The Shoulder in Sport

Management, Rehabilitation and Prevention

By: Andrea Fusco

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Hardcover | 28 December 2007

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348 Pages

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26.04 x 20.32 x 1.91

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The book is divided into 5 sections: the first and second sections provide introductory topics, such as anatomical variances of the articulations and soft tissues, the biomechanics of the shoulder, diagnostic imaging, specialist and functional examinations. The third section is dedicated to the description of surgical solutions in acute articular, muscle and tendinous pathologies. Rehabilitation and prevention are described in the fourth section, where the authors present exercises of post-surgical rehabilitation, techniques of mobilizing in manual therapy and load multidimensional model. The last two chapters in this section are dedicated to prevention, especially of chronic pathologies, using intervention influencing programmes, methodology of training and how to rectify incorrectly performed movements. The last section is dedicated to the use of electromyography of the surface. This method is used to register muscular activity during training; the description contains practical information and a great number of references of clinical interest.

Highly topical subject, considering the increase in the practice of amateur sports and the demand of high level performances in professional sports activitiesMultidisciplinary approach by opinion leaders and specialists in the pathology of the shoulder at different levels (diagnostic, medical, surgical and rehabilitative therapy of articular, muscle and tendinous pathologies).

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Non-Fiction Medicine Nursing & Ancillary Services Physiotherapy Other Branches of Medicine Sports Injuries & Medicine Rehabilitation Clinical & Internal Medicine Musculoskeletal Medicine

