Physical Therapy Following Traumatic Shoulder Dislocation and Labral Repair: A Case Report

Details
Title
Physical Therapy Following Traumatic Shoulder Dislocation and Labral Repair: A Case Report
Type
Thesis
Created
2018-05-09T00:00:00Z
Abstract
Background: Shoulder injuries are prevalent among the athletic population.1 Multi-directional instability (MDI) is defined as instability in two or more directions and typically involves capsular laxity.2–5 Many clinicians and athletes do their best to address instability through strengthening and activity modification, however, sometimes need to turn to surgical intervention.2–7 Operative treatment is usually foregone until non-surgical management has failed.8 The purpose of surgery is to stabilize the joint.5,9–11 The post-operative physical therapy rehabilitation program is an important factor for patients to regain full use of their upper extremity.4,5,7 Soft tissue mobilization (STM), progressive resistance exercises (PRE), and proprioceptive neural facilitation (PNF) are effective in minimizing pain and improving shoulder motion.5,7,12 Purpose: The purpose of this case report was to describe the effectiveness of post-operative physical therapy for a patient with a history of multi-directional instability who underwent an arthroscopic posterior labral repair and shoulder stabilization surgery after a traumatic dislocation. Case Description: A twenty-eight year old male, five and a half weeks after left shoulder posterior labral repair and shoulder stabilization. He was previously extremely active, but has a history of multiple dislocations. Outcomes: Daily outcomes varied; however, a general positive trend was noted. The patient dramatically improved both objective ranges of motion measurements and DASH score. The case report data supports the utilization of manual therapy, PNF and PRE’s in post-surgical physical therapy rehabilitation. Discussion: Though the SLAP repair protocol was a good baseline, it should be noted that interventions should be individualized. The hypothesis that the applied interventions would be effective was accurate for this patient and can be adjusted for a similar patient population.
URI
http://hdl.handle.net/1961/muislandora:4004
Usage & Reproduction Rights
http://rightsstatements.org/vocab/InC/1.0/

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