THE CONSERVATIVE MANAGEMENT OF THE UNSTABLE SHOULDER INCLUDING REHABILITATION

The therapeutic management of many primary and recurring instabilities of the glenohumeral joint involves nonsurgical techniques. Early trea tment, including diminution of symptoms, analgesia, and immobilization , is followed by intensive rehabilitation of the shoulder musculature. The incidence of recurrence and appropriate length of immobilization remain controversial aspects of the conservative treatment of shoulder instability. Appropriate rehabilitation for shoulder instability depe nds on a precise program that addresses the dynamic restraint system o f the glenohumeral joint. Appropriate exercise programs that enhance s capular stabilization and the patient's. neuromuscular control over th e glenohumeral joint are outlined and emphasized.