| Rehabilitation and functional outcomes in collegiate wrestlers following a posterior shoulder stabilization procedure. | |
| | |
MedLine Citation:
|
PMID: 19574657 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Brian J Eckenrode; David S Logerstedt; Brian J Sennett |
Related Documents
:
|
11912097 - The partial-thickness rotator cuff tear: is acromioplasty without repair sufficient? 16843807 - Suprascapular nerve palsy secondary to spinoglenoid cysts: results of arthroscopic trea... 16194737 - Total shoulder arthroplasty: long-term survivorship, functional outcome, and quality of... 8682827 - Questionnaire on the perceptions of patients about shoulder surgery. 20973727 - Aerosolized plus intravenous colistin versus intravenous colistin alone for the treatme... 2240627 - Clinical pharmacology of nitrous oxide: an argument for its continued use. |
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 |
Affiliation:
|
University of Pennsylvania Health System, Penn Sports Medicine Center, Philadelphia, PA, USA. brian.eckenrode@gmail.com |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Athletic Injuries / rehabilitation, surgery Health Status Indicators Humans Isometric Contraction Joint Instability / rehabilitation*, surgery Male Musculoskeletal Diseases / rehabilitation, surgery Physical Therapy Modalities* Shoulder Joint / injuries*, surgery Shoulder Pain / diagnosis, rehabilitation*, surgery Students Treatment Outcome Universities Wrestling / injuries* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Crystallization and preliminary X-ray crystallographic analysis of Escherichia coli CusB.
Next Document: Physical therapy utilization of graded exposure for patients with low back pain.