Kinesitherapeutic methodology for dynamic stabilization after shoulder dislocation: A case report
DOI:
https://doi.org/10.14748/4pxymh87Keywords:
shoulder dislocation, dynamic stabilization, kinesitherapyAbstract
Shoulder dislocation is a common injury among athletes, particularly in contact sports. Conservative management combined with an early return to sport is associated with a high risk of recurrence, whereas surgical treatment requires a longer rehabilitation period. This case report aims to present a kinesitherapeutic methodology designed to restore dynamic shoulder stability and facilitate an early return to training in a Taekwon-do ITF athlete following shoulder dislocation.
The case of a 21-year-old taekwon-do ITF athlete who sustained an anterior-inferior dislocation of the right shoulder after a skiing accident is presented. An individualized kinesitherapeutic methodology was initiated on the second day after immobilization and included Dreving and Gorynevskaya exercises, isometric exercises, and stabilization exercises targeting the rotator cuff muscles. The athlete was assessed using the visual analogue scale (VAS) for pain, the American Shoulder and Elbow Surgeons (ASES) questionnaire, and the Shoulder Pain and Disability Index (SPADI) on the second day after the injury and again three weeks later.
Marked improvement was observed following the rehabilitation programme. Pain decreased from 6 to 0 points on the VAS. The ASES score improved from 21.6 to 100 points, while the SPADI score decreased from 76% to 0%, indicating complete recovery of shoulder function. The findings demonstrate substantial pain reduction and restoration of functional capacity.
Early return to sport is of particular importance in competitive athletes. The present case suggests that a structured kinesitherapeutic programme focused on dynamic stabilization may facilitate functional recovery and support an early return to sport following shoulder dislocation while maintaining a controlled risk of recurrence.
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The authors confirm that the data supporting the findings of this study are available within the article.