Anterior Shoulder Dislocation Rehab

Indications:

  • After first time or recurrent anterior shoulder dislocations

Protocol: 

Day 1 - 3 weeks  

Level 1 Exercises

  • Sling for comfort only - wean off as comfotrable
  • Teach scapular setting
  • Core stability exercises as appropriate
  • Proprioceptive exercises (minimal weightbearing below 90 degrees)
  • Active assisted exercises in all directions as comfortable
  • Progress to active exercises
  • Do not force or stretch
  • No combined abduction & external rotation

3 - 6 weeks

Level 2-3 exercises

Progress Level 3+ exercises

  • Regain scapula & glenohumeral stability working for shoulder joint control rather than range
  • Gradually increase ROM
  • Strengthen
  • Increase proprioception through open & closed chain exercise
  • Progress core stability exercises
  • Incorporate sports-specific rehabilitation
  • Plyometrics and pertubation training 

6 - 12 Weeks

Return to Sport

  • Return to sport activities gradually