title: The treatment of multidirectional instability of the shoulder with a rehabilitation program: Part 1.
abstract: BACKGROUND
  The most commonly recommended initial treatment for multidirectional instability is a rehabilitation program. Although there is evidence to support the effect of conservative management on this condition, the published literature provides little information on the exercise parameters of such programs. In addition, current published rehabilitation programs for multidirectional instability do not focus on scapula stability or exercise drills into functional and sports-specific positions, which are often important aspects to consider in this patient population.
  
  
  METHODS
  The aim of this paper (Part 1) is to outline the first two stages of a six-stage rehabilitation program for the conservative management of multidirectional instability with a focus on scapula control and exercise drills into functional positions.
  
  
  CONCLUSIONS
  This clinical protocol is currently being tested for efficacy as part of a randomized controlled trial (Australian New Zealand Clinical Trials Registry #ACTRN12613001240730). The information in this paper and additional online supplementary files will provide therapists with adequate detail to replicate the rehabilitation program in the clinical setting.
authors.affiliation: LifeCare Prahran Sports Medicine Centre, Prahran, Victoria, Australia; La Trobe University, College of Science, Health and Engineering, School of Allied Health, Department of Rehabilitation, Nutrition and Sport, Bundoora, Victoria 3086, Australia.
authors.forename: Lyn
authors.initials: L
authors.lastname: Watson
authors.affiliation: LifeCare Prahran Sports Medicine Centre, Prahran, Victoria, Australia; La Trobe University, College of Science, Health and Engineering, School of Allied Health, Department of Rehabilitation, Nutrition and Sport, Bundoora, Victoria 3086, Australia.
authors.forename: Sarah
authors.initials: S
authors.lastname: Warby
authors.affiliation: LifeCare Prahran Sports Medicine Centre, Prahran, Victoria, Australia.
authors.forename: Simon
authors.initials: S
authors.lastname: Balster
authors.affiliation: LifeCare Prahran Sports Medicine Centre, Prahran, Victoria, Australia; La Trobe University, College of Science, Health and Engineering, School of Allied Health, Department of Rehabilitation, Nutrition and Sport, Bundoora, Victoria 3086, Australia.
authors.forename: Ross
authors.initials: R
authors.lastname: Lenssen
authors.affiliation: La Trobe University, College of Science, Health and Engineering, School of Allied Health, Department of Rehabilitation, Nutrition and Sport, Bundoora, Victoria 3086, Australia.
authors.forename: Tania
authors.initials: T
authors.lastname: Pizzari
keywords: exercise; multidirectional instability; rehabilitation; scapula; shoulder