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Orthopaedic Rehabilitation of the Athlete

Orthopaedic Rehabilitation of the Athlete

Bruce Reider | George Davies | Matthew T Provencher

(2014)

Additional Information

Abstract

Prevent athletic injuries and promote optimal recovery with the evidence-based guidelines and protocols inside Orthopaedic Rehabilitation of the Athlete! Practical, expert guidance; a templated, user-friendly format make this rehab reference ideal for any practitioner working with athletes!

    • Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability.
    • Apply targeted, evidence-based strategies for all internationally popular athletic activities, including those enjoyed by older adults.
    • Ensure optimal care from injury prevention through follow up 2 years post injury.
    • Make safe recommendations for non-chemical performance enhancement.

    Table of Contents

    Section Title Page Action Price
    Front Cover cover
    IFC_Expert Consult PIN page IFC1
    Orthopaedic Rehabilitation of the Athlete i
    Copyright Page iv
    Dedication v
    Contributors vii
    Preface xxi
    Table Of Contents xxiii
    1 Shoulder 1
    Shoulder Instability 3
    1 Anterior Shoulder Instability 3
    Introduction 3
    Epidemiology 3
    Overall Incidence 3
    Age 3
    Gender 3
    Sport 3
    Position 3
    Pathophysiology 3
    Intrinsic Factors 3
    Extrinsic Factors 4
    Traumatic Factors 4
    Classic Pathological Findings 4
    Clinical Presentation 5
    History 5
    Physical Examination 5
    Abnormal Findings 5
    Pertinent Normal Findings 6
    Imaging 6
    Differential Diagnosis 7
    Treatment 7
    Nonoperative Management 7
    Guidelines for Choosing Among Nonoperative Treatments 8
    Surgical Indications 8
    Aspects of History, Demographics, or Exam Findings that Affect Choice of Treatment 8
    Aspects of Clinical Decision-Making When Surgery is Indicated 8
    Evidence 8
    References 9
    Multiple-Choice Questions 10
    Answer Key 10
    Nonoperative Rehabilitation Following Anterior Capsulolabral Injury 11
    Overview of Goals, Important Milestones, and Guidelines 11
    Phase I 11
    Goals 11
    Protection 11
    Management of Pain and Swelling 11
    Techniques for Progressive Increase in Range of Motion 12
    Manual Therapy Techniques 12
    Soft Tissue Techniques 12
    Stretching/Flexibility Techniques for the Musculo-Tendinous Unit 12
    Other Therapeutic Exercises 12
    Activation of Primary Muscles Involved 12
    Open and Closed Kinetic Chain Exercises 12
    Neuromuscular Dynamic Stability Exercises 12
    Milestones for Progression to the Next Phase 12
    Phase II 13
    Goals 13
    Patient-Oriented Outcomes 14
    Protection 14
    Techniques for Progressive Increase in Range of Motion 14
    Manual Therapy Techniques 14
    Soft Tissue Techniques 14
    Stretching/Flexibility Techniques for the Musculo-Tendinous Unit 14
    Other Therapeutic Exercises 14
    Activation of Primary Muscles Involved 14
    Sensorimotor Exercises 14
    Open and Closed Kinetic Chain Exercises 14
    Techniques to Increase Muscle Strength, Power, and Endurance 14
    Milestones for Progression to the Next Phase 14
    Phase III 14
    Goals 14
    Protection 15
    Management of Pain and Swelling 15
    Patient Education 15
    Techniques for Progressive Increase in Range of Motion 15
    Manual Therapy Techniques 15
    Soft Tissue Techniques 15
    Stretching/Flexibility Techniques for the Musculo-Tendinous Unit 15
    Other Therapeutic Exercises 15
    Activation of Primary Muscles Involved 17
    Sensorimotor Exercises 17
    Open and Closed Kinetic Chain Exercises 17
    Techniques to Increase Muscle Strength, Power, and Endurance 17
    Neuromuscular Dynamic Stability Exercises 17
