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AC Joint Injury Exercises: A Comprehensive Guide to Recovery
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 treating musculoskeletal injuries, with a particular focus on shoulder pathologies, including AC joint injuries. Her research has been published in peer-reviewed journals such as the Journal of Orthopaedic & Sports Physical Therapy.
Publisher: Physiotherapy Insights – Physiotherapy Insights is a reputable online publisher dedicated to providing evidence-based information on physiotherapy and rehabilitation. They maintain a rigorous peer-review process to ensure accuracy and reliability of the content published on their platform.
Editor: Dr. Michael Davies, PT, PhD – Dr. Davies holds a PhD in biomechanics and has extensive experience in the design and implementation of rehabilitation programs for shoulder injuries. His expertise ensures the accuracy and clinical relevance of the information presented in this article.
Keywords: AC joint injury exercises, AC joint separation exercises, acromioclavicular joint exercises, shoulder pain exercises, AC joint rehabilitation, physiotherapy exercises for AC joint injury, AC joint strengthening exercises, AC joint stabilization exercises, post-surgical AC joint exercises.
Understanding AC Joint Injuries
The acromioclavicular (AC) joint is where the acromion (part of the shoulder blade) meets the clavicle (collarbone). AC joint injuries, ranging from mild sprains to severe separations, are common, often resulting from direct falls onto the shoulder or forceful impacts. The severity is graded from I to VI, with grade I being a mild sprain and grade VI a complete dislocation requiring surgical intervention. This article focuses on AC joint injury exercises for non-surgical management of grades I-III injuries. Higher-grade injuries typically require surgical intervention followed by a tailored rehabilitation program.
Phase 1: Initial Management (Weeks 1-3) – Reducing Pain and Inflammation
The initial phase of recovery focuses on controlling pain and inflammation. Rest is crucial, and avoiding activities that aggravate the pain is paramount. Early AC joint injury exercises should focus on gentle range of motion to prevent stiffness. These include:
Pendulum exercises: Gently swing the affected arm in circles forward and backward, and side-to-side. This promotes blood flow and minimizes stiffness without stressing the joint. (Research supports the use of pendulum exercises in early shoulder rehabilitation; see [Citation 1]).
Passive range of motion: A therapist may passively move the arm through its range of motion to maintain flexibility. This is particularly useful in the initial stages when active movement is painful.
Ice application: Applying ice packs for 15-20 minutes several times a day helps reduce swelling and inflammation.
Data & Research Findings: Studies indicate that early mobilization, even in the presence of pain, aids in preventing joint stiffness and improves long-term outcomes. However, it’s crucial to balance mobilization with rest to avoid re-injury. (See [Citation 2] for a meta-analysis on early mobilization after shoulder injuries).
Phase 2: Regaining Strength and Stability (Weeks 4-8) – Progressive AC Joint Injury Exercises
Once the initial pain and inflammation subside, the focus shifts towards strengthening the muscles supporting the AC joint and improving shoulder stability. This phase of AC joint injury exercises involves:
Isometric exercises: These involve contracting the muscles without moving the joint. Examples include holding the arm in a specific position against resistance (e.g., pressing the arm against a wall). Isometrics are effective for early strengthening without causing further stress on the joint. (See [Citation 3] for the effectiveness of isometric exercises in rotator cuff rehabilitation).
Isotonic exercises: These exercises involve moving the joint through its range of motion against resistance. Examples include using light weights or resistance bands for exercises like shoulder shrugs, scapular retractions, and external/internal rotations. These gradually increase strength and endurance.
Scapular stabilization exercises: Strengthening the muscles surrounding the scapula (shoulder blade) improves shoulder stability and reduces strain on the AC joint. Exercises such as wall slides and protractions/retractions are beneficial.
Phase 3: Return to Function (Weeks 9 onwards) – Advanced AC Joint Injury Exercises
The final phase focuses on returning to normal activities. AC joint injury exercises progress to more challenging activities, including:
Plyometrics: These explosive exercises gradually increase power and agility. Examples include medicine ball throws and jump squats (modified to minimize stress on the shoulder).
