Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain
BackgroundSports-related rotator cuff muscle injury is one of the most prevalent pathologies affecting overhead sports athletes. Since the COVID-19 pandemic and its subsequent stay-at-home protocols, physical therapy has transited into a new realm of telehealth. Current evidence regarding examining...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Sports and Active Living |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fspor.2023.1150850/full |
| _version_ | 1797814123317166080 |
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| author | Yuxuan Wang Nuo Yi Hayley M. Ericksen Wupeng Zhang |
| author_facet | Yuxuan Wang Nuo Yi Hayley M. Ericksen Wupeng Zhang |
| author_sort | Yuxuan Wang |
| collection | DOAJ |
| description | BackgroundSports-related rotator cuff muscle injury is one of the most prevalent pathologies affecting overhead sports athletes. Since the COVID-19 pandemic and its subsequent stay-at-home protocols, physical therapy has transited into a new realm of telehealth. Current evidence regarding examining and managing RTC strain in telehealth physical therapy is minimal.Case presentationA self-referred 14-year-old female Chinese semi-professional tennis player presented with an acute right RTC strain. The mechanism of injury involved forehand strokes with left trunk rotation. No ligamentous or labral damage was observed on Magnetic Resonance Imagining. The individualized care plan included virtual partner-assisted assessment, online instructions on therapeutic exercises, and education with psychosocial considerations.Outcome and follow-upAfter a 6-week intervention, the patient demonstrated complete shoulder range of motion, full muscle strength, complete return-to-practice, 0% Quick DASH disability index, and 6/68 on the Tampa Scale for kinesiophobia.DiscussionThis case report demonstrated that telehealth is an accessible and cost-effective option for youth tennis athletes with RTC strain. This unique case showed a detailed roadmap from examination to discharge of this plan of care. There are also barriers including test and measure validity, and communication difficulties to be considered. Despite the challenges, this case was a good example of telehealth being an effective, repeatable, and cost-efficient option for patients with poor healthcare access. |
| first_indexed | 2024-03-13T08:02:53Z |
| format | Article |
| id | doaj.art-18d26bf036004629b7b1619bda5b25b5 |
| institution | Directory Open Access Journal |
| issn | 2624-9367 |
| language | English |
| last_indexed | 2024-03-13T08:02:53Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Sports and Active Living |
| spelling | doaj.art-18d26bf036004629b7b1619bda5b25b52023-06-01T09:46:18ZengFrontiers Media S.A.Frontiers in Sports and Active Living2624-93672023-05-01510.3389/fspor.2023.11508501150850Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strainYuxuan Wang0Nuo Yi1Hayley M. Ericksen2Wupeng Zhang3PT Solutions, Portland, OR, United StatesUniversity of Oklahoma Health Sciences Center, Tulsa, OK, United StatesUniversity of Wisconsin-Milwaukee, Milwaukee, WI, United StatesNankai University School of Medicine, Tianjin, ChinaBackgroundSports-related rotator cuff muscle injury is one of the most prevalent pathologies affecting overhead sports athletes. Since the COVID-19 pandemic and its subsequent stay-at-home protocols, physical therapy has transited into a new realm of telehealth. Current evidence regarding examining and managing RTC strain in telehealth physical therapy is minimal.Case presentationA self-referred 14-year-old female Chinese semi-professional tennis player presented with an acute right RTC strain. The mechanism of injury involved forehand strokes with left trunk rotation. No ligamentous or labral damage was observed on Magnetic Resonance Imagining. The individualized care plan included virtual partner-assisted assessment, online instructions on therapeutic exercises, and education with psychosocial considerations.Outcome and follow-upAfter a 6-week intervention, the patient demonstrated complete shoulder range of motion, full muscle strength, complete return-to-practice, 0% Quick DASH disability index, and 6/68 on the Tampa Scale for kinesiophobia.DiscussionThis case report demonstrated that telehealth is an accessible and cost-effective option for youth tennis athletes with RTC strain. This unique case showed a detailed roadmap from examination to discharge of this plan of care. There are also barriers including test and measure validity, and communication difficulties to be considered. Despite the challenges, this case was a good example of telehealth being an effective, repeatable, and cost-efficient option for patients with poor healthcare access.https://www.frontiersin.org/articles/10.3389/fspor.2023.1150850/fulltelehealthsports rehabilitationorthopedic examinationrotator cuff strainyouth athletes |
| spellingShingle | Yuxuan Wang Nuo Yi Hayley M. Ericksen Wupeng Zhang Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain Frontiers in Sports and Active Living telehealth sports rehabilitation orthopedic examination rotator cuff strain youth athletes |
| title | Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain |
| title_full | Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain |
| title_fullStr | Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain |
| title_full_unstemmed | Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain |
| title_short | Case report: Self-performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain |
| title_sort | case report self performed orthopedic exams in telehealth treatment of a youth athlete with acute rotator cuff strain |
| topic | telehealth sports rehabilitation orthopedic examination rotator cuff strain youth athletes |
| url | https://www.frontiersin.org/articles/10.3389/fspor.2023.1150850/full |
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