What is the recommended treatment option for Chronic Shoulder Girdle instability?

• A. Rest and Ice Therapy
• B. Grade 1-2 mobilizations and stretching
• C. Grade 3-4 mobilizations and Deep Neck Flexor strengthening
• D. Surgery only

Answer: (C)

The recommended treatment option for chronic shoulder girdle instability involves a combination of grade 3-4 mobilizations and deep neck flexor strengthening. This approach focuses on addressing both the mechanical instability of the shoulder girdle and the need for muscular support around the shoulder, which is crucial for stabilizing the joint during functional activities.

Grade 3-4 mobilizations refer to more vigorous manipulations applied to the joint that enhance mobility, improve range of motion, and facilitate proprioceptive feedback. These techniques can aid in restoring normal joint mechanics and reducing symptoms associated with instability.

Deep neck flexor strengthening is important because the neck muscles play a critical role in stabilizing the scapula and maintaining overall shoulder girdle stability. A strong and functioning neck musculature supports the kinetic chain that extends from the cervical spine through to the shoulder, helping to control movement and prevent further episodes of instability.

Employing this comprehensive approach addresses both the mobility and the stabilization aspects of chronic shoulder girdle instability, allowing for better functional outcomes and reducing the likelihood of recurrent issues. In contrast, other options may not adequately address the underlying causes of the instability. For example, focusing solely on rest and ice therapy might manage pain temporarily but does not promote the necessary mobility or strength in the shoulder