    Plyometrics 17
    Functional Exercises 17
    Milestones for Progression to the Next Phase 17
    Phase IV 18
    Goals 18
    Management of Pain and Swelling 18
    Patient Education 18
    Other Therapeutic Exercises 18
    Open and Closed Kinetic Chain Exercises 18
    Techniques to Increase Muscle Strength, Power, and Endurance 18
    Neuromuscular Dynamic Stability Exercises 18
    Plyometrics 18
    Functional Exercises 19
    Sport-Specific Exercises 19
    Milestones for Progression to Advanced Sport-Specific Training and Conditioning 19
    Phase V: Return to Sport Progression 19
    Goals 20
    Protection 20
    Techniques for Progressive Increase in Range of Motion 20
    Manual Therapy Techniques 20
    Soft Tissue Techniques 20
    Stretching/Flexibility Techniques for the Musculo-Tendinous Unit 20
    Other Therapeutic Exercises 20
    Open and Closed Kinetic Chain Exercises 21
    Techniques to Increase Muscle Strength, Power, and Endurance 21
    Plyometrics 21
    Sport-Specific Exercises 21
    Criteria for Return to Sport 21
    Evidence 21
    References 22
    Multiple-Choice Questions 23
    Answer Key 24
    Postoperative Rehabilitation after Arthroscopic Anterior Shoulder Stabilization 24
    Indications for Surgical Treatment 24
    Brief Summary of Surgical Technique 24
    Major Surgical Steps 24
    Factors That May Affect Rehabilitation 24
    Surgical 24
    Anesthetic 25
    Other Surgical Techniques and Options 26
    Phase I (0 to 14 days): Immediate Postoperative Period 26
    Goals 26
    Protection 28
    Management of Pain and Swelling 28
    Techniques for Progressive Increase in Range of Motion (Table 1-2) 28
    Other Therapeutic Exercises 29
    Activation of Primary Muscles Involved in Injury Area or Surgical Structures 29
    Milestones for Progression to the Next Phase 29
    Phase II: Weeks 2 to 6 Postoperatively 29
    Goals 29
    Patient-Oriented Outcomes 30
    Protection 30
    Techniques for Progressive Increase in Range of Motion 30
    Manual Therapy Techniques 30
    Soft Tissue Techniques 30
    Other Therapeutic Exercises 30
    Activation of Primary Muscles Involved in Injury Area or Surgical Structures 30
    Sensorimotor Exercises 30
    Open and Closed Kinetic Chain Exercises 30
    Techniques to Increase Muscle Strength, Power, and Endurance 30
    Milestones for Progression to the Next Phase 30
    Phase III: Weeks 7 to 12 Postoperatively 31
    Goals 31
    Protection 32
    Management of Pain and Swelling 32
    Patient Education 32
    Techniques for Progressive Increase in Range of Motion 32
    Manual Therapy Techniques 32
    Soft Tissue Techniques 32
    Other Therapeutic Exercises 32
    Activation of Primary Muscles Involved in Injury Area or Surgical Structures 32
    Sensorimotor Exercises 33
    Open and Closed Kinetic Chain Exercises 33
    Techniques to Increase Muscle Strength, Power, and Endurance 33
    Neuromuscular Dynamic Stability Exercises 33
    Plyometrics 34
    Functional Exercises 34
    Milestones for Progression to the Next Phase 34
    Phase IV: Weeks 13 to 24 Postoperatively 34
    Goals 34
    Management of Pain and Swelling 34
    Patient Education 34
    Other Therapeutic Exercises 34
    Open and Closed Kinetic Chain Exercises 35
    Techniques to Increase Muscle Strength, Power, and Endurance 35
    Neuromuscular Dynamic Stability Exercises 35
    Plyometrics 35
    Functional Exercises 35
    Sport-Specific Exercises 35
    Milestones for Progression to the Next Phase 35
    Phase V: >Weeks 16 to 24 Postoperatively—Return to Sport Progression 36
    Goals 36
    Protection 36
    Techniques for Progressive Increase in Range of Motion 36
    Manual Therapy Techniques 36
    Soft Tissue Techniques 36
