SHOULDER REHABILITATION: WHAT IS NEW FROM A SCIENTIFIC AND CLINICAL POINT OF VIEW? ADVANCED COURSE - LEVEL 2

Size: px
Start display at page:

Download "SHOULDER REHABILITATION: WHAT IS NEW FROM A SCIENTIFIC AND CLINICAL POINT OF VIEW? ADVANCED COURSE - LEVEL 2"

Transcription

1 SHOULDER REHABILITATION: WHAT IS NEW FROM A SCIENTIFIC AND CLINICAL POINT OF VIEW? ADVANCED COURSE - LEVEL 2

2 Kursinformation Var? När? Hur? CityAkuten Rehab & Sport, Holländargatan 5, Stockholm Fredag-Lördag Januari 2015 Advanced Course Max 25 deltagare/kurs Anmälan görs på Namn, yrkestitel, fakturaadress. Kostnad? Intyg? 4950 kr exklusive moms 25% / kurs (2 dagar) Lunch och fika ingår Utfärdas av kursarrangör efter avslutad kurs

3 COURSE GOALS AND CONTENT In the area of shoulder rehabilitation, scientific knowledge and insights in the clinical application of research data have been evolving the past few years in an enormous extent. The purpose of this advanced shoulder rehabilitation course is to provide additional theoretical insights, clinical reasoning processes and practical skills in the rehabilitation of the shoulder, bringing an update as well as an extension of the existing knowledge, covered in the level 1 course. In particular the aims are twofold: first goal is to discuss and practice into detail the role of the scapula in shoulder pain assessment and rehabilitation. Additionally, some specific pathologies are discussed, that were not thoroughly covered in the level 1 course. This advanced course is science based, but also offers multiple hands-on opportunities, with a thorough clinical examination as a basis for therapeutic decision making processes. This course is a level 2 course, based on the level 1 course, registration is only possible for participants who followed the level 1 course.

4 Program Day 1 EXAMINATION AND REHABILITATION OF SCAPULAR DYSKINESIS h: ADVANCED BIOMECHANICS OF THE SCAPULA: Coupled movements, the role of the SC joint, function of the postural muscles versus the dynamic movers and stabilizers, update literature of scapular dyskinesis in relation to shoulder pathology h: Break h: ADVANCED CLINICAL EXAMINATION Observation of scapular dysfunction, objective measurements of scapular inclination and strength, normative data for scapular flexibility and strength variables, decision making based on the symptom improvement test-model, and on the different types of scapular dyskinesis h: Lunch h: ADVANCED SCAPULAR REHABILITATION Treatment skills based on the 3 types of scapular dyskinesis, taping techniques to correct scapular position, taping for hypertone upper trapezius, infraspinatus, stretching and soft tissue techniques for pect minor : break h: continued

5 Program Day 2 CAPITA SELECTA: ADVANCED INSIGHTS AND PRACTICAL SKILLS IN SELECTED SHOULDER PATHOLOGIES (1/2 day sportspecific, 1/2 day non-sportspecific) : SLAP LESIONS AND BICEPS RELATED PATHOLOGY Science based rehabilitation protocol and guidelines for postoperative rehabilitation (exercise progression, excentric training, plyometric drills) h: break : HIGH PERFORMANCE TRAINING IN THE OVERHEAD ATHLETE AND RETURN-TO-SPORT DECISIONS specific high level exercises for gymnasts, collision sports, high impact sports, and science based return to play criteria, including objective measurements of glenohumeral ROM and strength h: break h: MULTIDIRECTIONAL INSTABILITY Progressive conservative treatment of the patient with atraumatic (unvoluntary and voluntary) multidirectional instability closed and open chain exercise approach, taping techniques h: break h: ROTATOR CUFF TEARS Conservative management of partial and full thickness (irreparable) rotator cuff tears and guidelines for postoperative rehabilitation (exercises, taping, return to activity advices)

6 Frågor? Frågor och funderingar, kontakta Fredrik Johansson lättast på följande sätt; 070/ Välkommen med din anmälan!

Partial Articular Surface Rotator Cuff Tears in the Overhead Athlete. Michael S. McGuire MD

Partial Articular Surface Rotator Cuff Tears in the Overhead Athlete. Michael S. McGuire MD Partial Articular Surface Rotator Cuff Tears in the Overhead Athlete Michael S. McGuire MD No Financial Disclosures Objectives To get a better understanding of one of the causes of shoulder pain in young

More information

SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes

SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes SLAP Lesion Repair Rehabilitation Protocol Dr. Mark Adickes Introduction: This rehabilitation protocol has been developed for the patient following a SLAP (Superior Labrum Anterior Posterior) repair. It

More information

SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears)

SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears) SLAP Repair Protocol Arthroscopic Labral Repair Protocols (Type II, IV and Complex Tears) This protocol has been modified and is being used with permission from the BWH Sports and Shoulder Service. The

More information

Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery

Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery 2780 E. Barnett Rd Medford, OR 97530 541-779-6250 Dr. Denard s Rehabilitation Protocols Arthroscopic Shoulder Surgery These rehabilitation protocols are based on current studies detailing healing time

