By Robert A. Donatelli

A whole revision of the very hot textual content at the evaluate, remedy, and disorder of the shoulder. entire revisions were performed on chapters on Anatomy and Biomechanics, Crachial Plexus Lesions, Shoulder Girdle Fractures, and overall Shoulder Replacements. 16 new chapters concentrate on evaluate and remedy issues. The process is clinically orientated all through, and chapters are grouped in sections for simple reference.

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Extra info for Physical Therapy of the Shoulder (Clinics in Physical Therapy) (3rd Edition)

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Horizontal abduction: External Rotation (Fig. 12) Starting position: From a standing position, bend forward at the waist until the upper body approaches parallel to the floor. The weights are held in an extended elbow position and exter­ nally rotated. Movement: The weights are lifted to just above the shoulder. Qllalifled muscles: In­ fraspinatus 1 (PAA 90'- 1 2 0'), posterior deltoid 2 (PAA 90'- 1 20'), teres minor 2 (PAA 60'-90'), middle trapezius 2 (PAA 90'-peak), upper trape- M USCLE ACTIVITY ELICITEO B Y COMMON SHOULDER C O N D I T I O N I N G E X E R C I S E S A 37 8 FIGURE 2 .

Of these shoulders, only 28 percent were isolated fTom a rotator cuff injury or other labral problems. I N JUR I E S 23 Rodosky et al. 22 investigated the role of the long head of the biceps and its allachment to the superior labrum in a laboratory model of the glenohumeral joint positioned in abduction and external rotation as experienced by the overhand thrower. They hypothesized that the presence of the long head of the biceps acted to help limit the external rotating shoulder. The biceps com­ pressed the humeral head against the glenOid re­ sisting the rotation.

A subgroup of 1 3 professional pitchers yielded 6 who had ex­ cellent results. An important rehabilitation issue related in this study was the time between surgery and the return to throwing. Those players who began their throwing program at 5 months postsurgery had a better outcome than those who began at 7 months. Montgomery and Jobe" reported the results of an advanced surgical procedure comprised of a horizontal capsulotomy and suture anchors. Thirty-two subjects were included in this study with a subgroup of 1 3 pitchers.

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