Physio Network

Rehabilitation of the unstable shoulder with Anju Jaggi

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Aug 9, 2023
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INSIGHT

Key Muscles in Unstable Shoulder

  • The anterior shoulder dislocation commonly involves the subscapularis muscle.
  • Rehabilitation should target a combination of rotator cuff and scapular muscles globally rather than isolating single muscles.
ADVICE

Early Movement After Dislocation

  • Encourage movement as soon as the patient feels comfortable, usually within 10 days to two weeks post acute traumatic shoulder dislocation.
  • Use early isometric exercises like resisted external rotation and the belly press to engage the subscapularis muscle.
ADVICE

Managing Fear in Rehabilitation

  • Address fear, anxiety, and kinesiophobia openly with patients as these can hinder recovery.
  • Instill confidence by educating patients on the stability and safety of their shoulder to encourage functional movement.
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