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SHOULDER INJURY IN A PROFESSIONAL FIGURE SKATER

SHOULDER INJURY IN A PROFESSIONAL FIGURE SKATER. Jennifer Flug, PT, DPT Orthopedic Resident University of Delaware. WHAT ELSE DO YOU WANT TO KNOW FOR YOUR SUBJECTIVE REPORT AND WHY?. KNOWING HIS UNIQUE SITUATION, WHAT OTHER SPECIFICS MAY YOU WANT TO KNOW?.

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SHOULDER INJURY IN A PROFESSIONAL FIGURE SKATER

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  1. SHOULDER INJURY IN A PROFESSIONAL FIGURE SKATER Jennifer Flug, PT, DPT Orthopedic Resident University of Delaware

  2. WHAT ELSE DO YOU WANT TO KNOW FOR YOUR SUBJECTIVE REPORT AND WHY?

  3. KNOWING HIS UNIQUE SITUATION, WHAT OTHER SPECIFICS MAY YOU WANT TO KNOW?

  4. WHAT TESTS AND MEASURES WOULD YOU LIKE TO PERFORM?

  5. QUESTION #1What measure can you use to assess general body hypermobility? • O’Briens • Apprehension tests • Beighton scale • Active range of motion measures

  6. QUESTION #2Which of the following IS NOT measured in the Beighton scale? • Knee extension • Fifth digit extension • Elbow extension • Lumbar extension

  7. QUESTION #3Finding of strong and painful in resisted testingis indicative of injury to what? • Contractile (muscle/tendon) • Peripheral Nerve • Spinal Cord • Joint Capsule

  8. WHAT IS A PROBABLE IMPAIRMENT LIST? WHAT IS WRONG WITH THIS PATIENT?

  9. What positions would we want to have this patient avoid? How can we cue him to protect his shoulder while lifting his partner?

  10. QUESTION #4What guidelines can this patient follow to determine when it is appropriate to progress his strengthening exercises? • Full range of motion • Pain scales • DASH score (disabilities of the arm, shoulder and hand) • Soreness rules

  11. WHAT WOULD YOUR INTERVENTION OR PLAN OF CARE BE…STARTING RIGHT NOW?!

  12. HOW DID WE MAKE THESE EXERCISES MORE SPORT SPECIFIC?

  13. QUESTION #5In order to allow the capsule to recover from the subluxation, after what time frame should the patient be cleared to return to all lifts? • 4-6 weeks • 6-8 weeks • 8-12 weeks • > 6 months

  14. How would you determine return to sport?

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