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	Systemic
	Health
	Treatments
	Exercise
	For Physicians

Select an Article:

• Adhesive Capsulitis (Frozen Shoulder)
• Shoulder Instability
• Reoccurring Dislocations
• Posterior Dislocation
• Multidirectional Instability Signs and Symptoms
• Shoulder Tendonitis and Impingement
• Rotator Cuff Tears
• Acromioclavicular Separation (Separated Shoulder)
• Labral Tears

• Overview
• Treatments
• Goals
• Resources

Multidirectional Instability Signs and Symptoms

Signs of ligamentous laxity are present. Pain and weakness are present in the shoulder that subluxes (partially moves out of joint) forward, backward, or downward. A positive “sulcus sign” is present on examination by a medical professional.

Most patients respond well with physical therapy. Rarely surgery is indicated because it is hard to stabilize the shoulder in all directions.

Possible Treatments

• Active Assistive Range of Motion 
• Aerobic/Endurance Exercise 
• Core Strengthening 
• Cryotherapy or Cold Therapy 
• Electrotherapeutic Modalities
• Isometric Exercise 
• Proprioception Exercises 
• Physical Agents
• Shoulder Active Range of Motion 
• Shoulder Joint Mobilization 
• Shoulder Passive Range of Motion 
• Shoulder Resistive Range of Motion 

Possible Treatment Goals

• Decrease Risk of Reoccurrence
• Improve Fitness
• Improve Function
• Improve Muscle Strength and Power
• Improve Proprioception
• Self-care of Symptoms
• Improve Safety
• Improve Tolerance for Prolonged Activities
• Improve Wound Healing

Additional Resources

• 3d Anatomy of the Shoulder

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