The mean WOSI (n = 51) improved from 45.10% to 85.81% (p < 0.001). From the results collected it can be suggested that the Derby Shoulder Instability Programme can be utilised as a prehabilitative training intervention, for the reduction of shoulder injuries in collision sports, supporting the need for a gold standard prehabilitation programme (Headey, Brooks & Kemp, 2007). The term ‘shoulder instability’ is used to refer to the inability to maintain the humeral head in the glenoid fossa. YouTube. Marcus has a particular interest in treating patients with complex atraumatic shoulder instability and designed the Derby Shoulder Instability Rehabilitation Programme specifically for this purpose. The most difficult group of people to treat are those that have never had an injury and were born with hypermobile (excessively flexible) joints. https://doi.org/10.1016/j.jajs.2019.01.002. He works as a consultant physiotherapist in the NHS at Derby Shoulder Unit. How painkillers and steroid injections can help you remain active Subacromial shoulder pain is the most common cause especially in 30 to 70 year olds. Book a place The Shoulder: A simple evidence-based approach. 4.4. A service evaluation was conducted at a large university teaching hospital in the UK between August 2013 and September 2018 including patients with atraumatic Stanmore type 2 or 3 instability. By continuing you agree to the use of cookies. ScienceDirect ® is a registered trademark of Elsevier B.V. ScienceDirect ® is a registered trademark of Elsevier B.V. Physiotherapy treatment for atraumatic recurrent shoulder instability: Updated results of the Derby Shoulder Instability Rehabilitation Programme. Oct;8(4):279-86. For patients with atraumatic shoulder instability this structured physiotherapy programme results in improved levels of pain, stability and function but does require adherence from patients. The most difficult group of people to treat are those that have never had an injury and were born with @Bill_Vicenzino A big limitation of most surgical trials for tennis elbow is small sample size, alongside the varie… twitter.com/i/web/status/1…, @King2980 @DrDunning @Bill_Vicenzino Not sure why ESWT has continued in spite of ‘platinum level evidence that ESWT… twitter.com/i/web/status/1…, Our Research for Patient Benefit Programme (RfPB) has published guidance for applicants seeking funding for studies… twitter.com/i/web/status/1…. Evaluation of Oxford instability shoulder score, Western Ontario should instability Index and Euroquol in patients with slap (superior labral anterior posterior) lesions or recurrent anterior dislocations of the shoulder. You can also view demonstrations of the exercises on We have a strong ethos of training and education with a multi-disciplinary team approach. If the integrity of any of these structures is disrupted it can lead to atraumatic or traumatic instability. Push the back of your hand against the wall. For this small group of patients with recurrent atraumatic shoulder instability, the Derby Shoulder Instability Programme produced significant improvements over the short term, with a high level of patient compliance. Shoulder & Elbow [In Press]. He has a keen research interest and published 30 … Recent Posts. I am the author of the Derby Shoulder Instability Rehabilitation Programme and I continue to evaluate its use. Thursday 5th March 2020 . If the patient can achieve the target then progress to the next exercise. For patients with atraumatic shoulder instability the Derby Shoulder Instability Rehabilitation Programme provides significant benefit to patients in terms of pain, stability and function. For patients with atraumatic shoulder instability the Derby Shoulder Instability Rehabilitation Programme provides significant benefit to patients in terms of pain, stability and function. The ligamentous and muscle structures around the glenohumeral joint, under non-pathological conditions, create a balanced net joint reaction force. shoulder instability. This is now widely used in the UK and overseas. Physiotherapy treatment for atraumatic recurrent shoulder instability: Updated results of the Derby Shoulder Instability Rehabilitation Programme.