Rehabilitation Following Operative Shoulder Arthroscopy

  • W. Ben Kibler


Advances in understanding the principles and appropriate implementation of arthroscopy for the shoulder have resulted in greater success in defining and restoring the anatomical lesions associated with shoulder dysfunction. Similarly, advances in understanding and implementation of rehabilitation principles for the shoulder have resulted in greater success in restoring the physiological and biomechanical alterations associated with shoulder dysfunction.


Rotator Cuff Shoulder Function Kinetic Chain Clin Sport Trunk Extension 
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  1. 1.
    Putnam CA. Sequential motions of body segments in striking and throwing skills: descriptions and explanations. J Biomech 1993; 25: 125–135.CrossRefGoogle Scholar
  2. 2.
    Feltner ME, Dapena J. Three-dimensional interactions in a two-segment kinetic chain. Part I: General model. Int J Sport Biomech 1989; 5: 403–419.Google Scholar
  3. 3.
    Kibler WB. Biomechanical analysis of the shoulder during tennis activities. Clin Sports Med 1995; 14: 79–86.PubMedGoogle Scholar
  4. 4.
    Elliott BC, Marshall R, Noffal G. Contributions of upper limb segment rotations during the power serve in tennis. J Appl Biomech 1995; 11: 443–42.Google Scholar
  5. 5.
    Toyoshima S, Hoshikawa T, Miyashita M. Contribution of body parts to throwing performance. Biomechanics IV. Baltimore- University Park Press; 1974: 169–174.Google Scholar
  6. 6.
    Fleisig GS, Barrentine SW, Escamilla F. Biomechanics of overhand throwing with implications for injuries. Sports Med 1996; 21: 421–437.PubMedCrossRefGoogle Scholar
  7. 7.
    Kraemer WJ, Triplett NT, Fry AC. An in-depth sports medicine profile of women college tennis players. J Sports Rehabil 1995; 4: 79–88.Google Scholar
  8. 8.
    Shumway-Cook A, Woollacott MH. Theories of motor control. In: Motor Control Theory and Practical Applications. Baltimore, Williams & Wilkins, 1995: 3–18.Google Scholar
  9. 9.
    Nichols TR. A biomechanical perspective on spine mechanics of coordinated muscular action. Acta Anat 1994; 15: 1–13.CrossRefGoogle Scholar
  10. 10.
    Zattara M, Bouisset S. Posturo-kinetic organization during the early phase of voluntary upper limb movement. J Neurol Neurosurg Psychiatry 1988;51: 956–965. 227Google Scholar
  11. 11.
    Cordo PJ, Nashner, LM. Properties of postural adjustments associated with rapid arm movements. J Neuro-ph ysi of 1982; 47: 287–308.Google Scholar
  12. 12.
    Lephart SM, Pinciuero DM, Giraldo JL. The role of proprioception in the management and rehabilitation of athletic injuries. Am J Sports Med 1997; 25: 130–137.PubMedCrossRefGoogle Scholar
  13. 13.
    Lephart, SM, Henry TJ. The physiological basis for open and closed kinetic chain rehabilitation for the upper extremity. J Sport Rehabil 1996; 5: 71–87.Google Scholar
  14. 14.
    Wilk KE, Harrelson GL, Arrigo C. Shoulder rehabilitation. In: Andrews JR, Harrelson GL, Wilk KE, eds. Physical Rehabilitation of the Injured Athlete. Philadelphia: WB Saunders; 1998: 478–553.Google Scholar
  15. 15.
    Silliman FJ, Hawkins RJ. Current concepts and recent advances in the athlete’s shoulder. Clin Sports Med 1991; 10: 693–705.PubMedGoogle Scholar
  16. 16.
    Burkhart S, Morgan CD, Kibler W,. The dead arm revisited. Clin Sports Med 2000; 19: 125–158.PubMedCrossRefGoogle Scholar
  17. 17.
    Harryman ET, Sidles JA, Clark JM. Translation of the humeral head on the glenoid with passive glenohumeral motions. J Bone Joint Surg 1990; 72: 1334–1343.PubMedGoogle Scholar
  18. 18.
    Kibler WB, McQueen C, Uhl TL. Fitness evaluations and fitness findings in competitive junior tennis players. Clin Sports Med 1988; 7: 403–416.PubMedGoogle Scholar
  19. 19.
    Kibler WB. The role of the scapula in athletic shoulder function. Am J Sport Med 1998; 26: 325–337.Google Scholar
  20. 20.