    Stretching/Flexibility Techniques for the Musculo-Tendinous Unit 36
    Other Therapeutic Exercises 36
    Open and Closed Kinetic Chain Exercises 36
    Techniques to Increase Muscle Strength, Power, and Endurance 36
    Plyometrics 36
    Sport-Specific Exercises 36
    Criteria for Return to Sport 36
    General 36
    Sport-Specific 36
    After Return to Sport 37
    Continuing Fitness or Rehabilitation Exercises 37
    Exercises and Other Techniques for Prevention of Recurrent Injury 37
    Evidence 37
    References 38
    Multiple-Choice Questions 40
    Answer Key 40
    Postoperative Rehabilitation after Open Anterior Stabilization of the Shoulder with or without Bone Grafting (Iliac Crest Graft, Latarjet Procedure) 41
    Indications for Surgical Treatment 41
    Brief Summary of Surgical Technique 41
    Major Surgical Steps 41
    Open Shoulder Stabilization/Open Capsulolabral Repair without Bone Grafting 41
    Open Shoulder Stabilization: With Bone Grafting 45
    Factors that May Affect Rehabilitation 47
    Other Surgical Techniques and Options 48
    Before Surgery: Overview of Goals, Milestones, and Guidelines 49
    Phase I: Weeks 0 to 3 Postoperatively (Subscapularis Takedown) 49
    Goals 49
    Protection 51
    Management of Pain and Swelling 51
    Techniques for Progressive Increase in Range of Motion 51
    Manual Therapy Techniques 51
    Soft Tissue Techniques 52
    Stretching and Flexibility Techniques for the Musculotendinous Unit 52
    Other Therapeutic Exercises 52
    Activation of Primary Muscles Involved in Injury Area or Surgical Structures 52
    Sensorimotor Exercises 52
    Open and Closed Kinetic Chain Exercises 52
    Techniques to Increase Muscle Strength, Power, and Endurance 52
    Neuromuscular Dynamic Stability Exercises 52
    Plyometrics 52
    Milestones for Progression to the Next Phase 52
    Phase II: Weeks 4 to 6 Postoperatively 53
    Goals 53
    Protection 53
    Management of Pain and Swelling 53
    Techniques for Progressive Increase in Range of Motion 53
    Manual Therapy Techniques 53
    Soft Tissue Techniques 53
    Stretching and Flexibility Techniques for the Musculotendinous Unit 53
    Other Therapeutic Exercises 53
    Sensorimotor Exercises 53
    Open and Closed Kinetic Chain Exercises 53
    Functional Exercises 53
    Milestones for Progression to the Next Phase 53
    Phase III: Weeks 6 to 10 Postoperatively 54
    Goals 54
    Protection 54
    Management of Pain and Swelling 54
    Techniques for Progressive Increase in Range of Motion 54
    Manual Therapy Techniques 54
    Soft Tissue Techniques 54
    Stretching and Flexibility Techniques for the Musculotendinous Unit 54
    Other Therapeutic Exercises 54
    Activation of Primary Muscles Involved in Injury Area or Surgical Structures 54
    Sensorimotor Exercises 54
    Open and Closed Kinetic Chain Exercises 54
    Techniques to Increase Muscle Strength, Power, and Endurance 54
    Neuromuscular Dynamic Stability Exercises 54
    Plyometrics 54
    Functional Exercises 55
    Sport-Specific Exercises 55
    Milestones for Progression to the Next Phase 55
    Phase IV: Weeks 10 to 14 Postoperatively 55
    Goals 55
    Protection 55
    Techniques for Progressive Increase in Range of Motion 55
    Manual Therapy Techniques 55
    Soft Tissue Techniques 55
    Stretching/Flexibility Techniques for the Musculo-Tendinous Unit 55
    2 Elbow and Forearm, Wrist and Hand 449
    Elbow and Forearm Injuries 451
    9 Epicondylitis 451
    Introduction 451
    Epidemiology 451
    Age/Sex 451
    Sport 451
    Pathophysiology 451
    Intrinsic Factors 451
    Extrinsic Factors 451
    Traumatic Factors 451
    Classic Pathological Findings 451
    Clinical Presentation 451
    History 451
    Physical Examination 452
    Abnormal Findings 452
    Imaging 452
