Conservative Treatment of Multidirectional Instability of the Shoulder

Altered activation of shoulder girdle muscles is always present in patients with joint laxity and multidirectional shoulder instability. Conservative treatment is the first-line treatment if no structural lesions are present and should be performed for at least 1 year according to a specific protocol. Kinesiotherapy is also crucial in patients who underwent treatment to maintain proper biomechanics of glenohumeral joint. Currently a protocol described by Watson and his colleagues provides best proven reliability.