Conservative treatment of traumatic shoulder instability: a case series study

Riccio, Ilaria; Sire, Alessandro de; Latte, Carmine; Pascarella, Fabio; Gimigliano, Francesca

doi:10.1007/s12306-015-0373-0

Cited by 17 publications

(14 citation statements)

References 30 publications

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“…However, some patients cannot be treated operatively for a range of reasons and they will be treated conservatively. In this case study, shoulder function and stability were quite poor at 1 month after injury, compared with previous cases13 ) . Recovery was still bad at 3 months after injury, so the participant was provided with elaborate stretching for improvement of ROM, and exercises for improvement of dynamic stability (e.g.…”

Section: Discussioncontrasting

confidence: 67%

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Impact of combination of therapeutic exercise and psychological intervention for a patient with first-time traumatic shoulder dislocation

2019

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[Purpose] A young female with first-time traumatic shoulder dislocation showed a good outcome at the 1 year follow-up in returning to work and sports after undergoing a combination of exercise therapy and psychological intervention. [Participant and Methods] A 24-year-old female who worked as an occupational therapist and played badminton for recreation had dislocated her shoulder in a fall. We evaluated her compliance with home-exercise, range of motion, return to work, fear of movement, sports activity level, and instability of shoulder joint using the modified Rowe score at each timepoint necessary. During early sessions of the physical therapy, the range of motion and instability score for the shoulder joint were poor. We treated her using a phase-based approach, and subsequently, added the Watson program to restore normal kinematics. Because of a psychological problem during middle sessions of the physical therapy, we provided psychological education and support. [Results] At the final session of the therapy, her compliance with home-exercise was good. She had achieved almost a full range of motion. The fear of movement decreased, and she could play sports again. The modified Rowe score improved from 5 to 85. [Conclusion] As a conservative treatment for patients with first-time traumatic shoulder instability, a combination of therapeutic exercise and psychological intervention may be useful.

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Section: Discussioncontrasting

confidence: 67%

“…For the early sessions of physical therapy, a phase-based approach was executed13 ) . The approach consists of 5 phases, and usually requires 3 months to restore shoulder function after traumatic shoulder instability.…”

Section: Participant and Methodsmentioning

confidence: 99%

Impact of combination of therapeutic exercise and psychological intervention for a patient with first-time traumatic shoulder dislocation

2019

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“…Additional advantage of this test is that, as the examiner stabilizes the scapula with one hand during both the parts of the test, the possibility of scapular dyskinesis as a cause of disability is also excluded. Thus, with the early and accurate diagnosis of posterior labral tears, early rehabilitative approach to restore stability, range of motion and function of shoulder joint might be effective, especially in non-athletes, as it is in first-time anterior shoulder dislocation [24].…”

Section: Discussionmentioning

confidence: 99%

The Porcellini test: a novel test for accurate diagnosis of posterior labral tears of the shoulder: comparative analysis with the established tests

et al. 2016

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“…Riccio et al enrolled 32 patients with an average age of 28 years into a conservative treatment protocol for 3 months after primary anterior shoulder dislocation [69]. At 24 months post injury, 78% of patients had a good or excellent Rowe score for instability.…”

Section: Physical Therapymentioning

confidence: 99%

The Epidemiology and Natural History of Anterior Shoulder Instability

Galvin

Ernat

Waterman

et al. 2017

Curr Rev Musculoskelet Med

101

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Purpose of Review The purpose of this review is to outline the natural history and best clinical practices for nonoperative management of anterior shoulder instability. Recent Findings Recent studies continue to demonstrate a role for nonoperative treatment in the successful long-term management of anterior glenohumeral instability. The success of different positions of shoulder immobilization is reviewed as well. Summary There are specific patients who may be best treated with nonoperative means after anterior glenohumeral instability. There are also patients who are not good nonoperative candidates based on a number of factors that are outlined in this review. There continues to be no definitive literature regarding the return to play of in-season athletes. Successful management requires a thorough understanding of the epidemiology, pathoanatomy, history, physical examination, diagnostic imaging modalities, and natural history of operative and nonoperative treatment.

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Conservative treatment of traumatic shoulder instability: a case series study

Abstract: We showed that our rehabilitative approach seems to be effective in the conservative management of shoulder instability in adults with first episode of traumatic anterior shoulder dislocation, not involved in sport activity, and not overhead workers.

Cited by 17 publications

References 30 publications

Impact of combination of therapeutic exercise and psychological intervention for a patient with first-time traumatic shoulder dislocation

Impact of combination of therapeutic exercise and psychological intervention for a patient with first-time traumatic shoulder dislocation

The Porcellini test: a novel test for accurate diagnosis of posterior labral tears of the shoulder: comparative analysis with the established tests

The Epidemiology and Natural History of Anterior Shoulder Instability

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