraction holds, postural endurance work, and light internal rotations, then restores motion with shoulder circles, gentle external rotations, thoracic extensions, overhead reaches, and cross-body stretch. It adds load slowly through the external rotation series, A-shape pulls, T-shape pulls, scapular wall slides, and single arm rows, and your surgeon and physical therapist set the timeline that this program follows.

Focus · Post-surgical labrumFrequency · 4-5 days / weekSession · 10-15 min
Shoulder Labrum Repair Recovery cover art

Phase 1 · Sling Phase Isometrics

Keep the shoulder blade and the arm working while the repair stays protected. Scapular activation, anti-protraction holds, postural endurance work, and very light internal rotations all stay inside the arc your surgeon allows and never pull on the front of the joint. Holding on to muscle now means far less to rebuild later.

01

Scapular Activation (Uncrossed)

2 sets of 10-12 repsLow Anchor

General scapular activation for multiple programs. Excellent for rehab and postural training.

How To
1Activate scapular muscles through various pulling and stabilization patterns.
2Focus on scapular control and activation.
Coaching Cues
Focus on scapular movement quality
control patterns
activate commonly inhibited muscles
Muscles Activated
Lower TrapeziusSerratus Anterior
02

Anti-Protraction Strengthening (Uncrossed)

2-3 holds of 20-30 secondsLow Anchor

Counters forward shoulder posture from prolonged sitting. Strengthens posterior chain.

How To
1Stand facing low anchor, resist forward pull of bands by maintaining retracted shoulder position.
2Focus on posterior strength.
Coaching Cues
Resist protraction forces
maintain good posture
engage posterior chain
counter forward positioning
Muscles Activated
Posterior DeltoidRhomboidsMiddle Trapezius
03

Postural Endurance Training (Uncrossed)

2 holds of 20-30 secondsHigh Anchor

Builds endurance for sustained postural demands. Excellent for occupational and postural training.

How To
1Perform sustained holds or higher repetition posterior chain exercises.
2Build endurance for daily demands.
Coaching Cues
Focus on endurance over strength
maintain form throughout
progressive duration increases
Muscles Activated
RhomboidsMiddle Trapezius
04

Internal Rotations (Uncrossed)

2 sets of 10-12 reps (per side), very lightLow Anchor

Balances rotator cuff strength. Critical for americana defense in combat sports.

How To
1Stand facing away from low anchor, elbow at side.
2Rotate forearm across body against resistance.
3Control return to start.
Coaching Cues
Maintain elbow position
control internal rotation
resist extension forces
focus on subscapularis activation
Muscles Activated
Anterior DeltoidSubscapularisPectorals

Phase 2 · Active Assisted Range

Give the shoulder its range back slowly, one direction at a time. Shoulder circles, gentle external rotations, thoracic extensions, overhead reaches, and cross-body stretch restore motion with the band assisting rather than resisting, and none of it goes past the limits your therapist has set. Range that arrives on schedule protects the repair better than range that arrives early.

01

Multi-Level Shoulder Circles (Variable)

2 sets of 8-10 repsMid Anchor

Universal mobility exercise for comprehensive shoulder movement. Adaptable to all programs and populations.

How To
1Perform large shoulder circles with light resistance in both directions.
2Focus on full range of motion and circulation.
Coaching Cues
Large range of motion
both directions
gentle resistance
focus on mobility and circulation
Muscles Activated
Scapular Stabilizers
02

Gentle External Rotations (Uncrossed)

2-3 sets of 12-15 reps (per side)Low Anchor

Universal recovery exercise with light external rotation. Promotes blood flow and gentle activation.

How To
1Perform gentle external rotation with very light resistance.
2Focus on blood flow, mobility, and gentle activation.
Coaching Cues
Very light resistance
focus on mobility
gentle movements
promote blood flow and recovery
Muscles Activated
External Rotators
03

Thoracic Extensions (Uncrossed)

2 sets of 10-12 repsHigh Anchor

Addresses thoracic kyphosis from prolonged sitting. Essential for golfers and desk workers.

How To
1Stand facing high anchor, pull bands back while extending through thoracic spine.
2Focus on chest up position and mid-back extension.
Coaching Cues
Chest up
shoulders back
extend through mid-back
counter rounded posture
controlled movement
Muscles Activated
RhomboidsMiddle TrapeziusThoracic Extensors
04

Overhead Reaches (Uncrossed)

2 sets of 8-10 repsHigh Anchor

Promotes overhead mobility and activation. Excellent for swimming and overhead mobility restoration.

How To
1Reach arms fully overhead against light resistance.
2Focus on full extension and overhead mobility restoration.
Coaching Cues
Full overhead reach
emphasize shoulder elevation
gentle stretch feel
promote mobility
Muscles Activated
Anterior DeltoidLatissimus DorsiSerratus Anterior
05

Cross-Body Stretch (Crossed)

2 holds of 20-30 secondsMid Anchor

Universal mobility exercise for posterior capsule and shoulder mobility. Essential for all programs.

