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Overhead athlete rehabilitation

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https://www.readbyqxmd.com/read/30090688/nonoperative-treatment-for-injuries-to-the-in-season-throwing-shoulder-a-current-concepts-review-with-clinical-commentary
#1
Michael A Stone, Omid Jalali, Ram K Alluri, Paul R Diaz, Reza Omid, Seth C Gamradt, James E Tibone, Erik N Mayer, Alexander Weber
Repetitive overhead throwing generates tremendous demands on the shoulder joint of the overhead athlete. Clinicians, therapists, and medical staff are charged with optimizing a throwing athlete's shoulder mobility and stability to maximize performance and prevent injury. Modifiable risk factors such as strength asymmetry, glenohumeral range of motion deficits, and scapulothoracic joint abnormalities contribute to the overhead athlete's predisposition to shoulder injury. Most shoulder injuries in the overhead thrower can be successfully treated nonoperatively to allow in-season return to sport...
April 2018: International Journal of Sports Physical Therapy
https://www.readbyqxmd.com/read/30053716/developing-reliable-measures-of-the-passive-torque-angle-relationship-for-shoulder-internal-and-external-rotation-implications-for-overhead-athletics
#2
Jeff T Wight, Guy B Grover, John W Chow, Paul A Borsa, Erik A Wikstrom, Mark D Tillman
OBJECTIVES: 1) Thoroughly assess shoulder flexibility by establishing the passive torque-angle relationship for internal and external rotation with the arm in an overhead athletics position (abducted 90°) and 2) test the reliability of four passive torque-angle measures. DESIGN: Reliability study. SETTING: Data were collected in a university biomechanics laboratory. PARTICIPANTS: Bilateral shoulder flexibility of 15 male college students (20...
July 18, 2018: Physical Therapy in Sport
https://www.readbyqxmd.com/read/29980805/return-to-sport-after-acute-acromioclavicular-stabilization-a-randomized-control-of-double-suture-button-system-versus-clavicular-hook-plate-compared-to-uninjured-shoulder-sport-athletes
#3
D Müller, Y Reinig, R Hoffmann, M Blank, F Welsch, U Schweigkofler, T Stein
PURPOSE: Traumatic high-grade acromioclavicular joint (ACJ) separations can be surgically stabilized by numerous anatomic and non-anatomic procedures. The return to sport (Maffe et al. in Am J Sports Med 23:93-98, 1995] and remaining sport-associated impairments after acute ACJ stabilization has not yet been investigated. METHODS: 73 consecutive athletes with acute high-grade ACJ separation were prospectively assigned into two groups (64.4% randomized, 35.6% intention-to-treat): open clavicular hook plate (cHP) implantation (GI) or arthroscopically assisted double double-suture-button (dDSB) implantation (GII)...
July 6, 2018: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29648933/influence-of-body-position-on-shoulder-and-trunk-muscle-activation-during-resisted-isometric-shoulder-external-rotation
#4
David A Krause, Lucas G Dueffert, Jaclyn L Postma, Eric T Vogler, Amy J Walsh, John H Hollman
BACKGROUND: External rotation (ER) strengthening of the shoulder is an integral component of rehabilitative and preventative programs for overhead athletes. A variety of shoulder ER strengthening exercises are reported, including those intended to integrate the core musculature. The purpose of this study was to examine ER torque and electromyographic (EMG) activation of shoulder and trunk muscles while performing resisted isometric shoulder ER in 3 positions (standing, side lying, and side plank)...
