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Shoulder injuries in rugby players: Mechanisms,examination, and rehabilitation
Affiliation:1. Sports Institute Northern Ireland, University of Ulster, Jordanstown, Newtownabbey, Co. Antrim BT37 0QB, United Kingdom;2. Ulster Sports Academy, University of Ulster, Jordanstown, Newtownabbey, Co. Antrim BT37 0QB, United Kingdom;1. Department of Orthopaedic Surgery, Juntendo University Faculty of Medicine, Bunkyo, Tokyo, Japan;2. Mejiro Orthopaedic and Internal Medicine Clinic, Toshima, Tokyo, Japan;3. Keio University Rugby Football Club, Yokohama, Kanagawa, Japan;4. Department of Sports Medicine, International Budo University, Katsuura, Chiba, Japan;1. 3 Olivedale Road, Liverpool L18 1DD, UK;2. The University of Bath, Claverton Down, Bath BA2 7AY, UK;3. Upper Limb Unit, Wrightington Hospital, Hall Lane, Appley Bridge, WN6 9EP, UK;1. Department of Orthopaedic Surgery, Juntendo University Faculty of Medicine, Bunkyo, Tokyo, Japan;2. Keio University Rugby Football Club, Yokohama, Kanagawa, Japan;3. Department of Sports Medicine, International Budo University, Katsuura, Chiba, Japan;4. Mejiro Orthopaedic and Internal Medicine Clinic, Toshima, Tokyo, Japan
Abstract:BackgroundThe sport of rugby is growing in popularity for players at the high school and collegiate levels.ObjectiveThis article will provided the sports therapist with an introduction to the management of shoulder injuries in rugby players.SummaryRugby matches results in frequent impacts and leveraging forces to the shoulder region during the tackling, scrums, rucks and maul components of the game. Rugby players frequently sustain contusion and impact injuries to the shoulder region, including injuries to the sternoclavicular, acromioclavicular (AC), and glenohumeral (GH) joints. Players assessed during practices and matches should be screened for signs of fracture, cervical spine and brachial plexus injuries. A three phase program will be proposed to rehabilitate players with shoulder instabilities using rugby specific stabilization, proprioception, and strengthening exercises. A plan for return to play will be addressed including position-specific activities.
Keywords:Shoulder injury  Rugby  Rehabilitation  Tackling injury
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