PDF(Pubmed)
Abstract：
UNASSIGNED: Ulnar collateral ligament (UCL) injury is a common elbow injury among overhead athletes, particularly baseball pitchers. However, limited research exists for non-throwing athletes, especially regarding rehabilitation. The purpose of this case report is to illustrate the use of early weight-bearing activities into the rehabilitation protocol for non-operative management of athletes with a UCL injury.
UNASSIGNED: The subject was a 17-year-old female competitive cheerleader. Two weeks prior, during the performance of an acrobatic skill in which she transitioned to full upper extremity (UE) weight-bearing, she sustained an injury to her right elbow. Physical therapy examination findings indicated a diagnosis of a UCL sprain. Self-reported outcome measures revealed a FOTO score of 69/100 and a Quick Dash score of 43/100. The subject attended 14 therapy sessions over nine weeks to address physical function and performance, which were assessed at intervals during her therapy program. Rehabilitation consisted of therapeutic exercise for the progression of UE functional weight-bearing including planks, ball push-ups, handstands, crab walks, stool pulls, handstand walks, and UE plyometric jumps.
UNASSIGNED: Along with documented improvement of the standard musculoskeletal examination measures of range of motion, strength, and functional performance, the subject demonstrated no elbow instability and improved FOTO and Quick Dash scores of 98 and 0, respectively. The subject demonstrated 105% limb symmetry index with the return to sport (RTS) UE functional testing of one-armed seated shot-put throw (SSPT) and achieved normative values with the closed kinetic chain upper extremity stability test (CKCUEST).
UNASSIGNED: This case report highlights the successful treatment of a subject with a UCL injury and the integration of therapy interventions with a focus on UE weight-bearing. Further research on performing high level UE weight-bearing activities during rehabilitation and RTS guidelines is needed.
UNASSIGNED: The subject was a 17-year-old female competitive cheerleader. Two weeks prior, during the performance of an acrobatic skill in which she transitioned to full upper extremity (UE) weight-bearing, she sustained an injury to her right elbow. Physical therapy examination findings indicated a diagnosis of a UCL sprain. Self-reported outcome measures revealed a FOTO score of 69/100 and a Quick Dash score of 43/100. The subject attended 14 therapy sessions over nine weeks to address physical function and performance, which were assessed at intervals during her therapy program. Rehabilitation consisted of therapeutic exercise for the progression of UE functional weight-bearing including planks, ball push-ups, handstands, crab walks, stool pulls, handstand walks, and UE plyometric jumps.
UNASSIGNED: Along with documented improvement of the standard musculoskeletal examination measures of range of motion, strength, and functional performance, the subject demonstrated no elbow instability and improved FOTO and Quick Dash scores of 98 and 0, respectively. The subject demonstrated 105% limb symmetry index with the return to sport (RTS) UE functional testing of one-armed seated shot-put throw (SSPT) and achieved normative values with the closed kinetic chain upper extremity stability test (CKCUEST).
UNASSIGNED: This case report highlights the successful treatment of a subject with a UCL injury and the integration of therapy interventions with a focus on UE weight-bearing. Further research on performing high level UE weight-bearing activities during rehabilitation and RTS guidelines is needed.
摘要：
■尺侧副韧带（UCL）损伤是头顶运动员中常见的肘部损伤，尤其是棒球投手。然而,对非投掷运动员的研究有限，特别是关于康复。本病例报告的目的是说明将早期负重活动用于UCL损伤运动员的非手术管理的康复方案。
■受试者是一名17岁的女性竞技啦啦队长。两周前,在表演杂技时，她过渡到全上肢（UE）负重，她右肘受伤。物理治疗检查结果表明诊断为UCL扭伤。自我报告的结果指标显示FOTO得分为69/100，QuickDash得分为43/100。受试者在9周内参加了14次治疗，以解决身体功能和表现，在她的治疗计划中每隔一段时间进行评估。康复包括治疗性锻炼，以促进UE功能性负重包括木板，球俯卧撑,倒立,螃蟹散步,凳子拉,手立行走，和UE屈光度跳跃。
■随着记录在案的运动范围的标准肌肉骨骼检查措施的改进，力量,和功能性能，受试者无肘部不稳定,FOTO和QuickDash评分分别为98分和0分。受试者通过单臂坐立铅球投掷（SSPT）的重返运动（RTS）UE功能测试表现出105％的肢体对称指数，并通过闭合动力链上肢稳定性测试（CKCUEST）达到标准值。
■本病例报告重点介绍了UCL损伤患者的成功治疗，以及以UE负重为重点的综合治疗干预措施。需要进一步研究在康复和RTS指南期间进行高水平的UE负重活动。
■受试者是一名17岁的女性竞技啦啦队长。两周前,在表演杂技时，她过渡到全上肢（UE）负重，她右肘受伤。物理治疗检查结果表明诊断为UCL扭伤。自我报告的结果指标显示FOTO得分为69/100，QuickDash得分为43/100。受试者在9周内参加了14次治疗，以解决身体功能和表现，在她的治疗计划中每隔一段时间进行评估。康复包括治疗性锻炼，以促进UE功能性负重包括木板，球俯卧撑,倒立,螃蟹散步,凳子拉,手立行走，和UE屈光度跳跃。
■随着记录在案的运动范围的标准肌肉骨骼检查措施的改进，力量,和功能性能，受试者无肘部不稳定,FOTO和QuickDash评分分别为98分和0分。受试者通过单臂坐立铅球投掷（SSPT）的重返运动（RTS）UE功能测试表现出105％的肢体对称指数，并通过闭合动力链上肢稳定性测试（CKCUEST）达到标准值。
■本病例报告重点介绍了UCL损伤患者的成功治疗，以及以UE负重为重点的综合治疗干预措施。需要进一步研究在康复和RTS指南期间进行高水平的UE负重活动。
