Date of Award

2007

Document Type

Scholarly Project

Degree Name

Doctor of Physical Therapy (DPT)

Department

Physical Therapy

First Advisor

Susan H.N. Jeno

Keywords

Athletic Injuries -- rehabilitation; Shoulder Injuries -- rehabilitation

Abstract

Background and Purpose. Returning athletes to high level activity following surgery is a delicate decision. The purpose of this case study is to describe the physical therapy intervention and the results an athlete following an arthroscopic Bankart repair.

Description. A 24 year old male, professional surfer, underwent an arthroscopic Bankart repair to the right shoulder and physical therapy was initiated at week 4 as ordered by his orthopedic surgeon. The patient presented with decreased range of motion (ROM), decreased strength, pain upon movement, and functional disability of the right shoulder. Interventions included postural training, therapeutic exercise, and joint mobilization to increase strength, ROM, dynamic stability, glenohumeral joint mobility, and decrease pain in the joint and surrounding tissues.

Outcomes. The patient achieved full active ROM, good to normal strength equal to the left shoulder, decreased pain, improved postural alignment, and recovery of function, including surfing at the professional level.

Discussion. Treatment decisions were based upon mechanical and symptomatic responses to the interventions. Along with healing time, the interventions used may have helped to safely return this patient back to his physically demanding sport.

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