Scientific/Clinical Article| Volume 30, ISSUE 2, P182-192, April 2017

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A comprehensive rehabilitation program for posterior instability of the shoulder


      Posterior shoulder instability is recognised as being less prevalent than anterior instability, however the diagnosis of this pathology is easily overlooked or missed and this may contribute to an underestimation of prevalence. Recently, there has been increasing recognition of this condition and consequently a greater requirement for knowledge of diagnostic procedures and treatment directions. Currently there is limited research into the conservative management of posterior instability, although it is recommended as first-line treatment prior to surgical review, particularly in those with an atraumatic instability mechanism. The aim of this paper is to outline a comprehensive rehabilitation program for the conservative management of posterior instability with a focus on scapular and humeral head control. The information provided includes extensive written information, flowcharts, figures and a table of management parameters that will provide therapists with adequate detail to replicate the program in the clinical setting.


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      JHT Read for Credit

      Quiz: #486

      Record your answers on the Return Answer Form found on the tear-out coupon at the back of this issue or to complete online and use a credit card, go to There is only one best answer for each question.
      • #1.
        The authors suggest that posterior shoulder instabilities and subluxations are
        • a.
          exceedingly common
        • b.
          exceedingly uncommon
        • c.
          likely less common than traditionally represented
        • d.
          likely more common than traditionally represented
      • #2.
        Posterior shoulder instabilities are usually classified by the
        • a.
          mechanism of injury
        • b.
          acronyms TUBS and AMBRI
        • c.
          severity of laxity
        • d.
          severity of damage to the glenoid labrum
      • #3.
        A classic problem in dealing with posterior shoulder instability is its being
        • a.
          missed upon initial examination
        • b.
          extremely difficult to manage
        • c.
          required to be surgically repaired
        • d.
          more painful than anterior instability
      • #4.
        The authors recommend the systematic review of ______________ for diagnosing posterior shoulder instability
        • a.
          McClure et al
        • b.
          McIntyre et al
        • c.
          MacDermid et al
        • d.
          McDonald et al
      • #5.
        Conservative treatment is the first line of management for posterior shoulder instability
        • a.
        • b.
      When submitting to the HTCC for re-certification, please batch your JHT RFC certificates in groups of 3 or more to get full credit.