Comparison of 2 Exercise Rehabilitation Programs for Multidirectional Instability of the Glenohumeral Joint: A Randomized Controlled Trial

Warby, Sarah; Ford, Jon; Hahne, Andrew J.; Watson, Lyndsey F.; Balster, Simon; Lenssen, Ross; Pizzari, Tania

doi:10.1177/0363546517734508

Cited by 62 publications

(134 citation statements)

References 56 publications

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“…It was aimed to reinforce muscle strength around the shoulder joint [8]. In contrast, the Watson program includes plyometric exercise, functional training, and movement-specific training [7]. The latter program and concept would have a better effect on this patient, in order to acquire dynamic stability of the shoulder joint during movement.…”

Section: Discussionmentioning

confidence: 99%

“…EDS patients usually suffer from many musculoskeletal symptoms, even when they grow up [4]. On the other hand, it has been demonstrated that patients who have shoulder MDI will recover shoulder function during movement after rehabilitation programs [7,9]. However, the prognosis of this patient was challenging because patients with EDS were excluded from the rehabilitation programs.…”

Section: Examinationmentioning

confidence: 99%

“…In the latter part of rehabilitation, the patient was instructed to perform the Watson program for MDI [7,11,12] (intervention B). The Watson program is an exercise program that aims for coordination of scapular muscles with strengthening rotator cuff and deltoid muscle.…”

Section: Interventionmentioning

confidence: 99%

“…Recently, the results from a high-quality randomized control trial showed that there has been an established stage-based rehabilitation program for multidirectional instability (MDI) to achieve better shoulder function with the usual treatment [7]. However, patients with EDS were excluded from the study.…”

Section: Introductionmentioning

confidence: 99%

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Structured Rehabilitation Program for Multidirectional Shoulder Instability in a Patient with Ehlers-Danlos Syndrome

Kitagawa

Matsui

Nakaizumi

2020

Case Reports in Orthopedics

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Patients with Ehlers-Danlos syndrome (EDS) present many musculoskeletal disorders. The purpose of this case report was to describe the effectiveness of a scapular motor control program for a patient with multidirectional severe shoulder instability due to EDS, with 6-month follow-up. The patient was a 14-year-old female with EDS hypermobile type who suffered recurrent shoulder dislocation. Her chief complaints were bilateral shoulder discomfort and instability during writing motion. In the early part of intervention, she was prescribed exercise therapy for multidirectional instability (MDI) with orthosis. In the latter part of intervention, she was instructed in the scapular motor control program. Active and passive range of motion (ROM), sulcus sign, and Rowe score for shoulder instability were measured at baseline and at 3, 6, and 12 months after interventions. The shoulder ROM and instability score were improved after 6-month intervention. The findings from this report indicate that the scapular motor control program for shoulder instability would be effective even for patients with EDS hypermobile type. A patient who could not increase passive ROM due to dislocation is also able to achieve fair function of the shoulder joint instead of increasing active ROM. These positive outcomes indicate the possibility of benefit from the scapular motor control program for an MDI patient with EDS as a conservative treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Examinationmentioning

confidence: 99%

Section: Interventionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Structured Rehabilitation Program for Multidirectional Shoulder Instability in a Patient with Ehlers-Danlos Syndrome

Kitagawa

Matsui

Nakaizumi

2020

Case Reports in Orthopedics

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“…The exercise programmes were all safe and not likely to cause injury. Previous studies have reported that approximately 1% of adolescents had systemic multiligament laxity, which can easily lead to shoulder, elbow and wrist injuries during exercise training [18,19]. Therefore, we did not include pull-up, push-up, or other limb anti-resistance training exercises.…”

Section: Discussionmentioning

confidence: 99%

Construction of a Home Exercise Prescription Solution for Youth During a Serious Public Health Emergency in China

Xiong

et al. 2020

Preprint

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Abstract BackgroundCoronavirus disease 2019 (COVID-19) was identified as a serious public health emergency. The Chinese government required people to stay at home. The purpose of this study was to analyse the effect of home exercise prescription solutions on the physical and mental health of youth during the COVID-19 period.MethodsA home exercise prescription was formulated after investigating and categorizing the home exercise status of 4000 undergraduates during the period of COVID-19. In this prospective cohort study, 200 young people were recruited for a home exercise prescription intervention, and 200 individuals did not undergo any intervention for 4 weeks in February 2020. Physical and mental health indexes including anxiety factors, obsessive-compulsive symptoms factors, depression factors, somatization subscale factors, and sleep and diet factors were evaluated.ResultsOf 4,000 undergraduates living at home, 64.8% were dissatisfied with their physical and mental condition. Ninety-three percent wanted to adopt an exercise practice at home during the period of COVID-19. In the prospective cohort study, the average anxiety scores and sleep and diet scores before the intervention were 2.14 ± 0.43 and 2.24 ± 0.54, respectively, in the intervention group. After 4 weeks, participants reported that negative emotions were reduced. The scores for all factors were less than 2 points, and there were significant differences between the pre-intervention and post-intervention time points (P < 0.05). Differences between the two groups were statistically significant at 2 and 4 weeks (P < 0.05).ConclusionThere was an urgent need for home exercise programmes for youth during the period of COVID-19. Formulating appropriate home exercise prescriptions could help maintain physical and mental health, enhance immunity, and prevent disease.Trial registration ChiCTR, ChiCTR2000030090, Registered February 24th, 2020. http://www.chictr.org.cn/edit.aspx

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Exercise for multidirectional instability of the shoulder

Karasuyama,

Imai,

Gotoh

et al. 2023

Cochrane Database of Systematic Reviews

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Comparison of 2 Exercise Rehabilitation Programs for Multidirectional Instability of the Glenohumeral Joint: A Randomized Controlled Trial

Abstract: For people with MDI, 12 sessions of the Watson MDI program were more effective than the Rockwood program at 12- and 24-week follow-up. Registration: ACTRN12613001240730 (Australian New Zealand Clinical Trials Registry).

Cited by 62 publications

References 56 publications

Structured Rehabilitation Program for Multidirectional Shoulder Instability in a Patient with Ehlers-Danlos Syndrome

Structured Rehabilitation Program for Multidirectional Shoulder Instability in a Patient with Ehlers-Danlos Syndrome

Construction of a Home Exercise Prescription Solution for Youth During a Serious Public Health Emergency in China

Exercise for multidirectional instability of the shoulder

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