23 / 33
Page 54
conferenceseries
.com
Volume 08
Journal of Novel Physiotherapies
Rehabilitation Medicine 2018
May 18-19, 2018
May 18-19, 2018 Osaka, Japan
7
th
World Congress on
Physical Medicine and Rehabilitation
Effect of a mobility focused exercise training in rehabilitation of an elite weightlifter with shoulder
pain and weakness: A case study
Peng Zhao, Lingling Li and Runze Guan
China Institute of Sports Science, China
S
houlder pain and weakness is associated with complex pathologies and often precludes weightlifters from participation in
training. The role of exercise training in weightlifters with shoulder pathology remains unclear. This case report described an
exercise program in management of a 22-year-old elite weightlifter with primary complaint of 2-year duration of right shoulder
pain and weakness which were not relieved with steroid injection, manual therapy or physiotherapy. There was limitation in all
active range of motion especially horizontal extension (13
o
) and external rotation (41
o
) with pain intensity at 4/10 and 10/10
(numeric pain rating score), respectively. Muscle weakness was most significant at supraspinatus and teres minor, 38% and
27%, respectively compared to his left shoulder. An exercise training program focusing on improving mobility was designed
for this athlete following physical examinations, including specific stretching, muscle activating and scapular stability training
(once per day, 60 min per session). All exercises were completed under instruction as pain allowed. Quantitative assessment
was conducted at the end of each week for 3 weeks. After the program, the athlete was pain-free in all movements except the
O’Brien active compression internal rotation test, the pain was however reduced from 10/10 to 3/10. The horizontal extension
and external rotation ranges increased to 79
o
to 120
o
, respectively and strength of all rotator cuff muscles returned to normal.
After 1-month follow up, he was totally pain-free and back to normal function and weightlifting activities. The outcomes
sustained through 6-month and one year.
952421240@qq.comJ Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C2-027