How To
1Pull band across body at shoulder level, creating stretch in posterior shoulder.
2Hold sustained stretch position.
Coaching Cues
Gentle sustained stretch
hold 45-60 seconds
breathe deeply
do not force the stretch
Muscles Activated
Posterior Deltoid

Phase 3 · Progressive Resistance

Add resistance in small, patient steps. The external rotation series, A-shape pulls, T-shape pulls, scapular wall slides, and single arm rows rebuild the rotators and retractors at controlled speeds, with no ballistic work at any point. A labral repair rewards slow progression, and there is nothing to gain from getting ahead of it.

01

External Rotation Series

2-3 sets of 12-15 reps (per side)Mid Anchor

Comprehensive external rotation training at multiple angles. Excellent for endurance and rotator cuff health.

How To
1Perform external rotation at different arm angles (0, 45, 90 degrees).
2Focus on endurance and varied positions.
Coaching Cues
Vary arm angles
slow controlled tempo
focus on endurance
maintain form throughout series
Muscles Activated
Posterior DeltoidInfraspinatusTeres MinorExternal Rotators
02

A Shape Pulls

2-3 sets of 12 repsMid Anchor

Isolated scapular retraction at 45 degree arm angle. Targets mid-trapezius and rhomboids for postural correction. Excellent for addressing rounded shoulder posture and upper crossed syndrome. Can be used in isolation or as part of combination sequences.

How To
1Stand facing mid-level anchor, arms extended forward and down at approximately 45 degree angle forming letter A shape.
2Pull bands back horizontally, squeezing shoulder blades together while maintaining arm angle.
3Focus on scapular retraction without excessive shoulder elevation.
4Return with control to start position.
Coaching Cues
Maintain 45 degree arm angle throughout
lead with elbows and pinkies
avoid shrugging shoulders
focus on horizontal pull
squeeze shoulder blades at end range
control eccentric phase
chest up and proud throughout.
Muscles Activated
Posterior DeltoidRhomboidsMiddle TrapeziusExternal RotatorsScapular Stabilizers
03

T Shape Pulls

2-3 sets of 12 repsMid Anchor

Classic middle trapezius isolation exercise. Primary movement for addressing postural deficits and scapular retraction weakness. Essential for all programs focusing on posture correction and shoulder blade control. Often called reverse fly at 90 degrees.

How To
1Stand facing mid-level anchor, arms extended straight out to sides at shoulder height (90 degree abduction) forming letter T shape.
2Pull bands back horizontally, squeezing shoulder blades together while keeping arms parallel to ground.
3Maintain shoulder-height arm position throughout movement.
4Return with control.
Coaching Cues
Arms stay parallel to floor
lead with pinkies
elbows slightly bent
squeeze shoulder blades together forcefully
avoid dropping arms
maintain level shoulders
control return phase
think proud chest position.
Muscles Activated
Posterior DeltoidRhomboidsMiddle TrapeziusInfraspinatusTeres MinorExternal RotatorsScapular Stabilizers
04

Scapular Wall Slides (Uncrossed)

2-3 sets of 10-12 repsHigh Anchor

Promotes optimal scapular mechanics and addresses dyskinesis. Excellent for postural correction.

How To
1Stand with back against wall, arms overhead against wall.
2Slide arms up and down while pulling against bands, maintaining wall contact.
Coaching Cues
Keep back against wall
slide arms smoothly
focus on scapular movement
maintain wall contact throughout
Muscles Activated
RhomboidsLower TrapeziusSerratus Anterior
05

Single Arm Rows (Alternating)

2-3 sets of 12 reps (per side)High Anchor

Unilateral pulling strength. Excellent for functional strength and imbalance correction.

How To
1Stand facing high anchor, one arm extended forward.
2Pull band to ribs with rowing motion.
3Alternate arms or single arm focus.
Coaching Cues
Pull elbow to ribs
squeeze shoulder blade
maintain athletic stance
control the return
Muscles Activated
Posterior DeltoidLatissimus DorsiRhomboids
Get the gear

Train this program with Iron Neck shoulder bands

Cloth wrapped bands with graduated resistance and a door anchor for high, mid, and low setups. Everything this program calls for, in one kit.

Prehab and Performance Shoulder Bands (Set of 6) $199.00
Set your resistance

Light, medium, or heavy?

We call for an effort level instead of a specific weight, because the right resistance depends on you, the movement, and where you are in your training. For the sets and reps listed on each exercise, pick the resistance that makes the last few reps feel like the level shown.

Light

You finish the set with several clean reps still in the tank. The work stays easy and fully controlled from the first rep to the last.

Medium

You could manage a few more reps at the end, but not many. The final reps take real effort while your form holds.

Heavy

You reach the last prescribed rep with little or nothing left. Completing every rep with good form is genuinely hard.

These are starting points, not rules. Everyone is built differently, so adjust to fit you: size down if your form breaks before the final rep or a movement aggravates a symptom, and only size up once every rep feels smooth and pain free. When you are unsure, choose the lighter option.