Utilizing Core Stability in a Bankart Repair Rehabilitation
Professor Meg Frens, Kinesiology & Athletic Training
In the rehabilitation orthopedic injuries, having a whole body mindset is necessary for the full recovery of the athlete. As each part of the body is attached to the whole the effect of injury to one seemingly isolated area does affect the global system. This study was done around a case that entered rehabilitation after a Bankart Repair surgery. Innately, the glenohumeral joint sacrifices stability for enhanced mobility. The Bankart repair is primarily to repair any damage from the hypermobile humerus and tighten the capsule. Therefore, rehabilitation for this athlete is focused on progressing the stable use of the joint at the humerus as well as how the rest of the body works with the shoulder. The utilization of the lower core was specifically evaluated in the global strengthening process to investigate better rehabilitation engagement. Developing a dynamic core requires the upper body to position the trunk over the pelvis providing a foundation for optimal function of the upper and lower extremities. The throwing process is unique often to upper extremity on the dominant side and requires the build up, release, and control of power and torque in precise timing. Therefore, in the rehabilitation progression of an athlete with the need to strengthen instability in the his dominant arm, founding a strong core is of great importance. The pelvic floor was specifically evaluated due to the muscles’ role in upholding strength in the lower abdominals as well as stability in the pelvis and further down the kinetic chain. Engaging the muscles of the transverse abdominis, multifidi, and pelvic floor provides a direct foundation to the upper back musculature, providing mobility and stability to scapulothoracic and glenohumeral joints. As the athlete progressed through post surgical rehabilitation, areas of the shoulder, upper and lower back, and core were facilitated simultaneously, enhancing the patient’s return to play and overall function.
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