Valgus loading of the elbow joint is controlled to minimize stress on the UCL. The second phase of strengthening begins with elastic resistance exercises, concentrating on high repetitions with moderate resistance. When designing an exam room, begin with a little more space than you initially need to allow for the addition of technology later. Examples of buoyancy-supported exercise include horizontal abduction and adduction of the shoulder with the patient standing upright. It has been shown with animal model that a tendon exposed to pressure and immobilization has better healing rates [ 41 ]. There are four commonly used and accepted phases of shoulder rehabilitation.
Essential components include four basic phases ranging from passive range of motion to the final stage of advanced strengthening. Elongation of rat tail tendon: Advanced strengthening of rotator cuff muscles can be strengthened in a number of ways. Hinged elbow brace utilized postoperatively to protect the graft from deleterious valgus stresses. There is often underlying valgus laxity of the elbow, further facilitating osteophyte formation through compression of the radiocapitellar joint and the posteromedial elbow. For example, if the patient presents with a decrease in motion and hard end feel without pain, more aggressive stretching and mobilization technique may be used.
Common elbow problems in the athlete. Return to Activity The final phase of elbow rehabilitation, return to activity, allows the athlete to progressively return to full competition using an interval throwing program. To facilitate access to both sides of the patient, consider positioning the exam table at an angle in the room. Rotator cuff tears are commonly classified topographically according to the location of the tear and by describing their geometric shape [ 25 ]. Initially, especially during the first 2 weeks, forceful triceps contractions may produce posterior elbow pain. Manual resistance exercises of concentric and eccentric elbow flexion are performed, as well as elbow flexion with exercise tubing. The second phase of strengthening begins with elastic resistance exercises, concentrating on high repetitions with moderate resistance.
Improperly mounting heavy diagnostic equipment and lighting overhead can have disastrous results that range from inaccurate test results and blurry x-rays to a catastrophic failure that includes heavy and expensive falling from the ceiling. Rhythmic stabilization exercises are initiated to develop dynamic stabilization and neuromuscular control of the upper extremity. This process also creates fumes and dust that contaminate sterile areas. The rehabilitation program following UCL reconstruction utilizing the docking procedure is slightly different. The current design trend for medical practices is to create a waiting room with an inviting atmosphere similar to a hotel lobby. Progressive resistance exercises are incorporated at weeks 8 to 9.