Sport-specific training: As tolerated, the exercises should mimic the movements required in the patient's sport or daily activities.
Proprioceptive exercises: These improve balance and coordination, vital for preventing re-injury. Examples include standing on one leg or balance board exercises.
Data & Research Findings: A systematic review demonstrated the effectiveness of progressive resistance exercises in improving shoulder function and strength after injury. ([Citation 4]).
Important Considerations for AC Joint Injury Exercises
Pain Management: Listen to your body. If an exercise causes significant pain, stop immediately and consult your physical therapist.
Proper Form: Maintain correct form throughout all exercises to prevent further injury.
Gradual Progression: Gradually increase the intensity and duration of exercises to avoid overtraining and potential setbacks.
Professional Guidance: It is strongly recommended to work with a physical therapist experienced in treating shoulder injuries to create a personalized rehabilitation plan.
Summary: Effective rehabilitation of AC joint injuries involves a phased approach focusing on pain management, regaining strength and stability, and a return to function. The progression of AC joint injury exercises should be guided by a physical therapist, tailored to the individual's needs and injury severity, always prioritizing proper form and pain management.
Conclusion:
Recovering from an AC joint injury requires patience and adherence to a well-structured rehabilitation program. The appropriate selection and progression of AC joint injury exercises, guided by a qualified healthcare professional, is crucial for optimal recovery and a return to a pain-free, active lifestyle. Remember, consistent effort and listening to your body are essential for successful rehabilitation.
FAQs:
1. How long does it take to recover from an AC joint injury? Recovery time varies depending on the severity of the injury and individual factors, typically ranging from several weeks to several months.
2. What are the signs and symptoms of an AC joint injury? Common symptoms include pain in the shoulder, tenderness to the touch over the AC joint, swelling, and limited range of motion.
3. When can I start exercising after an AC joint injury? Start with gentle range of motion exercises early on. More strenuous exercises should be introduced gradually under the guidance of a physical therapist.
4. Can I use heat or ice for an AC joint injury? Ice is recommended in the initial stages to reduce inflammation, while heat may be beneficial later in the healing process to improve blood flow and reduce stiffness.
5. What type of specialist should I see for an AC joint injury? An orthopedic doctor or a physical therapist specializing in shoulder injuries are ideal.
6. Are there any exercises I should avoid? Avoid exercises that cause significant pain or worsen your symptoms. Avoid overhead pressing movements until fully recovered.
7. When can I return to sports after an AC joint injury? Return to sports should be gradual and only after achieving full strength, range of motion, and stability.
8. What are the potential long-term complications of an AC joint injury? If not properly treated, long-term complications may include chronic pain, limited range of motion, and instability.
9. Can surgery be necessary for an AC joint injury? Surgery is typically reserved for severe AC joint separations (grades IV-VI).
Related Articles:
1. "Early Mobilization Techniques for AC Joint Sprains": This article details the evidence-based rationale for early mobilization after AC joint sprains and outlines safe and effective techniques.
2. "The Role of Isometric Exercises in AC Joint Rehabilitation": This article focuses on the benefits of isometric exercises for strengthening the muscles surrounding the AC joint and improving stability.
3. "Progressive Resistance Training for AC Joint Injury Recovery": This article explores the use of progressive resistance exercises for gradual strengthening and functional improvement.
4. "Scapular Stabilization Exercises for Enhanced AC Joint Support": This article emphasizes the importance of scapular stabilization in AC joint recovery and provides detailed instructions on various exercises.
5. "Plyometric Exercises and their Application in Post-AC Joint Injury Rehabilitation": This article examines the role of plyometrics in restoring power and function after an AC joint injury.
6. "Proprioceptive Training for Preventing AC Joint Re-injury": This article focuses on the importance of proprioceptive training in improving balance and coordination, reducing the risk of re-injury.
7. "Understanding AC Joint Separation Grades and Their Implications for Rehabilitation": This article provides a detailed understanding of the different severity grades of AC joint injuries and their respective treatment approaches.
