Introduction: SLAP is a superior labrum tear in an anterior to posterior direction of the shoulder, affecting more than 4000 people in a year. Usually men between the ages of 20-30 and 40-50. The purpose of this case report is to show the relevance of the number of physical therapy sessions after a SLAP surgery repair.
Case Description: The patient was a 41-year-old male kinesiology professor physically active in volleyball, weight training, and cross-fit. The patient was diagnosed with a SLAP type II tear and micro-fracture visible on an MRI with arthrogram. Outcome measures employed were the QuickDASH for functional disability symptoms and the Visual Analogue Scale (VAS) to report the level of pain. Some of the interventions used in this case were grade I/II manipulations, pendulum, AROM to associated areas, cryotherapy, stretching and strengthening exercises, PNF exercises, and closed kinetic chain activities.
After 27 physical therapy visits post surgeries in a period of 6 months the patient reported no perceived work disability after 52 weeks. Nonetheless, 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 the pain level between 0-4 on a 10 scale; pain decreased to zero by week 10.
Discussion: Decreasing the number of therapy visits and increasing the interval of time off between them, patients might be
Dr. Jeff Roderick is an experienced chiropractor who is certified in the Active Release Technique and trained in the myofascial release modality. He also holds an official Certified Chiropractic Sports Physician designation. Over the course of his career, he has served as a chiropractic sports medicine physician at the Salt Lake City Olympics, the team physician for the Madison and South Fremont high schools, and a chiropractor with Madison Ridge Chiropractic. While working for Madison Ridge, Dr. Jeff Roderick earned special recognition for excellent service and dedication to the chiropractic profession from the Logan College of Chiropractic.
All of the different tears have the same symptoms for the most part, as I explained before. There are many different sports that one can find this injury in, especially when it is located in the shoulder. Sports such as baseball, softball, tennis, football, frisbee, basketball and even hockey are just some of the many sports that doctors have found this injury to be common in. This past year, a boy on my brothers’ hockey team tore his shoulder labrum at the beginning of the hockey season. He was not able to practice, nor play in games during this time. Surgery for his injury was performed in November, just as the hockey season was kicking off. His recovery is expected to take about 6 months because of the severity of the injury. He was originally in a sling for the first month. Doctors’ protocol had him icing everyday for at least two hours for the first month after surgery as well. Once swelling began to go down, he began physical therapy. Currently, he's not allowed to lift more than 20 pounds. Physical therapy is going really well and he is already supposed to shorten his expected recovery time. He should be back in for this upcoming season.
Also people can have a tear that doesn't need to “be fixed.” Meaning it does not cause them pain or they can just tolerate it. Other alternatives can help you be pain free. Howard states in Rotator Cuff Tear Treatment: Should I choose Physical Therapy or Surgery, that “injection”, “supplement” such as pills, a “support sleeve or braces” some “medicine” and even a “shoulder pillow” can help relieve pain. The surgeons that perform surgery don't even know how to manage shoulder tears properly, so that means surgery is not even a great option. Howard quotes that, “Finland showed no benefits to choosing surgery over physical therapy over in management of patients with small rotator cuff tears.” Small tears can always lead to bigger
In 1990 the acronym “SLAP lesion” (Superior Labral Anterior and Posterior) was coined by Synder et al, a shoulder pathology previously made known after arthroscopically identified by Andrews et al in 1985. 2,3 The prevalence of SLAP lesions in recreational athletic and athletic populations ranges from 3.9 %- 11.8%. 4 Kim, et al noted out of 544 shoulders arthroscopically evaluated, 25% were diagnosed with a SLAP lesion, and 88%, about 120 subjects, presented with another pathology.6
Because there are numerous variations of SLAP lesion, doctors classified SLAP lesions into 10 categories. Type I SLAP lesion, typically degenerative in nature, is classified as isolated fraying of the superior labrum. The labrum, however, is still attached to the glenoid. Type II SLAP lesion is described as the detachment of the superior labrum and origin of tendon of the long head of the biceps brachii from the glenoid. This kind of SLAP lesion results in the instability of the biceps-labral anchor. A patient has type III SLAP lesion when there is a bucket-handle tear of the labrum with the bicep insertions still attached. Type IV SLAP lesion is described as a bucket-handle tear of the labrum that extends into the biceps tendon. Similar to
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.
