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AC Joint Therapy Exercises: A Comprehensive Guide to Recovery and Strengthening
Author: Dr. Emily Carter, PT, DPT, OCS – Dr. Carter is a Doctor of Physical Therapy with a board certification in Orthopedic Clinical Specialist. She has over 15 years of experience working with patients recovering from musculoskeletal injuries, specializing in shoulder rehabilitation.
Publisher: Physiotherapy Insights – Physiotherapy Insights is a leading online publisher of evidence-based information on physical therapy and rehabilitation, known for its accurate and up-to-date content.
Editor: Sarah Miller, PT, MPT – Sarah Miller is a Master's-prepared Physical Therapist with extensive experience in editing and peer-reviewing scientific publications related to musculoskeletal rehabilitation.
Keyword: ac joint therapy exercises
Introduction:
The acromioclavicular (AC) joint, where the collarbone (clavicle) meets the shoulder blade (scapula), is prone to injury, often resulting from falls, direct blows, or repetitive overhead activities. AC joint injuries can range from mild sprains to severe dislocations, causing significant pain, limited range of motion, and impaired function. Effective treatment often incorporates ac joint therapy exercises as a crucial component of the rehabilitation process. This comprehensive guide explores the significance of ac joint therapy exercises, outlining various exercises suitable for different stages of recovery and emphasizing the importance of proper form and progression.
Understanding AC Joint Injuries and the Role of Exercise:
AC joint injuries are classified based on the severity of the ligament damage. Grade I sprains involve minor stretching of the ligaments, while Grade III represents a complete tear. Severe injuries might require surgical intervention, but even after surgery, a well-structured program of ac joint therapy exercises is essential for optimal healing and functional restoration. The goal of ac joint therapy exercises is multifaceted:
Pain Reduction: Gentle exercises can help to reduce pain and inflammation by improving blood flow and promoting tissue healing.
Range of Motion Improvement: Targeted movements help restore the normal range of motion in the shoulder, improving flexibility and reducing stiffness.
Strengthening Surrounding Muscles: Strengthening the muscles that support the shoulder joint, including the rotator cuff, trapezius, and deltoids, provides stability and reduces stress on the AC joint.
Improved Functional Outcomes: Ultimately, ac joint therapy exercises aim to improve the patient's ability to perform daily activities without pain or restriction.
Phases of AC Joint Therapy Exercises:
The rehabilitation program for AC joint injuries typically progresses through several phases:
Phase 1: Acute Phase (Initial 2-3 Weeks):
This phase focuses on pain control and reducing inflammation. Exercises are gentle and passive, emphasizing range of motion within pain-free limits. Examples include:
Pendulum exercises: Gently swinging the arm in circles or figure-eights.
Passive range of motion (PROM): The therapist manually moves the arm through its range of motion.
Ice application: Applying ice packs to reduce swelling and pain.
Light isometric exercises: Contracting the shoulder muscles without moving the joint.
Phase 2: Subacute Phase (Weeks 3-6):
As pain subsides, the focus shifts to regaining range of motion and initiating active exercises. Exercises become more challenging, gradually increasing the resistance and range of motion. Examples include:
Active range of motion (AROM): The patient actively moves their arm through its range of motion.
Isometric strengthening exercises: Holding muscle contractions for longer periods.
Isotonic exercises: Moving the arm against resistance, such as using light weights or resistance bands. Examples include scapular retractions, shoulder blade squeezes, and external/internal rotations.
Light cardiovascular exercise: Activities like walking or cycling to improve general fitness.
Phase 3: Return to Function Phase (Weeks 6+):
This phase emphasizes strengthening the shoulder muscles and improving functional capacity. Exercises become more advanced and sport-specific, preparing the patient for a return to their normal activities. Examples include:
Progressive resistance exercises: Increasing the resistance gradually as strength improves using weights, resistance bands, or cable machines.
Plyometric exercises: Exercises that involve explosive movements, like medicine ball throws. (Introduced cautiously)
Functional exercises: Activities that mimic daily tasks or sports movements. This could involve reaching, lifting, or throwing.
Proprioceptive exercises: Exercises designed to improve balance and coordination.
Important Considerations for AC Joint Therapy Exercises:
Pain Management: Always stop an exercise if it causes significant pain.
Proper Form: Maintaining correct posture and technique is crucial to prevent further injury.
Gradual Progression: Start with easy exercises and gradually increase the intensity and duration as tolerated.
Listen to Your Body: Rest and recovery are essential parts of the healing process.
Professional Guidance: It’s crucial to work with a physical therapist to develop a personalized exercise program tailored to your specific needs and injury severity.
Conclusion:
Effective management of AC joint injuries relies heavily on a well-structured program of ac joint therapy exercises. This process, when guided by a healthcare professional, promotes pain reduction, restores range of motion, strengthens supporting muscles, and ultimately facilitates a safe return to activity. Remember to listen to your body, progress gradually, and seek professional guidance to ensure optimal recovery and long-term shoulder health. Ignoring the need for proper ac joint therapy exercises can lead to chronic pain and instability.
FAQs:
1. How long does it take to recover from an AC joint injury? Recovery time varies depending on the severity of the injury. Minor sprains might heal within a few weeks, while more severe injuries may require several months.
2. Can I perform ac joint therapy exercises at home? While some basic exercises can be done at home, it's crucial to receive guidance from a physical therapist to ensure you're performing them correctly.
3. What are the signs of an AC joint injury? Common signs include pain in the shoulder, swelling, limited range of motion, and tenderness to the touch over the AC joint.
4. What are the risks of improper ac joint therapy exercises? Incorrect form or overly aggressive exercises can worsen the injury and delay recovery.
5. When can I return to sports after an AC joint injury? Return to sports depends on the severity of the injury and your progress in therapy. Your physical therapist will determine when you're ready.
6. Are there any alternative treatments for AC joint injuries besides exercises? Other treatments may include rest, ice, medication, and in some cases, surgery.