    Warner JJP, Micheli LJ, Arslanian LE. Scapulothoracic motion in normal shoulders and shoulders with glenohumeral instability and impingement syndrome. Clin Orthop 1992; 285: 199–215.Google Scholar
  21. 21.
    Paletta GA, Warner JJP, Warren RF. Shoulder kinetic with two-plane x-ray evaluation in patients with anterior instability or rotator cuff tears. J Shoulder Elbow Surg 1997; 6: 516–527.PubMedCrossRefGoogle Scholar
  22. 22.
    Paine RM, Voight, M. The role of the scapula. J Orthop Sports Phys Ther 1993; 18: 386–391.PubMedGoogle Scholar
  23. 23.
    Bagg SD, Forrest WJ. Electromyographic study of the scapular rotators during arm abduction in the scapular plane. Am J Phys Med 1986; 65: 111–124.PubMedGoogle Scholar
  24. 24.
    Bagg SD, Forrest WJ. A biomechanical analysis of scapular rotation during arm abduction in the scapular plane. Am J Phys Med 1988; 67: 238–245.Google Scholar
  25. 25.
    Happee R, Van der Helm FC. Control of shoulder muscles during goal directed movements, an inverse dynamic analysis. J Biomech 1995; 28: 1179–1191.PubMedCrossRefGoogle Scholar
  26. 26.
    Lukasiewici AC, McClure P, Michener L. Comparison of three-dimensional scapular position and orientation between subjects with and without shoulder impingement. J Orthop Sports Phys Ther 1999; 29: 574–586.Google Scholar
  27. 27.
    Young JL, Herring SA, Press JM. The influence of the spine on the shoulder in the throwing athlete. J Back Musculoskeletal Rehabil 1996; 7: 5–17.CrossRefGoogle Scholar
  28. 28.
    Maclntyre JG, Lloyd-Smith DR. Overuse running injuries. In: Renstrom P, ed. Sports Injuries, Principles of Prevention and Care. London: Blackwell; 1993: 139–160.Google Scholar
  29. 29.
    Delcomyn SMB, Ha MH, Fletcher JP. The relationship between posterior reach and its component movements at the shoulder joint during active range of motion. Poster presented at: American Physical Therapy Association Annual Meeting; March 2000; New Orleans.Google Scholar
  30. 30.
    Perry J. Anatomy and biomechanics of the shoulder in throwing, swimming, gymnastics, and tennis. Clin Sports Med 1983; 2: 247–270.PubMedGoogle Scholar
  31. 31.
    Inman T, Saunders M, Abbott LC. Observations on the function of the shoulder joint. Bone Joint Surg 1944; 20: 1–31.Google Scholar
  32. 32.
    Speer KP, Garrett WE. Muscular control of motion and stability about the pectoral girdle. In: Matsen FA, Fu FH, Hawkins RJ, eds. The Shoulder: A Balance of Mobility and Stability. American Academy of Orthopedic Surgeons; Rosemont, IL: 1994: 159–173.Google Scholar
  33. 33.
    McQuade KJ, Dawson J, Smidt GL. Scapulothoracic muscle fatigue associated with alterations in scapulohumeral rhythm kinematics during maximum resistive shoulder elevation. J Orthop Sports Phys Ther 1998; 5: 71–87.Google Scholar
  34. 34.
    Weiser WM, Lee TQ, McMaster WC. Effects of simulated scapular protraction on anterior glenohumeral stability. Am J Sports Med 1999; 27: 801–805.PubMedGoogle Scholar
  35. 35.
    Moseley JB, Jobe FW, Pink MM, et al. EMG analysis of the scapular muscles during a shoulder rehabilitation program. Am J Sports Med 1992; 20: 128–134.PubMedCrossRefGoogle Scholar
  36. 36.
    Wilk KE. Closed and open kinetic chain exercise for the upper extremity. J Sport Rehabil 1996; 5: 88–102.Google Scholar
  37. 37.
    Dillman CJ, Murray TA, Hintermeister RA. Biomechanical differences of open and closed chain exercises with respect to the shoulder. J Sports Rehabil 1994; 3: 228–238.Google Scholar
  38. 38.
    Wilk KE, Voight ML, Keirns MA. Stretch-shortening exercises for the upper extremity: theory and clinical application. J Orthop Sports Phys Ther 1993; 17: 225–239.PubMedGoogle Scholar
  39. 39.
    Kibler WB, Livingston B, Bruce R. Current concepts of shoulder rehabilitation. Adv Oper Orthop 1995; 3: 249–299.Google Scholar

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© Springer-Verlag New York, Inc. 2003

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  • W. Ben Kibler

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