Physical Therapy for the Treatment of Shoulder Instability

Phys Med Rehabil Clin N Am. 2023 May;34(2):393-408. doi: 10.1016/j.pmr.2022.12.006. Epub 2023 Feb 26.

Abstract

Shoulder instability is the separation of the humeral head from the glenoid. Injury to the static and dynamic stabilizers can result in instability. Anterior shoulder instability is the predominant form of instability. It is usually a result of trauma. Posterior shoulder instability often presents with an insidious onset of pain. Multidirectional instability of the shoulder is symptomatic laxity in more than one plane of motion. The primary goal of rehabilitation is to restore pain-free mobility, strength, and functioning. Rehabilitation implements range of motion and strengthening exercises to restore proprioceptive control and scapular kinematics.

Keywords: Glenohumeral joint; Instability; Physical therapy; Rehabilitation.

Publication types

  • Review

MeSH terms

  • Biomechanical Phenomena
  • Humans
  • Joint Instability* / therapy
  • Physical Therapy Modalities
  • Range of Motion, Articular
  • Scapula
  • Shoulder
  • Shoulder Joint*