You Are Treating a Patient Who Sustained an Anterior Dislocation

Multiple Choice

You are treating a patient who sustained an anterior dislocation of the glenohumeral joint.When it is permissible for the patient to begin self-assisted or active ROM of the involved shoulder within pain-free ranges, which of the following exercises places the most stress on the anterior aspect of the capsule at the end range of external rotation, therefore posing the greatest risk of re-dislocating the involved shoulder?

A) Wand exercises while lying in the supine position with both shoulders abducted to 90° (upper arms supported on the treatment table) and both elbows flexed to 90°
B) Wand exercises while sitting in a chair or standing, both arms at the patient's sides and elbows flexed to 90°
C) Self-assisted shoulder ROM guided manually by the sound hand while lying on the sound side and the involved upper arm resting on a pillow placed alongside the chest and the elbow flexed to 90°
D) Self-assisted shoulder ROM guided manually by the sound hand while the patient is lying in the supine position on a treatment table and the involved arm is at the patient's side, resting on a pillow in slight abduction and flexion and the elbow is flexed to 90°