July 2018: Sports Health
https://www.readbyqxmd.com/read/29624450/national-athletic-trainers-association-position-statement-evaluation-management-and-outcomes-of-and-return-to-play-criteria-for-overhead-athletes-with-superior-labral-anterior-posterior-injuries
#5
Lori A Michener, Jeffrey S Abrams, Kellie C Huxel Bliven, Sue Falsone, Kevin G Laudner, Edward G McFarland, James E Tibone, Charles A Thigpen, Timothy L Uhl
OBJECTIVE:   To present recommendations for the diagnosis, management, outcomes, and return to play of athletes with superior labral anterior-posterior (SLAP) injuries. BACKGROUND:   In overhead athletes, SLAP tears are common as either acute or chronic injuries. The clinical guidelines presented here were developed based on a systematic review of the current evidence and the consensus of the writing panel. Clinicians can use these guidelines to inform decision making regarding the diagnosis, acute and long-term conservative and surgical treatment, and expected outcomes of and return-to-play guidelines for athletes with SLAP injuries...
March 2018: Journal of Athletic Training
https://www.readbyqxmd.com/read/29399735/rotator-cuff-repair-post-operative-rehabilitation-concepts
#6
REVIEW
Terrance A Sgroi, Michelle Cilenti
PURPOSE OF REVIEW: With improvements in surgical techniques and increased knowledge of rotator cuff healing, there was a need to identify a safe progression after rotator cuff repair. The rehabilitation specialist plays an integral role in the care of these patients, and by implementing an evidence and criteria-based model, patients may be able to return to their prior levels of function sooner with fewer complications. RECENT FINDINGS: Timing of progression for rotator cuff patients should align not only with healing but also potential strain on the involved tissue...
March 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29364025/the-utilization-of-interval-throwing-programs-in-the-physical-therapy-setting-a-cross-sectional-survey
#7
Corbin A Hedt, S Brett Holland, Bradley S Lambert, Joshua D Harris, Patrick C McCulloch
CONTEXT: Interval throwing programs (ITP) have long been used in the physical therapy setting to aid in the safe and efficacious return to sport for an overhead athlete. However, the overall utilization and variation of interval throwing programs are unknown in the physical therapy setting leading to potential inconsistencies in treatment paradigms. OBJECTIVE: To determine if differences in practice patterns exist among active physical therapists of various experience levels with regards to years of experience and advanced certifications...
January 24, 2018: Journal of Sport Rehabilitation
https://www.readbyqxmd.com/read/29344768/diagnosis-and-treatment-of-injuries-to-the-biceps-and-superior-labral-complex-in-overhead-athletes
#8
REVIEW
Jacob G Calcei, Venkat Boddapati, David W Altchek, Christopher L Camp, Joshua S Dines
PURPOSE OF REVIEW: This review discusses the diagnostic and treatment challenges presented by injuries to the biceps and superior labral complex. RECENT FINDINGS: A focused patient history, numerous physical examination maneuvers, and appropriate advanced imaging studies must be utilized to reach an accurate diagnosis. Nonoperative management, even in overhead athletes, has demonstrated relatively good outcomes, while operative outcomes have yielded mixed results...
March 2018: Current Reviews in Musculoskeletal Medicine
https://www.readbyqxmd.com/read/29135565/pediatric-and-adolescent-anterior-shoulder-instability-clinical-management-of-first-time-dislocators
#9
Kenneth M Lin, Evan W James, Elad Spitzer, Peter D Fabricant
PURPOSE OF REVIEW: The purpose of this review is to discuss the epidemiology, pathoanatomy, diagnosis, and clinical management of pediatric and adolescent patients following a first-time shoulder dislocation. RECENT FINDINGS: Shoulder instability is becoming increasingly common as pediatric and adolescent patients engage in earlier organized sports competition. Recommended treatment following a first-time glenohumeral dislocation event in adolescents depends on several factors, but surgical stabilization is becoming more frequently performed...
February 2018: Current Opinion in Pediatrics
https://www.readbyqxmd.com/read/28780211/the-use-of-osteopathic-manual-therapy-and-rehabilitation-for-subacromial-impingement-syndrome-a-case-report
#10
Sam Bennett, Chris Macfarlane, Brett Vaughan
Rotator cuff dysfunction is common in athletes involved with overhead sports. Secondary subacromial impingement is a common cause of pain for patients with rotator cuff dysfunction. Exercise rehabilitation and manual therapy can be used in the treatment of subacromial impingement to decrease pain, increase functionality and support a return to activity. The current case report describes a 24-year-old patient with supraspinatus tendinosis and secondary subacromial impingement who was experiencing pain when playing tennis, and during daily activities involving overhead movements...
