
Episode 7: Phased Approach to Posterior Shoulder Instability
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Welcome to episode number 7 of The Residents of the Roundtable Podcast. Join Joey, Rayce, and Robert, as they discuss the topic of posterior shoulder instability and the article "A Comprehensive Rehabilitation Program for Posterior Instability of the Shoulder." There are 3 main subcategories of posterior shoulder instability: traumatic, atraumatic, and repetitive microtrauma. Prognosis with conservative and non-conservative management will depend on the mechanism of injury along with other factors. A treatment framework can be used to guide exercise prescription for posterior shoulder instability. The entry point for each individual will be determined by their training age/history, subcategory classification, number of episodes of recurrence, and symptom severity/irritability.
1) Scapular Phase
2) Phase 1: 0 degrees of shoulder elevation
3) Phase 2: 0-45 degrees of shoulder elevation
4) Phase 3: 0-90 degrees of shoulder elevation
5) Phase 4: 0-180 degrees of shoulder elevation
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Watson L, Balster S, Warby S, et al. (2017). A comprehensive rehabilitation program for posterior instability of the shoulder. Journal of Hand Therapy.