7. Can I prevent AC joint injuries? Strengthening the shoulder muscles and improving overall fitness can help to reduce your risk.
8. What should I do if I experience increased pain during ac joint therapy exercises? Stop the exercise immediately and consult your physical therapist.
9. How often should I perform ac joint therapy exercises? The frequency of exercises will depend on your individual needs and the phase of recovery. Your physical therapist will provide a schedule.
Related Articles:
1. "Strengthening Exercises for AC Joint Pain Relief": This article focuses on specific exercises to target muscle weakness contributing to AC joint pain.
2. "AC Joint Separation: A Guide to Recovery": This article provides a comprehensive overview of AC joint separations, including treatment options and rehabilitation strategies.
3. "Preventing AC Joint Injuries in Athletes": This article provides tips and strategies for athletes to prevent AC joint injuries through training modifications and injury prevention programs.
4. "The Role of Physical Therapy in AC Joint Rehabilitation": This article explores the importance of physical therapy in managing AC joint injuries and achieving optimal outcomes.
5. "Understanding AC Joint Anatomy and Biomechanics": This article provides a detailed understanding of the AC joint's structure and function, which is essential for proper rehabilitation.
6. "Comparing Surgical and Non-Surgical Treatment Options for AC Joint Injuries": This article compares the benefits and drawbacks of different treatment approaches for AC joint injuries.
7. "Return to Work Strategies After an AC Joint Injury": This article offers advice and strategies for returning to work after an AC joint injury, considering job-specific demands.
8. "Case Studies: Successful AC Joint Rehabilitation": This article showcases successful case studies of AC joint rehabilitation, highlighting different approaches and outcomes.
9. "The Importance of Scapular Stabilization in AC Joint Rehabilitation": This article emphasizes the critical role of scapular stabilization exercises in restoring shoulder stability and reducing stress on the AC joint.
| ac joint therapy exercises: Therapeutic Exercise Carolyn Kisner, Lynn Allen Colby, John Borstad, 2022-10-17 The premier text for therapeutic exercise Here is all the guidance you need to customize interventions for individuals with movement dysfunction. You’ll find the perfect balance of theory and clinical technique—in-depth discussions of the principles of therapeutic exercise and manual therapy and the most up-to-date exercise and management guidelines. |
| ac joint therapy exercises: Exercises for Arthritis Erin O'Driscoll, John D. Md Hubbell, Peter Field Peck, 2004 More than 70 million Americans suffer from some type of arthritis. Contrary to popular belief, the condition doesn't just affect senior citizens: over half of those with arthritis are under 65, and some types affect twenty-somethings, teens, and even children. The one thing these people have in common? Over half the Americans with arthritis think that nothing can be done to help their condition. Now, noted exercise physiologist Erin O'Driscoll brings help to arthritis sufferers everywhere with her new book EXERCISES FOR ARTHRITIS (A Safe and Effective Way to Increase Strength, Improve Flexibility, Gain Energy, and Reduce Pain). Studies have shown that exercise reduces the joint pain and stiffness that come along with arthritis, and that's not the only way it helps: exercise also increases muscle strength, flexibility, and endurance, while helping to take off extra pounds that put pressure on joints. No matter the type of arthritis, EXERCISES FOR ARTHRITIS has an exercise that will help. From isometric exercises that build strength without stressing joints to cardiovascular workouts for improved heart health and weight loss, EXERCISES FOR ARTHRITIS covers all the bases to help people with arthritis reduce pain, improve mobility, and increase strength. Easy-to-follow photographs illustrate each exercise, making the routines simple even for those who have been sedentary for years. EXERCISES FOR ARTHRITIS is more than a workout guide. It contains valuable information for anyone affected by arthritis, from an overview of the different types of arthritis and the latest research to discussions of popular treatment methods and medications. It also offers more important to people with arthritis: the opportunity to manage their health. From tips on maintaining a Good Health Attitude to simple exercises that can be done in bed each morning to prepare for a great rest of the day, EXERCISES FOR ARTHRITIS gives arthritis sufferers the tools they need to have a healthy body-and a healthy outlook on life. |
| ac joint therapy exercises: Play Forever Kevin R. Stone, 2021-12-14 Why are some octogenarians competitive athletes while others struggle to walk up the stairs? It isn't luck. It's orthopaedic science. If you're tired of doctors telling you that an injury will prevent you from playing the sports you enjoy, you'll love Dr. Kevin R. Stone's Play Forever. All great athletes get injured. Only the best of them use those injuries to come back to their sport better-fitter, faster, and stronger than before. Through Dr. Stone's revolutionary approach to sports medicine, you'll discover how injuries can lead to a lifetime of high-performance fitness and athleticism. Learn how the musculoskeletal system can be repaired through cutting-edge therapies, then honed and strengthened through semiannual fitness tests, preseason education and training programs, and regular in-season tune-ups. Backed by scientific outcome studies on orthopaedic treatments and implants, Play Forever will become your go-to health and fitness source, helping you play the sport you love to age 100 and beyond. |
| ac joint therapy exercises: Therapeutic Exercise Michael Higgins, 2011-04-19 Here’s the text that builds a strong foundation in the science of sports medicine, and teaches you to apply that knowledge to the planning, development, and implementation of therapeutic exercise programs for specific dysfunctions for all joints of the body. You’ll begin with an introduction to the science behind rehabilitation and the application of specific techniques. Then, for each joint, guided decision-making, chapter-specific case studies, lab activities and skill performance help you meet all of the competencies for therapeutic exercise required by the NATA. |
