Swimming Shoulder Injuries

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Screening for injuries is the next frontier for musculoskeletal (most sports) injuries. Unfortunately, many flaws in injury exists, as we don't have enough research on the subject, especially for swimmers. Nonetheless, assessing injury risk and collecting data at your club is the first step of understanding what injury prevention programs are effective and what factors increase the injury risk. This article is a plea from a physical therapist to hopefully begin preventing shoulder injuries and to help the swimming world uncover shoulder injury risk factors.

Some of you may wonder why I write or care so much about swimming injuries well. In all honesty, the reason I got into physical therapy was to connect with people and help those move and …show more content…

Our underlining goal for our diverse programming is effective, safe, and research based practice. This theory underlies all our programs and needs. For our physical therapy, I see 30 – 40 swimmers a week, ranging from 8 – 80 years in age. Do you think it is easy to tell a 8-year-old swimmer they are injured and need to modify their swimming training? These kids simply want to hop in the water, play with their friends and have fun. Unfortunately, the swimming community does not always embrace the same principles (despite what many claim). Often times swimming is not used as an avenue of education and research backed, but instead a land of copycats and non-thinkers. With this, do we truly expect the sport to improve their high overuse injury risk (yes, swimming has the highest overuse risk of sports, although many believe it is a safe sport). Now, defining a safe sport may sound easy, and yes swimming doesn't have acute ACL tears or concussions, but an overuse injury can be just as serious and often times more depressing then these other injuries. Think of all the hours in a sport are required for a 8-year-old swimmer to develop an overuse injury? This grueling demand on a young swimmer is very sad and in my …show more content…

Therefore, a lot of these tests are purely extrapolated from baseball literature or my own experience of treating thousands of swimmer's shoulder cases. This step is the largest outside of training time commitment for a team. Moreover, it likely requires a professional (physical therapist, chiropractor, medical doctor, etc.) to assess (however, a coach could perform the testing if they have the time to spare). Overall, this testing should take an entire team ~3 – 4 hours, depending on the size of a team. If a team must hire a professional (which I bet you could find a local PT to do it for free or in exchange for advertising or some type of agreement of sending swimmers their way), it will be an investment of ~$1,000 on the high end. Now this number may sound like a lot, but once again if you are truly interested I bet you can find someone to do this for free with a little leg work. Also, if you really want to perform these tests, truly anyone can perform

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