AOSSM/AANA Specialty Day 2020-Evaluation and Approach to the Thrower’s Shoulder

Evaluation and Approach to the Thrower’s Shoulder

Video Transcription

Video Summary

Mike Freehill discusses evaluating the overhead thrower's shoulder, emphasizing the complexity of strength, flexibility, and neuromuscular control needed for effective throwing. History-taking is crucial, focusing on pain specifics, injury history, and pitching role. Examination involves assessing the entire kinetic chain, including the lower extremities, core, scapula, and shoulder muscles for asymmetries, weakness, or tightness. Measuring range of motion, especially internal rotation deficit over 20 degrees, helps identify injury risk. Strength testing and provocative labral tests aid diagnosis. Neurovascular exams rule out thoracic outlet syndrome. Early identification of imbalances enables tailored prevention and conditioning programs, enhancing performance and reducing injury risk.

Keywords

overhead thrower shoulder evaluation

strength flexibility neuromuscular control

kinetic chain assessment

internal rotation deficit

injury prevention conditioning