More information

Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears:

Arthroscopic Labral Repair Protocol-Type II, IV, and Complex Tears: Department of Rehabilitation Services Physical Therapy This protocol has been adopted from Brotzman & Wilk, which has been published in Brotzman SB, Wilk KE, Clinical Orthopeadic Rehabilitation. Philadelphia,

More information

ACL plastik, erfarenheter av. tidig kirurgisk behandling. tidig kirurgisk behandling 6/12/2013

ACL plastik, erfarenheter av. tidig kirurgisk behandling. tidig kirurgisk behandling 6/12/2013 in sports Per Renström, MD, PhD Professor emeritus,,, Sweden Member ATP and ITF Sports Science and Medical Committees Physician Swedish Football Association Presentation at the IOC Advanced team physician

More information

Biceps Tenotomy Protocol

Biceps Tenotomy Protocol Department of Rehabilitation Services Physical Therapy The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone

More information

SLAP Repair Protocol

SLAP Repair Protocol SLAP Repair Protocol Anatomy and Biomechanics The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of the scapula

More information

Anterior Shoulder Instability Surgical Repair Protocol Dr. Mark Adickes

Anterior Shoulder Instability Surgical Repair Protocol Dr. Mark Adickes Anterior Shoulder Instability Surgical Repair Protocol Dr. Mark Adickes Introduction: This rehabilitation protocol has been developed for the patient following an arthroscopic anterior stabilization procedure.

More information

Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair

Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair Rehabilitation Guidelines for Posterior Shoulder Reconstruction with or without Labral Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a

More information

ROTATOR CUFF REPAIR REHAB PROTOCOL

ROTATOR CUFF REPAIR REHAB PROTOCOL Joshua D. Stein, M.D. Trinity Clinic Orthopaedic and Sports Medicine 1327 Troup Hwy Tyler, TX 75701 (903) 510-8840 ROTATOR CUFF REPAIR REHAB PROTOCOL This rehabilitation protocol has been developed for

More information

Rotator Cuff Repair Protocol

Rotator Cuff Repair Protocol Rotator Cuff Repair Protocol Anatomy and Biomechanics The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion of

More information

Arthroscopic Shoulder Procedures. David C. Neuschwander MD. Shoulder Instability. Allegheny Health Network Orthopedic Associates of Pittsburgh

Arthroscopic Shoulder Procedures. David C. Neuschwander MD. Shoulder Instability. Allegheny Health Network Orthopedic Associates of Pittsburgh Arthroscopic Shoulder Procedures David C. Neuschwander MD Allegheny Health Network Orthopedic Associates of Pittsburgh Shoulder Instability Anterior Instability Posterior Instability Glenohumeral Joint

More information

Rotator Cuff Repair Rehabilitation Protocol Dr. Mark Adickes

Rotator Cuff Repair Rehabilitation Protocol Dr. Mark Adickes Rotator Cuff Repair Rehabilitation Protocol Dr. Mark Adickes Introduction: This rehabilitation protocol has been developed for the patient following a rotator cuff repair. This protocol will vary in length

More information

IMPINGEMENT REVISITED. W. Ben Kibler, MD. From what angle are you looking at impingement -WHAT IS IT - EVALUATION - TREATMENT GUIDES

IMPINGEMENT REVISITED. W. Ben Kibler, MD. From what angle are you looking at impingement -WHAT IS IT - EVALUATION - TREATMENT GUIDES IMPINGEMENT REVISITED -WHAT IS IT - EVALUATION - TREATMENT GUIDES W. Ben Kibler, MD Medical director From what angle are you looking at impingement Bone spur- Acromion type 1, 2, 3 Rotator cuff injury

More information

Shoulder Injuries. Why Bother? QAS Injury Prevalence. Screening Injury 29.2% 12 month cumulative injury prevalence. Dr Simon Locke

Shoulder Injuries. Why Bother? QAS Injury Prevalence. Screening Injury 29.2% 12 month cumulative injury prevalence. Dr Simon Locke Shoulder Injuries Dr Simon Locke Why Bother? Are shoulder and upper limb injuries common? Some anatomy What, where, what sports? How do they happen? Treatment, advances? QAS Injury Prevalence Screening

More information

Rotator Cuff Disease Update 2015

Rotator Cuff Disease Update 2015 Rotator Cuff Disease Update 2015 Mark Lembach MD Orthopaedic Surgery and Sports Medicine Disclosures I have no financial or other disclosures related to this talk. Overview Scope of the problem Review

More information

Guide to Rotator Cuff Tear

Guide to Rotator Cuff Tear Guide to Rotator Cuff Tear The "rotator cuff" is a group of 4 muscles that are responsible for keeping the shoulder joint stable. Unfortunately, injuries to the rotator cuff are very common, either from

More information

Rehabilitation Guidelines For SLAP Lesion Repair

Rehabilitation Guidelines For SLAP Lesion Repair Rehabilitation Guidelines For SLAP Lesion Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. This is because the articular surface of

More information

Rehabilitation Guidelines For SLAP Lesion Repair

Rehabilitation Guidelines For SLAP Lesion Repair Rehabilitation Guidelines For SLAP Lesion Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. This is because the articular surface of

More information

Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair

Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair Rotator Cuff Surgery: Post-Operative Protocol for Mini-Open or Arthroscopic Rotator Cuff Repair Considerations: 1. Mini-Open - shoulder usually assessed arthroscopically and acromioplasty is usually performed.

