⚠️ Spaces are very limited — book now to secure your place.
📅 Saturday 27th June 2026 | 9:00am – 4:00pm
📍 Pro-Health Physio / Pioneer Performance, 5 Hawick Cres, Newcastle upon Tyne NE6 1AS
Shoulder instability is rarely only a simple strength problem. Athletes often present with ongoing symptoms despite good capacity, and the challenge becomes understanding what is actually failing — and how to target it effectively.
This session breaks down the management of shoulder instability into a clear clinical framework, from early-stage rehabilitation through to advanced loading. You'll explore anterior and posterior cuff strategies, scapular contribution, and the role of co-contraction in restoring control and confidence. The emphasis is on making better decisions in clinic — knowing what to target, how to load it, and how to progress without over-complicating rehabilitation.
Programme Schedule
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9:00 – Clinical assessment of the unstable shoulder: review assessment processes / special tests
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9:30 – Diagnosis of instability: assessment of the unstable athlete
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10:30 – Morning Tea
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11:00 – Managing instability
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11:30 – Theoretical: Acute, Subacute, Advanced Sub-acute management / Subscapularis protocols
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12:00–1:00 – Lunch
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1:00 – Subacute management: Infraspinatus protocols
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2:15 – Scapula assessment and treatment options with progressions
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3:00 – Short break
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3:15 – Co-contraction protocol
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3:30 – Case summary
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4:00 – Finish
Goals for the Day
- Undertake a thorough and comprehensive assessment of a patient with shoulder instability
- Differentiate directions of instability and identify key clinical signs
- Design a progressive rehabilitation plan targeting subscapularis, infraspinatus/teres minor, and scapula
- Use co-contraction protocols to address instability in more than two directions
Learning Outcomes
Clinical Assessment
- Perform a comprehensive clinical examination including specific tests for instability
- Interpret results of the apprehension test, relocation test, and load-and-shift test
Diagnosis
- Differentiate between anterior, posterior, and multidirectional instability
- Identify key clinical signs and symptoms in athletes
Management Strategies
- Design a progressive rehabilitation programme for acute shoulder instability
- Implement appropriate manual therapy techniques for subacute management
Subscapularis & Infraspinatus Protocols
- Demonstrate specific exercises targeting the subscapularis in rehabilitation
- Apply progressive resistance techniques for infraspinatus strengthening
Scapula Assessment & Treatment
- Conduct a thorough assessment of scapular position and movement
- Develop a tailored exercise programme to address scapular dyskinesis
Co-contraction Protocols
- Explain the importance of co-contraction in shoulder stability
- Design and implement exercises that promote optimal co-contraction of shoulder musculature
Case Study Analysis
- Apply theoretical knowledge to real-world clinical scenarios
- Formulate evidence-based treatment plans for complex cases of shoulder instability in athletes