Chiropractic Management of a Professional Hockey Player with Recurrent Shoulder Instability

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:   Frankp@chiro.org

FROM:   J Manipulative Physiol Ther 2001 (Jul);   24 (6):   425–430

Chad E. Moreau, DC, Susan R. Moreau, DC

This work was supported by the Los Angeles College of Chiropractic

Submit requests for reprints to: Chad E. Moreau, DC, Horrigan Sports Chiropractic Soft Tissue and Athletic Injuries, 2080 Century Park East, Ste 605, Los Angeles, CA 90067 cemoreau@earthlink.net


OBJECTIVE:   To describe the clinical management of recurrent shoulder instability in a professional hockey player by using chiropractic management and rehabilitation exercises.

CLINICAL FEATURES:   A 23-year-old professional hockey player with recurrent left shoulder pain and instability. He had two previous unsuccessful shoulder operations to correct the instability. He reported that the shoulder "slips out" in positions of abduction and external rotation or when the left arm is moved suddenly above shoulder height. The patient was still playing hockey professionally at the time of the initial visit and did not want to have to take time off for another surgery, so he chose to attempt a conservative approach.

INTERVENTION AND OUTCOME:   The patient had undergone strength training for rehabilitation after each of the previous two shoulder operations and had very strong rotator cuff and scapular musculature. Proprioceptive testing revealed a poor response in the left shoulder compared with the right shoulder. Two subjective outcome measures were used to determine the effectiveness of the treatment protocol in reducing the symptoms of recurrent shoulder instability. Much of the treatment focused on proprioceptive training, soft tissue mobilization, and improving joint function.

CONCLUSION:   This case demonstrates the potential benefit of chiropractic management and proprioceptive exercises to decrease the symptoms of recurrent shoulder instability.

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