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Shoulder instability

The rehabilitation path for shoulder instability has the purpose to achieve the maximum functional recovery and its very early start is due to the fact that in this way it can act promptly to work in a specific manner on the extra rotation.

The rehabilitation process consists in five stages:

  • First phase: (4 weeks post-surgery)

The removal of the shoulder brace is generally already painless, it persist only analgesic contractures and swelling. It then proceeds with physical therapies and decontracture work on the shoulder girdle, combined with active and active/assisted mobilization. In this phase, the recovery is also obtained through the hydrokinetic therapy where it urges the shoulder at 90 ° of elevation and abduction. The patients/athletes at this stage begin the reconditioning of athletic aerobic work, in water.

  • Second phase: Full recovery of range of motion (4th-5th week post-surgery)

The first objective of this phase is to give the patient full articulation of the shoulder in order to carry out the daily life activities (driving, working, etc.). This is achieved by inserting, beside active mobilization, also the passive one done by the rehabilitator, on all directions. You will be given greater importance to the capsular stretching and the recovery of rotations.

  • Third phase: Strength recovery  (5th-8th week post-surgery)

Once  full range of motion is obtained you begin to strengthen the whole shoulder girdle, correcting any dyskinesias present even before the operation, by strengthening the muscles of the arm, by associating more capsule assisted stretching. The return to sports cannot be separated from core stability work at this stage.

  •  Fourth phase: Recovery of proprioceptive abilities (7th-9th week post-surgery)

The shoulder, which now has an appropriate level of strength, begins to undergo the stress of all directions, with increasing intensity (handball, unstable, launches, etc.). In this phase of rehabilitation begins the specific job without the use of tools. You start the preliminary preparation for the field, with sessions of neuroplasticity in the water. A functional evaluation test is performed to monitor the level of shape reached.

  • Fifth phase: Recovery of the specific gesture (8 th -12 th week post-surgery)

The shoulder now has reached the maximum recovery in a "protected" environment: now you must begin to rediscover the specific gesture and then start rehabilitation on the sports field. This step is a progression that sees the use of unstable surfaces, launch to different degrees with progressive-diameter balls, insert contrasts with fixed shapes, contrasts against the moving shapes, use the sports equipment (rackets, golf clubs, etc.) with both constraints and resistances is free.

At this time you will have recovered the complete gestures and you can start to practice any sport.

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