Physio Network [Case Studies] A real case of shoulder instability: lessons from the clinic with Ellie Richardson
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Jul 23, 2025 In this discussion, Ellie Richardson, a Clinical Shoulder Specialist and former elite track cyclist, delves into a real patient case of shoulder instability. She emphasizes the critical role of a thorough patient history for effective rehabilitation. The conversation highlights key assessment tools like the Western Ontario Stability Index and the importance of patient-reported outcomes. Ellie also critiques current rehabilitation practices, advocating for a focus on neuromuscular control to better address the complexities of anterior shoulder instability.
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Thorough Subjective History Essential
- Take a deep, detailed subjective history to accurately classify shoulder instability type.
- Don't rely solely on referral letters; reassess the patient’s backstory yourself for best outcomes.
Use WOSI for Patient Insight
- Use pathology-specific patient-reported outcome measures like the WOSI for shoulder instability.
- This strengthens the therapeutic alliance and helps identify key patient concerns beyond pain scores.
Show Incremental Rehab Progress
- Show patients incremental rehab progress to maintain motivation on their long recovery journey.
- Use objective measures and small goal achievements even before patients perceive improvements.