Document Detail

Rehabilitation and functional outcomes in collegiate wrestlers following a posterior shoulder stabilization procedure.
MedLine Citation:
PMID:  19574657     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: Case series. CASE DESCRIPTION: Five consecutive collegiate Division I wrestlers, with a mean age of 20.2 years (range, 18-22 years), were treated postsurgical stabilization to address posterior glenohumeral joint instability. All received physical therapy postoperatively, consisting of range-ofmotion, strengthening, and plyometrics exercises, neuromuscular re-education, and sport-specific training. Functional outcome scores using the Penn Shoulder Score questionnaire were recorded at postsurgical initial evaluation and discharge. Isometric shoulder strength, measured with a handheld dynamometer at discharge, was compared with measurements made during preseason screening. OUTCOMES: Postsurgery, upon initial physical therapy evaluation, scores on the Penn Shoulder Score questionnaire ranged from 37 to 74 out of 100. All 5 wrestlers improved with rehabilitation such that their scores at discharge ranged from 81 to 91 out of 100. Mean external rotation-internal rotation strength ratio for the involved shoulder was 73.5% (range, 55.9%-88.7%) preseason and 80.9% (range, 70.2%-104.1%) postrehabilitation. Four patients were able to return to wrestling over a period of 1 season, with no episodes of reinjury to their surgically repaired shoulder. DISCUSSION: Current research on posterior glenohumeral instability is limited, due to the relatively rare diagnosis and infrequent need for surgical intervention. Providing a structured physical therapy program following this surgical procedure appeared to have assisted in a return to full functional activities and sports. LEVEL OF EVIDENCE: Therapy, level 4. J Orthop Sports Phys Ther 2009;39(7):550-559, Epub 24 February 2009. doi:10.2519/jospt.2009.2952.
Brian J Eckenrode; David S Logerstedt; Brian J Sennett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of orthopaedic and sports physical therapy     Volume:  39     ISSN:  0190-6011     ISO Abbreviation:  J Orthop Sports Phys Ther     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-03     Completed Date:  2009-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7908150     Medline TA:  J Orthop Sports Phys Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  550-9     Citation Subset:  IM    
University of Pennsylvania Health System, Penn Sports Medicine Center, Philadelphia, PA, USA.
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MeSH Terms
Athletic Injuries / rehabilitation,  surgery
Health Status Indicators
Isometric Contraction
Joint Instability / rehabilitation*,  surgery
Musculoskeletal Diseases / rehabilitation,  surgery
Physical Therapy Modalities*
Shoulder Joint / injuries*,  surgery
Shoulder Pain / diagnosis,  rehabilitation*,  surgery
Treatment Outcome
Wrestling / injuries*
Young Adult

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