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Superior Anterior Posterior Lesion Case Study

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Superior Anterior-Posterior lesions (SLAP) of the labrum is a condition which can be considered to be spread in the male population between the ages 20 to 50. Furthermore, as mentioned by Zhang et al. it has been reported more than 4000 cases in a year. Additionally, based on medical reports, surgeons are reporting more surgeries of this type of injury every year. Moreover, it the fastest growing procedure considering all other surgeries in the outpatient setting. The lesion can be considered of a complex and comprehensive etiology. Most of the time, the mechanism of injury has been reported to be an extreme and repetitive movement of the shoulder, also maximum loading on the bicep in an eccentric position. When considering a number of…show more content…
The purpose of physical therapy intervention is to return patients to full functional abilities by addressing impairments. In many cases, the pathology of the impairments or lesion requires surgical procedures. Although non-invasive interventions as physical therapy should be considered initially. As mentioned Shin et al. there are protocols previously studied and published that has shown success instead of surgical interventions. Furthermore, these general guidelines provide the foundation to avoid tissue disruption, respecting the healing time frame of the tissue. Additionally, they implement a passive range of motion (PROM) to prevent contractures and maintain the range of motion. Finally, they focus on strength as it has no time constraint. 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 As mentioned by Dodson and Altchek5 they proposed a conservative guideline. Based on their guidelines there are 6 stages in the recovery process. On the
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