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. 2017 Aug 31:11:957-971.
doi: 10.2174/1874325001711010957. eCollection 2017.

Rehabilitation for Shoulder Instability - Current Approaches

Anju Jaggi  1 , Susan Alexander  1
Affiliations

Rehabilitation for Shoulder Instability - Current Approaches

Anju Jaggi et al. Open Orthop J. .

Abstract

Background: The shoulder relies predominantly on dynamic muscular control to provide stability. Successful treatment is highly dependent upon the correct clinical diagnosis, identification of anatomical structural defects and abnormal movement patterns so that rehabilitation programs can be designed accordingly and individualised to the patient.

Method: A systematic outline is provided to guide the clinician on how to identify muscular insufficiencies both local to the shoulder joint and global muscles that can influence shoulder instability. Management is based on expert experience and current literature.

Results: The Stanmore classification helps to correctly diagnose the type of instability and prioritise management. Symptom modification tests can help to guide management, however assessing individual muscle groups local to glenohumeral control is also recommended.

Conclusion: Physical and psychosocial factors can influence motor control in the presence of pain and injury. A multi-disciplinary approach is required to avoid recurrence of symptoms with rehabilitation focusing on kinetic chain, scapular and gleno-humeral control.

Keywords: Assessment; Exercise; Instability; Rehabilitation; Rotator Cuff; Shoulder.

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Figures

Fig. (1)
Fig. (1)
The Stanmore Instability Triangle.
Fig. (2a)
Fig. (2a)
Serratus_Testing.
Fig. (2b)
Fig. (2b)
Trapezius_testing.
Fig. (3)
Fig. (3)
Scapula_and_cuff_facilitation.
Fig. (4a)
Fig. (4a)
Resisted_Anterior_RC_testing.
Fig. (4b)
Fig. (4b)
Resisted_Posterior_RC_Testing.
Fig. (5)
Fig. (5)
Closed_Chain_Exercise.
Fig. (6)
Fig. (6)
Core_stability.
Fig. (7)
Fig. (7)
Resisted_RC_with_Kinetic_chain.
Fig. (8a)
Fig. (8a)
Post_RC_training_supported_prone_position.
Fig. (8b)
Fig. (8b)
Supported_RC_training.
See this image and copyright information in PMC

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