Traumatic shoulder dislocations commonly occur in athletes involved in contact sports, overhead striking athletes & ⬆️ males.
Once relocated by a doctor the question is what should you do next🤷♂️
Just like the poll a lot of people try conservative management. This is a non-surgical approach through rehabilitation🏋️♀️
🙆The first 2 years after shoulder dislocation athlete’s are at ⬆️ risk.
👌Rehabilitation is a good choice as 50% of non-surgical dislocations are successful in first 2 years (Kanvaja et al 2018).
👩⚕️Surgical approach the Bankart repair caused the fewest dislocations compared to arthroscopic and non-surgical in the first 2 years (Kanvaja et al 2018).
There is 50% incidence rate of re-injury post dislocation in first 2 years with rehabilitation(Kanvaja et al. 2018).
Has the rehabilitation something to do with this🤷♂️
Just like the poll above, from what I see in the clinic with re-dislocations athletes not been exposed to the vulnerable positions of a shoulder dislocation.
A shoulder dislocation happens from an outstretched arm, athletes need to be exposed to these positions in their rehabilitation🏋️♀️
✅See videos for examples of these exercises.
🤓Upper Quarter Y Balance Test (YBT-UQ) is a reliable test to use to assess upper body mobility/stability (Schwiertz et al. 2019).
Mobility & stability are two factors ⬇️ post shoulder dislocation, YBT-UQ can assess this towards the end of your rehabilitation.
✅Measure arm length (C7 to distal middle finger in 90 degrees shoulder abduction).
✅ Testing reaching in all 3 reach directions (Medial, Superolateral, Inferolateral) with the free hand while maintaining a push-up position with feet shoulder width apart.
✅Average the 3 scores
✅Goal 80% of your Limb Length (Gorman et al. 2012).