More information

Shoulder Instability. Fig 1: Intact labrum and biceps tendon

Shoulder Instability. Fig 1: Intact labrum and biceps tendon Shoulder Instability What is it? The shoulder joint is a ball and socket joint, with the humeral head (upper arm bone) as the ball and the glenoid as the socket. The glenoid (socket) is a shallow bone

More information

MASTER OF PHYSIOTHERAPY (MPT) DEGREE EXAMNIATION SECOND YEAR BRANCH V- SPORTS PHYSIOTHERAPY PAPER- II PHYSIOTHERAPY INTERVENTIONS (SPECIALITY II)

MASTER OF PHYSIOTHERAPY (MPT) DEGREE EXAMNIATION SECOND YEAR BRANCH V- SPORTS PHYSIOTHERAPY PAPER- II PHYSIOTHERAPY INTERVENTIONS (SPECIALITY II) [LA135] Sub. Code : 8135 MASTER OF PHYSIOTHERAPY (MPT) DEGREE EXAMNIATION BRANCH V- SPORTS PHYSIOTHERAPY PAPER- II PHYSIOTHERAPY INTERVENTIONS (SPECIALITY II) Q.P.Code: 278135 (180 Min) Answer ALL questions

More information

Uncovering the Cause of Your Shoulder Pain. Joseph Lorenzetti PT, DPT, MTC Athleticare Kenmore 1495 Military Road Kenmore, NY 14217

Uncovering the Cause of Your Shoulder Pain. Joseph Lorenzetti PT, DPT, MTC Athleticare Kenmore 1495 Military Road Kenmore, NY 14217 Uncovering the Cause of Your Shoulder Pain Joseph Lorenzetti PT, DPT, MTC Athleticare Kenmore 1495 Military Road Kenmore, NY 14217 What do Physical Therapists do? Skilled in the assessment of musculoskeletal

More information

Rehabilitation Guidelines for Shoulder Arthroscopy

Rehabilitation Guidelines for Shoulder Arthroscopy Rehabilitation Guidelines for Shoulder Arthroscopy Front View Long head of bicep Acromion Figure 1 Shoulder anatomy Supraspinatus Image Copyright 2010 UW Health Sports Medicine Center. Short head of bicep

More information

Nonoperative Treatment For Rotator Cuff Tendinitis/ Partial Thickness Tear-- Dr. Trueblood

Nonoperative Treatment For Rotator Cuff Tendinitis/ Partial Thickness Tear-- Dr. Trueblood Nonoperative Treatment For Rotator Cuff Tendinitis/ Partial Thickness Tear-- Dr. Trueblood Indications: Subacromial impingement syndrome charateristically Relieving Pain Patients who present with SIS will

More information

ROTATOR CUFF REPAIR PROTOCOL

ROTATOR CUFF REPAIR PROTOCOL ROTATOR CUFF REPAIR PROTOCOL This rehabilitation protocol has been developed for the patient following a rotator cuff surgical procedure. This protocol is based on slower progressions, typically for larger

More information

Biceps Tenodesis Protocol

Biceps Tenodesis Protocol Department of Rehabilitation Services Physical Therapy The intent of this protocol is to provide the clinician with a guideline of the postoperative rehabilitation course of a patient that has undergone

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine Rehabilitation Guidelines for Arthroscopic Rotator Cuff Repair with Bicep Tenodesis Type 1 Repairs (+/- subacromial decompression) The rehabilitation guidelines are presented in

More information

SHOULDER INSTABILITY IN PATIENTS WITH EDS

SHOULDER INSTABILITY IN PATIENTS WITH EDS EDNF 2012 CONFERENCE LIVING WITH EDS SHOULDER INSTABILITY IN PATIENTS WITH EDS Keith Kenter, MD Associate Professor Sports Medicine & Shoulder Reconstruction Director, Orthopaedic Residency Program Department

More information

Physiotherapy treatment of shoulder pain: REHABILITATION PRINCIPLES. «Today s Topics.» Rehabilitation of rotator cuff tendinopathy

Physiotherapy treatment of shoulder pain: REHABILITATION PRINCIPLES. «Today s Topics.» Rehabilitation of rotator cuff tendinopathy Physiotherapy treatment of shoulder pain: REHABILITATION PRINCIPLES Ann Cools, PT, PhD Ghent University - Belgium Dept of Rehabilitation Sciences & Physiotherapy Ann.Cools@UGent.be 1 «Today s Topics.»

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine Rehabilitation Guidelines for Arthroscopic Rotator Cuff Repair Type 2 Repairs with Bicep Tenodesis (+/- subacromial decompression) The rehabilitation guidelines are presented in

More information

William J. Robertson, MD UT Southwestern Orthopedics 1801 Inwood Rd. Dallas, TX 75390-8882 Office: (214) 645-3300 Fax: (214) 3301 billrobertsonmd.

