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Ucl Recovery Case Study

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The recent uprising of the UCL surgery is largely due to the overuse especially in youth baseball players. The continuous micro tears in the UCL without proper rest continue to break down the ligament until surgical repair is necessary. The beginning phase of the rehab usually lasts about 4-8 weeks with a gradual progression of increasing ROM, manage pain and swelling, and preventing atrophy. The next phase lasting through weeks 9-12 continues to increase ROM, improve strength in arm, shoulder, and core. The third part of the rehab progresses from week 13-20. Goals consist of increasing overall strength and endurance, achieve full ROM of elbow, and begin low level plyometric. ROM should be at full beginning around week 10 of the rehab. The …show more content…

• Modify home exercise program Criteria for advancement • Range of motion:15°–115° • Minimal pain and swelling Postoperative Phase 3: Weeks 6–12 Goals • Restore full range of motion • All upper extremity strength:5/5 • Begin to restore upper extremity endurance Precautions • Minimize valgus stress • Avoid passive range of motion by the clinician • Avoid pain with therapeutic exercise Treatment strategies • Continue active range of motion • Low-intensity/long-duration stretch for extension • Isotonics for scapula, shoulder, elbow, forearm, wrist • Begin internal/external rotation strengthening at 8 weeks • Begin forearm pronation/supination strengthening at 8 weeks • Upper body ergometer (if adequate range of motion) • Neuromuscular drills • Proprioceptive neuromuscular facilitation patterns when strength is adequate • Incorporate eccentric training when strength is adequate • Modalities as needed • Modify home exercise program Criteria for advancement • Pain-free • Full elbow range of motion • All upper extremity strength 5/5 Postoperative Phase 4: Weeks 12–16 Goals • Restore full strength and flexibility • Restore normal neuromuscular function • Prepare for return to activity Precautions • Pain-free plyometrics Treatment

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