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Rehabilitation strategies—shoulder disorders 

Rehabilitation strategies—shoulder disorders
Chapter:
Rehabilitation strategies—shoulder disorders
Author(s):

Jo Gibson

, Anju Jaggi

, and Julia Walton

DOI:
10.1093/med/9780199674107.003.0032
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date: 03 April 2020

Rehabilitation is commonly the first line of management for shoulder pain and is consistently shown to be superior to placebo interventions. Current evidence supports the use of exercise prescription in the management of many common shoulder conditions. However, there continues to be a lack of consensus as to the specific content and emphasis of exercise interventions. In addition, there is continued controversy as to whether or not the addition of manual therapy techniques to exercise results in superior outcomes. An increased appreciation of the effect of pathology on motor control and dynamic stability of the shoulder complex has been instrumental in guiding popular exercise approaches. However, advances in our understanding of the pathophysiology of common shoulder conditions suggest that strategies to modify pain and address movement restriction should be addressed in conjunction with motor control retraining.

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