William J. Robertson, MD UT Southwestern Orthopedics 1801 Inwood Rd. Dallas, TX 75390-8882 Office: (214) 645-3300 Fax: (214) 3301 billrobertsonmd. Arthroscopic Rotator Cuff Repair Postoperative Rehab Protocol Starting the first day after surgery you should remove the sling 3-4 times per day to perform pendulum exercises and elbow/wrist range of motion

More information

Abstract Objective: To review the mechanism, surgical procedures, and rehabilitation techniques used with an athlete suffering from chronic anterior

Abstract Objective: To review the mechanism, surgical procedures, and rehabilitation techniques used with an athlete suffering from chronic anterior Abstract Objective: To review the mechanism, surgical procedures, and rehabilitation techniques used with an athlete suffering from chronic anterior glenohumeral instability and glenoid labral tear. Background:

More information

FRONT PAGE HEADING. FOR RUGBY INJURIES TO THE SHOULDER COMPLEX PRACTICAL GUIDELINES Janine Gray. Andrew Gray MAIN HEADING.

FRONT PAGE HEADING. FOR RUGBY INJURIES TO THE SHOULDER COMPLEX PRACTICAL GUIDELINES Janine Gray. Andrew Gray MAIN HEADING. FRONT PAGE HEADING MAIN HEADING Sub Headings Body Copy Body Copy + Bold Body Copy + Bold + Italic Body Copy + Normal + Italic PREVENTATIVE Style Body for tables REHABILITATION STYLE HEADING FOR TABLES

More information

Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation

Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation Internal Impingement in the Overhead Athlete: A Correlation of Findings on MRI and Arthroscopic Evaluation Lee D Kaplan, MD J Towers, MD PJ McMahon, MD CH Harner,, MD RW Rodosky,, MD Thrower s shoulder

More information

Latissimus Dorsi Tendon Transfer

Latissimus Dorsi Tendon Transfer Rehabilitation Protocol Latissimus Dorsi Tendon Transfer Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey

More information

Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463

Orthopaedic and Spine Institute 21 Spurs Lane, Suite 245, San Antonio, TX 78240 www.saspine.com Tel# 210-487-7463 Phase I Passive Range of Motion Phase (postop week 1-2) Minimize shoulder pain and inflammatory response Achieve gradual restoration of gentle active range of motion Enhance/ensure adequate scapular function

More information

Shawn Hennigan, MD Rotator Cuff Repair Rehabilitation Protocol

Shawn Hennigan, MD Rotator Cuff Repair Rehabilitation Protocol Shawn Hennigan, MD Rotator Cuff Repair Rehabilitation Protocol The following document is an evidence-based protocol for arthroscopic rotator cuff repair rehabilitation. The protocol is both chronologically

More information

Rehabilitation Guidelines for Post-Operative Shoulder Instability Repair

Rehabilitation Guidelines for Post-Operative Shoulder Instability Repair Rehabilitation Guidelines for Post-Operative Shoulder Instability Repair Please note that this is advisory information only. Your experiences may differ from those described. A fully qualified Physiotherapist

More information

Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair

Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair Rehabilitation Guidelines for Anterior Shoulder Reconstruction with Arthroscopic Bankart Repair The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on

More information

ARTHROSCOPIC ROTATOR CUFF REPAIR PROTOCOL (DR. ROLF)

ARTHROSCOPIC ROTATOR CUFF REPAIR PROTOCOL (DR. ROLF) ARTHROSCOPIC ROTATOR CUFF REPAIR PROTOCOL (DR. ROLF) Phase I Immediate Post Surgical Phase (Weeks 1-4): Maintain integrity of repair Diminish pain and inflammation Prevent muscular inhibition Independent

More information

Anterior Capsular Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy

Anterior Capsular Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Anterior Capsular Repair Rehabilitation Program Methodist Sports Medicine Center, Indianapolis, IN Department of Physical Therapy Anterior Capsule reconstruction is a surgical procedure utilized for anterior

More information

Rehabilitation Protocol: Biceps Tenodesis

Rehabilitation Protocol: Biceps Tenodesis Rehabilitation Protocol: Biceps Tenodesis Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington 781-372-7020 Lahey Medical Center,

More information

Treatment 09/07/2012 Treatment of Rotator Cuff Tear, A. Manek 1

Treatment 09/07/2012 Treatment of Rotator Cuff Tear, A. Manek 1 Treatment 1 Management Surgery Rotator Cuff Rehabiliation Anterior Deltoid Re-education 2 Indications for surgery/ onward referral Acute symptomatic tears in people

More information

Rehabilitation Guidelines for Arthroscopic Capsular Shift

Rehabilitation Guidelines for Arthroscopic Capsular Shift Rehabilitation Guidelines for Arthroscopic Capsular Shift The anatomic configuration of the shoulder joint (glenohumeral joint) is often compared to a golf ball on a tee. This is because the articular

More information

North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com

North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com North Shore Shoulder Dr.Robert E. McLaughlin II 1-855-SHOULDER 978-969-3624 Fax: 978-921-7597 www.northshoreshoulder.com Physical Therapy Protocol for Patients Following Shoulder Surgery -Rotator Cuff

More information

A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint.

