Background and Purpose: 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, cryotherapy, stretching and strengthening exercises, PNF exercises, and closed kinetic chain activities.
Outcomes: 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
Russell Carrington is a 25 year old right handed relief pitcher for the MLB team the Baltimore Orioles. Carrington has been playing baseball since he was seven years old and this was his third season in the Major Leagues. Carrington was at the mound and in the motion of throwing a fastball, when he felt a “pop” in his overhand motion. He dropped to his knees and clinched his right shoulder in pain. Athletic trainers came onto the field an upon examination Carrington stated his arm felt like it was “dead” and felt like it was “catching”. Carrington was seen by the team physician. She performed ROM exercises, strength, and stability tests on his shoulder and examined his neck and head to ensure pain wasn’t coming from a pinched nerve. She concluded that further testing and imaging was necessary. Carrington had an X-ray and MRI done on his shoulder and he was diagnosed with a type II SLAP (Superior Labrum Anterior and Posterior) lesion. He didn’t want surgery done because he would miss the remainder of the season and possibly the next, so doctors prescribed non-steroid anti-inflammatory medication and five months physical therapy to strengthen the shoulder capsule. After completion of physical therapy, the pain didn’t improve and arthroscopy surgery was recommended.
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.
Komblatt, the patient underwent extensive chiropractic treatment with 87 sessions from 10/07/11 through 07/11/12. It was opined that it does appear that the IW ha s undergone excessive passive-chiropractic treatment referable to both lumbar spine and right shoulder. It was further opined that the IW has reached MMI regarding the lumbosacral strain and contusion of the right shoulder within approximately 6-8 weeks post injury. Appropriate treatment would have consisted of aggressive right shoulder and low back rehabilitation to include aerobic conditioning, strengthening exercises involving the right upper extremity, lumbar spine and core, and resumption of normal recreational and work activities within 6-8
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.
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
DOI: 2/9/2000. The patient is a 59-year-old male sales representative who sustained a work-related injury to his low back when he was placing a weight set in a customer’s car. As per OMNI, he was deemed to have reached P & S status last 11/20/2000 by QME Dr. Simpkins. Future medical care includes evaluations, physical therapy, epidural steroid injections, medications, chiropractic, acupuncture and transcutaneous electrical nerve stimulation.
Final Essay: Write a critique of the novel. What worked or didn’t work and how does that affect the theme or the overall story?
It was noted that continued physical therapy once a week for the next eight weeks is appropriate
Treatment plan includes additional post-operative PT for range of motion, strengthening and home exercise program (HEP), 2-3 times a week for 6 weeks.
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.
Also, the right upper extremity was kept in protection with arm adducted and internally rotates, possibly subconsciously. All left upper extremity range of motion was within normal limits, no pain, no decreased range, some tightness of pectoralis muscles observed and some scapula dyskinesis. Right upper extremity was found limited to an active range of motion (AROM) performed in standing for flexion and abduction, the pain was present with instability, compensation and scapula dyskinesis. Following this step, the patient was supine position to measure passive range of motion (PROM), also pain was a limiting factor with muscle guarding end feel. Following, manual length test (MLT) of biceps was limited with replication of pain, mainly for the long head than for the short head. Additionally, manual muscle test was performed in sitting with a result of 3+/5 with pain present, and fear physiognomy was observed during testing. Additionally, special tests were performed to confirm diagnosis of the labrum tear; positive Speed test performed in a sitting position and Compression rotation test performed in supine position. Both special tests present with outstanding sensitivity and specificity. Limitations with activities like reaching up cabinets and washing his back were functionally addressed. Additionally, recreation activities like weight
Attention material: Everyday, thousands of people are getting injured, having surgery, or being diagnosed with a disabling condition that could damage and impact their life forever if it is not treated. This is where physical therapists come into place. Today, I will be providing you all with a better understanding of the profession and the role they have on transforming their patient’s lives. According to World Confederation for Physical Therapy, “Physical therapists help people maximize their quality of life,
Many injuries and disabilities people have instead of resorting to surgery; some may seek the help from physical therapist. People who have different injuries and disabilities will require specific treatments, so physical therapists design treatments to fit an individual's need based on the evaluation done by the physical therapist. As physical therapists become more in demand, the technology behind the physical therapy programs must be updated regularly. Sciences have advanced in the way that treatments are more efficient and helpful to both the patient and the therapist; technology has been advancing over the years and has been helping the health field overcome so of their biggest challenges. New advancements are happening every day, who knows what technology will be helping people with
multiple visits. These sessions has a beneficial effect for both patient and doctor. A physician can
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.