Superior Anterior Posterior Lesion Case Study

As a PTA I have been given a breath of knowledge in regard to the profession of physical therapy. However, I am not satisfied with this breath of knowledge. I yearn for the opportunity to gain a further understanding in terms of “how and why” physical therapy is successful at restoring function to individuals seeking

Injections it says if conservative treatments haven’t help to reduce the pain that your doctor may recommend a steroid injection into your shoulder joint. This is done especially if this pain interferes with your daily life and your sleep patterns at night while these shots tend to help they should be used cautiously because they could contribute to the weakening of your tendon. Another treatment would be therapy, psychical therapy helps to restore the flexibility and strength of your shoulder after your hurt your rotator cuff in some cases it is possible to stop the pain and restore full function of your shoulder without the need of surgery. Surgery is a last resort option with surgery there are multiple types of surgery that can be done the first one is arthroscopic tendon repair, for this procedure the doctors will insert a small camera and different tools to help reattach the torn tendon to your bone, this type of surgery can provide full restoration of the patient’s anatomy with a pain free procedure. Another type of surgery would be open tendon repair this could be a better options in some situations, this type of surgery is where the doctor goes through a larger incision of your skin to reattach the tendon to the bone but the downside of this type of surgery is that there may be a longer recover time. The last type of surgery ill talk about is shoulder

Physical therapist help their patients recover from injuries, improve mobility, and prevent or help limit impairment. The main goal of a physical therapist is to help a patient be fully self sufficient so that they can properly function in their community with the best possible health.

Repetitive overhead athletic activities and age can increase risk for shoulder pathologies to arise. The microfracture procedure has been used more recently for chondral defects of the glenoid and humeral head. There is very limited research on the rehabilitation following the microfracture procedure, and even less in conjunction with other pathological surgical repairs. The purpose of this case report is to provide details on the rehabilitation of a recreational athlete who underwent a type II SLAP repair with a microfracture of the central humeral head and glenoid.

*insert article *attachedBesides being able to see the inside of a shoulder, doctors use different physical tests to evaluate the shoulder in order to determine what type of injury and how severe an injury may be. One such test was recently developed by Dr. Carl J. Basamania at the Womack Army Medical center in Fort Bragg, N.C. The test was developed to evaluate shoulder instability in a patient. During the test the Dr. or examiner stands next to the patient who is to lay flat on his/her back. The hand of the examined should is held firmly by the examiner. The examiner then pushes against the clavicle to stabilize th scapula, while they also gently hold the pectoral muscle with their thumb in order to be able to assess relaxation. The examiner then rotates the arm form neutral to full external rotation. If the patient has AIGHL incompetence there is a lack of tightening as the arm reaches full external rotation. The test has appeared to be highly accurate and may be of value to Dr.'s and surgeons alike. After doctors have determined what type and what degree of injury a patient has sustained using various tests it is on to the next step, rehabilitation.

Studies show that the magnitude of GIRD and TROM deficits can change acutely following repetitive throwing exposure, such as after a baseball game(19, 30). Not only does this implicate soft tissue involvement in allowing for shifts of arcs of motion, it also indicates that dynamic stabilizers of the shoulder play an important role in prevention of injury as they safeguard the GIRD-affected shoulder from extremes of motion. Fatigue can thus predispose significantly to soft tissue injuries such as thrower’s SLAP tears and impingement(31). A reasonable assertion would be that shoulder overuse likely confounds any study in GIRD as a primary source of tissue injury. As such, training programs should not neglect rest and strengthening as part of the therapy regimen(20).

608) puts forth in their report that the glenohumeral joint is the most movable joint in the body that is at the risk of decreased stability, therefore, complex interaction between static (osseous, soft tissue stabilizers) and dynamic stabilizers (tendon-muscle complex) commands elaborate balance and synchronicity. Any disruption in this intricate mechanism can lead to shoulder instability. In the research study of Rerko, Pan, Donaldson, Jones, & Bishop (2013), the examiners systematically interrupted the glenoid bone to show if it has any effect on the stability of the shoulder and if there is any impact, what imaging modality would be the best to demonstrate it to guide the surgeon in repairing the shoulder instability. The researchers used fresh cadavers shoulders and strategically created defects to the glenoid bone. Imaging modalities such as X-rays, CT scan, and MRI were taken. Measurement of the specificity and sensitivity of the various diagnostic imaging were made, and 3D CT scan has demonstrated a very high specificity and sensitivity compared to the other imaging tools. Furthermore, Bishop, Jones, Rerko, & Donaldson (2013, p. 1255) asserted the significance of preoperative 3-D CT scan to determine the anterior shoulder instability with a concern for a osseous loss of the glenoid bone. The authors believe that 3D CT scan is the most consistent imaging modality in providing an estimation of the bone deterioration compared

Based on the progress report dated 09/21/16, the patient reports of 60% pain relief, functional gain and activities of daily living improvement from completing physical therapy, per Dr. Khan, which decreased her pain intensity and improved her range of motion. She reports she will be undergoing

The results of the study showed that for perceived physical functioning patients recovered from less than 50% preoperatively to about 80% of that of controls 6-8 months post-surgery. On functional capacity, patients recovered from 70% preoperatively to 80% of that of controls 6-8 months post-surgery. For daily activity, patients recovered from 80% preoperatively to 84% of that of controls at 6 months post-surgery.

A SLAP tear caused by a trauma to the shoulder is a frequent cause of instability and pain, and a constant source of discomfort in performing day-to-day activities. The initial treatment of such an injury may include rest, anti-inflammatory medications, cortisone injections and physical therapy but, unfortunately, in some patients’ cases, conservative treatments don’t always succeed.

After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived disability to work after 52 weeks. Although, some functional disability was experienced when it came to general activities and sports between 4 to 13 percent based on the QuickDASH. Pain levels reported by the VAS remained considerable low. The subject reported pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.

The physical therapy plan is to pursue the following: First, manage the pain and the other inflammatory signs through using RICE, gait aids if necessary, and using some electrotherapy modalities. Second, facilitate and accelerate the repair and remodeling stages by using low intensity pulsed ultrasound, electrical stimulation and avoid using any NSAIDs. Third, modified the rest by maintain the fitness level of the player (cycling, gentle stepping), underwater walking, and muscle strength. Finally, try to prepare the player to gradual sport

Physical therapy is a very important part of the medical field. Not all sickness and injuries can be cured or treated with medication. Sometimes the patient needs other forms of treatment to get stronger or rebuild a part of their body that has been injured; that’s where a physical therapist comes in. They help the patient meet rehabilitation goals in order for them to reach their potential for them to become the person they once were before the illness or injury occurred.

The purpose of this article is to introduce the joint-by-joint approach when treating any types of injury. The idea of the article is based on the Functional Movement screen to treat joint by joint and learn how the movements of the joints relate to training. The human body is made of muscle, tissue, and bones and the joints join it. The article provides understanding of how the athletic trainer or physical therapist should treat the injury.

Physical therapy is the scientific physical procedures used in the treatment of patients with a disability, disease, or injury to achieve and maintain function and to prevent malfunction or deformity. One of the most important tasks that physical therapists perform is the various forms of therapeutic exercise that are used to increase strength and endurance to improve coordination and functional movement for activities of daily living and to increase and maintain range of motion (APTA History).