A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint. SLAP TEARS A SLAP tear is an injury to the labrum of the shoulder, which is the ring of cartilage that surrounds the socket of the shoulder joint. Anatomy Your shoulder is a ball-and-socket joint made

More information

Shouldering the Burden

Shouldering the Burden Shouldering the Burden Wheelchair Athletes and Shoulder Injuries Dr. Julia Alleyne BHSc(PT) MD MScCH Dip Sport Med CMO, 2015 Parapan Games, Toronto Faculty/Presenter Disclosure Faculty: Dr. Julia Alleyne

More information

9/13/2013 CLINICAL EXAM OF THE SCAPULA RATIONALE AND TECHNIQUES. W. Ben Kibler, MD. Medical director

9/13/2013 CLINICAL EXAM OF THE SCAPULA RATIONALE AND TECHNIQUES. W. Ben Kibler, MD. Medical director CLINICAL EXAM OF THE SCAPULA RATIONALE AND TECHNIQUES W. Ben Kibler, MD Medical director 1 SCAPULAR DYSKINESIS ALTERATION (DYS)- POSITION, MOTION (KINESIS) Scapular dyskinesis Commonly (67-100%) seen in

More information

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and

Rotator Cuff Pathophysiology. treatment program that will effectively treat it. The tricky part about the shoulder is that it is a ball and Rotator Cuff Pathophysiology Shoulder injuries occur to most people at least once in their life. This highly mobile and versatile joint is one of the most common reasons people visit their health care

More information

LOURDES MEDICAL ASSOCIATES PROFESSIONAL ORTHOPAEDICS SPORTS MEDICINE & ARTHROSCOPY

LOURDES MEDICAL ASSOCIATES PROFESSIONAL ORTHOPAEDICS SPORTS MEDICINE & ARTHROSCOPY LOURDES MEDICAL ASSOCIATES PROFESSIONAL ORTHOPAEDICS SPORTS MEDICINE & ARTHROSCOPY Sean Mc Millan, DO Director of Orthopaedic Sports Medicine & Arthroscopy 2103 Burlington-Mount Holly Rd Burlington, NJ

More information

Alain Elbaz MD North Cypress Medical Center

Alain Elbaz MD North Cypress Medical Center Alain Elbaz MD North Cypress Medical Center Shoulder Arthroscopy The shoulder joint is prone to injury since it is very mobile. Frequent overhead movements and sudden trauma can damage the tissues inside

More information

Shoulder Injuries in Overhead Sports: Prevention and Treatment

Shoulder Injuries in Overhead Sports: Prevention and Treatment Shoulder Injuries in Overhead Sports: Prevention and Treatment Jocelyn Wittstein,, MD Bassett Shoulder and Sports Medicine Research Institute Baseball Hall of Fame Community Lecture May 18, 2011 Shoulder

More information

A Simplified Approach to Common Shoulder Problems

A Simplified Approach to Common Shoulder Problems A Simplified Approach to Common Shoulder Problems Objectives: Understand the basic categories of common shoulder problems. Understand the common patient symptoms. Understand the basic exam findings. Understand

More information

Department of Orthopaedics and Rehabilitation Penn State University Milton S. Hershey Medical Center

Department of Orthopaedics and Rehabilitation Penn State University Milton S. Hershey Medical Center Department of Orthopaedics and Rehabilitation Penn State University Milton S. Hershey Medical Center Rehabilitation Protocol Post-operative treatment for arthroscopic/ mini-open rotator cuff repair Dr.

More information

Exercises that target the scapula: scientific rationale and clinical relevance. Dr Ann Cools, PT, PhD Dept Rehab. Sciences & Physiotherapy

Exercises that target the scapula: scientific rationale and clinical relevance. Dr Ann Cools, PT, PhD Dept Rehab. Sciences & Physiotherapy Exercises that target the scapula: scientific rationale and clinical relevance Dr Ann Cools, PT, PhD Dept Rehab. Sciences & Physiotherapy Ann Ghent Cools Gothenborg University, 2012 Belgium 1 Ghent University,

More information

Rehabilitation Guidelines for Post-Operative Stiff Shoulder

Rehabilitation Guidelines for Post-Operative Stiff Shoulder Rehabilitation Guidelines for Post-Operative Stiff Shoulder Please note that this is advisory information only. Your experiences may differ from those described. A fully qualified Physiotherapist must

More information

Rehabilitation Guidelines for Biceps Tenodesis

Rehabilitation Guidelines for Biceps Tenodesis UW Health Sports Rehabilitation Rehabilitation Guidelines for Biceps Tenodesis The shoulder has two primary joints. One part of the shoulder blade, called the glenoid fossa forms a flat, shallow surface.