| ac joint therapy exercises: The Athlete's Shoulder James R. Andrews, Kevin E. Wilk, Michael M. Reinold, 2008-10-30 The latest edition of this in-depth look at athletic injuries of the shoulder has been updated to feature 16 new chapters, additional illustrations and algorithms, an added focus on arthroscopic treatments, and pearls that highlight key information. Additional contributing authors give you a fresh spin on new and old topics from rehabilitation exercises to special coverage of female athletes, pediatrics, and golfers. This book offers coverage of arthroscopy, total joint replacement, instability, football, tennis, swimming, and gymnastic injuries, rotator cuff injuries, and much, much more! The large range of topics covered in this text ensures that it's a great resource for orthopaedists, physical therapists, athletic trainers, and primary care physicians. - Presents a multidisciplinary approach to the care of the shoulder, combining contributions from the leaders in the field of orthopedic surgery, physical therapy, and athletic training. - Demonstrates which exercises your patients should perform in order to decrease their chance of injury or increase strength following an injury through illustrated exercises for rehabilitation and injury prevention. - Illustrates how the shoulder is affected during activity of certain sports with a variety of tables and graphs. - Covers a large range of topics including all shoulder injuries to be sufficiently comprehensive for both orthopaedists and physical therapists/athletic trainers.Features 16 new chapters, including Internal Impingement, Bankarts: Open vs. Arthroscopy, Adhesive Capsulitis of the Shoulder, Cervicogenic Shoulder Pain, Proprioception: Testing and Treatment, and more. - Details current surgical and rehabilitation information for all aspects of shoulder pathology to keep you up-to-date. - Organizes topics into different sections on anatomy, biomechanics, surgery, and rehabilitation for ease of reference. |
| ac joint therapy exercises: Climb Injury-Free Jared Vagy, 2017-05-12 Ever wonder how to take your climbing to the next level? Has injury prevented you from climbing? Whether you're a professional athlete or a novice climber, ?Climb Injury-Free? is the guide that will take your climbing to the next level. The book utilizes the ?Rock Rehab Pyramid,? the most advanced injury prevention and athletic performance program built specifically for rock climbers. You will learn how to diagnosis, treat and prevent the 10 most common climbing injuries in step-by-step chapters.Learn exclusive injury advice with over 30 profiles from top professional climbers including Adam Ondra, Sasha DiGiulian Sean McColl, Jonathan Siegrist and many more. Now you can utilize the system used by thousands of climbers worldwide and see the results for yourself. Start today on the path to recovery and take your climbing to the next level. Climb on! |
| ac joint therapy exercises: Treat Your Own Rotator Cuff Jim Johnson, 2006 Treat your own rotator cuff? Who needs to worry about that? According to the medical research, a lot of people. The rotator cuff, a group of four, flat tendons that connect to the critical muscles that stabilize your shoulder, can cause a lot more problems than you might think. Consider a few of these statistics from the published literature: .It's simply just a matter of time until the majority of shoulders get a rotator cuff tear. According to Magnetic Resonance Imaging (MRI) scans, approximately 4% of people under forty years of age have a torn rotator cuff. After age sixty, however, 54% of people have one (Sher 1995). .Once the rotator cuff gets torn, it doesn't look good either. One study followed a group of patients with tears in their rotator cuffs and found that 80% of the them went on to either enlarge or turn into full thickness tears-in less than a two-year period (Yamanaka 1994). As you can tell, rotator cuff problems aren't just for elite athletes. Seriously consider investing just a few minutes a week doing the simple exercises in this book if you: .have been diagnosed with either a partial or full thickness rotator cuff tear (yes, many studies show that even full thickness tears can be helped with exercise ) .experience shoulder pain .do upper body weight lifting .have a job or play a sport where you do a lot of work with your arms above shoulder level .have been diagnosed with impingement syndrome .want a healthy and properly functioning rotator cuff So whether you already suffer from a rotator cuff problem, or simply want to prevent one, Treat Your Own Rotator Cuff will guide you step-by-step through an evidence-based program that can iron-plate your shoulders in just minutes a week. Jim Johnson, P.T., is a physical therapist who has spent over fifteen years treating both inpatients and outpatients with a wide range of pain and mobility problems. He has written many books based completely on published research and controlled trials including The Multifidus Back Pain Solution, Treat Your Own Knees, The No-Beach, No-Zone, No-Nonsense Weight Loss Plan: A Pocket Guide to What Works, and The Sixty-Second Motivator. His books have been translated into other languages and thousands of copies have been sold worldwide. Besides working full-time as a clinician in a large teaching hospital and writing books, Jim Johnson is a certified Clinical Instructor by the American Physical Therapy Association and enjoys teaching physical therapy students from all over the United States. |
| ac joint therapy exercises: Mesenchymal Stem Cell Therapy Lucas G. Chase, Mohan C Vemuri, 2012-12-12 Over the past decade, significant efforts have been made to develop stem cell-based therapies for difficult to treat diseases. Multipotent mesenchymal stromal cells, also referred to as mesenchymal stem cells (MSCs), appear to hold great promise in regards to a regenerative cell-based therapy for the treatment of these diseases. Currently, more than 200 clinical trials are underway worldwide exploring the use of MSCs for the treatment of a wide range of disorders including bone, cartilage and tendon damage, myocardial infarction, graft-versus-host disease, Crohn’s disease, diabetes, multiple sclerosis, critical limb ischemia and many others. MSCs were first identified by Friendenstein and colleagues as an adherent stromal cell population within the bone marrow with the ability to form clonogenic colonies in vitro. In regards to the basic biology associated with MSCs, there has been tremendous progress towards understanding this cell population’s phenotype and function from a range of tissue sources. Despite enormous progress and an overall increased understanding of MSCs at the molecular and cellular level, several critical questions remain to be answered in regards to the use of these cells in therapeutic applications. Clinically, both autologous and allogenic approaches for the transplantation of MSCs are being explored. Several of the processing steps needed for the clinical application of MSCs, including isolation from various tissues, scalable in vitro expansion, cell banking, dose preparation, quality control parameters, delivery methods and numerous others are being extensively studied. Despite a significant number of ongoing clinical trials, none of the current therapeutic approaches have, at this point, become a standard of care treatment. Although exceptionally promising, the clinical translation of MSC-based therapies is still a work in progress. The extensive number of ongoing clinical trials is expected to provide a clearer path forward for the realization and implementation of MSCs in regenerative medicine. Towards this end, reviews of current clinical trial results and discussions of relevant topics association with the clinical application of MSCs are compiled in this book from some of the leading researchers in this exciting and rapidly advancing field. Although not absolutely all-inclusive, we hope the chapters within this book can promote and enable a better understanding of the translation of MSCs from bench-to-bedside and inspire researchers to further explore this promising and quickly evolving field. |
