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Inferior Capsular Shift Classic Multidirectional Instability

 

 

0-6 weeks

  • Arm held in brace, slightly abducted in neutral rotation
  • Gentle isometric exercises with elbow ROM’s
  6 weeks
  • Discontinue brace and ROM’s gradually introduced slowly
  12 weeks
  • Progressive strengthening
  9-12 months
  • Contact sports
  Bidirectional instability without posterior component 0-10 days
  • Sling immobilization with elbow/wrist ROM’s
  10 days to 2 weeks
  • Isometrics and external rotation to 10 degrees, forward elevation 90 degrees
  2-4 weeks
  • Isometrics and external rotation to 30 degrees, forward elevation 140 degrees
  4-6 weeks
  • External rotation to 40 degrees, forward elevation to 160 degrees
  • Resistance exercises begun
  6 weeks
  • External rotation to 50 degrees, forward elevation 180 degrees with resistance exercises
  3 months
  • External rotation increase from 50 degrees
  • Strengthening begins with arm in neutral below 90 degrees
  4-12 months
  • Return to contact sports