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Keywords

College and university patient population, patient-reported outcomes, therapeutic exercise

Abstract

A 23-year-old male patient participating in intercollegiate basketball, suffered an acute shoulder dislocation. The patient was diagnosed with an anterior glenohumeral labral tear and was treated with an indirect approach to increase range of motion (ROM) and function while decreasing pain. Patient-related outcome (PRO) measures were used along with clinician related outcome (CRO) measures to discharge the patient. The immediate changes in ROM and pain along with follow-up assessments of the Disabilities of the Arm, Shoulder, Hand (DASH) Scale achieved Minimal Clinically Importance Difference (MCID) levels. As rehabilitation specialists, athletic trainers have the opportunity to provide quality care to patients and recognize the repercussions of injury on the patient. The follow-up assessments support that the completed conservative indirect treatment for a patient with a glenohumeral anterior labral tear was effective at reducing pain, improving function, and improving PRO in this isolated case. The individual was able to return to basketball activities at the same level as before to the diagnosis, within a three-week timeframe. The use of Primal Reflex Release Technique (PRRT) to restore allostasis in the central nervous was effective based on available outcomes for this patient. Then the continued re-education of pain-free functional movement patterns through Reflexive Neuromuscular Stabilization provided the patient the ability to maintain his functional gains. Clinically, considering the biopsychosocial components of injury can help guide intervention selection to provide a patient-centered model of care and ensure an optimal outcome.

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