| ac joint therapy exercises: 9 Out of 10 Climbers Make the Same Mistakes Dave MacLeod, 2009-11 9 out of 10 climbers are stuck. They are stuck on the same things. Some of the things that hold climbers back from improving their climbing standard are the same as they were twenty years ago: motivation, managing time, and not being able to analyse and correct their own basic technical or tactical errors. But they are also stuck for a new set of reasons. Twenty years ago, the problem was that no one knew how to train for climbing. Information was scarce and couldn't travel fast among the participants. Today, it's the opposite problem. Book after book lists techniques for climbing, exercises for climbing, tips for climbing. Navigating this barrage of information, filtering out the irrelevant and homing in on what matters to your life, your climbing and your circumstances has been the limiting step for today's climber.--Page 4 of cover. |
| ac joint therapy exercises: Principles of Therapeutic Exercise for the Physical Therapist Assistant Jacqueline Kopack, Karen Cascardi, 2024-06-01 Principles of Therapeutic Exercise for the Physical Therapist Assistant is a textbook that provides PTA educators, students, and practicing clinicians with a guide to the application of therapeutic exercise across the continuum of care. Written by 2 seasoned clinicians with more than 40 years of combined PTA education experience, Principles of Therapeutic Exercise for the Physical Therapist Assistant focuses on developing the learner’s ability to create effective therapeutic exercise programs, as well as to safely and appropriately monitor and progress the patient within the physical therapy plan of care. The content is written in a style conducive to a new learner developing comprehension, while still providing adequate depth as well as access to newer research. Included in Principles of Therapeutic Exercise for the Physical Therapist Assistant are: • Indications, contraindications, and red flags associated with various exercise interventions • Documentation tips • Easy-to-follow tables to aid in understanding comprehensive treatment guidelines across the phases of rehabilitation • Eye on the Research sections throughout the text dedicated to current research and evidence-based practices Also included with the text are online supplemental materials for faculty use in the classroom, consisting of PowerPoint slides and an Instructor’s Manual (complete with review questions and quizzes). Created specifically to meet the educational needs of PTA students, faculty, and clinicians, Principles of Therapeutic Exercise for the Physical Therapist Assistant is an exceptional, up-to-date guidebook that encompasses the principles of therapeutic science across the entire continuum of care. |
| ac joint therapy exercises: Shoulder Rehabilitation Todd S. Ellenbecker, 2011-01-01 Clear treatment guidelines for a range of shoulder disorders This book presents the latest evidence-based information on current non-operative treatment recommendations for shoulder rehabilitation. Addressing a range of shoulder disorders, including glenohumeral joint instability, glenohumeral joint impingement, and frozen shoulder, Shoulder Rehabilitation: Non-Operative Treatment provides easy-to-follow guidelines on how to develop rehabilitation plans tailored to the specific needs of the patient. It also covers special topics in shoulder rehabilitation, such as how to modify traditional exercises for shoulder rehabilitation; the use of taping and external devices in rehabilitation; and the use of interval-based sport return programs. Highlights of this text: In-depth coverage of specific shoulder pathologies with key basic science information Detailed descriptions of specific exercise modifications that will help return the active shoulder patient to full activity following physical therapy Extensive use of photographs and figures that illustrate recommended exercise and mobilization techniques An ideal clinical reference, this book will benefit specialists in orthopedics, sports medicine, and physical therapy, as well as students in graduate-level physical therapy and athletic training programs. |
| ac joint therapy exercises: Rebuilding Milo Aaron Horschig, 2021-01-19 Every athlete who spends time in the weight room eventually deals with pain/injury that leaves them frustrated and unable to reach their highest potential. Every athlete ought to have the ability to take the first steps at addressing these minor injuries. They shouldn’t have to wait weeks for a doctor’s appointment, only to be prescribed pain medications and told to “take two weeks off lifting” or, even worse, to “stop lifting so heavy.” Dr. Aaron Horschig knows your pain and frustration. He’s been there. For over a decade, Dr. Horschig has been a competitive weightlifter, and he understands how discouraging it is to tweak your back three weeks out from a huge weightlifting competition, to have knee pain limit your ability to squat heavy for weeks, and to suffer from chronic shoulder issues that keep you from reaching your goals. Rebuilding Milo is the culmination of Dr. Horschig’s life’s work as a sports physical therapist, certified strength and conditioning specialist, and Olympic weightlifting coach. It contains all of the knowledge he has amassed over the past decade while helping some of the best athletes in the world. Now he wants to share that knowledge with you. This book, designed by a strength athlete for anyone who spends time in the weight room, is the solution to your struggles with injury and pain. It walks you through simple tests and screens to uncover the movement problem at the root of your pain. After discovering the cause of your injury, you’ll be able to create an individualized rehab program as laid out in this book. Finally, you’ll be on the right path to eliminate your pain and return to the activities you love. |
