SLAP Tears [Surgery vs. Physical Therapy] Physical Therapist Guide - FPF Show Episode 132
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In today's video we go over SLAP Tears [Surgery vs. Physical Therapy] Physical Therapist Guide - FPF Show Episode 132:
Timeline:
- 0:00 - Intro
- 0:33 Why physical therapists need to know about surgical vs. Non-operative management of SLAP Tears
- 1:53 Why return to sport rates may not be as important as return to play at the same rate
- 5:36 How return to sport rates vary widely between different sports (Baseball Pitcher vs. Weight Lifters)
- 8:06 What do SLAP Tear Non-operative Rehab Protocols looks like and what are the return to sport criteria?
- 10:16 How GIRD (gleno-humeral internal rotation deficits) are outdated and total arc is more important
- 13:14 What are return to sport rates after SLAP Tear Conservative Management?
- 16:02 What are the average time frames for returning to play after conservative management of SLAP Tears
- 16:38 How many physical therapy visits on average did patients need to complete SLAP Tear Rehab?
- 17:12 What factors predict failure of Non-operative physical therapy?
- 24:49 If we don't surgically repair SLAP Tears are we setting patients up for long term failure?
- 26:16 What are the average return to sport rates after SURGICAL management of SLAP Tears?
- 26:38 What surgeries are used to help patients with SLAP Tears?
- 30:42 Is biceps tenodesis effective for SLAP Tears?
- 33:23 Can strength and fitness athletes return to sport at similar rates of performance after SLAP tear surgery?
Hmmmm, so many choices....
- Dan Pope DPT,OCS,CSCS
Show Notes / Relevant Articles:
- FPF Mini Course - 7 Reasons Why Injuries Happen in the Gym and What to do About it
- SLAP Tear Clinical Examination and Diagnosis
- What Physical Therapists Need to Know About SLAP Tears
- 8 Key Tests for Diagnosing SLAP Tears in the Shoulder
- What Physical Therapists Need to Know about Shoulder Instability
- 6 Keys to Shoulder Instability Physical Therapy
- Shoulder Instability Physical Therapy Exercises | Labral Tear, SLAP, Bankart | Open Chain
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Thank you!
Dan Pope DPT, OCS, CSCS
References:
Steinmetz RG, Guth JJ, Matava MJ, Brophy RH, Smith MV. Return to play following nonsurgical management of superior labrum anterior-posterior tears: a systematic review. J Shoulder Elbow Surg. 2022 Jun;31(6):1323-1333. doi: 10.1016/j.jse.2021.12.022. Epub 2022 Jan 19. PMID: 35063641.
Abdul-Rassoul H, Defazio M, Curry EJ, Galvin JW, Li X. Return to Sport After the Surgical Treatment of Superior Labrum Anterior to Posterior Tears: A Systematic Review. Orthop J Sports Med. 2019 May 6;7(5):2325967119841892. doi: 10.1177/2325967119841892. PMID: 31106221; PMCID: PMC6506928.
Waterman BR, Newgren J, Richardson C, Romeo AA. High Rate of Return to Sporting Activity Among Overhead Athletes With Subpectoral Biceps Tenodesis for Type II SLAP Tear. Arthroscopy. 2023 Jan;39(1):11-16. doi: 10.1016/j.arthro.2022.07.017. Epub 2022 Aug 18. PMID: 35987458.
Carbone S, Candela V, Gumina S. High Rate of Return to CrossFit Training After Arthroscopic Management of Rotator Cuff Tear. Orthop J Sports Med. 2020 Apr 1;8(4):2325967120911039. doi: 10.1177/2325967120911039. Erratum in: Orthop J Sports Med. 2020 May 30;8(5):2325967120928365. PMID: 32284944; PMCID: PMC7139188.