Principles of Non-Operative Physical Therapy for Shoulder Instability: FPF Show Episode 128

By dpope2020

April 12, 2024

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Principles of Non-Operative Physical Therapy for Shoulder Instability: FPF Show Episode 128

To go along with today's episode I have a nice infographic to share...

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In today's video we go over Principles of Non-Operative Physical Therapy for Shoulder Instability: FPF Show Episode 128: 

  • 0:00 Introduction
  • 0:09 Study Introduction - Non-operative Rehabilitation for Traumatic and Atraumatic Glenohumeral Instability
  • 0:22 7 Keys to guide physical therapy for shoulder instability
  • 3:05 How did the instability occur? [Born loose vs. Acquired vs. Traumatic]
  • 3:58 What's the degree of instability? [Subluxation vs. dislocation, hillsach lesion, glenoid fracture, concomitant pathology]
  • 4:52 What's the frequency of dislocation and how that impacts plan of care
  • 7:47 What's the direction of instability? [Anterior, Posterior, MDI]
  • 16:40 How concomitant pathology affects plan of care and treatment
  • 19:06 How good is the patient's neuromuscular control?
  • 22:02 What is the patient's activity level and what they want to progress back to?
  • 25:43 Phased approach for physical therapy progression

Nothing better then a classic shoulder dislocation...

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. 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.