| ac joint therapy exercises: The Master Techniques in Orthopaedic Surgery: Shoulder Edward V. Craig, 2012-10-16 The Third Edition of The Shoulder, the respected volume in the Master Techniques in Orthopaedic Surgery series has been fully revised to cover current surgical techniques and to highlight the latest advances in shoulder arthroplasty. The world’s foremost shoulder surgeons explain their preferred approaches and offer step-by-step procedural guidance—including indications and contraindications for each procedure, warnings of potential pitfalls, guidance on managing complications, and tips and pearls garnered from years of surgical experience. New chapters cover recent advances in arthroscopic surgery, rotator cuff and arthroplasty, treatment of shoulder instability, and management of traumatic shoulder injuries. Nearly 1200 full color illustrations and line drawings enhance surgical descriptions. A companion website provides fully searchable text and a detailed image bank. |
| ac joint therapy exercises: Physical Therapy of the Shoulder - E-Book Robert A. Donatelli, 2011-03-16 - Updated neurology and surgery sections provide the most current, evidence-based practice parameters. - New case studies are added to show the clinical application of therapy principles. - Video clips on the companion Evolve website demonstrate additional techniques, exercises, and tests. |
| ac joint therapy exercises: Shoulder Reconstruction Charles S. Neer, 1990 Here's the definitive description of shoulder reconstruction by the surgeon who pioneered most of the techniques. Discusses such common clinical problems as cuff tears, bicep lesions, and impingement. Provides background and technique for glenohumeral arthroplasty, including pathology and special technical problems. Develops the modern classification and approach to treatment of proximal humeral fractures. Illustrated throughout with original artwork by renowned medical artist, Robert J. Demarest. |
| ac joint therapy exercises: Mechanics, Pathomechanics and Injury in the Overhead Athlete W. Ben Kibler, Aaron D. Sciascia, 2019-05-07 As clinical interest in overhead athletic injuries is on the upswing, so is greater interest in the factors for performance and injury risk in throwing and other overhead motion. This practical, case-based text is divided into two sections and will present the basic principles of overhead athletes followed by unique clinical case presentations describing different aspects of performance, injury and management in throwing and other overhead athletes. Part I discusses the mechanics and pathomechanics of the overhead motion, along with principles of evaluation, the physical exam, surgical management of both the shoulder and elbow, rehabilitation and return to play, injury risk modification, and the role of the scapula. Unique clinical cases comprise all of part II and follow a consistent format covering the history, exam, imaging, diagnosis and outcome of the chosen intervention. These cases illustrate a cross-section of sports and activities, from the baseball player to the swimmer, and a range of shoulder and elbow problems in pediatric and adult overhead athletes Providing a unique case-based approach to a growing hot topic, Mechanics, Pathomechanics and Injury in the Overhead Athlete is an ideal resource for orthopedic surgeons, sports medicine specialists, physiatrists, physical therapists, certified athletic trainers and allied medical professions treating active persons of all ages. |
| ac joint therapy exercises: Musculoskeletal Interventions: Techniques for Therapeutic Exercise Michael Voight, Barbara Hoogenboom, William Prentice, 2006-12-05 The definitive, A-to-Z overview of evidence-based rehab programs using therapeutic exercise In this exceptional evidence-and-guide-based, clinically-oriented resource, you'll learn everything you need to know about the design, implementation, and supervision of therapeutic exercise programs for orthopedic injuries and disorders. The book's logical five-part organization begins with an instructive look at the foundations of the rehabilitation process, then covers the treatment of physiologic impairments during rehabilitation; rehabilitation tools; intervention strategies; and special considerations for specific patient populations. Features Helpful review of the foundations of the rehabilitation process, thorough coverage of managing the healing process through rehabilitation, and an algorithm-based approach to musculoskeletal rehabilitation Complete survey of rehabilitation tools, from isokinetics, aquatic therapy, and orthotics, to a four-step clinical model for the essentials of functional exercise Full chapters on functional progressions and functional testing and unique coverage of core stabilization training, impaired function, and impaired muscular control Unique coverage of a functional movement screen A practical system for history-taking and scanning Unique coverage of how to treat special segments of the population, including geriatric and pediatric patients, amputees, and the active female An easy-to-follow body region approach to intervention strategies Handy appendices covering the American College of Sports Medicine position statements on strength training and fitness development An abundance of study-enhancing illustrations, plus clinical pearls and protocols designed to speed clinical decision making |
| ac joint therapy exercises: Postsurgical Orthopedic Sports Rehabilitation Robert C. Manske, 2006-01-01 Written by well-known experts in a reader-friendly style, this is the only book to focus specifically on post-surgical guidelines for successful rehabilitation of the knee and shoulder for sports patients. Content covers basic concepts related to soft tissue healing, as well as core concepts in sports medicine rehabilitation, all of which lay the groundwork for discussions of specific protocols. Detailed descriptions of the latest post-surgical procedures for various knee and shoulder pathologies equip readers with essential knowledge needed to recommend the most effective treatment plans. Includes a separate section on multiple ligament knee injuries. Numerous photos and radiographs of topics discussed in the text serve as excellent visual references in the clinical setting. Detailed descriptions of the most current surgical protocols for various knee and shoulder pathologies help readers recommend the best treatment based on proven rehabilitation plans. The inflammatory response is described, with regard to its role in soft tissue healing following surgical procedures of the knee and shoulder. Protocols based on the most recent research available promotes evidence-based practice. A chapter on rotator cuff injuries includes authoritative, up-to-date information on this topic. A chapter on cartilage replacement focuses on the nuts and bolts of rehabilitation for this common injury, offering current, hands-on information about one of the fastest changing treatment protocols. Contributors are expert therapists and physicians - respected leaders in their field. Each chapter highlights post-op guidelines and protocols in a consistent format that's immediately accessible and easy to reference. Comprehensive information on soft tissue healing is presented. A separate section on multiple ligament knee injuries presents hard-to-find information that's rarely covered in other resources or literature. |
