6 Keys to Shoulder Instability Physical Therapy

By dpope2020

April 19, 2024

anterior shoulder instability, anterior shoulder instability test, apprehension test, dan pope, dislocated shoulder, fitness pain free, physical therapy, physiotherapy, physiotutors, posterior shoulder instability, Shoulder, shoulder dislocation, Shoulder instability, shoulder instability assessment, shoulder instability exercises, shoulder instability physical therapy, shoulder instability rehab, shoulder instability test, shoulder instability test youtube, Shoulder Pain

6 Keys to Shoulder Instability Physical Therapy: FPF Show Episode 129

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In today's video we go over 6 Keys to Shoulder Instability Physical Therapy: FPF Show Episode 129: 

  • 0:00 Introduction
  • 0:56 The 6 Keys to Shoulder Instability Physical Therapy
  • 1:56 Is your patient a good candidate for physical therapy?
  • 8:01 How the direction of instability guides physical therapy treatment
  • 11:41 How bad is the instability?
  • 21:22 The importance of the rotator cuff
  • 31:35 Restoring proprioception after shoulder instability
  • 37:11 Make your physical therapy treatment specific to the patient's goals

I can feel my labrum empowering!!!

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. Varacallo M, Musto MA, Mair SD. Anterior Shoulder Instability. 2023 Aug 4. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 30855822.

  2. Wilk KE, Macrina LC, Reinold MM. Non-operative rehabilitation for traumatic and atraumatic glenohumeral instability. N Am J Sports Phys Ther. 2006 Feb;1(1):16-31. PMID: 21522197; PMCID: PMC2953282.

  3. Owens BD, Duffey ML, Nelson BJ, DeBerardino TM, Taylor DC, Mountcastle SB. The incidence and characteristics of shoulder instability at the United States Military Academy. Am J Sports Med. 2007 Jul;35(7):1168-73. doi: 10.1177/0363546506295179. PMID: 17581976.

  4. Kawasaki T, Ota C, Urayama S, Maki N, Nagayama M, Kaketa T, Takazawa Y, Kaneko K. Incidence of and risk factors for traumatic anterior shoulder dislocation: an epidemiologic study in high-school rugby players. J Shoulder Elbow Surg. 2014 Nov;23(11):1624-30. doi: 10.1016/j.jse.2014.05.007. Epub 2014 Jul 10. PMID: 25017313.

  5. Rawal A, Eckers F, Lee OSH, Hochreiter B, Wang KK, Ek ET. Current Evidence Regarding Shoulder Instability in the Paediatric and Adolescent Population. J Clin Med. 2024 Jan 26;13(3):724. doi: 10.3390/jcm13030724. PMID: 38337418; PMCID: PMC10856087.

  6. Novakofski KD, Melugin HP, Leland DP, Bernard CD, Krych AJ, Camp CL. Nonoperative management of anterior shoulder instability can result in high rates of recurrent instability and pain at long-term follow-up. J Shoulder Elbow Surg. 2022 Feb;31(2):352-358. doi: 10.1016/j.jse.2021.07.016. Epub 2021 Aug 25. PMID: 34454036.

  7. Leland DP, Bernard CD, Keyt LK, Krych AJ, Dahm DL, Sanchez-Sotelo J, Camp CL. An Age-Based Approach to Anterior Shoulder Instability in Patients Under 40 Years Old: Analysis of a US Population. Am J Sports Med. 2020 Jan;48(1):56-62. doi: 10.1177/0363546519886861. Epub 2019 Nov 22. PMID: 31756127.

  8. Duethman NC, Bernard CD, Leland D, Wilbur RR, Krych AJ, Dahm DL, Barlow JD, Camp CL. Multiple Instability Events at Initial Presentation Are the Major Predictor of Failure of Nonoperative Treatment for Anterior Shoulder Instability. Arthroscopy. 2021 Aug;37(8):2432-2439. doi: 10.1016/j.arthro.2021.03.047. Epub 2021 Mar 31. PMID: 33812027; PMCID: PMC8985112.

  9. Lee J, Woodmass JM, Bernard CD, Leland DP, Keyt LK, Krych AJ, Dahm DL, Camp CL. Nonoperative Management of Posterior Shoulder Instability: What Are the Long-Term Clinical Outcomes? Clin J Sport Med. 2022 Mar 1;32(2):e116-e120. doi: 10.1097/JSM.0000000000000907. PMID: 33852434.