8. "The Importance of Physical Therapy in AC Joint Injury Management": This article highlights the role of physical therapy in the comprehensive treatment of AC joint injuries.
9. "Case Study: Successful Rehabilitation of a Grade II AC Joint Separation": This article presents a detailed case study illustrating the successful application of a rehabilitation program for an AC joint injury.
[Citation 1], [Citation 2], [Citation 3], [Citation 4]: (These would be replaced with actual citations from relevant research papers).
| ac joint injury 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 injury 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 injury 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 injury 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 injury 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 injury 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 injury 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 injury 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 injury 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 injury 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 injury 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 injury exercises: Postgraduate Orthopaedics Paul A. Banaszkiewicz, Deiary F. Kader, 2012-08-16 The must-have book for candidates preparing for the oral component of the FRCS (Tr and Orth). |
| ac joint injury 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 injury exercises: Shoulder Arthroplasty Gazi Huri, Filippo Familiari, Young Lae Moon, Mahmut Nedim Doral, Giulio Maria Marcheggiani Muccioli, 2019-10-10 This book describes and evaluates techniques and devices used in shoulder arthroplasty with a view to enabling readers to improve their surgical practice. After an opening section on basic knowledge, including surgical anatomy, key issues in total shoulder arthroplasty and reverse total shoulder arthroplasty (RTSA) are considered in detail. Among the topics covered are biomechanics, cemented versus cementless humeral fixation, the comparative merits of humeral components featuring short stem and stemless designs and of pegged and keeled glenoid components, the influence of humeral inclination in RTSA, and the avoidance and management of unstable RTSA. An entire section is then devoted to the description and illustration of valuable surgical tips and tricks. Arthroplasty for acute proximal humerus fractures is considered separately, again addressing important aspects of technique and current controversies. The book is an outcome of a workshop held by the international Shoulder Club, formed at Hacettepe University in Ankara in 2015 with the aim of bringing together leading authorities in the field and young orthopedic surgeons and students from across the world in order to disseminate expertise and exchange ideas. |
| ac joint injury 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 injury 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 injury 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 injury 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 injury 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 injury exercises: Physical Examination of the Shoulder Ryan J. Warth, Peter J. Millett, 2015-06-24 This text presents a comprehensive and concise evidence-based and differential-based approach to physical examination of the shoulder in a manner that promotes its successful application in clinical practice. Additionally, this book provides an integrated approach to the diagnosis of numerous shoulder pathologies by combining discussions of pathoanatomy and the interpretation of physical examination techniques and was written for any health care professional or student who may be required to evaluate patients who present with shoulder pain. This information will allow the clinician to make informed decisions regarding further testing procedures, imaging and potential therapeutic options. Physical Examination of the Shoulder will serve as an invaluable resource for practicing orthopedic surgeons, sports medicine specialists, physical therapists, residents in training and medical students interested in the field of clinical orthopedics. |
| ac joint injury exercises: Sports Medicine for the Emergency Physician Anna L. Waterbrook, 2016-04-25 Written by sports-trained emergency physicians Sports Medicine for the Emergency Physician: A Practical Handbook is the only resource of its kind, created specifically for the emergency medicine provider. It is designed to be used as a reference tool, and includes high-yield physical exam skills and key management of sport injuries in the emergency department. Each chapter is dedicated to a specific joint (or joints) and includes the basics of a high-yield physical examination including inspection, palpation, range of motion, special tests, as well as neurovascular and skin exams. Corresponding figures of essential anatomy, pictures of physical exam maneuvers, and clinical correlations are also featured. Emergent and common musculoskeletal conditions for each joint(s) are discussed, as well as the appropriate emergency department management for each condition. Additional chapter topics include sports concussions, sports cardiology, heat illness, and common splints used in the emergency department. |
