In this assignment I will reflect on why the musculoskeletal system interests me as well as looking at rotator cuff injury and the treatments for this.
Reflection
As a keen sportsman I have had a natural interest in the complexities of human movement and performance. PE ‘A’ level introduced me to analysis of sporting performance and management and rehabilitation of injury. At this early stage in my physiotherapy career I have decided to stick with the musculoskeletal system as I am most familiar with it although I look forward to expanding my knowledge of other areas of physiotherapy practice in the near future. For this assignment I have taken the opportunity to further explore a very common and debilitating musculoskeletal condition which has a wide economic impact.
I have decided to look at rotator cuff injury and treatment. Initially this was because I have suffered some minor shoulder issues myself, largely associated with resistance (weight) training. However in the course of my research I recalled a plasterer who worked at our house some years ago complaining bitterly of what was very likely a rotator cuff injury. Working above head height and doing a repetitive series of movements is indeed one of the major risk factors (Macfarlane & Mcbeth, 2003).
31% of people experience pain at work at least once a week, shoulder problems being one of the 3 major work complaints along with neck and back, these figures contribute to a £7.4 billion cost to the UK due to time
The introductory section of this research emphasizes common types of injuries a collegiate baseball player may experience. Since it mainly focuses on the function of overhead-throwing motion, the emphasis on concentric internal rotator strength was utilized to crease the upper extremity plyometric program. Additionally, it is stated in the introduction that if the shoulders external rotator musculature is not strong enough, the athlete is more susceptible to shoulder injury.
If you have a shoulder injury, all you can think about is doing whatever it takes to make it better. And the first step in doing that is knowing what type of shoulder injury you have. One of the most common types of shoulder injuries is a rotator cuff injury, which in many cases will require surgery.
Thus helps in treatment planning and prognosis. Multiple factors are to be considered during treatment planning. It is important to identify the disorder and its clinical implications, to ensure the most appropriate treatment. Nevertheless, the choice of imaging test depends on personal experience, preference, local availability and the cost of imaging. The American College of Radiology has developed informative criteria that rate the relative usefulness of various imaging modalities for the evaluation of shoulder pain in different clinical scenarios. However, the diagnostic algorithm will ultimately be influenced by the therapeutic approach. The use of various imaging techniques to determine rotator cuff injuries is very controversial. Thus a technique used should not only be informative but cost effective as well. Arthrography is invasive with much health risk. US is a non-invasive, relatively inexpensive, no risk of exposure to radiation and therefore, can be used as initial line of investigation. MRI is sensitive and specific, to detect correct site and extent of tear and also non-rotator cuff related pathologies like
It is my aim within this essay to examine the implications and relative sporting issue relating to injury and rehabilitation. Both injury and rehabilitation go hand in hand, as a consequence those studying in the field of physiology, sociology and psychology have different approaches, research methods and coping strategies they portray onto the athlete to resolve said issue.
During the rehab process, exercises that emphasize kinetic chain activation of the leg, trunk, and scapula should be established. Different types of exercises talked about were trunk extension, scapular retraction, trunk rotation and scapular retraction, and 1-legged stance. The rotator cuff exercises were not implemented until after the proximal base had been established. The closed-chain rotator cuff exercise performed included humeral head depressions and rotations on a ball, “wall washes”, and punches.
Excessive repetitive joint loading- Repetative loading involving people from different occupation include farmers, metal workers,
As compared to many joints in the body, rehabilitation of the shoulder is extremely important to the successful management of return to normal function for the entire upper extremity. It is probably the most difficult joint in the body to rehabilitate because of its great range of motion and the complex interaction of muscle
It is my aim within this essay to examine the implications and relative sporting issue relating to injury and rehabilitation. Both injury and rehabilitation go hand in hand, as a consequence those studying in the field of physiology, sociology and psychology have different approaches, research methods and coping strategies they portray onto the athlete to resolve said issue.
Conditioning is always specific to the injury and the athlete involved. Rehabilitation procedures following a dislocated shoulder will differ, as it will include strengthening the rotator cuff muscles as soon as it is possible. These are the muscles that are used to stabilise the shoulder joint and are often damaged and weakened after a dislocation. Often, these exercises don’t involve any light weights but more isometric exercises to strengthen the muscles. These strengthening exercises should begin with isometric contractions such as extension, adduction and rotations. Rotations are particularly effective as they target the rotator cuff muscles that are used to strengthen the stability of the shoulder joint. Like the hamstring, these movements
As mentioned by Wilk and Leonard4 it has been found most shoulder lesions can be rehabilitated conservative without requiring operation.4 Furthermore, it can be speculated that rehabilitation after a required surgery is critical to return the patients to their functional goals. Additionally, a concrete designed rehabilitation program to increase the range of motion, strength, endurance while increasing the stability of the shoulder is a determinant factor as seen in athletes.4
The study of form phase movements attracts vital attention from many areas like animation production, computer game console, ergonomics, sport medication, rehabilitation and medical specialty analysis. This project was galvanized by the activity Health Department at Ryerson University. “Manual material handling, notably lifting poses a risk to several staff and is taken into account a serious reason for work-related low-back pain and impairment. The whole value of low-back pain disorders within the U.S was calculable to be $90 billion in 1998, and prices have continued to extend. The augmented prevalence of low-back pain within the world and its potential future magnitude has driven several researchers to go looking for the simplest ways for estimating the conditions which will doubtless increase the incidence of back pain.
The case study looked at a 21 year old female netball player who suffered a grade II hamstring strain to the Biceps femoris muscle. The subject was sprinting and they quickly changed direction to intercept the ball. On landing the subject experienced a sharp pain at the back of the thigh and where taken to the hospital. After physical examinations at the University Hospitals Coventry and Warwickshire the doctor and physiotherapist diagnosed the injury as a grade II Biceps femoris strain (Appendix 1). The patient went through rehabilitation and was able to return to play after 7 weeks.
Sadly, this exact positioning is what sets us up for shoulder impingement, and or a rotator cuff/labrum tear, down the road. Sadly, most people do not like to put a pause on their busy daily lives, and in turn many people have a tendency to ignore the pain and “play through” shoulder injuries. In turn, this only aggravates the condition and possibly causes more problems in the long run. People also may underestimate the extent of the injury because they do not want to appear “weak,” and interpret it as steady pain, or weakness in the arm, and cause limitation of joint motion can become almost second nature to
Apart from being common, musculoskeletal disorders can result in significant morbidity and are associated with rising societal and health costs. They are the main source of chronic pain worldwide(18) and the single biggest cause
Musculoskeletal System (joint pain; stiffness; swelling, heat, redness in joints; limitation of movement; muscle pain or cramping; deformity of bone or joint; accidents or trauma to bones; back pain; difficulty with activity of daily living, medications):The patient denies joint pain or stiffness. The patient denies muscle pain or cramping. The patient denies deformity of bones or joint. The patient denies history of trauma or accident to bones or muscle. The patient denies debilitation to activities of daily living.