➡️The foundation of rehabilitation following acromioclavicular injuries is restoration of scapular control to permit safe return to sport and high-level activities.
➡️Coordinated and efficient scapular motion can be re-established through a progression of pain reduction, mobilization to permit adequate muscle recruitment, periscapular muscle strengthening, and finally, sport-specific exercises.
➡️ Oftentimes, clinicians encounter barriers to this progression, for which standardized, rigid rehabilitation protocols fail to allow constructive treatment adaptation that would get an individual patient on a new path to recovery.
👉Three common barriers preventing successful acromioclavicular injury rehabilitation were identified and addressed: 1️⃣Pain, 2️⃣Apprehension, and3️⃣ (anterior chest wall) Stiffness; preventing appropriate Scapular control, effectively termed “PASS”.
➡️ Pain can be addressed through gentle and active-assisted range of motion and closed chain exercises to limit AC joint stress and to prevent voluntary guarding that would otherwise delay periscapular muscle activation . ➡️Apprehension can be negotiated by first establishing proximal control using closed chain exercises as well as application of slow and deliberate motions to limit subjective discomforts of altered upper extremity motion .
➡️ Anterior chest wall stiffness can be managed through pectoralis minor stretching and thoracic spine mobility to place the scapula in an appropriate position for upper extremity motion
👉. By addressing these barriers and the bio-psycho-social aspects of injury, the quality of patient care can be improved.
Read the full article👇
👉https://www.dovepress.com/acromioclavicular-joint-injuries-effective-rehabilitation-peer-reviewed-fulltext-article-OAJSM
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