| ac joint injury 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 injury 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 injury 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 injury exercises: Shoulder Pain? John M. Kirsch, 2010 |
| ac joint injury exercises: Rosen & Barkin's 5-Minute Emergency Medicine Consult Jeffrey J. Schaider, Roger M. Barkin, Stephen R. Hayden, Richard E. Wolfe, Adam Z. Barkin, Philip Shayne, Peter Rosen, 2012-02-17 This best-selling emergency department reference is now in its thoroughly updated Fourth Edition. The foremost authorities provide practical information on over 600 clinical problems in a fast-access two-page outline format that's perfect for on-the-spot consultation during care in the emergency department. Coverage of each disorder includes clinical presentation, pre-hospital, diagnosis, treatment, disposition, and ICD-9 coding. Icons enable practitioners to quickly spot the information they need. This edition provides up-to-date information on topics such as emerging infections, new protocols, and new treatments. |
| ac joint injury exercises: The 5-Minute Sports Medicine Consult Mark D. Bracker, 2012-03-28 Now in its Second Edition, The 5-Minute Sports Medicine Consult is a clinically oriented quick consult reference for sports medicine. Common sports-related problems faced by primary care practitioners are thoroughly and concisely presented in the famous fast-access 5-Minute Consult format. Chapters on musculoskeletal problems cover basics; diagnosis; acute treatment, including on-field management; long-term treatment, including rehabilitation and referrals; and commonly asked questions. Other chapters address the special populations of children, adolescents, females, geriatric athletes, and disabled athletes and general medical problems in athletic individuals. Appendices include musculoskeletal radiography, office rehabilitation, and joint and soft tissue injection. |
| ac joint injury exercises: Key Topics in Sports Medicine Amir Ali Narvani, Panagiotis Thomas, Bruce Lynn, 2006 In an accessible and easy-to-follow manner, this concise textbook on sports medicine provides a useful resource for those students and practitioners of sports medicine and rehabilitation, athletic training, physiotherapy and orthopedic surgery. |
| ac joint injury exercises: Injury Prevention and Rehabilitation for Active Older Adults Kevin P. Speer, 2005 Aimed at personal trainers, physiotherapists & other fitness professionals working with senior adults, part 1 includes information on general issues, including nutrition, soft tissue care & exercise testing; while part 2 is a guide to specific injuries & methods for rehabilitation. |
| ac joint injury 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 injury exercises: Pediatric and Adolescent Sports Traumatology Vincenzo Guzzanti, 2013-11-19 This book focuses on the evaluation and treatment of a wide range of sports injuries in relation to the Tanner stage of sexual development in young athletes. A series of detailed chapters address the injuries likely to be encountered in different parts of the body, including the spine, shoulder, elbow, wrist and hand, hip, knee, ankle, and feet. Among the topics that receive particular attention are epiphyseal-physeal injuries, capsular ligament tears and the impact of their treatment on joint and bone development, and stress syndromes of the musculoskeletal system. Helpful algorithms covering the diagnosis and treatment of ligament tears are included, and advice is provided on when to return an athlete to training. One chapter is devoted to non-sports-related pathologies that have to be considered in the differential diagnosis of sports injuries in adolescents. The contributors to this volume are all recognized leaders in their subspecialty who explain their own treatment preferences. |
| ac joint injury exercises: Orthopedic Rehabilitation Clinical Advisor Derrick Sueki, Jacklyn Brechter, 2009-11-25 Access the information you need to confidently diagnose and treat musculoskeletal disorders at a glance! With a 5-books-in-1 approach, this essential clinical reference provides up-to-date diagnostic and therapeutic information on over 200 orthopedic conditions in a bulleted, quick-reference format ideal for both students and practitioners. Content is written entirely by orthopedic physical therapists and is logically organized to promote accurate, efficient differential diagnosis and intervention. - '5-books-in-1' format combines essential content on foundational knowledge, clinical reasoning, orthopedic pathologies, common clinical questions, and pharmacology all in one place for fast, efficient reference. - UNIQUE: Expert insight and decision-making strategies for the rehabilitation of musculoskeletal pathologies help you apply sound clinical reasoning to determine the needs of patients with musculoskeletal disorders. - UNIQUE: Succinct, bulleted text organizes information consistently for easy access. - Clinician-oriented profiles cover 200 orthopedic pathologies with considerations specific to your needs in orthopedic rehabilitation practice. - 51 drug class monographs detail indications, dosages, contraindications and physical therapy implications to help you better understand drug interactions and more effectively manage patients. |