The patient was a 41-year-old male kinesiology professor physically active in volleyball, weight training, and cross-fit. The patient was diagnosed to have a SLAP type II tear and micro-fracture visible on an MRI with arthrogram. Outcome measures employed were the QuickDASH for functional disability symptoms and the Visual Analogue Scale (VAS) to report the level of pain. Some of the interventions used in this case were grade I/II manipulations, pendulum, AROM to associated areas, cryotherapy, stretching and strengthening exercises, PNF exercises, and closed kinetic chain activities.
This case study is about a twenty-six year old graphic designer. Who is an amateur rugby player, who trains twice a week for two hours and has games once per week. In terms of previous injury they fractured their left ankle three years ago. The main problem of the client is left-sided neck pain and restriction of range of movement (ROM). The cause was a tackle during a match which resulted in heavily landing on left shoulder they played on but, it gradually stiffened during the match. On observation the client has a poking chin, increased thoracic kyphosis and an elevated left shoulder, also on touch of the left shoulder the upper trapezius is tight. Aggravation of the injury
Athletes everywhere suffer from some kind of injury at some point of their athletic career. There are a variety of injuries and they can range from minor to severe. In many circumstances the recovering process can take a toll on the body. In severe cases, usually those pertaining to the head, the results from such injuries can be not only physically but psychologically. The 2 main injuries that will be covered throughout this paper will touch the surface of a few problems an athlete can endure throughout their tenure. Head injuries are the most severe type an athlete can come across with most of them consisting of concussions. These concussions can lead to a variety of issues. Also, an athlete can endure many types of knee injuries. These injuries can consist of either sprains or tears to ligaments. The ligaments that are affected consist of the lateral, medial, posterior, and anterior cruciate ligaments.
The objective of this research is to determine whether physical therapy and specific surgical approach will affect the recovery period among the patients who underwent the total hip replacement. The results which describe hip mobility and function after the surgery, as well as overall patients’ satisfaction, are compared between various randomized and non-randomized studies, usually with the presence of experimental and control groups. Major common outcomes reported were pain, muscle strength, mobility, range of motion, and gait limitations. Based on these criteria it was determined that post-operative physical therapy exercise program significantly increases the time of recovery and improves the results of the surgery compared with patients receiving usual care. At present time, no study showed enough evidence to prove absolute advantage of anterior approach over the posterior as improvements were observed in both cases. This research contains important information that can be useful for patients awaiting total hip replacement.
Another patient stated how after having surgery on her rotator cuff, her surgeon recommended seeing a physical therapist three times a week for six month. Such extensive therapy was recommended to ensure that the patient regained complete use of her arm. However, due to the patient being retired, she could not afford the extra $120 a week (“The New York Physical Therapy Association”). Clearly, the high cost of physical therapy is hindering the recovery process for many individuals. By not receiving the treatment that they need, an individual may exacerbate their condition resulting in the need for either strong medications or more limitations. Either outcome is not desirable especially for those that are sensitive to medication or that have physical
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 different from taking medications and having surgery in many ways. It improves mobility, balance, reduces the amount of pain, it doesn't have any side effects, and it is more cost efficient. Therapy has also shown similar improvement in functional status and pain as those who had undergone surgery. Having surgery is very risky, has a long recovery time, it is very expensive. Taking medications has many side effects and can cause addiction. Addiction from medications can interfere with a person’s daily responsibilities such as work, relationships, or health. A person may not be aware of their behavior and the fact that it is out of control, and it can cause problems for themselves and others. Using other forms of treat can
Physical therapy has grown increasing more useful as the years’ progress and more is learned about the human body and its movements, interactions, and mechanisms. Someone may go to physical therapy for injury, recovery, in order to maintain function, or even due to a stroke and is trying to work on walking again. Patients of a physical therapist can include, but is not limited to, elderly, children, accident victims, athletes, those with conditions such as arthritis or fractures, etc. The possibilities are endless for potential physical therapy patients (Mayo Clinic School of Health Sciences).
Physical Therapy is the one of the most important thing a person may need when recovering from an injury or disease. P.T.’s are highly educated professionals that teach their applicants how to recover and build their strength up the right way such as exercise, manual therapy, hydrotherapy, electrical therapy and ultrasound therapy. Physical Therapy has been a top chosen profession since World War 1 when Physical therapists were originally called Reconstruction Aids. Physical Therapy first started off as a predominately female career, but as the years progressed more and more males started to enter this chosen profession. During WW1 there were many cases of musculoskeletal injuries that involved soldiers whom were treated by Physical