Dislocated shoulder exercises include mobility, strengthening and functional or sports specific exercises as part of a full rehabilitation program.
Dislocated shoulder exercises (mobility)
The following guidelines are for information purposes only. We recommend seeking professional advice before beginning rehabilitation.
It is very important to avoid any movement that combines moving the arm upwards, out to the side and rotated back (lateral rotation and abduction) as this is the position a dislocated shoulder is most vulnerable.
Pendulum exercises are good for very early stage shoulder mobility. Gently swing the arm forwards, backwards and sideways whilst leaning forwards. Gradually increase the range of motion as the arm swings. All exercises should be pain-free, so if it hurts then stop and be patient. Aim to reach 90 degrees of motion in any direction but avoid rotating outwards and upwards.
Assisted shoulder mobility exercises
Once the shoulder has started to heal, your therapist may advise starting active, assisted exercises. This involves you using your good arm, or a pole to assist the injured arm through the range of movement. Some good examples of this include:
- Abduction/Adduction – Holding onto a broomstick with both hands shoulder-width apart Using the good arm, push the injured arm out to the side, and back towards the body. This should be performed in both directions, taking the injured arm across the body and away from the body (adduction/abduction)
- Flexion/Extension – Lying on your back or seated in a chair, grip the hand of your injured side with the good side Slowly and gently bring the arms up and towards your head, and if you feel comfortable, over the head If at any time you feel like the shoulder is going to pop out, stop and return to the resting position
- Rotation – Using the broomstick, this time keep your elbows into your side. Allow the stick to move to the left and right in front of you, rotating the shoulder joint.
Dislocated shoulder exercises (strengthening)
A strengthening program for an anterior dislocated shoulder can begin as soon as pain allows. It is important to avoid any movements which raises your arm up above the shoulder and rotates it outwards (abducted and laterally rotated).
in the early stages as this is the position the shoulder is most likely to dislocate again. Initially, static exercises involving no movement should be done in the ‘inner range’ and progressed gradually.
Isometric shoulder exercises
Isometric means without movement, also known as static contractions. These are exercises where the muscles are being worked without moving the joint, and are often quite useful if the joint itself is still healing.
- Isometric extension – Standing with your back against a wall, with your arms by your side. While keeping your elbows and wrists straight, push back into the wall and hold for 5 seconds. Work to increase this to 10 seconds. Repeat this 5 times.
- Isometric flexion – To do the same for isometric flexion face the wall and use it as resistance in the same way as for extension exercises.
- Isometric adduction – With a small pillow or a rolled-up newspaper between your injured arm and your torso, squeeze inwards and try to hold it in position. Start with a small item and gradually move to larger sizes to work through a larger range of movement. Hold for 5 seconds (work to increase to 10). Repeat this 5 times (work to increase to 10).
- Isometric Abduction – Stand side-on to a wall, with the arm to be worked next to it. Place the back of the wrist against the wall and push outwards as if trying to raise the arm to the side. Hold for 5 seconds (work to increase to 10). Repeat this 5 times (work to increase to 10).
- External Rotation – Stand facing a door frame. Keep the elbow bent to 90 degrees and place the back of the hand against the frame. Push against it. Hold for 5 seconds (work to increase to 10) and repeat 5 times (work to increase to 10).
- Internal Rotation – Stand facing a door frame. Bend the elbow to 90 degrees, and place the palm of the hand on the side of the door frame and push against it. Hold for 5 seconds (work to increase to 10) and repeat 5 times (work to increase to 10).
Rotator cuff exercises
- Internal rotation – This is the most important exercise as it strengthens the muscles which help prevent anterior shoulder dislocation. Three of the five muscles which medially or internally rotate the shoulder are the pectoralis major, subscapularis and latissimus dorsi. In the early stages, it is important to keep the shoulder joint in the inner range of motion. This means working from the position where the hand is out in front so it works across the body. Taking the shoulder into the outer range of motion puts it at risk of dislocation.
- External rotation – works the muscle which externally rotates the shoulder. It can be done with a resistance band or a dumbbell. This exercise should be avoided in the very early stages. When the shoulder has healed enough to begin external rotation exercises it is important to remain within the internal range of movement until told otherwise by your therapist.
- Externally rotating the shoulder before it is ready puts it at risk of dislocation. Wrap the resistance band around something stable and hold the other end standing so that the band crosses the body. Keeping the elbow bent to 90 degrees and the upper arm by the side, rotate the shoulder to pull the band away from the body.
- Stand on one end of the band and hold the other end. Keeping the elbow straight, pull your arm out to the side so that the hand ends up level with your shoulder.
- Stand on the band holding the other end in the hand of your injured arm. Keeping the elbow straight, pull your hand straight up in front of you to about shoulder height.
- Once you are comfortable with the exercises above, the resistance band can be replaced with weights to progress the strengthening exercises described above. Again, ensure exercises are done pain-free.
- Wrap the band around something secure, hold the other end and stand with your injured side closest to the attachment. Keeping the elbow straight, pull your hand across your body as far as is comfortable.
Dislocated shoulder exercises (functional)
Functional exercises are those which reproduce every day, movements or sports-specific movements. They are more advanced rehab exercises to bridge the gap between injury and returning to full sports specific training. It is important to check with your doctor or trainer before attempting these exercises as there is a risk or re-injuring a dislocated shoulder if the joint is not strong enough.
Wobble board exercises
- The aim of wobble balance board exercises for the shoulder is to improve joint awareness. A wobble board or cushion can be used, just as you would if you were rehabilitating an ankle injury.
- Start on all fours, knees on the floor and hands on the wobble board. Aim to hold the board still for 1 minute. Progress to performing circles with the board. Try performing mini push-ups, still maintaining the central position.
- Progress further by balancing with your hands on the board, legs straight and toes on the floor (like the full push-up position).
Swiss ball shoulder stability
- This exercise challenges shoulder stability further as well as the core muscles of the trunk. The athlete positions themselves on the ball at the hips and places the hands on the wobble board.
- The athlete attempts to maintain balance whilst moving the arms. This can be progressed by positioning the ball lower down the body.
- These are plyometric type shoulder stability exercises and will challenge the coordination and dynamic strength of the shoulder joint. Stand facing a wall and throw a light ball at chest height with both hands against the wall and catch it again.
- Progress by using a heavier ball Progress further by using one hand only Progress again by moving further back and throwing higher.
- Rebound exercises using one hand can also be done. This is especially useful for people who compete in throwing or racket sports. It is a very late stage strengthening exercise for shoulder dislocations.
- It should not be done until given the go-ahead by your trainer. The shoulder is most vulnerable to dislocation in this position if it is not strong enough.