More information

Rotator Cuff Injury and Pathology

Rotator Cuff Injury and Pathology Rotator Cuff Injury and Pathology The rotator cuff is made up of four muscles - supraspinatus, infraspinatus, subscapularis and teres minor. The tendons of these muscles blend together to form a cuff around

More information

Shoulder Capsulolabral Reconstruction

Shoulder Capsulolabral Reconstruction 1 Shoulder Capsulolabral Reconstruction Surgical Indications and Considerations Anatomical Considerations: The function of the shoulder joint is described in terms of static and dynamic terms. There are

More information

S p o r t s & O r t h o p a e d i c S p e c i a l i s t s A d h e s i v e C a p s u l i t i s P r o t o c o l

S p o r t s & O r t h o p a e d i c S p e c i a l i s t s A d h e s i v e C a p s u l i t i s P r o t o c o l S p o r t s & O r t h o p a e d i c S p e c i a l i s t s A d h e s i v e C a p s u l i t i s P r o t o c o l This protocol provides appropriate guidelines for the rehabilitation of patients with adhesive

More information

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 ROTATOR CUFF REPAIR PROTOCOL This rehabilitation protocol has been

More information

ROTATOR CUFF TEARS SMALL

ROTATOR CUFF TEARS SMALL LOURDES MEDICAL ASSOCIATES Sean Mc Millan, DO Director of Orthopaedic Sports Medicine & Arthroscopy 2103 Burlington-Mount Holly Rd Burlington, NJ 08016 (609) 747-9200 (office) (609) 747-1408 (fax) http://orthodoc.aaos.org/drmcmillan

More information

Rotator Cuff Impingement/Tendinopathy

Rotator Cuff Impingement/Tendinopathy Rotator Cuff Impingement/Tendinopathy Anatomy and Biomechanics The shoulder is a wonderfully complex joint that is made up of the ball and socket connection between the humerus (ball) and the glenoid portion

More information

Posterior Instability in the Football Player: Management

Posterior Instability in the Football Player: Management Posterior Instability in the Football Player: Management James R. Andrews, M.D. Conflict of Interest Disclosure James R. Andrews, M.D. Disclosure Information The following relationships exist: Consulting

More information

GP Assessment of the Shoulder. Keith Littlebury MSc Grad dip Phys Extended Scope Physiotherapist Camden CATS service

GP Assessment of the Shoulder. Keith Littlebury MSc Grad dip Phys Extended Scope Physiotherapist Camden CATS service GP Assessment of the Shoulder Keith Littlebury MSc Grad dip Phys Extended Scope Physiotherapist Camden CATS service Aims Refresh shoulder anatomy Classification of common shoulder conditions seen in primary

More information

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411

Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 Mark Adickes, M.D. Orthopedics and Sports Medicine 7200 Cambridge St. #10A Houston, Texas 77030 Phone: 713-986-6016 Fax: 713-986-5411 ROTATOR CUFF REPAIR PROTOCOL This rehabilitation protocol has been

More information

Rotator Cuff Tears. Most tears occur in the supraspinatus but other parts of the tendon may be involved.

Rotator Cuff Tears. Most tears occur in the supraspinatus but other parts of the tendon may be involved. Rotator Cuff Tears Description Rotator cuff tear is a common cause of pain and disability in the adult population. The rotator cuff is made up of four muscles and their tendons. These combine to form a

More information

Overhead Strength Training for the Shoulder: Guidelines for Injury Prevention and Performance Training Success

Overhead Strength Training for the Shoulder: Guidelines for Injury Prevention and Performance Training Success Overhead Strength Training for the Shoulder: Guidelines for Injury Prevention and Performance Training Success Robert Panariello MS, PT, ATC, CSCS Strength training is an important component in the overall

More information

UPPER EXTREMITY INJURIES. Recognizing common injuries to the upper extremity

UPPER EXTREMITY INJURIES. Recognizing common injuries to the upper extremity UPPER EXTREMITY INJURIES Recognizing common injuries to the upper extremity ANATOMY BONES Clavicle Scapula Spine of the scapula Acromion process Glenoid fossa/cavity Humerus Epicondyles ANATOMY BONES Ulna

More information

Shoulder Pain and Weakness

Shoulder Pain and Weakness Shoulder Pain and Weakness John D. Kelly IV, MD THE PHYSICIAN AND SPORTSMEDICINE - VOL 32 - NO. 11 - NOVEMBER 2004 For CME accreditation information, instructions and learning objectives, click here. A

More information

Rehabilitation Protocol: Arthroscopic Anterior Capsulolabral Repair of the Shoulder - Bankart Repair Rehabilitation Guidelines

Rehabilitation Protocol: Arthroscopic Anterior Capsulolabral Repair of the Shoulder - Bankart Repair Rehabilitation Guidelines Rehabilitation Protocol: Arthroscopic Anterior Capsulolabral Repair of the Shoulder - Bankart Repair Rehabilitation Guidelines Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington

More information

(Walch 1990) (Wilk et al. AJSM 2002) (Ellenbecker 2006, Andrews 1995, Wilk 2002, Walch 1992, Kibler 1998, Burkhart 2003)

