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Jeffery T. Podraza and Scott C. White

Background:

Isolated atraumatic posterior glenohumeral instability is rare. Use of thermal capsulorraphy for glenohumeral instability is considered controversial. This case study describes a modified rehabilitation protocol for a patient who underwent a multistep arthroscopic procedure for isolated posterior glenohumeral instability with a postoperative complication of adhesive capsulitis.

Case Description:

A 30-y-old man with a 15-y history of bilateral posterior glenohumeral instability related to generalized hypermobility underwent right-shoulder arthroscopy consisting of a combined posterior labral repair, capsular imbrication, and thermal capsulorraphy. A gunslinger orthosis was prescribed for 6 wk of immobilization. Adhesive capsulitis was diagnosed at the 5-wk postoperative visit and immobilization was discontinued. A modified treatment protocol was devised to address both the surgical procedures performed and the adhesive capsulitis. Residual symptoms resolved with release of an adhesion while stretching 10 months postoperatively.

Outcomes:

Scores of 5 shoulder-assessment tools improved from poor to excellent/good with subjective report of a very good outcome.

Discussion:

The complication of adhesive capsulitis required an individualized treatment protocol. In contrast to the standard protocol, our modified approach allowed more time to be spent in each phase of the program, was aggressive with restoring range of motion (ROM) without excessively stressing the posterior capsule, and allowed the patient to progress to activities that were tolerated regardless of protocol phase. Shoulder stiffness or frank adhesive capsulitis after stabilization, as in this case, requires a more aggressive modification to prevent permanent ROM limitations. Conversely, patients with early rapid gains in ROM must be protected from overstretching the repaired tissue with a program that allows functional motion to be incorporated over a longer time frame. This study indicates the use of thermal capsulorraphy as a viable surgical modality when it is used judiciously with the proper postoperative restrictions and rehabilitation.

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Michelle A. Sandrey

where instability tests would be valued 2 , 10 , 11 : lumbar spondylolisthesis 10 and the stabilization classification group. 1 , 2 , 11 , 12 In the stabilization classification group, lumbar segmental instability may be apparent along with other clinical signs such as aberrant movement, Gower’s sign

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Kyung-eun Lee, Seung-min Baik, Chung-hwi Yi, Oh-yun Kwon, and Heon-seock Cynn

oblique (EO), lumbar multifidus (MF), longissimus thoracis (LgT), and Gmed to understand the activation of trunk and hip muscles during side bridge exercises to facilitate clinical decision making. According to the role in stabilization exercises, the trunk muscles could be divided into local and global

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Yong Wook Kim, Na Young Kim, Won Hyuk Chang, and Sang Chul Lee

damaged sensory receptors and changed muscular adjustment patterns, trigger instability in postural balance and limited trunk movement adjustment. 6 The traditional stabilizing exercise interventions are successful at treating LBP; however, there is often recurrence of LBP that has been illustrated in

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Fariba Hasanbarani and Mark L. Latash

variable (orthogonal to the UCM, V ORT ). The inequality V UCM  >  V ORT has been viewed as a sign of a synergy at the level of EVs stabilizing the salient PV. Most studies used the framework of the UCM hypothesis to explore relatively artificial laboratory tasks or well-practiced tasks, such as walking

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Aliaa M. Elabd, Salah-Eldin B. Rasslan, Haytham M Elhafez, Omar M. Elabd, Mohamed A. Behiry, and Ahmed I. Elerian

been a focus on lumbar stabilization exercises that may be superior to general exercises. 6 General exercises included strengthening and/or stretching exercises for the main muscle groups of the spine, as well as exercises for cardiovascular fitness. 6 Lumbar stabilization exercises aim to improve the

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Luca Cavaggioni, Athos Trecroci, Damiano Formenti, Luke Hogarth, Massimiliano Tosin, and Giampietro Alberti

, trunk stabilization, and upper body power are equally pivotal for an effective performance. Nevertheless, to date, no previous studies on the seasonal changes of such parameters have been conducted in Paralympic swimming. Regarding the importance of the breathing pattern, it has been demonstrated that a

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Hooman Minoonejad, Mohammad Karimizadeh Ardakani, Reza Rajabi, Erik A. Wikstrom, and Ali Sharifnezhad

measure of feedback neuromuscular control, in individuals with CAI. 14 Various interventions, including a hop stabilization intervention, have also resulted in feedback neuromuscular control improvements in the ankle musculature. 15 , 16 However, lateral ankle sprains and CAI are recommended to be

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Megan Q. Beard, Samantha A. Boland, and Phillip A. Gribble

compare the four testing positions when performed with and without a stabilization strap. We hypothesized that the with-strap conditions would yield higher intersession and interexaminer reliability compared to the without-strap conditions. Methods Participants Participants recruited from a university and

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Aaron Byrne, Clare Lodge, and Jennifer Wallace

methods are often more expensive, time consuming, and financially exhaustive when compared with force plate–derived outcome measures. Time to stabilization (TTS) is a frequently reported metric which measures the time taken to stabilize to within a preset stability threshold after landing. 4 However, TTS