SLAOT 2016

SLAOT 2016
Punta Cana, República Dominicana

martes, 1 de abril de 2014

Non-Operative Rehabilitation for Traumatic and Atraumatic Glenohumeral Instability


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N Am J Sports Phys Ther. Feb 2006; 1(1): 16–31.
PMCID: PMC2953282

Non-Operative Rehabilitation for Traumatic and Atraumatic Glenohumeral Instability

Kevin E. Wilk, PT, DPT,a Leonard C. Macrina, MSPT,a and Michael M. Reinold, PT, DPT, ATCa


Abstract

Glenohumeral joint instability is a common pathology encountered in the orthopaedic and sports medicine setting. A wide range of symptomatic shoulder instabilities exist ranging from subtle subluxations due to contributing congenital factors to dislocations as a result of a traumatic episode. Non-operative rehabilitation is utilized in patients diagnosed with shoulder instability to regain their previous functional activities through specific strengthening exercises, dynamic stabilization drills, neuromuscular training, proprioception drills, scapular muscle strengthening program and a gradual return to their desired activities. The specific rehabilitation program should be varied based on the type and degree of shoulder instability present and desired level of function. The purpose of this paper is to outline the specific principles associated with non-operative rehabilitation for each of the various types of shoulder instability and to discuss the specific rehabilitation program for each pathology type.
Keywords: Dynamic stabilization, neuromuscular control, shoulder joint

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