| ac joint therapy exercises: Manual Therapy of the Extremities Shamus, Arie J. Van Duijn, 2016-02-04 Manual Therapy of the Extremities presents manual therapy techniques from a variety of perspectives. The presentation of multiple techniques for each joint restriction is a unique feature of this book that provides students with a comprehensive and well-rounded approach to mobilization. The consistent format in the presentation of techniques makes for an easy-to-use resource for students and practicing physical therapists. Additionally, the majority of manual therapy books on the market focus on the spine, whereas this book focuses on the upper and lower extremities. |
| ac joint therapy exercises: Handbook of Physical Medicine and Rehabilitation Marlis Gonzalez-Fernandez, MD, PhD, Stephen Schaaf, MD, 2021-08-30 Handbook of Physical Medicine and Rehabilitation is a concise but broad reference dedicated to the day-to-day needs of those in physiatric practice, including trainees and other clinicians faced with rehabilitation problems. Contributors from leading rehabilitation programs and centers come together in this unique handbook to provide expert guidance into management techniques for a variety of diagnoses and clinical problems. Structured in its approach and focused on clinical care delivery, this essential resource is designed to help practitioners navigate the PM&R landscape with insight into conditions and issues encountered in everyday practice regardless of setting. Designed for on-the-go reference, chapters are organized within sections from A to Z, beginning with management by diagnosis to address topics spanning the spectrum of practice from amputations and prosthetics, cardiac rehabilitation, multiple sclerosis, and stroke to traumatic brain injury plus more. A dedicated section focusing on musculoskeletal management of common injuries throughout the body is followed by reviewing management for a range of problems, including but not limited to anxiety, bladder and bowel, fatigue, infections, pain management, and seizures. A final section evaluates diagnostics, modalities, equipment, and technology to explore topics of EEG, EMG, neuropsychological evaluation, tracheostomy, and more. Throughout, chapters feature core definitions for the disorder or problem, its etiology and pathophysiology, diagnostic approaches, treatment methods, functional prognosis and outcomes, and suggested order sets in a systematic manner for targeted access. Complete with flow charts, diagrams, and tables, Handbook of Physical Medicine and Rehabilitation is the essential manual to all topics PM&R. Key Features: Addresses management by diagnosis and problem for the full range of physiatric conditions and injuries Portable size and format for quick point-of-care problem-solving Provides inpatient rehabilitation and outpatient clinic order sets for the most common diagnoses Loaded with need-to-know assessment and rating scales, practice guidelines, and more |
| ac joint therapy exercises: Healthy Shoulder Handbook Karl Knopf, 2010-03-09 Clear information and effective exercises to end pain, regain range of motion, and prevent future injury—includes over 300 photos. Shoulder problems can be debilitating, whether they come from sports injuries or just daily stresses and strains. Healthy Shoulder Handbook outlines the causes for common shoulder conditions, including shoulder impingement, rotator cuff, tendinitis, dislocation, and repetitive motion injuries. Illustrated with over 300 step-by-step photographs, it offers easy-to-follow exercises to: • Build strength • Improve flexibility • Speed up recovery • Prevent future injury Healthy Shoulder Handbook also features specially designed programs to reverse or alleviate the strain from high-risk sports and occupations, including construction work, desk jobs, tennis, golf, and more. Follow the approach in this book and you’ll be able to quickly get back on the job (or back on the court!) and stay there—pain-free! |
| ac joint therapy exercises: WHO guidelines on physical activity and sedentary behaviour , 2020-11-20 |
| ac joint therapy exercises: Operative Techniques: Orthopaedic Trauma Surgery E-Book Emil Schemitsch, Michael D. McKee, 2019-08-17 Part of the practical, highly illustrated Operative Techniques series, this fully revised book from Drs. Emil H. Schemitsch and Michael D. McKee brings you up to speed with must-know surgical techniques in today's technically demanding orthopaedic trauma surgery. Step-by-step, evidence-based guidance walks you through both common and unique cases you're likely to see in your practice, including upper extremity, lower extremity, spine, pelvis, and acetabulum trauma. Practical features such as pearls of wisdom, key points, and potential pitfalls detailed by the authors in order to successfully manage patients with complex fracture patterns have all been reinforced in this new edition. - Includes all-new chapters on Acromioclavicular Joint Injuries, Sternoclavicular Joint Open Reduction and Internal Fixation, Intramedullary Fixation of Clavicle Shaft Fractures, Use of the Reamer Irrigator Aspirator (RIA) for Bone Graft Harvesting, Fractures of the Posterior Tibial Plateau, Reverse Total Shoulder Arthroplasty for Proximal Humerus Fractures, and many more. - Features high-quality line drawings, diagnostic and intraoperative images, and radiographs alongside expert technical guidance on instrumentation, placement, step-by-step instructions and more – all supported by best evidence. - Includes practical videos online to support visual understanding and implementation into practice. - A bulleted, highly templated format allows for quick understanding of surgical techniques. - Outlines positioning, exposures, instrumentation, and implants to equip you to be more thoroughly prepared for every procedure. - Offers post-operative management guidelines and discussions of expected outcomes to help you avoid mistakes and offer quality, patient-focused care. - Enhanced eBook version included with purchase, which allows you to access all of the text, figures, and references from the book on a variety of devices. |
| ac joint therapy exercises: Operative Techniques in Sports Medicine Surgery Mark D. Miller, Sam W. Wiesel, 2012-03-28 Operative Techniques in Sports Medicine Surgery provides full-color, step-by-step explanations of all operative procedures in sports medicine. It contains the sports-related chapters from Sam W. Wiesel's Operative Techniques in Orthopaedic Surgery. Written by experts from leading institutions around the world, this superbly illustrated volume focuses on mastery of operative techniques and also provides a thorough understanding of how to select the best procedure, how to avoid complications, and what outcomes to expect. The user-friendly format is ideal for quick preoperative review of the steps of a procedure. Each procedure is broken down step by step, with full-color intraoperative photographs and drawings that demonstrate how to perform each technique. Extensive use of bulleted points and tables allows quick and easy reference. Each clinical problem is discussed in the same format: definition, anatomy, physical exams, pathogenesis, natural history, physical findings, imaging and diagnostic studies, differential diagnosis, non-operative management, surgical management, pearls and pitfalls, postoperative care, outcomes, and complications. To ensure that the material fully meets residents' needs, the text was reviewed by a Residency Advisory Board. |