September 2017: Explore: the Journal of Science and Healing
https://www.readbyqxmd.com/read/28730863/non-operative-management-of-ulnar-collateral-ligament-injuries-in-the-throwing-athlete
#11
REVIEW
Mia Smucny, Robert W Westermann, Matthew Winters, Mark S Schickendantz
Medial ulnar collateral ligament (UCL) injuries have become increasingly prevalent in overhead athletes. The orthopaedic literature contains a wealth of information on operative management of these injuries. However, there are few high-quality longitudinal studies on non-operative care of UCL injuries. The purpose of this review is to describe the non-operative approach to managing UCL injuries, including recommended rehabilitation strategies and predictors of successful non-operative treatment.
September 2017: Physician and Sportsmedicine
https://www.readbyqxmd.com/read/28441943/return-to-sports-after-plate-fixation-of-humeral-head-fractures-65-cases-with-minimum-24-month-follow-up
#12
Philipp Ahrens, Frank Martetschläger, Sebastian Siebenlist, Johann Attenberger, Moritz Crönlein, Peter Biberthaler, Ulrich Stöckle, Gunther H Sandmann
BACKGROUND: Humeral head fractures requiring surgical intervention are severe injuries, which might affect the return to sports and daily activities. We hypothesize that athletic patients will be constrained regarding their sporting activities after surgically treated humeral head fractures. Despite a long rehabilitation program physical activities will change and an avoidance of overhead activities will be noticed. METHODS: Case series with 65 Patients, with a minimum follow-up of 24 months participated in this study...
April 26, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/28404557/exercise-prescription-for-overhead-athletes-with-shoulder-pathology-a-systematic-review-with-best-evidence-synthesis
#13
REVIEW
Alexis A Wright, Eric J Hegedus, Daniel T Tarara, Samantha C Ray, Steven L Dischiavi
OBJECTIVE: To produce a best evidence synthesis of exercise prescription used when treating shoulder pathology in the overhead athlete. DESIGN: A systematic review of exercises used in overhead athletes including case studies and clinical commentaries. DATA SOURCES: MEDLINE, PubMed, SPORTDiscus and CINAHL from database inception through July 8, 2016. METHODS: We examined data from randomised controlled trials and prospective cohort (level I-IV evidence) studies that addressed exercise intervention in the rehabilitation of the overhead athlete with shoulder pathology...
February 2018: British Journal of Sports Medicine
https://www.readbyqxmd.com/read/27940806/treatment-for-ulnar-neuritis-around-the-elbow-in-adolescent-baseball-players-factors-associated-with-poor-outcome
#14
Masahiro Maruyama, Hiroshi Satake, Masatoshi Takahara, Mikio Harada, Tomohiro Uno, Nariyuki Mura, Michiaki Takagi
BACKGROUND: Ulnar neuritis around the elbow is one of the injuries seen in throwing athletes. Outcomes of nonsurgical treatment and factors associated with failure outcomes have not been reported. PURPOSE: To investigate the outcomes of treatments for ulnar neuritis in adolescent baseball players. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: We assessed 40 male baseball players with a mean age of 15.0 years (range, 13-17 years) who presented with ulnar neuritis...
March 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/27900708/can-posterior-capsular-stretching-rehabilitation-protocol-change-scapula-kinematics-in-asymptomatic-baseball-pitchers
#15
A Pellegrini, P Tonino, D Salazar, K Hendrix, I Parel, A Cutti, P Paladini, F Ceccarelli, G Porcellini
PURPOSE: Scapular dyskinesis is a recognized cause of shoulder pain in the throwing shoulder of baseball pitchers and athletes who participate in overhead sports. Past studies have assessed scapular kinematics using electromagnetic tracking devices and have shown a correlation between posterior shoulder tightness and forward scapular posture. The purpose of our study is to evaluate the scapular kinematics, before and after a 4-week posterior stretching protocol in asymptomatic pitchers...
