Anterior Shoulder Dislocation

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Aims:                     

Initial treatment following anterior shoulder dislocation

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Restrictions:          

External rotation beyond neutral for 4 weeks

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Sling:                     

As comfortable.

Wean from sling 2-4 weeks if not painful

 

0-3 weeks:             

Scapular setting in neutral

Shoulder shrugs

Elbow and hand- full active ROM

Isometric rotator cuff, biceps, triceps and deltoid exercises in neutral                                                        

Pendulums from 1 week

 

3-6 weeks:            

Active ROM exercises

Strengthen cuff through ROM

Scapular control though ROM

Proprioceptive work

Aim for full flexion and ER by week 6

AVOID combined ER and Abduction

               

6 weeks +:             

Advanced rotator cuff strengthening through ROM and into apprehension range

Speed and endurance work of rotator cuff

High level closed chain work

Add sport specific and job related tasks

 

Driving:                  

From 1-3 weeks as pain and ROM allows