| ac joint therapy exercises: Acromioclavicular, Clavicle, and Sternoclavicular Injuries in Athletes, An Issue of Clinics in Sports Medicine, E-Book Katherine J. Coyner, 2023-09-21 In this issue, guest editors bring their considerable expertise to this important topic.Provides in-depth reviews on the latest updates in the field, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field. Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. |
| ac joint therapy exercises: The Vital Shoulder Complex John Gibbons, 2019 A comprehensive guide to understanding the complexities of the shoulder and treating shoulder injury and pain The area of the body we commonly refer to as the shoulder is in fact a complex of interconnected systems--bones, tendons, muscle, and joints that together work to move our arms, hands, and fingers. Because the shoulder must trade stability for mobility, it is also one of the weakest joints of the body, which explains why it is one of the most common areas of physical pain; injury located in the shoulder can affect areas throughout the entire body. The Vital Shoulder Complex is designed for anyone interested in understanding, treating, and healing shoulder-related pain. Author and renowned bodyworker John Gibbons explains and illustrates the dynamics of the shoulder complex in ways that are accessible and enlightening. The theory and principles described in this book can assist physical therapists in formulating effective treatment protocols towards quick rehabilitation for their patients. These include: * Differential diagnosis of shoulder pathology * The relationship of the pelvis, the SI joint, and the gluteals to the shoulder complex * Pathologies of the shoulder and cervical spine * Special tests associated with the shoulder complex * Rehabilitation and exercise protocols for the shoulder complex |
| ac joint therapy exercises: Mobilisation with Movement - E-Book Bill Vicenzino, Wayne Hing, Darren A Rivett, Toby Hall, 2011-01-02 Please note that this eBook does not include the DVD accompaniment. If you would like to have access to the DVD content, please purchase the print copy of this title. An authoritative text presenting the growing evidence base for Mobilisation with Movement techniquesDeveloped over the past 26 years, Mobilisation with Movement (MWM) remains a relatively new form of manual therapy. It is, however, becoming one of the most popular approaches for the management of musculoskeletal disorders. Mobilisation with Movement: The art and the science introduces the concept of Mobilisation with Movement, describes basic Mobilisation with Movement techniques and outlines its principles of application. The book summarises the emergent evidence base underpinning Mobilisation with Movement techniques, including randomised controlled trials, and shows how far the technique has progressed since first introduced by New Zealand physiotherapist Brian Mulligan in 1984. This easy-to-use manual therapy textbook is an excellent reference for the clinician, teacher, student and researcher and is intended to provide a nexus between the technique's seemingly successful clinical approach and its science base. A series of case studies brings the practical art of Mobilisation with Movement to life, while highlighting the underlying clinical reasoning and applied evidence base. • a systematic review of the evidence for the technique's efficacy• a review of the current state of Mulligan's 'positional fault hypothesis'• a new model of the mechanisms by which Mobilisation with Movement works• demonstrates the clinical application of Mobilisation with Movement through twelve cases by leading practitioners• more advanced aspects of the clinical application are developed and critiqued, including guidelines on dosage and troubleshooting options• the accompanying DVD demonstrates techniques from the text and features Brian Mulligan |
| ac joint therapy exercises: Therapeutic Taping for Musculoskeletal Conditions Maria Constantinou, Mark Brown, 2010 Aims to provide a scientific context and a practical approach to a variety of taping techniques for musculoskeletal conditions that can be used by physical and sports therapists and others as an adjunct to other therapy and treatment techniques. Constantinou, Griffith University; Brown, Bond University, Australia. |
| ac joint therapy exercises: Orthopedic Interventions for the Physical Therapist Assistant Maureen Raffensperg, 2019-11-05 First laying the foundation of the role of the PTA within the orthopedic plan of care, this text offers students the fundamental knowledge needed to best understand how the PT evaluates a patient. From principles of tissue healing to detailed descriptions of the most common pathologies, tests and interventions for each body region, this text prepares the PTA for best patient education and care. |
| ac joint therapy exercises: NeuroKinetic Therapy David Weinstock, 2012-06-05 NeuroKinetic Therapy is based on the premise that when an injury has occurred, certain muscles shut down or become inhibited, forcing other muscles to become overworked. This compensation pattern can create pain or tightness. By applying light pressure that the client then resists, the practitioner can evaluate the strength or weakness of each muscle, revealing the sources of injury and retraining the client’s body to remove the compensation patterns—reprogramming the body at the neural level.This easy-to-follow practitioner’s manual presents a series of muscle tests specially designed to uncover and resolve compensation patterns in the body. Author David Weinstock begins by explaining how this approach stimulates the body and mind to resolve pain. Organized anatomically, each section of the book includes clear photographs demonstrating correct positioning of the muscle accompanied by concise explanations and instructions. Labeled anatomical illustrations appear at the end of each section showing the relationships between the muscles and muscle groups. This essential resource is especially useful for physical therapists, chiropractors, orthopedists, and massage therapists looking for new ways to treat underlying causes of pain. |
| ac joint therapy exercises: Shoulder Pain? John M. Kirsch, 2010 |
