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    Swimmers Shoulder: Ivana Lovric, BSC Sports Therapy

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    Ivana Lovrić
    - A male professional freestyle swimmer presented with a grade 2 shoulder impingement caused by repetitive trauma to the rotator cuff tendons from swimming. - The rehabilitation process involved phases focusing on range of motion, motor control exercises, and strength/endurance exercises like scapular rolling, internal rotation stretches, wall pushes, and pendulum motions with added weight. - Outcome measurements included the Numeric Pain Rating Scale and goniometer to measure range of motion improvements over the course of rehabilitation.

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    Swimmers Shoulder: Ivana Lovric, BSC Sports Therapy

    Uploaded by

    Ivana Lovrić
    40 views14 pages
    - A male professional freestyle swimmer presented with a grade 2 shoulder impingement caused by repetitive trauma to the rotator cuff tendons from swimming. - The rehabilitation process involved phases focusing on range of motion, motor control exercises, and strength/endurance exercises like scapular rolling, internal rotation stretches, wall pushes, and pendulum motions with added weight. - Outcome measurements included the Numeric Pain Rating Scale and goniometer to measure range of motion improvements over the course of rehabilitation.

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    Swimmers shoulder, causes

    Original Title

    Swimmers Shoulder

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    - A male professional freestyle swimmer presented with a grade 2 shoulder impingement caused by repetitive trauma to the rotator cuff tendons from swimming. - The rehabilitation process involved phases focusing on range of motion, motor control exercises, and strength/endurance exercises like scapular rolling, internal rotation stretches, wall pushes, and pendulum motions with added weight. - Outcome measurements included the Numeric Pain Rating Scale and goniometer to measure range of motion improvements over the course of rehabilitation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    40 views14 pages

    Swimmers Shoulder: Ivana Lovric, BSC Sports Therapy

    Uploaded by

    Ivana Lovrić
    - A male professional freestyle swimmer presented with a grade 2 shoulder impingement caused by repetitive trauma to the rotator cuff tendons from swimming. - The rehabilitation process involved phases focusing on range of motion, motor control exercises, and strength/endurance exercises like scapular rolling, internal rotation stretches, wall pushes, and pendulum motions with added weight. - Outcome measurements included the Numeric Pain Rating Scale and goniometer to measure range of motion improvements over the course of rehabilitation.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 14

    SWIMMERS

    SHOULDER
    Ivana Lovric, BSC Sports Therapy
    CASE STUDY:
    - Male professional freestyle
    swimmer

    - grade 2 shoulder impingement

    -Mechanism of injury: repetitive


    trauma on rotator cuff tendons
    >50-80%
    prevalence
    among
    competitive
    swimmers

    > More than


    50% linked with
    rotator cuff
    tendonitis

    McMaster WC, Troup J (1993) (A survey of


    interfering shoulder pain in US
    competitive swimmers; Am J Sports Med
    2:67-70)
    • Compression of
    subacromial
    structures
    against
    coracoacromial
    ligament and
    anterior inferior
    acromion

    C.S Neer (2005) Anterior acromioplasty


    for the chronic impingement syndrome
    in the shoulder( J Bone Joint Surg Am
    pg 1399)
    • Stages of subacromial impingement:
    Neer’s classification
    •
    Stage 1: oedema and haemorrhage
    Stage 2: fibrosis and tendinitis
    Stage 3: bone spurs and tendon rupture
    Rehabilitation process (ROM)
    Phase 1
    90° Shoulder flexion
    -patient standing
    -raise straight arm to 90°, externally rotated
    -3 sets/6 reps/holding 5 seconds/10 sec rest
    between sets

    Progression: increasing of reps and holding


    time
    Regression: decrease of reps, no holding
    time, decrease to 45°
    Rehabilitation process
    (ROM)
    Phase 2

    Shoulder internal rotation stretch


    -hold a towel with affected arm
    behind back and use other arm to
    pull affected arm
    - 3 sets/3 reps/10 sec hold between
    sets/ 15 sec rest between sets

    Progression: add 5 second hold


    between reps
    Regression: decrease sets and reps
    or remove holding time
    Rehabilitation process –
    Motor Control Excercises
    Phase 1

    Scapular rolling
    -lying sideways on non injured side
    -place pillow to support head and affected
    arm
    -roll scapula toward centre of the back
    - 3 sets/2 reps/5 sec hold each rep/ 10 sec
    rest between sets

    Progression: 10 sec hold each rep


    Regression: slight roll
    Rehabilitation process –
    Motor Control Excercises

    Phase 2

    Scapular roll, arms addes


    - sitting position, straight back
    - elbows at 90°, roll shoulder blades
    toward centre and hold, move arms
    back and forth

    3 sets/5 reps/each rep 5 second


    hold/ 10 sec rest between sets

    Regression: no holding on reps


    Progression: adding minimum
    weigths
    Rehabilitation process
    (Strength and endurance
    excercises)

    Phase 1
    Wall push
    - 90° flexion, place hand on the
    wall
    - Slightly push for 3 seconds
    - 4 sets/2 reps/ 10 sec rest
    between sets
    Progression: prolongate push time
    to 5 seconds
    Regression: decrease number of
    sets
    Rehabilitation process
    (Strength and endurance
    excercises)
    Phase 2
    Pendulum with added weights
    - Bend and hold on to something with
    non injured hand, do 5 circle motions
    for each rep
    3 stes/3 reps/10 second rest between
    sets

    Progression: adding more circle


    movements, adding more weight
    Regression: remove weights
    Outcome measurements
    Numeric Pain Rating Scale (NPRS)
    Outcome
    measurements:
    Goniometer
    THANK YOU FOR YOUR ATTENTION

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