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Current concepts in rehabilitation following ulnar collateral ligament reconstruction.

Ellenbecker TS, Wilk KE, Altchek DW, Andrews JR - Sports Health (2009)

Bottom Line: Injuries to the ulnar collateral ligament (UCL) in throwing athletes frequently occurs from the repetitive valgus loading of the elbow during the throwing motion, which often results in surgical reconstruction of the UCL requiring a structured postoperative rehabilitation program.Several methods are currently used and recommended for UCL reconstruction using autogenous grafts in an attempt to reproduce the stabilizing function of the native UCL.Progressions for resistive exercise are followed that attempt to fully restore strength and local muscular endurance in the rotator cuff and scapular stabilizers, in addition to the distal upper extremity musculature, to allow for a return to throwing and overhead functional activities.

View Article: PubMed Central - PubMed

Affiliation: Physiotherapy Associates Scottsdale Sports Clinic, Scottsdale, Arizona.

ABSTRACT
Injuries to the ulnar collateral ligament (UCL) in throwing athletes frequently occurs from the repetitive valgus loading of the elbow during the throwing motion, which often results in surgical reconstruction of the UCL requiring a structured postoperative rehabilitation program. Several methods are currently used and recommended for UCL reconstruction using autogenous grafts in an attempt to reproduce the stabilizing function of the native UCL. Rehabilitation following surgical reconstruction of the UCL begins with range of motion and initial protection of the surgical reconstruction, along with resistive exercise for the entire upper extremity kinetic chain. Progressions for resistive exercise are followed that attempt to fully restore strength and local muscular endurance in the rotator cuff and scapular stabilizers, in addition to the distal upper extremity musculature, to allow for a return to throwing and overhead functional activities. Rehabilitation following UCL reconstruction has produced favorable outcomes, allowing for a return to throwing in competitive environments.

No MeSH data available.


Related in: MedlinePlus

Manual proprioceptive neuromuscular facilitation upper extremity D2 patterns with rhythmic stabilization.
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fig3-1941738109338553: Manual proprioceptive neuromuscular facilitation upper extremity D2 patterns with rhythmic stabilization.

Mentions: At this stage in the rehabilitation program, resistance exer- cise is progressed with ROM. From isometric exercises in the immediate postoperative phase, progression including light- resistance isotonic exercises occurs at week 4 for the wrist and forearm. Progression to the full Throwers Ten Program (Figure 2) is targeted by week 6. Additional progressive resistance exercises are incorporated at week 8 to week 9 to develop dynamic stabilization of the medial elbow. Weeks 6 to 12 emphasize stretching, ROM, and strengthening exercises for the glenohumeral joint, scapula, core, and legs (Figure 3). The flexor carpi ulnaris and flexor digitorum superficialis overlay the UCL. Isotonic concentric exercises for these muscles may assist the UCL in resisting valgus stress at the medial elbow.6


Current concepts in rehabilitation following ulnar collateral ligament reconstruction.

Ellenbecker TS, Wilk KE, Altchek DW, Andrews JR - Sports Health (2009)

Manual proprioceptive neuromuscular facilitation upper extremity D2 patterns with rhythmic stabilization.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3445125&req=5

fig3-1941738109338553: Manual proprioceptive neuromuscular facilitation upper extremity D2 patterns with rhythmic stabilization.
Mentions: At this stage in the rehabilitation program, resistance exer- cise is progressed with ROM. From isometric exercises in the immediate postoperative phase, progression including light- resistance isotonic exercises occurs at week 4 for the wrist and forearm. Progression to the full Throwers Ten Program (Figure 2) is targeted by week 6. Additional progressive resistance exercises are incorporated at week 8 to week 9 to develop dynamic stabilization of the medial elbow. Weeks 6 to 12 emphasize stretching, ROM, and strengthening exercises for the glenohumeral joint, scapula, core, and legs (Figure 3). The flexor carpi ulnaris and flexor digitorum superficialis overlay the UCL. Isotonic concentric exercises for these muscles may assist the UCL in resisting valgus stress at the medial elbow.6

Bottom Line: Injuries to the ulnar collateral ligament (UCL) in throwing athletes frequently occurs from the repetitive valgus loading of the elbow during the throwing motion, which often results in surgical reconstruction of the UCL requiring a structured postoperative rehabilitation program.Several methods are currently used and recommended for UCL reconstruction using autogenous grafts in an attempt to reproduce the stabilizing function of the native UCL.Progressions for resistive exercise are followed that attempt to fully restore strength and local muscular endurance in the rotator cuff and scapular stabilizers, in addition to the distal upper extremity musculature, to allow for a return to throwing and overhead functional activities.

View Article: PubMed Central - PubMed

Affiliation: Physiotherapy Associates Scottsdale Sports Clinic, Scottsdale, Arizona.

ABSTRACT
Injuries to the ulnar collateral ligament (UCL) in throwing athletes frequently occurs from the repetitive valgus loading of the elbow during the throwing motion, which often results in surgical reconstruction of the UCL requiring a structured postoperative rehabilitation program. Several methods are currently used and recommended for UCL reconstruction using autogenous grafts in an attempt to reproduce the stabilizing function of the native UCL. Rehabilitation following surgical reconstruction of the UCL begins with range of motion and initial protection of the surgical reconstruction, along with resistive exercise for the entire upper extremity kinetic chain. Progressions for resistive exercise are followed that attempt to fully restore strength and local muscular endurance in the rotator cuff and scapular stabilizers, in addition to the distal upper extremity musculature, to allow for a return to throwing and overhead functional activities. Rehabilitation following UCL reconstruction has produced favorable outcomes, allowing for a return to throwing in competitive environments.

No MeSH data available.


Related in: MedlinePlus