    Differential Diagnosis 452
    Treatment 452
    Nonoperative Management 452
    Guidelines for Choosing Nonoperative Treatments 452
    Surgical Indications 452
    Aspects of History, Demographics, or Examination Findings that Affect Choice of Treatment 453
    Aspects of Clinical Decision-Making When Surgery Is Indicated 453
    Evidence 453
    Multiple-Choice Questions 453
    Answer Key 454
    Nonoperative Rehabilitation of Lateral Epicondylitis (Tennis Elbow) 454
    Phase I (Guidelines are evaluation-based) 454
    Protection 454
    Management of Pain and Swelling 454
    Techniques for Progressive Increase in Range of Motion 454
    Manual Therapy Techniques 454
    Soft-Tissue Techniques 454
    Stretching and Flexibility Techniques for the Musculotendinous Unit 454
    Other Therapeutic Exercises 454
    Open and Closed Kinetic Chain Exercises 455
    3 Lumbar, Thoracic, and Cervical Spine 661
    Lumbar Spine Injuries 663
    18 Lumbar Spine Strains and Sprains 663
    Introduction 663
    Epidemiology 663
    Pathophysiology 663
    Intrinsic Factors 663
    Extrinsic Factors 663
    Traumatic Factors 663
    Classic Pathological Findings 664
    Clinical Presentation 664
    History 664
    Physical Examination 664
    Abnormal Findings 664
    Pertinent Normal Findings 664
    Imaging 664
    Differential Diagnosis 664
    Treatment 665
    Nonoperative Management 665
    Guidelines for Choosing Among Nonoperative Treatments 665
    Surgical Indications 665
    Aspects of History, Demographics, or Exam Findings That Affect Choice of Treatment 665
    Aspects of Clinical Decision Making When Surgery Is Indicated 665
    Evidence 665
    References 666
    Multiple Choice Questions 666
    Answer Key 667
    Nonoperative Rehabilitation of Lumbar Spine Strains and Sprains 667
    Phase I (weeks 1 to 2) 667
    Protection 667
    Management of Pain and Swelling 667
    Techniques for Progressive Increase in Range of Motion 667
    Manual Therapy Techniques 667
    Soft Tissue Techniques 667
    Stretching and Flexibility Techniques for the Musculotendinous Unit 667
    Other Therapeutic Exercises 668
    Sensorimotor Exercises 669
    Open and Closed Kinetic Chain Exercises 669
    Neuromuscular Dynamic Stability Exercises 669
    Functional Exercises 669
    Sport-Specific Exercises 669
    Milestones for Progression to the Next Phase 669
    Phase II (weeks 2 to 4) 669
    Protection 669
    Management of Pain and Swelling 670
    Techniques for Progressive Increase in Range of Motion 670
    Manual Therapy Techniques 670
    Soft Tissue Techniques 670
    Stretching and Flexibility Techniques for the Musculotendinous Unit 670
    Other Therapeutic Exercises 670
    Sensorimotor Exercises 670
    Open and Closed Kinetic Chain Exercises 670
    Techniques to Increase Muscle Strength, Power, and Endurance 671
    Neuromuscular Dynamic Stability Exercises 671
    Functional Exercises 671
    Sport-Specific Exercises 671
    Milestones for Progression to the Next Phase 672
    Phase III (weeks 4 to 6) 672
    Management of Pain and Swelling 672
    Techniques for Progressive Increase in Range of Motion 672
    Manual Therapy Techniques 672
    Soft Tissue Techniques 672
    Stretching and Flexibility Techniques for the Musculotendinous Unit 672
    Other Therapeutic Exercises 672
    Sensorimotor Exercises 672
    Open and Closed Kinetic Chain Exercises 672
    Techniques to Increase Muscle Strength, Power, and Endurance 672
    Neuromuscular Dynamic Stability Exercises 672
    Plyometrics 673
    Functional Exercises 673
    Sport-Specific Exercises 673
    Milestones for Progression to the Next Phase 673
    Phase IV (weeks 6+) 673
    Management of Pain and Swelling 673
    Techniques for Progressive Increase in Range of Motion 674