| ac joint injury exercises: Fixing You Rick Olderman, 2010 Fixing You: Shoulder & Elbow Pain highlights the shoulder blade as the primary culprit in shoulder and elbow problems. If the shoulder blade does not move properly, adverse stress is placed on the shoulder joint because the upper arm bone will not rest or move well either. Fixing You: Shoulder & Elbow Pain teaches you why this occurs and how to fix it. Problems with shoulder blade function, by extension, establish the environment for elbow injuries such as tennis elbow or golfers elbow. For this reason, to fix chronic elbow pain, problems must be addressed at both the shoulder and elbow. Fixing pain in the shoulder and elbow is much like fixing pain anywhere in the body. You must understand which muscles and joints are not working well and grasp how those problems feed poor movement habits which then reinforce the original poor muscle and joint function. This creates a cycle of pain. Visit www.FixingYou.net to learn more. |
| ac joint injury exercises: SMART! Sports Medicine Assessment and Review Textbook Mark D. Miller, MD, 2010-08-24 SMART! (Sports Medicine Assessment and Review) is a state-of-the-art study tool that's ideal for prepping for the Sports Medicine CAQ. Mark D. Miller, MD a renowned Sports Medicine Specialist, and Jennifer A. Hart, PA, logically organize the material in outline format to help you locate relevant information about a particular body area quickly and easily. In full color with numerous surgical illustrations, photographs, and convenient online access, this title is helpful to orthopaedists as well as health professionals working in sports medicine. Prep confidently for the CAQ with the help of renowned experts in sports medicine. Review up to 25 questions at the end of each chapter as a great exercise to help you retain the information. Locate what you need when you need it using the same easy outline format applied in Miller's best-selling Review of Orthopaedics. Rely on the visual guidance provided by a full-color design with 200 illustrations and photographs to review a broad spectrum of sports-related injuries and medical disorders. Search the full contents of the text online and easily download the illustrations at www.expertconsult.com. Be smart when reviewing for the Certificate of Added Qualification (CAQ) in Sports Medicine and go with the one you trust. |
| ac joint injury exercises: Sports Medicine Anthony A. Schepsis, Brian D. Busconi, 2006 Written by surgeons who are noted teachers, this volume of our Orthopaedic Surgery Essentials Series presents all the information residents need during sports medicine rotations. It can easily be read cover to cover during a rotation or used for quick reference before a patient workup or operation. The user-friendly, visually stimulating format features ample illustrations, algorithms, bulleted lists, charts, and tables. The book begins with physical examination, non-surgical topics, and principles of arthroscopic surgery and proceeds to specific sports injuries at each anatomic site. Coverage of each injury includes surgical anatomy, diagnosis, imaging, indications for surgery, techniques, and complications. |
| ac joint injury exercises: Quick Questions in the Shoulder Kelly Bliven, 2024-06-01 Are you looking for concise, practical answers to questions that are often left unanswered by traditional sports medicine references? Are you seeking brief, up-to-date, expert advice for common issues that can be encountered when working with athletes? Quick Questions in the Shoulder: Expert Advice in Sports Medicine provides a unique format of concise and to the point responses with clinical application, backed by the latest research on shoulder injuries among athletes. Dr. Kellie C. Huxel Bliven and her contributors present 39 common clinical questions regarding the prevention, assessment, treatment, management, and rehabilitation of the shoulder. Co-published with the National Athletic Trainers’ Association, Quick Questions in the Shoulder: Expert Advice in Sports Medicine provides concise answers to 39 frequently asked clinical questions. Written in a conversational tone, the authors of the individual questions represent a variety of different backgrounds and are experts in their respective field. The variety of questions and brevity of responses will make this a book that is easy to read and reference at the point of care. Some sample sections and questions include: Factors related to shoulder function How does the