Contributors	p. xi
Abbreviations	p. xiii
About the Editors	p. x
Preface	p. xv
Functional anatomy and recent biomechanical discoveries
Anatomical variants of the shoulder	p. 3
Glenohumeral joint	p. 3
Bone structures of the glenohumeral joint	p. 3
Soft tissues of the glenohumeral joint	p. 4
Coracoacromial arch	p. 9
Bone structures of the coracoacromial arch	p. 9
Soft tissues associated with the coracoacromial arch	p. 14
Acromioclavicular joint	p. 15
Bone structures of the acromioclavicular joint	p. 15
Soft tissues of the acromioclavicular joint	p. 17
Sternoclavicular joint	p. 17
Bone structures of the sternoclavicular joint	p. 17
Soft tissues of the sternoclavicular joint	p. 17
Neurovascular bundle and adjacent structures	p. 18
Conclusions	p. 21
Bibliography	p. 21
Biomechanics of the shoulder	p. 25
Stability of the glenohumeral joint	p. 25
Congruency of the joint heads	p. 25
Joint orientation	p. 26
Negative intra-articular pressure	p. 27
Labrum	p. 27
Capsuloligamentous complex	p. 28
Active stabilization	p. 29
Conclusions	p. 31
Elevation of the arm	p. 31
Osteokinematics	p. 31
Glenohumeral osteokinematics	p. 31
Scapulothoracic osteokinematics	p. 32
Osteokinematics of the clavicle	p. 32
Arthrokinematics	p. 32
Glenohumeral arthrokinematics	p. 32
Throwing movements	p. 33
Kinematics of throwing	p. 33
Kinetics of throwing	p. 34
Bibliography	p. 36
Pathology, clinical aspects and diagnostic imaging
Premise	p. 41
Examination of the painful shoulder: interdisciplinarity and clinical rationale	p. 41
Bibliography	p. 43
Shoulder instability	p. 45
Aetiopathogenesis	p. 45
Structural factors and principles of classification	p. 46
Functional factors and athletic actions	p. 47
Athletic actions below 90[degree] of abduction	p. 50
Athletic actions above 90[degree] of abduction (overhead)	p. 50
Ballistic sports and conditions prejudicial to stability	p. 52
Conclusions	p. 53
Acknowledgements	p. 55
Bibliography	p. 55
Impingement syndromes: definition and classification	p. 57
Aetiopathogenesis	p. 58
Structural factors	p. 58
Functional factors	p. 62
Principles of classification	p. 66
Conclusions	p. 67
Unresolved problems for research	p. 68
Further reading	p. 68
Bibliography	p. 69
Epidemiology of shoulder lesions in sport	p. 71
Types of lesion	p. 71
Glenohumeral instability	p. 71
Lesions of the glenoid labrum	p. 72
Impingement	p. 72
Exostosis	p. 72
Vascular pathology	p. 72
Nerve pathology	p. 73
Fractures	p. 73
Types of sports	p. 73
Volleyball	p. 73
Tennis	p. 73
Baseball and softball	p. 74
Water polo	p. 75
Swimming	p. 75
Gymnastics	p. 76
Golf	p. 76
Bibliography	p. 76
Specialist examination	p. 79
History	p. 79
Objective examination	p. 80
Inspection	p. 80
Palpation	p. 80
Mobility	p. 80
Specific functional tests	p. 81
Discussion	p. 87
Bibliography	p. 88
Diagnostic imaging	p. 89
Technical principles and radiological anatomy	p. 90
Conventional radiology	p. 90
Ultrasound	p. 92
Magnetic resonance	p. 93
Computed tomography	p. 94
Arthrographic techniques	p. 94
Rotator cuff	p. 94
Osteomedullary trauma	p. 98
Instability	p. 99
Calcific enthesopathy, tendinitis and bursitis	p. 102
Nerve entrapment syndromes	p. 103
Osteolysis of the clavicle	p. 104
Soft tissues	p. 104
Bibliography	p. 106
Functional examination as part of manual therapy	p. 107
History and objective examination	p. 108
Self-assessment questionnaires	p. 111
Functional examination	p. 114
Inspection	p. 115
Evaluation of movement	p. 117
Evaluation of strength	p. 125
Palpation	p. 128
Disorder-targeted tests	p. 128
Notes on the functional examination of athletes	p. 132
Conclusions	p. 132
Bibliography	p. 133
Surgical treatment
Inclusion criteria for surgical treatment	p. 143
The doctor, the athlete and the injury	p. 144
Which type of surgery is indicated?	p. 144
What type of patient is eligible?	p. 145
When to operate	p. 146
Scapulohumeral disorders	p. 146
Instability	p. 146
Disorders of the subacromial space	p. 148
Conclusions	p. 149
Bibliography	p. 149
Surgical solutions in joint disorders	p. 151
SLAP lesion	p. 151
SLAC lesion	p. 152
Ganglion cyst associated with SLAP	p. 152
Anterior instability	p. 153
Bony Bankart lesion	p. 154
Posterior instability	p. 156
Posterosuperior impingement	p. 157
Cartilage erosion	p. 158
Bibliography	p. 158
Surgical solutions in muscle and tendon disorders	p. 161
Classification of rotator cuff lesions	p. 161
Duration of the symptoms	p. 161
Site of the lesion	p. 161
Degree of reparability	p. 162
Decision-making strategy for repairing the rotator cuff	p. 163
Surgical technique	p. 164
Positioning the patient	p. 164
Portals	p. 164
Initial phase of arthroscopy and evaluation of damage	p. 165
Lesions of the subscapularis	p. 165
Portal placement for the subacromial space	p. 165
Preparation and evaluation of the lesion	p. 165
Positioning of the anchors	p. 166
Acromioplasty	p. 167
Postoperative management	p. 167
Bibliography	p. 167
Rehabilitation, training and prevention
Rehabilitation: cultural models, working models and scope	p. 171
Use of the ICF in rehabilitation practice	p. 172
Multidimensional load/carriability/adaptability model and the PHP	p. 172
Choice of outcome	p. 173
Physiotherapist's skills in the various areas of impairment, disability and problems of participation	p. 174
Case report	p. 177
Prognostic health profile	p. 177
Therapy	p. 178
Bibliography	p. 178
Postoperative rehabilitation	p. 181
Principles of rehabilitation	p. 181
The rehabilitation protocol	p. 183
Limits of healing	p. 183
Surgical techniques and rehabilitation	p. 184
Open capsulorrhaphy	p. 184
Bristow procedure	p. 185
Transposition of the subscapularis	p. 185
Arthroscopic capsulorrhaphy	p. 185
Thermal capsulorrhaphy	p. 185
Surgery of the glenoid labrum	p. 186
Biomechanical limits	p. 186
Exercises	p. 187
Postoperative treatment	p. 193
Conclusions	p. 193
Bibliography	p. 194
Manual therapy in rehabilitation	p. 195
Passive manual mobilization as a training stimulus: general principles	p. 195
Grades of mobilization	p. 198
Joint mobilization	p. 200
Passive joint mobilization	p. 201
The concave-convex rule	p. 203
Mobilization techniques	p. 203
Glenohumeral joint	p. 203
Scapulothoracic joint	p. 210
Acromioclavicular joint	p. 212
Sternocostoclavicular joint	p. 213
Conclusions	p. 215
Acknowledgements	p. 216
Bibliography	p. 216
Therapeutic exercise in rehabilitation	p. 217
Multidimensional load/carriability model	p. 219
Carriability and determining exercise load	p. 221
Pain as impairment	p. 221
Motor control as impairment	p. 223
Mobility as impairment	p. 231
Proprioception as impairment	p. 232
Psychosocial factors and impairment	p. 233
Proposals for the future	p. 233
Acknowledgements	p. 234
Bibliography	p. 234
Prevention and physical and athletic training	p. 239
The meaning of prevention	p. 239
Athletic training and classification of sports	p. 240
Relation between load and carriability: overuse syndrome and overtraining	p. 242
Periodization and monitoring of athletic training	p. 244
Methodology and objectives of athletic training	p. 245
Organic and muscular objectives of athletic training	p. 245
Muscle strength	p. 245
Resistant strength	p. 247
Joint mobility and muscle extendibility	p. 247
Neuromuscular objectives of athletic training	p. 249
Proprioception	p. 249
Muscle balance and joint stability	p. 250
Specificity of athletic training	p. 250
Acknowledgements	p. 250
Bibliography	p. 251
Prevention and technical athletic evaluation	p. 253
Evaluation and technical athletic observation	p. 253
Evaluation and functional observation	p. 253
Identification of limits in athletic training	p. 254
Identification of limits in the periodization of training	p. 255
Identification of limits in the training methodology	p. 255
Identification of limits in organic and muscular capacities	p. 257
Identification of limits in neuromuscular capacities	p. 258
Identification of limits in ballistic actions	p. 260
Recommendations for the evaluation of limits in technical actions	p. 260
Acknowledgements	p. 263
Bibliography	p. 263
Current trends in surface electromyography
Surface electromyography	p. 267
The surface EMG signal: basic concepts	p. 268
Variables and parameters of the EMG signal	p. 270
Myoelectric signs of fatigue	p. 272
Conclusions	p. 274
Bibliography	p. 276
Atlas of the innervation zones of the superficial muscles of the shoulder	p. 279
Bibliography	p. 281
Practical applications in surface electromyography: literature review	p. 297
Physiological studies	p. 298
Shoulder disorder studies	p. 300
Impingement	p. 300
Shoulder instability	p. 302
Applications in physiotherapy	p. 303
Studies in specific sports	p. 304
Bibliography	p. 305
Glossary	p. 307
Bibliography	p. 311
Colour Plates	p. 313
Index	p. 317
Table of Contents provided by Ingram. All Rights Reserved.

The Shoulder in Sport

Management, Rehabilitation and Prevention

At a Glance

Hardcover

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How to return your order

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