    Other Therapeutic Exercises 674
    Sensorimotor Exercises 674
    Open and Closed Kinetic Chain Exercises 674
    Techniques to Increase Muscle Strength, Power, and Endurance 674
    Neuromuscular Dynamic Stability Exercises 674
    Plyometrics 674
    Functional Exercises 674
    Sport-Specific Exercises 674
    Milestones for Progression to Advanced Sport-Specific Training and Conditioning 675
    Criteria for Abandoning Nonoperative Treatment and Proceeding to Surgery or More Intensive Intervention 675
    Tips and Guidelines for Transitioning to Performance Enhancement 675
    Specific Criteria for Return to Sports Participation: Tests and Measurements 675
    Evidence 675
    References 676
    Multiple Choice Questions 676
    Answer Key 676
    19 Herniated Lumbar Disc 677
    Introduction 677
    Epidemiology 677
    Age 677
    Gender 677
    Sport 677
    Position 677
    Pathophysiology 677
    Intrinsic Factors 677
    Extrinsic Factors 677
    Traumatic Factors 677
    Classic Pathological Findings 677
    Clinical Presentation 677
    History 677
    Physical Examination 678
    Abnormal Findings 678
    Pertinent Normal Findings 678
    Imaging 678
    Differential Diagnosis 678
    Treatment 678
    Nonoperative Management 678
    Guidelines for Choosing Among Nonoperative Treatments 679
    Surgical Indications 679
    Aspects of History, Demographics, or Exam Findings that Affect Choice of Treatment 679
    Aspects of Clinical Decision Making When Surgery is Indicated 679
    Evidence 679
    Multiple-Choice Questions 680
    Answer Key 680
    Nonoperative Rehabilitation of Herniated Lumbar Disc 680
    Phase I (Weeks 0 to 2, Postinjury) 680
    Goals 680
    Protection 681
    Management of Pain and Swelling 681
    Techniques for Progressive Increase in Range of Motion 681
    Manual Therapy Techniques 681
    Soft Tissue Techniques 681
    Stretching and Flexibility Techniques for the Musculotendinous Unit 682
    Other Therapeutic Exercises 682
    Activation of Primary Muscles Involved 682
    Milestones for Progression to the Next Phase 682
    Phase II (weeks 2 to 6, Postinjury, variable progression dependent on herniation and patient factors) 682
    Protection 682
    Management of Pain and Swelling 682
    Techniques for Progressive Increase in Range of Motion 683
    Manual Therapy Techniques 683
    Soft Tissue Techniques 683
    Stretching and Flexibility Techniques for the Musculotendinous Unit 683
    Other Therapeutic Exercises 683
    Activation of Primary Muscles Involved 683
    Sensorimotor Exercises 684
    Open and Closed Kinetic Chain Exercises 684
    Techniques to Increase Muscle Strength, Power, and Endurance 684
    Neuromuscular Dynamic Stability Exercises 684
    Functional Exercises 684
    Milestones for Progression to the Next Phase 684
    Phase III (weeks 6 to 12, Postinjury) 684
    Protection 684
    Management of Pain and Swelling 685
    Techniques for Progressive Increase in Range of Motion 685
    Manual Therapy Techniques 685
    Soft Tissue Techniques 685
    Stretching and Flexibility Techniques for the Musculotendinous Unit 685
    Other Therapeutic Exercises 685
    Activation of Primary Muscles Involved 685
    Sensorimotor Exercises 685
    Open and Closed Kinetic Chain Exercises 685
    Techniques to Increase Muscle Strength, Power, and Endurance 685
    Neuromuscular Dynamic Stability Exercises 686
    Plyometrics 686
    Functional Exercises 686
    Sport-Specific Exercises 686
    Milestones for Progression to Advanced Sport-Specific Training and Conditioning 686
    Criteria for Abandoning Nonoperative Treatment and Proceeding to Surgery or More Intensive intervention 686
    Tips and Guidelines for Transitioning to Performance Enhancement 686