(Walch 1990) (Wilk et al. AJSM 2002) (Ellenbecker 2006, Andrews 1995, Wilk 2002, Walch 1992, Kibler 1998, Burkhart 2003) Internal impingement Internal Impingement in the overhead athlete: REHABILITATION GUIDELINES Conflict between humeral head and postero- superior rim of glenoid HYPER ANGULATION (Wilk et al. AJSM 00) Ann

More information

Total Shoulder Arthroplasty/Hemiarthroplasty Protocol:

Total Shoulder Arthroplasty/Hemiarthroplasty Protocol: : The intent of this protocol is to provide the therapist with a guideline for the postoperative rehabilitation course of a patient that has undergone a Total Shoulder Arthroplasty (TSA) or Hemiarthroplasty

More information

Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor

Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor Shoulder Series Technique Guide *smith&nephew BIORAPTOR 2.9 Suture Anchor Bankart Repair using the Smith & Nephew BIORAPTOR 2.9 Suture Anchor Gary M. Gartsman, M.D. Introduction Arthroscopic studies of

More information

Reverse Total Shoulder Replacement

Reverse Total Shoulder Replacement SPORTS & ORTHOPAEDIC SPECIALISTS Reverse Total Shoulder Replacement 6-10 Visits over 4 months Reverse Total Shoulder Replacements are especially susceptible to dislocation during internal rotation, glenohumeral

More information

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Labral Tears

TOWN CENTER ORTHOPAEDIC ASSOCIATES P.C. Labral Tears Labral Tears The shoulder is your body s most flexible joint. It is designed to let the arm move in almost any direction. But this flexibility has a price, making the joint prone to injury. The shoulder

More information

The Sw S immers immer Shoulder Katie Foster BSc. Sport, BSc. Phy Ph s y iother s apy iother, apy MMT. MMT

The Sw S immers immer Shoulder Katie Foster BSc. Sport, BSc. Phy Ph s y iother s apy iother, apy MMT. MMT The Swimmers Shoulder Katie Foster BSc. Sport, BSc. Physiotherapy, MMT. Overview Anatomy Swimming and the shoulder Posture Impingement Causes and progressions Treatment Prevention The shoulder The shoulder

More information

Biomechanics of the Shoulder and Throwing

Biomechanics of the Shoulder and Throwing Biomechanics of the Shoulder and Throwing Shoulder Anatomy Most mobile joint in the body Ball-and-socket joint 3 bones connected by muscles, ligaments & tendons Clavicle Humerus Scapula Range of Motion

More information

Gregory N. Lervick, MD Jason Ash, ATC, PA-C POSTSURGICAL CORACOACROMIAL DECOMPRESSION REHABILITATION PROTOCOL

Gregory N. Lervick, MD Jason Ash, ATC, PA-C POSTSURGICAL CORACOACROMIAL DECOMPRESSION REHABILITATION PROTOCOL Phase 1: Weeks 0-4 Gregory N. Lervick, MD Jason Ash, ATC, PA-C POSTSURGICAL CORACOACROMIAL DECOMPRESSION REHABILITATION PROTOCOL Acromioplasty Coracoplasty Distal clavicle resection Biceps tenodesis Rotator

More information

28% have partial tear of the rotator cuff.

28% have partial tear of the rotator cuff. ROTATOR CUFF TENDON RUPTURE Anatomy: 1. Rotator cuff consists of: Subscapularis anteriorly, Supraspinatus superiorly and Infraspinatus and Teres minor posteriorly. 2 Biceps tendon is present in the rotator

More information

Arthroscopic Repair of Superior Labral Anterior-Posterior (SLAP) Injuries- Dr. Trueblood

Arthroscopic Repair of Superior Labral Anterior-Posterior (SLAP) Injuries- Dr. Trueblood Arthroscopic Repair of Superior Labral Anterior-Posterior (SLAP) Injuries- Dr. Trueblood Indications: Pain and disability of the shoulder secondary to the detachment of the long head of the biceps origin

More information

Total Knee Arthroplasty. TKA - Indications. Technical Goals - TKA. Prosthesis parallel to Floor/Stance. Mechanical Axis/Center of Joint

Total Knee Arthroplasty. TKA - Indications. Technical Goals - TKA. Prosthesis parallel to Floor/Stance. Mechanical Axis/Center of Joint Total Knee Arthroplasty TKA - Indications Osteoarthritis Rheumatoid Arthritis Post Traumatic Arthritis Osteonecrosis Tumor Technical Goals - TKA Prosthesis parallel to Floor/Stance Mechanical Axis/Center

More information

UVA HAND CENTER - THERAPY

UVA HAND CENTER - THERAPY ANDREW S PROTOCOL POST-OPERATIVE REHABILITATION PROTOCOL FOLLOWING ULNAR COLLATERAL LIGAMENT RECONSTRUCTION USING AUTOGENOUS PALMARIS LONGUS GRAFT 1. IMMEDIATE POST-OPERATIVE PHASE (0-3 WEEKS) Protect

More information

Arthroscopic Labrum Repair of the Shoulder (SLAP)

Arthroscopic Labrum Repair of the Shoulder (SLAP) Anatomy Arthroscopic Labrum Repair of the Shoulder (SLAP) The shoulder joint involves three bones: the scapula (shoulder blade), the clavicle (collarbone) and the humerus (upper arm bone). The humeral

More information

Workers who do overhead activities such as painting, stocking shelves or construction Athletes such as swimmers, pitchers and tennis players

Workers who do overhead activities such as painting, stocking shelves or construction Athletes such as swimmers, pitchers and tennis players Rotator Cuff Tears Description Rotator cuff tears are a common cause of pain and disability in the adult population. The rotator cuff is made up of four muscles and their tendons. These combine to form

More information

Treat each athlete/patient as we would treat our own family.

