2024 AOSSM Annual Meeting Recordings no CME-Concurrent Session A: Rehabilitation

Video Transcription

Video Summary

This session focused on rehabilitation and return-to-play (RTP) strategies post-shoulder surgery, primarily discussing research and guidelines for athletes with shoulder instability and rotator cuff repairs. Alex Meyer presented a study on functional testing post-shoulder stabilization, highlighting the lack of robust literature on RTP criteria unlike ACLs. Using retrospective case-control analysis over 18 months, Meyer found that closed kinetic chain upper extremity stability and athletic shoulder tests were the most predictive of successful RTP. He emphasized the importance of psychological readiness and specific strength testing, recommending early incorporation of such functional tests.<br /><br />Mohan Khan followed, discussing a study on cryocompression's effect on post-operative pain and opioid use. This multi-center randomized controlled trial in Ontario demonstrated that using cryocompression halved opioid consumption post-shoulder surgery without compromising pain levels, though cost issues remain.<br /><br />Other presentations explored new rehabilitation approaches: Scott Greenberg detailed blood flow restriction (BFR) training, describing its effectiveness in muscle hypertrophy with lower load, beneficial for post-surgery recovery. He emphasized the importance of loading tissue progressively once appropriate.<br /><br />Kevin Wilk talked about accelerating rehabilitation for ACL recovery, stressing pre-op and post-op motion, quad activation, and addressing neuroplasticity for better outcomes. He advocated for dynamic stabilization and perturbation training to build confidence and neuromuscular control.<br /><br />Chuck Thigpen discussed appropriate metrics for shoulder instability rehab, stressing matching sport demands with athlete capacity and the criticality of early posterior endurance and psychological readiness tests.<br /><br />Lastly, Emilio Calvo addressed immobilization vs. mobilization post-rotator cuff repair, recommending a balanced approach where small tears should begin early passive motion, and large tears or those repaired under tension need prolonged immobilization to ensure tendon healing.<br /><br />Overall, the session highlighted the need for tailored rehabilitation protocols based on individual patient needs and surgical specifics to optimize RTP while ensuring the integrity of the repair and long-term patient outcomes.

Asset Caption

4:00 pm - 5:00 pm

Meta Tag

Speaker Brian C. Lau, MD

Speaker Kevin Wilk, PT, DPT

Speaker Alex Meyer, MD

Speaker Moin Khan, MD, MSc., FRCSC

Speaker Troy Blackburn, PhD, MS, BA

Speaker Scott Greenberg, PT, DPT, MBA, CSCS

Speaker Charles A. Thigpen, PhD, PT, ATC

Speaker Emilio Calvo, MD, PhD

Keywords

rehabilitation

return-to-play

shoulder surgery

shoulder instability

rotator cuff repair

cryocompression

blood flow restriction

functional testing

psychological readiness

early mobilization

Brian C. Lau, MD

Kevin Wilk, PT, DPT

Alex Meyer, MD

Moin Khan, MD, MSc., FRCSC

Troy Blackburn, PhD, MS, BA

Scott Greenberg, PT, DPT, MBA, CSCS

Charles A. Thigpen, PhD, PT, ATC

Emilio Calvo, MD, PhD