December 2016: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27656372/ulnar-collateral-ligament-reconstruction-of-the-elbow-the-docking-technique
#16
Christopher L Camp, Joshua S Dines, Pramod B Voleti, Evan W James, David W Altchek
Reconstruction of the ulnar collateral ligament (UCL) is one of the most commonly performed surgical procedures in overhead throwing athletes. Since its initial description, the procedure has undergone a number of technical modifications and advancements. This has resulted in multiple described techniques for UCL reconstruction. One of the most commonly performed UCL reconstruction methods is the docking technique. It has the advantages of minimizing injury to the flexor-pronator mass, avoiding the ulnar nerve, allowing robust graft tensioning, and reducing the amount of bone removed from the medial epicondyle compared with previously described techniques...
June 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27656365/arthroscopic-microfracture-for-osteochondritis-dissecans-lesions-of-the-capitellum
#17
Christopher L Camp, Joshua S Dines, Ryan M Degen, Alec L Sinatro, David W Altchek
Capitellar osteochondritis dissecans (OCD) is one of the most common causes of elbow pain and dysfunction in adolescent athletes. It typically occurs in gymnasts and overhead throwers and presents along a wide spectrum of severity. Stable lesions can typically be treated with conservative therapy; however, those presenting with instability, fragmentation, or loose bodies generally require surgical intervention. Although there are a number of described surgical options used to treat capitellar OCD lesions, microfracture is one of the most commonly performed and well studied...
June 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/27565482/sports-activity-after-anatomic-acromioclavicular-joint-stabilisation-with-flip-button-technique
#18
Felix Porschke, Marc Schnetzke, Sara Aytac, Stefan Studier-Fischer, Paul Alfred Gruetzner, Thorsten Guehring
PURPOSE: Sports activity after surgical AC joint stabilisation has not been comprehensively evaluated to date. The aim of this study was to determine rate, level and time to return to sports after AC joint stabilisation and to identify the influence of overhead sports on post-operative sports activity. METHODS: In this retrospective case series, a total of 68 patients with a high-grade AC joint dislocation (Rockwood type V) were stabilised using a single TightRope technique...
July 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/27543400/return-to-play-following-ulnar-collateral-ligament-reconstruction
#19
REVIEW
Edward Lyle Cain, Owen McGonigle
Ulnar collateral ligament injury in the overhead athlete typically presents as activity-related pain with loss of velocity and control. Treatment options range from nonoperative rehabilitation to ligament reconstruction. Surgical reconstruction is frequently required to allow the athlete to return to competition and many surgical techniques have been described. The rehabilitation process to return back to overhead athletics, in particular pitching, is prolonged and requires progression through multiple phases...
October 2016: Clinics in Sports Medicine
https://www.readbyqxmd.com/read/27335810/medial-ulnar-collateral-ligament-reconstruction-of-the-elbow-in-major-league-baseball-players-where-do-we-stand
#20
REVIEW
Brandon J Erickson, Bernard R Bach, Charles A Bush-Joseph, Nikhil N Verma, Anthony A Romeo
The ulnar collateral ligament (UCL) is a vital structure to the overhead athlete, especially the baseball pitcher. For reasons not completely understood, UCL injuries have become increasingly more common in major league baseball (MLB) pitchers over the past 10 years. UCL reconstruction (UCLR) is the current gold standard of treatment for these injuries in MLB pitchers who wish to return to sport (RTS) at a high level and who have failed a course of non-operative treatment. Results following UCLR in MLB pitchers have been encouraging, with multiple RTS rates now cited at greater than 80%...
June 18, 2016: World Journal of Orthopedics
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