Severe aberrant glenohumeral motor patterns in a young female rower A case report 英文参考文献.docVIP

Chiropractic Osteopathy BioMedCentral Case report Open Access Severe aberrant glenohumeral motor patterns in a young female rower: A case report Timothy W Stark*, Jessica Seebauer, Bruce Walker, Neal McGurk and Jeff Cooley Address: Health Science Division, Murdoch University, Murdoch, Western Australia, Australia Email: Timothy W Stark* - t.stark@.au; Jessica Seebauer - jessica_seebauer@; Bruce Walker - bruce.walker@.au; Neal McGurk - n.mcgurk@.au; Jeff Cooley - j.cooley@.au * Corresponding author Published: 13 November 2007 Received: 13 July 2007 Accepted: 13 November 2007 Chiropractic Osteopathy 2007, 15:17 doi:10.1186/1746-1340-15-17 This article is available from: /content/15/1/17 ? 2007 Stark et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Background: This case features an 18-year-old female with glenohumeral dysrhythmia and subluxation-relocation patterns. This unusual case highlights the need for careful examination and consideration to the anatomical structures involved. Conventional approaches to shoulder examination include range of motion, orthopaedic tests and manual resistance tests. We also assessed the patients cognitive ability to coordinate muscle function. With this type of assessment we found that co-contraction of local muscle groups seemed to initially improve the patients abnormal shoulder motion. With this information a rehabilitation method was instituted with a goal to maintain the improvement. Case presentation: An 18-year-old female with no history of trauma, presented with painless kinesiopathology of the left shoulder (in abduction) consisting of dysrhythmia of the glenohumeral joint and early lateral rotation of the scapula. Examination a