6 Keys to SLAP Tear Physical Therapy [Guide for Physios] – FPF Show Episode 133

By dpope2020

May 24, 2024

biceps tenodesis, dan pope, fitness pain free, injury, labral tear, labral tear shoulder, labrum, labrum tear, orthopedics, pain, physical therapist, physical therapy, physio, physiotherapist, rehab, rotator cuff, Shoulder, shoulder exercises, shoulder injury, Shoulder Pain, shoulder slap tear, shoulder surgery, slap lesion, slap repair, slap repair with biceps tenodesis, SLAP tear, slap tear exercises, slap tear rehab, slap tear shoulder, sports injury, sports medicine, surgery

6 Keys to SLAP Tear Physical Therapy [Guide for Physios] - FPF Show Episode 133

To go along with today's episode I have a nice infographic to share...

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In today's video we go over 6 Keys to SLAP Tear Physical Therapy [Guide for Physios] - FPF Show Episode 133: 

Timeline:

  • 0:00 - Intro
  • 2:22 - Is your patient a candidate for physical therapy and who should consider surgery as a first option?
  •  5:52 - What are return to sport rates as well as return to sports at prior level of competition rates after physical therapy for SLAP tears?
  • 6:34 How long should it take to complete a physical therapy program before returning back to sport?
  • 12:05 Delivering patient education - modifying lifestyle, training and throwing
  • 23:30 The importance of restoring pain free range of motion [GIRD, Total Arc, Flexion]
  • 34:40 Should weightlifters be treated the same way as baseball players? 
  • 42:27 The importance of training the rotator cuff and scapular muscles
  • 47:42 The vital role of specificity in physical therapy treatment
  • 54:10 Return to sport guidelines and criteria for physical therapy progression over time

I think this talk just healed my SLAP tear....

- Dan Pope DPT,OCS,CSCS

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Thank you!

Dan Pope DPT, OCS, CSCS

References: 

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. Michener LA, Barrack AJ, Liebeskind BY, et al. Professional Baseball Player Type and Geographic Region of Origin Impacts Shoulder External and Internal Rotation Strength. IJSPT. 2021;16(4):1126-1134. doi:10.26603/001c.25237 https://ijspt.scholasticahq.com/article/25237-professional-baseball-player-type-and-geographic-region-of-origin-impacts-shoulder-external-and-internal-rotation-strength