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Netball Case Study After Shoulder Stabilization Testing Results

Episode
4 of 6
Published
Jul 5th, 2024
Run time
11m 1s
Topic
Shoulder Testing and Return to Sport
Your instructor
Ben Onofrio
Ben Onofrio
APA Titled Sports & Exercise, and Musculoskeletal Physiotherapist

Episode summary

A case study of a 21-year-old netball goal defender after anterior shoulder stabilization, showing how range, rotator cuff strength and force plate results at four months guide the next phase of rehabilitation.

Ben starts by mapping the sport's demands: moderate force, high speed, long lever and moderate repetition, with a 6 to 9 month return to sport after stabilization. Key measures are the apprehension test, the SIRSI confidence score, 90/90 internal rotation strength, overhead range and the ASH test, countermovement push-up and box drop land from about three to four months. Range returned slowly in the first two to three months and improved from four months. Rotation strength moved from the red into the green zone between four and six months with a ratio near one to one. The ASH I test showed good peak force relative to body weight but a slow build-up and late peak, so speed became the focus. The ASH T test showed very little force on the affected side, likely linked to apprehension in the position of injury. The countermovement push-up showed a good jump height but slow time to takeoff, low braking impulse and a shift toward the right arm. The first report rated range, cuff strength and force plate results as needing improvement.
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Turning Test Data Into Rehab Exercises and Push-Up Progressions

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