    Performance Enhancement And Beyond Rehabilitation: Training/Trainer and Optimization of Athletic Performance 686
    Specific Criteria for Return to Sports Participation: Tests and Measurements 686
    Evidence 686
    Multiple-Choice Questions 687
    Answer Key 687
    Postoperative Rehabilitation after Lumbar Disc Herniation Surgery 687
    Indications for Surgical Treatment 687
    Brief Summary of Surgical Treatment 687
    Major Surgical Steps 687
    Factors that May Affect Rehabilitation 688
    Anesthetic 688
    Surgical 688
    Before Surgery: Overview of Goals, Milestones, and Guidelines 688
    Phase I: Immediate Postoperative Period (days 0 to 14) 688
    Goals 688
    Protection 689
    Management of Pain and Swelling 689
    4 Hip and Thigh 773
    Hip/Thigh Muscle Strains 775
    24 Muscle Strains about the Hip and Thigh 775
    Introduction 775
    Epidemiology 775
    Pathophysiology 775
    Clinical Presentation 775
    History 775
    Physical Examination 775
    Abnormal Findings 775
    Pertinent Normal Findings 775
    Imaging 776
    Differential Diagnosis 776
    Treatment 776
    Nonoperative Management 776
    Guidelines for Choosing Among Nonoperative Treatments 776
    Surgical Indications 777
    Aspects of History, Demographics, or Exam Findings that Affect Choice of Treatment 777
    Aspects of Clinical Decision Making When Surgery Is Indicated 777
    Evidence 777
    Multiple Choice Questions 777
    Answer Key 778
    Nonoperative Rehabilitation of Adductor and Hip Joint Strains 778
    Phase I (weeks 0 to 3 to 6) 778
    Protection 778
    Management of Pain and Swelling 778
    Techniques for Progressive Increase in Range of Motion 778
    Therapy Techniques 778
    Soft Tissue Techniques 779
    Other Therapeutic Exercises 779
    Activation of Primary Muscles Involved 779
    Sensorimotor Exercises 779
    5 Knee 925
    Extensor Mechanism Injuries 927
    28 Patellar Instability 927
    Introduction 927
    Epidemiology 927
    Pathophysiology 927
    Intrinsic Factors 927
    Extrinsic Factors 927
    Traumatic Factors 927
    Classic Pathological Findings 927
    Clinical Presentation 928
    History 928
    Physical Examination 928
    Abnormal Findings 928
    Imaging 928
    Differential Diagnosis 929
    Treatment 930
    Nonoperative Management 930
    Surgical Indications 930
    Evidence 930
    References 930
    Multiple-Choice Questions 931
    Answer Key 931
    Nonoperative Rehabilitation of Patellar Instability 931
    Phase I (weeks 0 to 2) 932
    6 Leg, Ankle, and Foot 1327
    Lower Leg Conditions 1329
    36 Leg Pain in the Athlete: 1329
    Introduction 1329
    Epidemiology 1329
    Pathophysiology 1329
    Intrinsic Factors 1329
    Extrinsic Factors 1329
    Classic Pathological Findings 1329
    Clinical Presentation 1330
    History 1330
    Physical Examination 1330
    Imaging and Other Diagnostic Studies 1330
    Differential Diagnosis 1330
    Treatment 1331
    Nonoperative Management 1331
    Guidelines for Choosing Among Nonoperative Treatments 1331
    Surgical Indications 1331
    Evidence 1331
    References 1331
    Multiple Choice Questions 1331
    Answer Key 1332
    Nonoperative Rehabilitation of Medial Tibial Stress Syndrome 1332
    Phase I (weeks 0 to 2): Acute Phase 1332
    Protection 1332
    Management of Pain and Swelling 1332
    Techniques for Progressive Increase in Range of Motion 1332
    Manual Therapy Techniques 1332
    Soft Tissue Techniques 1332
    Index 1587
    A 1587
    B 1590
    C 1590
    D 1593
    E 1593
    F 1594
    G 1596
    H 1597
    I 1598
    J 1598
    K 1598
    L 1599
    M 1600
    N 1602
    O 1602
    P 1604
    Q 1607
    R 1607
    S 1608
    T 1612
    U 1613
    V 1614
    W 1614
    X 1614
    Z 1614
    IBC_Clinical Key IBC1