PT Snacks Podcast: Physical Therapy with Dr. Kasey Hankins 110. Understanding Multidirectional Shoulder Instability: Symptoms, Tests, and Treatment Strategies
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Nov 26, 2024 Dive into the complexities of multidirectional shoulder instability, where symptoms often defy the ordinary. Discover key indicators to look for and the most effective tests for accurate diagnosis. Learn about practical treatment strategies that can significantly enhance shoulder stability. This insightful discussion is tailored for physical therapists looking to expand their understanding and confidence in managing unique patient cases.
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Multidirectional Instability Definition
- Multidirectional shoulder instability (MDI) is defined by instability in two or more planes of motion.
- This can include anterior, posterior, and inferior instability, indicating an imbalance between mobility and stability.
MDI Symptoms
- Symptoms of MDI are often vague and insidious, including activity-related pain and difficulty with overhead activities or carrying heavy objects.
- Patients may report decreased strength or athletic performance rather than specific instability events.
Causes and Demographics of MDI
- MDI can result from repetitive microtrauma in overhead athletes or from generalized ligamentous hyperlaxity.
- The condition is more common in people in their 20s and 30s, possibly due to reduced tissue compliance with age.