Fundamental principles of shoulder rehabilitation: conservative to postoperative management.

@article{Rubin2002FundamentalPO,
  title={Fundamental principles of shoulder rehabilitation: conservative to postoperative management.},
  author={Benjamin D. Rubin and William Ben Kibler},
  journal={Arthroscopy : the journal of arthroscopic \& related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association},
  year={2002},
  volume={18 9 Suppl 2},
  pages={
          29-39
        }
}
  • B. Rubin, W. Kibler
  • Published 1 November 2002
  • Medicine
  • Arthroscopy : the journal of arthroscopic & related surgery : official publication of the Arthroscopy Association of North America and the International Arthroscopy Association
Until relatively recently, the role of the scapula in the clinical evaluation and treatment of shoulder and upper extremity disorders has received little attention from clinicians. Most physicians have been trained to diagnose and treat shoulder pathology and dysfunctions in an isolated manner, rather than in the context of the kinetic chain of function. In this instructional course, we hope to raise awareness of the role of the scapula in the kinetic chain, and thus in the normal function of… 
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References

SHOWING 1-10 OF 63 REFERENCES
The role of the scapula in athletic shoulder function.
  • W. Kibler
  • Medicine, Biology
    The American journal of sports medicine
  • 1998
TLDR
This "Current Concepts" review will address the anatomy of the scapula, the roles that theScapula plays in overhead throwing and serving activities, the normal biomechanics of the Scripps-Bouchut-Boynton model, how the scaps may function in injuries that occur around the shoulder, and treatment and rehabilitation of scapular problems.
Classification and treatment of shoulder dysfunction in the overhead athlete.
  • F. Jobe, M. Pink
  • Medicine
    The Journal of orthopaedic and sports physical therapy
  • 1993
TLDR
A classification scheme, proposing four definitive types of shoulder injury, assists in directing an effective management program and a sports medicine team working together with the athlete is instrumental in his/her return to sport.
Shoulder rehabilitation: clinical application, evaluation, and rehabilitation protocols.
This chapter has discussed and illustrated a shoulder rehabilitation protocol based on restoration of the anatomy, biomechanics, physiology, and motor firing organization that is responsible for…
Biomechanical analysis of the shoulder during tennis activities.
: Biomechanical analysis of the shoulder in tennis is still in early stages; however, the available data do allow some conclusions and some recommendations for conditioning, evaluation, and…
Contralateral therapy in upper extremity rehabilitation.
TLDR
Test of the postulate that range of motion exercises and work to muscle groups of one upper extremity has a beneficial effect on the analogous muscle groups in an immobilized, post-surgical contralateral extremity shows a small, but consistent, effect on range ofmotion measurements.
The winged scapula.
TLDR
A simple clinical and etiologic classification of the winged scapula is proposed based on the study of patients with 23 different types of winging of the scapulas in conjunction with a review of the literature.
Closed‐Chain Rehabilitation for Upper and Lower Extremities
TLDR
The authors review the important components of a closed‐chain rehabilitation program and provide examples of specific exercises that are used for rehabilitation of knee and shoulder injuries.
“Rotator Interval” Lesion
TLDR
Evidence is presented for the importance of diagnosis and treatment of RI lesions in patients with persistent pain in the shoulder and a close fit of the supraspinatus and the subscapularis attachments.
Is there a role for transversus abdominis in lumbo-pelvic stability?
TLDR
An appraisal of the current evidence for the role of transversus abdominis in spinal stability is provided to develop a model of how the contribution of this muscle differs from the other abdominal muscles and to interpret these findings in terms of the consequences of changes in this function.
Intratendinous tear of the supraspinatus tendon exhibiting winging of the scapula. A case report.
TLDR
Although the true cause of the unusual pattern of limitation of motion caused by this lesion remains unclear, it was associated with reflex muscle spasm around the shoulder, which was provoked by pain originating in the subacromial bursa secondary to the cuff tear.
...
1
2
3
4
5
...