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Updated: Feb 20, 2026

Reverse Total Shoulder Arthroplasty

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Published on: July 5, 2011

Exercise for multidirectional instability of the shoulder.

Masaki Karasuyama¹, Takaki Imai², Masafumi Gotoh³

¹Department of Rehabilitation, Minamikawa Orthopedic Hospital, Fukuoka, Japan.

The Cochrane Database of Systematic Reviews

|February 18, 2026

Summary

This summary is machine-generated.

No randomized controlled trials were found for exercise therapy in multidirectional shoulder instability. The benefits and harms of this common treatment remain uncertain, requiring further high-quality research.

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Area of Science:

Orthopedics
Sports Medicine
Rehabilitation Science

Background:

Multidirectional shoulder instability affects young, active individuals, often requiring intervention.
Exercise therapy is a common first-line treatment, but its efficacy and safety are not well-established.
The current evidence base for exercise therapy in this condition is limited.

Purpose of the Study:

To systematically assess the benefits and harms of exercise therapy for multidirectional shoulder instability.
To evaluate the impact of exercise on pain, disability, and quality of life.
To identify any adverse events associated with exercise interventions.

Main Methods:

A comprehensive search of multiple electronic databases was conducted up to May 2025.
Inclusion criteria focused on randomized controlled trials comparing exercise therapy to placebo, no treatment, or usual care.
Planned outcomes included pain, shoulder disability, global assessment, quality of life, and adverse events.

Main Results:

A thorough search identified 1899 records, with 17 full-text articles assessed for eligibility.
No completed randomized controlled trials met the inclusion criteria for this review.
An ongoing trial was identified, but results are not yet available.

Conclusions:

There is currently no published randomized controlled trial evidence to support or refute the benefits and harms of exercise therapy for multidirectional shoulder instability.
The clinical value of exercise therapy for this condition remains uncertain.
Future high-quality randomized controlled trials are needed, employing appropriate control groups and blinding.