Smith Noah, Hotze Rachel, Tate Angela R
Drayer Physical Therapy Institute.
Therapy Solutions LLC.
Int J Sports Phys Ther. 2021 Apr 1;16(2):579-590. doi: 10.26603/001c.21234.
In-pool return to swim protocols have been described for swimmers returning from being deactivated from swimming due to a shoulder injury who have full shoulder strength. Many swimmers actively participate in swim practice and competition with shoulder pain and experience deficits in performance. There are multiple reported risk factors associated with shoulder pain among swimmers, including training errors and physical impairments. These include pool and dry-land training errors, weakness in the scapular stabilizers and rotator cuff, and muscle tightness. A need exists for dry-land rehabilitation programs for impairments common to swimmers that can be performed in a traditional outpatient physical therapy setting. The purpose of this clinical commentary is to present a protocol using neuromuscular electrical stimulation (NMES), taping, strengthening, and stretching to address impairments that are common among swimmers while allowing continued active participation in practice and competition.
Level 5.
对于因肩部受伤而停止游泳后恢复游泳的运动员，且肩部力量完全恢复的情况，已有泳池内恢复游泳的方案被描述。许多游泳运动员在肩部疼痛的情况下仍积极参加游泳训练和比赛，且表现有所下降。据报道，游泳运动员肩部疼痛有多种相关风险因素，包括训练失误和身体功能障碍。这些因素包括泳池和陆上训练失误、肩胛稳定肌和肩袖肌群无力以及肌肉紧张。需要针对游泳运动员常见功能障碍制定陆上康复计划，该计划可在传统门诊物理治疗环境中实施。本临床评论的目的是介绍一种使用神经肌肉电刺激（NMES）、贴扎、强化训练和拉伸的方案，以解决游泳运动员中常见的功能障碍，同时允许他们继续积极参加训练和比赛。
5级。
