Preserving the Shoulder Function of an Elite Paratriathlete

Am J Phys Med Rehabil. 2018 Aug;97(8):e69-e72. doi: 10.1097/PHM.0000000000000870.

Abstract

Shoulder pain in wheelchair users that participate in competitive adaptive sports can be a troublesome condition. Shoulder pain not only affects athletic performance but also affects functional activities such as wheelchair propulsion and weight bearing during transfers. Managing pain in these athletes thus presents a unique challenge because of the difficulty in achieving relative rest and the need to modify athletic shoulder-focused rehabilitation strategies. In all athletes, it is vital to establish an early, accurate diagnosis and optimize conservative treatment before considering surgical interventions to avoid excessive shoulder-related morbidity, loss of function, and, worse, loss of independence.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anesthetics, Local / administration & dosage
  • Athletes*
  • Bupivacaine / administration & dosage
  • Exercise Therapy
  • Female
  • Glucocorticoids / administration & dosage
  • Humans
  • Injections, Intra-Articular
  • Lidocaine / administration & dosage
  • Magnetic Resonance Imaging
  • Meningomyelocele / complications
  • Paraplegia / etiology
  • Rotator Cuff Injuries / diagnostic imaging
  • Rotator Cuff Injuries / therapy*
  • Shoulder Pain / etiology
  • Shoulder Pain / therapy*
  • Sports for Persons with Disabilities*
  • Tendinopathy / diagnostic imaging
  • Tendinopathy / therapy*
  • Triamcinolone Acetonide / administration & dosage
  • Wheelchairs

Substances

  • Anesthetics, Local
  • Glucocorticoids
  • Lidocaine
  • Triamcinolone Acetonide
  • Bupivacaine