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SHOULDER INSTABILITY PROGRAM

Phase I 1. Establish scapular control, lower traps, middle traps, rhomboids, and serratus anterior. A. Manual Resistance B. Therapeutic Exercise 2. Add in upper traps after adequate scapular control by above musculature. 3. Assess posterior capsular tightness; stretch with scapula stabilized as needed 4. Trunk and LE strengthening 5. Rotator cuff strengthening with slight abduction and co-contraction of scapular stabilizers. A. Manual resistance B. Therapeutic exercises with Theratubes 6. Supraspinatus in full can position. Phase II  Adequate control of scapula  Tolerance of RTC strengthening 1. 2. 3. 4. 5. 6. 7.

Scapular control exercises in 45 degrees of shoulder abduction. Continue with co-contracture of scapular stabilizers with all exercise Continue with trunk and LE strengthening. RTC strengthening supported at 45 degrees Continue with full can exercises for supraspinatus. Alternating isometrics for stabilization. Bodyblade in scapular plane if available.

Phase III  Adequate control of scapula  Tolerance to exercise program 1. 2. 3. 4. 5. 6. 7. 8.

Scapular control exercises in 90 degrees of shoulder abduction. Continue with co-contracture of scapular stabilizers with all exercises Continue with trunk and LE strengthening. RTC strengthening supported at 90 degrees advance to unsupported. Continue with full can exercises for supraspinatus. Alternating isometrics for stabilization in multiple planes. Bodyblade in more provocative planes at 90 degrees. Tolerates unsupported work below 90 degrees – advance to: A. PNF patterns manually and with Theratubes B. Bodyblade exercises above 90 degrees C. Plyoball program with 1-2 pound ball only.

If you have any questions, please call:

Cliff Fawcett, FNP, AT, C

215-829-2246


Shoulder Instability Program