| ac joint therapy exercises: Preparing for the Occupational Therapy National Board Exam: 45 Days and Counting Rosanne DiZazzo-Miller, Fredrick D. Pociask, 2016-10-14 Preparing for the Occupational Therapy National Board Exam: 45 Days and Counting, Second Edition is a comprehensive overview for occupational therapist students preparing to take the National Board for Certification in Occupational Therapy (NBCOT) OTR exam. It utilizes a well-received health and wellness focus and includes tips and self-assessment forms to develop effective study habits. Unlike other OTR examination review guides, this text chooses to provide a more structured and holistic approach, including a detailed calendar and plan of study for the 45 days leading up to the exam. |
| ac joint therapy exercises: Physical Therapies in Sport and Exercise Gregory Kolt, Lynn Snyder-Mackler, 2007-08-22 Physical Therapies in Sport and Exercise provides a truly comprehensive source of the latest evidence-based approaches to the assessment, management, rehabilitation and prevention of injuries related to sport and exercise. Written by an international, multidisciplinary team of contributors, all of whom are leaders in their fields, it has been expertly compiled and edited by two experienced and well-respected practitioners from Australia/New Zealand and the USA. Fully referenced and research based International team of experts are contributors Applied/practical approach New chapters on Cartilage, Prevention of Injury, and Rehabilitation of lower limb muscle and tendon injuries Authors are world leading experts in their fields representing 10 countries |
| ac joint therapy exercises: Rotator Cuff Disorders Wayne Z. Burkhead, 1996 A text on the rotator cuff, with nine chapters written by Burkhead himself, and the remaining 24 chapters contributed by nationally and internationally recognized physicians and shoulder surgeons. The volume contains seven sections: history of cuff repair (1 chapter); basic science and the rotator cuff (3 chapters); evaluation and classification of cuff lesions (3 chapters); clinical disorders (10 chapters); conservative treatment of cuff defects and impingement syndrome (2 chapters); arthroscopic management of rotator cuff disease (1 chapter); and surgical management of massive cuff tears and degeneration (13 chapters). Thoroughly illustrated in bandw, with extensive chapter references. Annotation copyright by Book News, Inc., Portland, OR |
| ac joint therapy exercises: Fundamental Orthopedic Management for the Physical Therapist Assistant - E-Book Robert C. Manske, 2021-07-15 - NEW! Updated content and references are added throughout the book to reflect changes in practice patterns. - NEW! Expanded full-color illustrations add clarity to anatomy and procedural drawings and make it easier to learn important concepts - NEW! Updated chapter summaries highlight essential, need-to-know information. - NEW! Updated educator and student resources on the Evolve website provide tools to make teaching and learning easier. |
| ac joint therapy exercises: Shoulder Instability William Levine, 2009 Helps to improve your care and management of the unstable shoulder. This title discusses arthroscopic management of the unstable shoulder, highlighting technical advances that have helped improve patient outcomes. It also helps to gain insight on the contraindications to arthroscopic instability and on open instability repairs. |
| ac joint therapy exercises: Sports Injuries of the Shoulder Lennard Funk, Mike Walton, Adam Watts, Michael Hayton, Chye Yew Ng, 2019-10-29 This book provides a practical guide detailing the aetiology, diagnosis, relevant pathology, management principles, and outcomes of a variety of injuries to the shoulder including rotator cuff disorders, glenoid bone loss, and pectoralis major ruptures in both elite and non-elite athletes. Each chapter features clinical pearls and a question and answer section to emphasize key points. Sports Injuries of the Shoulder is an essential book for those seeking an up-to-date resource. It is aimed at sports doctors and musculoskeletal doctors; senior orthopedic trainees with an interest in upper limb and those preparing for the FRCSOrth exam and similar international exams, as well as surgeons with a particular interest in shoulder conditions. |
| ac joint therapy exercises: Preparing for The Occupational Therapy Assistant National Board Exam: 45 Days and Counting Rosanne DiZazzo-Miller, Fredrick D. Pociask, 2017-08-30 Preparing for the Occupational Therapy Assistant Board Exam: 45 Days and Counting provides a comprehensive overview for occupational therapy assistant students preparing to take the Certified Occupational Therapy Assistant (COTA) exam. Each new print copy includes Navigate 2 Preferred Access that unlocks a complete eBook, Study Center, Homework and Assessment Center, Navigate 2 TestPrep with over 500 practice questions. |
| ac joint therapy exercises: Key Clinical Topics in Sports and Exercise Medicine Ali Narvani, Panagiotis Thomas, Bruce Lynn, 2014-05-12 Part of the Key Clinical Topics series, this title is designed to enable rapid access to core information, effective exam revision and the ideal quick reference for day-to-day practice. |
| ac joint therapy exercises: Disorders of the Shoulder Joseph P. Iannotti, Gerald R. Williams, 2007 Now includes a brand-new companion Website, The Iannotti & Williams Solution! Expanded to two volumes, Disorders of the Shoulder, Second Edition is a comprehensive, current, and authoritative clinical reference for residents, fellows, shoulder specialists, and general orthopaedic surgeons. This edition features greatly expanded coverage of arthroscopic treatment and hundreds of new full-color arthroscopic images. Arthroscopic and open techniques are integrated into all relevant disorder-specific chapters, so that readers can compare open to arthroscopic procedures and select the most effective treatment option. New chapters cover diagnosis of glenohumeral instability; management of bone and soft tissue loss in revision arthroplasty; minimally invasive techniques for proximal humeral fractures; hemiarthroplasty for proximal humeral fractures; and suprascapular and axillary nerve injuries. All clinical chapters include treatment algorithms and the authors' preferred treatment. More than 2,400 illustrations—743 in full color—complement the text. The new companion Website, The Iannotti & Williams Solution, gives you instant access to the fully searchable text, an Image Bank, featured clinical cases, and the Gaining Speed and Tricks of the Trade chapter of Burkhart's View of the Shoulder: A Cowboy's Guide to Advanced Shoulder Arthroscopy. |
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AcFun是国内首家弹幕视频网站，这里有全网独家动漫新番，友好的弹幕氛围，有趣的UP主，好玩有科技感的虚拟偶像，年轻人都 ...
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并于5月2日，在第十五届中国国际动漫节企，鹅影视动漫年度发布会公布首支先导预告片 据悉，该剧将由《魁拔》制作团队原班人马打造，刘雅担任项目总制作人，王川导演和周洁导演共同执 …
【动画剧集.1080P】進撃の巨人第二季/进击的巨人第二季 (2017)
自从人类的和平被超大型巨人打破的那天起，艾伦·耶格尔便每天持续着没有尽头的战斗...因为眼睁睁看着母亲被巨人撕裂，艾伦发誓要将世间的巨人一只不留地杀灭。