Treat each athlete/patient as we would treat our own family. Our Core Purpose To improve the lives of others through science, education and clinical skill. Our Core Values Everything you do must enhance the athlete/patient experience, thereby improving the reputation

More information

Labral lesions. Technique Bone and Cartilage Joint capsule Rotator cuff RI, LHBT, SLAP Labrum Combined pathologies Soft tissues Post-op SCJ GLAD

Labral lesions. Technique Bone and Cartilage Joint capsule Rotator cuff RI, LHBT, SLAP Labrum Combined pathologies Soft tissues Post-op SCJ GLAD Labral lesions GLAD Perthes ALPSA classical Bankart lesion The term Bankart lesion is a general description of structural damage to the anterior-inferior labrum with tearing of the anterior capsule as

More information

ROTATOR CUFF SYNDROME Arbejds- og Miljømedicinsk Årsmøde 2008 ROTATOR CUFF SYNDROME = SHOULDER PAIN Steen Bo Kalms, Shoulder- and Elbow Surgeon ROTATOR CUFF SYNDROME VERY COMMON DIAGNOSIS ON REFERRED PTT

More information

Topic: A Free Hour of CE Overview of Carpal Tunnel Syndrome - Approved for 1 ccu

Topic: A Free Hour of CE Overview of Carpal Tunnel Syndrome - Approved for 1 ccu Texas Online Continuing Education Courses Physical Therapy Continuing Education Credit Guidelines For Texas www.onlinece.com The following courses are provided by the Texas Board of Physical Therapy Examiners

More information

Combined SLAP with Arthroscopic Rotator Cuff Repair Large to Massive Tears = or > 3 cm

Combined SLAP with Arthroscopic Rotator Cuff Repair Large to Massive Tears = or > 3 cm Combined SLAP with Arthroscopic Rotator Cuff Repair Large to Massive Tears = or > 3 cm *It is the treating therapist s responsibility along with the referring physician s guidance to determine the actual

More information

Occupational Therapy Toolkit Stroke

Occupational Therapy Toolkit Stroke Impairments and Functional Limitations: ADL, IADL, work and leisure impairment Impaired sit-to-stand, transfers, bed mobility and gait Hemiparesis, hemiplegia Impaired postural control Impaired coordination

More information

The Rotator Cuff Explained

The Rotator Cuff Explained The Rotator Cuff Explained Live Teleseminar with Brian Schiff, PT, CSCS January 24, 2008 Objectives Review pertinent shoulder anatomy Discuss tendonitis, bursitis & tears Highlight common injury causes

More information

Mini Medical School _ Focus on Orthopaedics

Mini Medical School _ Focus on Orthopaedics from The Cleveland Clinic Mini Medical School _ Focus on Orthopaedics Arthritis of the Shoulder: Treatment Options Joseph P. Iannotti MD, PhD Professor and Chairman, Department of Orthopaedic Surgery The

More information

Inland Orthopaedic Surgery & Sports Medicine. Post Operative Rotator Cuff Rehabilitation Protocol (Modified from Matsen, Bach, Cohen, and Romeo)

Inland Orthopaedic Surgery & Sports Medicine. Post Operative Rotator Cuff Rehabilitation Protocol (Modified from Matsen, Bach, Cohen, and Romeo) Inland Orthopaedic Surgery & Sports Medicine Dr. Ed Tingstad 825 SE Bishop Blvd., Suite 120 Pullman, WA 99163 (509)332-2828 Post Operative Rotator Cuff Rehabilitation Protocol (Modified from Matsen, Bach,

More information

Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior

Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior Rehabilitation Protocol: SLAP Superior Labral Lesion Anterior to Posterior Department of Orthopaedic Surgery Lahey Hospital & Medical Center, Burlington 781-744-8650 Lahey Outpatient Center, Lexington

More information

SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust

SLAP repair. An information guide for patients. Delivering the best in care. UHB is a no smoking Trust SLAP repair An information guide for patients Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

UHealth Sports Medicine

UHealth Sports Medicine UHealth Sports Medicine REHABILITATION GUIDELINES FOR SHOULDER ARTHROSCOPY (INCLUDING SUBACROMIAL DECOMPRESSION, MUMFORD PROCEDURE AND/OR LABRAL DEBRIDEMENT) The rehabilitation guidelines are presented

More information

Pectoralis Major Muscle Rupture

Pectoralis Major Muscle Rupture Pectoralis Major Muscle Rupture The pectoralis major muscle is the large muscle in front of the upper chest. There are two parts of the pectoralis muscle, the pectoralis major and the pectoralis minor.

More information