Blood Flow Restriction Training Following Glenoid Labral Repair

The objective of this study is to evaluate the effects of BFR training on patient reported
outcome measures and shoulder muscle girth in patients following glenoid labral repair. The
investigators hypothesize that participants receiving BFR with rehabilitation will have
greater improvements in patient reported outcome measures and shoulder muscle girth than
participants who are treated without BFR.

Patients between the ages of 18 and 55 who had a superior labrum anterior to posterior (SLAP)
repair, anterior labral repair, anterior capsulorrhaphy, or posterior labral repair will be
screened for participation in this study. Participants will be randomized in a 1:1 ratio to
receive standard physical therapy with blood flow restriction training or without blood flow
restriction. Participants will receive standard of care rehabilitation for labral repair
regardless of group assignment. The length of each physical therapy session will be
approximately one hour. The BFR and control group will perform leg press and leg extension
exercises prior to shoulder strengthening. The resistance for both groups will be set as 30%
of one repetition maximum (1-RM). The goal will be for the participants to perform 4 sets of
repetitions sequenced 30, 15, 15, 15 of each exercise, if this is not obtainable then the
number of set/repetitions will be decreased. The lower extremity strengthening exercises for
this study will be performed by all participants beginning at the first physical therapy
visit post-surgery. These exercises will be performed at each physical therapy session for 6
consecutive weeks (approximately 2-3 sessions/week). Standard rehabilitation will continue at
the conclusion of the 6-week intervention for all participants.