Welcome to episode number 8 of The Residents of the Roundtable Podcast. Join Joey, Rayce, and Robert, as they discuss the topic of posterior shoulder instability and the article "Return to Sport After Shoulder Stabilization Procedures: A Criteria-Based Testing Continuum to Guide Rehabilitation and Inform Return-to-Play Decision Making." Many therapists and healthcare professionals will utilize time and a simple clinical examination to determine whether an individual is ready to return to sport. Athletes who do not undergo a criteria-based return to sport test battery had a 22% greater rate of recurrence compared to those who undergo and pass. Similar to ACL-R, although objective performance tests such as the CKCUEST and UQ-YBT may be within 90% symmetry, strength deficits in the rotator cuff/shoulder girdle may continue to persist; which highlights the value of true objective strength measurements with dynamometry. Moreover, testing criteria should best approximate the demands of the sport/activity the individual desires to get back to. An eclectic approach incorporating both open chain and closed chain tests will likely serve as the most useful versus putting all of our eggs in one basket. Remember, not only does the testing demands need to approximate sport, but also training as well.

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Otley T, Balster S, Myers H, et al. (2022). Return to Sport After Shoulder Stabilization Procedures: A Criteria-Based Testing Continuum to Guide Rehabilitation and Inform Return-to-Play Decision Making. Arthroscopy, Sports Medicine, and Rehabilitation.