SLAP are 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 amount of physical therapy session after a SLAP surgery repair. 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 in 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 disability with 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. By decreasing the number of therapeutic visits and increasing the interval of time off between them, patients might be able to return to the previous level of
The American Physical Therapy Associations (APTA) vision statement sets a standard of quality care that should apply to every health care facility where physical therapy is practiced. In my opinion, when the APTA mentions improving the human experience, it is an attempt to encompass an enhancement in people’s ability to freely participate in the activities of their choice. Ultimately, the decisions that a person choose determines his career growth and relationship between him and the clients (Porter and Teisberg, 2006). From personal experience, losing the ability to take part in these activities can have a detrimental effect on one’s overall quality of life. In March of 2014, I was diagnosed with osteochritis dissecans on my left knee and
SLAP lesion can develop due to the repetitive forces of the throwing motion. Athletes that are involved in overhead activities tend to develop a struggle in glenohumeral internal rotation. Both internal impingement and peel back mechanisms can cause that to happen.
Raney was experiencing any pain to the area and Mrs. Raney replied that the only pain is in the right shoulder. Mrs. Raney was able to supinate and pronate her right wrist 30-40 degrees. Her skin was dry. Dr. Mendelson replied that at this time Mrs. Raney no longer required to wear the wrist brace and she can use the extremity. Dr. Mendelson obtained x-rays of her right shoulder as Mrs. Rainey has limited range of motion. After reviewing this, Dr. Mendelson replied that Mrs. Rainey as tremendous arthritis in her shoulder. I inquired if it was traumatic arthritis and the result of the accident. Dr. Mendelson replied that it was not related directly to the accident necessarily but her shoulder was aggravated from the accident. Dr. Mendelson continued to state that symptomatically it will get better and at some point Mrs. Raney did have a glenoral crack. Dr. Mendelson inquired about how Mrs. Raney’s shoulder was prior to the accident and she stated that it was fine and she could raise her arm above her shoulder and head but now she can’t and has had limited movement since the accident. Dr. Mendelson assessed and evaluated her lower extremity and replied that Mrs. Raney’s left incision is now healed. Her right ankle is still healing, the wound is dry and her skin is consolidating over the area. Mrs. Raney has an avagus external rotation of her foot.
The standard scope of practice of a Doctor of Physical Therapy consists of providing exercises and services that “prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions” as well as creating goals that will guide my patient to better mobility (The Physical Therapy, 2015). Physical therapy is a dynamic form of health care that focuses on rehabilitation, risk-prevention exercises, and performance
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
Alongside that, being an athlete, I had the typical sprain of the ankle or weak joint that would I need physical therapy to heal. Consequently physical therapy was not a new or an alarming concept to me. I went to physical therapy for a duration of one year, in terms of my hips. I attended three times a week after my surgery. Rolling my wheelchair in the front door and hearing my physical therapist say my name put a grin on my face that was from ear to ear. Each little milestone was colossal for me, not only physically, but mentally and emotionally as well. Transferring from the wheelchair to the walker, then from the walker to crutches, from two crutches to one, then walking, and the substantial one was running. My physical therapist made sure that I understood everything that happened to me and each step that we took in my recovery process. After I completed my physical therapy and could return to sports; if I had any questions or concerns, he was always there. I aspire to be that person for other people. I desire to guide others down the right recovery path, and be their light at the end of the
You may have to go to a physical therapy clinic periodically for treatments, but you'll also be expected to exercise every day at home, even if you're in pain. If you are at home alone, you may become lax because of pain and grogginess. If you don't keep up with your exercises, your recovery will be longer. A home health aid will encourage you to do exercises like you are instructed, and will inform your physical therapist if you can't or won't do them. This helps prevent complications that slow recovery and reduce range of motion in your
this, moderate-to-severe postoperative pain impaired a range of necessary daily functioning activities as walking ability, general daily activity, motivation, social relationships,
An incomplete injury indicates that the patient has partial neurologic function and/or sensation below the level of the injury, which usually correlates with a better chance of recovery (Winter & Pattani, 2011). The severity of SCIs is documented by using the ASIA impairment scale, which ranges from A-E. ASIA A is the most severe injury classification and is the only classification for a complete SCI. ASIA B is the most severe incomplete injury classification and is characterized by having sensory function preserved, but lacking motor function below the level of injury including sacral segments S4 and S5. ASIA C indicates an incomplete injury with sensory and motor function preserved below the level of injury, but more than half of the key muscles earned a functional grade of less than 3 (indicating that the muscle can't function against gravity). ASIA D is an incomplete injury characterized by having sensory and motor function preserved below the level of injury, and at least half of the key muscles earn a functional grade of 3 or higher (indicating the muscle can function against gravity). ASIA E constitutes normal sensory and motor function in all segments after suffering prior deficits from an SCI (McDonald & Sadowsky, 2002). Although this classification is a good tool for creating a treatment plan and setting goals, it is limited in predicting an accurate recovery outcome based on how early the
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.
Authoritative resources often contain professional language used in the discipline and include citations in footnotes or bibliographies thus are intended for members of the discipline to include college students, researchers, and professionals (Harvard 2016). Because authoritative resources are peer-reviewed, the experts verify the work is sound and the conclusions are valid. The Journal of Orthopedic and Sports Physical Therapy (JOSPT) is an authoritative resource in the discipline of Physical Therapy that contains clinically relevant content published monthly in print and online. The peer-reviewed journal has published evidence-based research and clinical cases for professionals in musculoskeletal and sports-related health care for the past 28 years in order to educate and support the profession. One such article published in January 2016 is entitled, “Timing of Physical Therapy Initiation for Nonsurgical Management of Musculoskeletal Disorders and Effects on Patient Outcomes: A Systematic Review.” The four authors of this study reviewed 14 of the 3,855 originally screened articles for the purpose of comparing early and delayed physical therapy for musculoskeletal conditions to determine patient outcomes and cost factors (JOSTP 2016). Three independent reviewers checked the study to determine quality and validity of the claims prior to
The results were as follows. There was a significant reduction in pain intensity shown by the McGill pain questionnaire. Improvements in functional disability levels were also seen by the Owestry Disability Questionnaire. These results persisted after a 30-month follow-up.
Musculoskeletal injury is an all too common occurrence in the work place. In 1991, it was estimated that over 19 million U.S. workers were affected annually by work related injuries. As for these injuries, this paper will serve to briefly examine musculoskeletal injury of the shoulder and how they occur in the work place.
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).