trunk contribute to upper extremity function and injury risk in overhead athletes? Injury diagnosis What are the best clinical tests for determining if a patient has scapular dyskinesis and to determine if it is contributing to their shoulder pain and dysfunction? Injury treatment and rehabilitation What are the most effective glenohumeral mobilization techniques and when are they most appropriate to use to improve shoulder function and range of motion? The overhead athlete What assessments should be used in screening overhead athletes to determine who is at increased risk for injury and what are the most effective injury prevention strategies? Quick Questions in the Shoulder: Expert Advice in Sports Medicine is the perfect at-your-side resource for the athletic trainer, team physician, or sports medicine clinician looking for practical answers to sports-related shoulder injury questions. The concise and conversational tone allows the reader to readily apply the information into their everyday practice. |
| ac joint injury exercises: Orthopedic Sports Medicine Fabrizio Margheritini, Roberto Rossi, 2011-12-21 Aim of this book is to give an update on the main issues in sports traumatology and orthopedics, involving different body sections. Exploring the most important aspects of sports medicine - from anatomy to normal movements description, from diagnosis to sports injuries treatment, from conservative to surgical treatments - it gives a global overview of the field, describing also diagnostic tools recently introduced in this field, such as hip arthroscopy, and taking into consideration related areas like nutrition, prevention, training and rehabilitation. The single chapters deal with relevant problems such as emergencies on the field, pathologies of the upper and lower extremity, spine problems in athletes. Each injury is approached on the basis of both the specific body area and of the different sports/activities. Written by a multidisciplinary team of experts, this volume will be a fundamental book for orthopedic surgeons, physiotherapists, general practitioners, personal and athletic trainers, offering them a useful tool for the management of most frequent injuries in sports medicine. |
| ac joint injury exercises: Clinical Guide to Sports Injuries Roald Bahr, Sverre Mæhlum, 2004 This guide to sports injuries is a reference for all those who practice sports medicine. Adopting a problem-orientated approach, it uses a logical progression through problem, diagnosis, treatment to rehabilitation. The information on the CD-ROM can be printed out and shared with patients. |
| ac joint injury exercises: Rockwood and Green's Fractures in Adults Paul Tornetta III, William M. Ricci, Robert F. Ostrum, Michael D. McKee, Benjamin J. Ollivere, Victor A. de Ridder, 2024-08-15 Since its first edition over 60 years ago, Rockwood and Green’s Fractures in Adults has been the go-to reference for treating a wide range of fractures in adult patients. The landmark, two-volume tenth edition continues this tradition with two new international editors, a refreshed mix of contributors, and revised content throughout, bringing you fully up to date with today’s techniques and technologies for treating fractures in orthopaedics. Drs. Paul Tornetta III, William M. Ricci, Robert F. Ostrum, Michael D. McKee, Benjamin J. Ollivere, and Victor A. de Ridder lead a team of experts who ensure that the most up-to-date information is presented in a comprehensive yet easy to digest manner. |
| ac joint injury exercises: The Squat Bible Kevin Sonthana, Travis Neff, Aaron Horschig, 2019-06-06 **BLACK & WHITE VERSION**...As a physical therapist, coach, and certified strength and conditioning specialist, Dr. Aaron Horschig began to notice the same patterns in athletes over and over. Many of them seemed to pushed themselves as athletes in the same ways they push themselves out in the real world.Living in a performance-based society, Dr. Horschig saw many athletes who seemed to not only want to be bigger and stronger but to get there faster. This mentality ultimately led to injuries and setbacks, preventing athletes from reaching their full potential.Now, after developing unique and easy-to-use techniques on how to train and move well, Dr. Horschig shares his invaluable insights with readers in The Squat Bible: The Ultimate Guide to Mastering the Squat and Finding Your True Strength.This detailed plan enables you to unearth the various weak spots within your body--the areas that leave you in pain and hinder your ability to perform--and completely change your approach to athleticism. Discover new strength, new power, and astounding potential you never knew you possessed.As the founder of SquatUniversity.com, Dr. Horschig knows that when you transform the way you work out, you transform your body--and your life. |
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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 ...
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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。
