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Ilial Anterior Rotation Hypermobility in a Female Collegiate Tennis Player
This case report describes the examination, evaluation, and intervention by a physical therapist for a female collegiate tennis player with a right ilial anterior rotation hypermobility. The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hype...
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| Published in: | Physical therapy 2008-12, Vol.88 (12), p.1578-1590 |
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| container_end_page | 1590 |
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| container_start_page | 1578 |
| container_title | Physical therapy |
| container_volume | 88 |
| creator | Vaughn, H Todd Nitsch, Wanda |
| description | This case report describes the examination, evaluation, and intervention by a physical therapist for a female collegiate tennis player with a right ilial anterior rotation hypermobility.
The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hypermobility as a result of her tennis stroke. Functional limitations were related to sitting, squatting, gait, and playing tennis. Treatment interventions consisted of massage, joint manipulation, stretching, stabilization exercises, sport-specific exercises and modification of tennis stroke, proprioceptive taping, and the use of a sacroiliac belt.
After 26 weeks (33 treatments), tissue tenderness of the sacroiliac joint region was normalized, pelvic/trunk and lower-extremity mobility and flexibility were restored, sacroiliac symmetry and stability were regained, and the patient achieved her goal of returning to competitive tennis at the collegiate level.
The patient's right ilial anterior rotation hypermobility was directly related to the mechanics of her tennis stroke. Her outcomes suggest that rehabilitation should focus on the entire abdomino-sacro-pelvic-hip complex, addressing articular, neural, and muscular inhibitions and deficiencies. |
| doi_str_mv | 10.2522/ptj.20070238 |
| format | article |
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The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hypermobility as a result of her tennis stroke. Functional limitations were related to sitting, squatting, gait, and playing tennis. Treatment interventions consisted of massage, joint manipulation, stretching, stabilization exercises, sport-specific exercises and modification of tennis stroke, proprioceptive taping, and the use of a sacroiliac belt.
After 26 weeks (33 treatments), tissue tenderness of the sacroiliac joint region was normalized, pelvic/trunk and lower-extremity mobility and flexibility were restored, sacroiliac symmetry and stability were regained, and the patient achieved her goal of returning to competitive tennis at the collegiate level.
The patient's right ilial anterior rotation hypermobility was directly related to the mechanics of her tennis stroke. Her outcomes suggest that rehabilitation should focus on the entire abdomino-sacro-pelvic-hip complex, addressing articular, neural, and muscular inhibitions and deficiencies.</description><identifier>ISSN: 0031-9023</identifier><identifier>EISSN: 1538-6724</identifier><identifier>DOI: 10.2522/ptj.20070238</identifier><identifier>PMID: 18927196</identifier><language>eng</language><publisher>United States: American Physical Therapy Association</publisher><subject>Adult ; Back pain ; Care and treatment ; Cryotherapy ; Data collection ; Female ; Hip Injuries - complications ; Hip Injuries - diagnosis ; Hip Injuries - rehabilitation ; Hip Joint - physiopathology ; Humans ; Hypermobility ; Ilium ; Injuries ; Joint instability ; Joint Instability - complications ; Joint Instability - diagnosis ; Joint Instability - rehabilitation ; Joints ; Low Back Pain - etiology ; Low Back Pain - rehabilitation ; Medical diagnosis ; Muscle, Skeletal - pathology ; Patients ; Physical therapists ; Physical therapy ; Physical Therapy Modalities ; Posture ; Practice ; Prognosis ; Range of Motion, Articular ; Tennis - injuries ; Transcutaneous Electric Nerve Stimulation ; Women tennis players</subject><ispartof>Physical therapy, 2008-12, Vol.88 (12), p.1578-1590</ispartof><rights>COPYRIGHT 2008 Oxford University Press</rights><rights>Copyright AMERICAN PHYSICAL THERAPY ASSOCIATION Dec 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c665t-5fd9d4926b45bc7d1a884551b034a01976ee3c28e70efc297c166d67742d3f563</citedby><cites>FETCH-LOGICAL-c665t-5fd9d4926b45bc7d1a884551b034a01976ee3c28e70efc297c166d67742d3f563</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18927196$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vaughn, H Todd</creatorcontrib><creatorcontrib>Nitsch, Wanda</creatorcontrib><title>Ilial Anterior Rotation Hypermobility in a Female Collegiate Tennis Player</title><title>Physical therapy</title><addtitle>Phys Ther</addtitle><description>This case report describes the examination, evaluation, and intervention by a physical therapist for a female collegiate tennis player with a right ilial anterior rotation hypermobility.
The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hypermobility as a result of her tennis stroke. Functional limitations were related to sitting, squatting, gait, and playing tennis. Treatment interventions consisted of massage, joint manipulation, stretching, stabilization exercises, sport-specific exercises and modification of tennis stroke, proprioceptive taping, and the use of a sacroiliac belt.
After 26 weeks (33 treatments), tissue tenderness of the sacroiliac joint region was normalized, pelvic/trunk and lower-extremity mobility and flexibility were restored, sacroiliac symmetry and stability were regained, and the patient achieved her goal of returning to competitive tennis at the collegiate level.
The patient's right ilial anterior rotation hypermobility was directly related to the mechanics of her tennis stroke. Her outcomes suggest that rehabilitation should focus on the entire abdomino-sacro-pelvic-hip complex, addressing articular, neural, and muscular inhibitions and deficiencies.</description><subject>Adult</subject><subject>Back pain</subject><subject>Care and treatment</subject><subject>Cryotherapy</subject><subject>Data collection</subject><subject>Female</subject><subject>Hip Injuries - complications</subject><subject>Hip Injuries - diagnosis</subject><subject>Hip Injuries - rehabilitation</subject><subject>Hip Joint - physiopathology</subject><subject>Humans</subject><subject>Hypermobility</subject><subject>Ilium</subject><subject>Injuries</subject><subject>Joint instability</subject><subject>Joint Instability - complications</subject><subject>Joint Instability - diagnosis</subject><subject>Joint Instability - rehabilitation</subject><subject>Joints</subject><subject>Low Back Pain - etiology</subject><subject>Low Back Pain - rehabilitation</subject><subject>Medical diagnosis</subject><subject>Muscle, Skeletal - pathology</subject><subject>Patients</subject><subject>Physical therapists</subject><subject>Physical therapy</subject><subject>Physical Therapy Modalities</subject><subject>Posture</subject><subject>Practice</subject><subject>Prognosis</subject><subject>Range of Motion, Articular</subject><subject>Tennis - injuries</subject><subject>Transcutaneous Electric Nerve Stimulation</subject><subject>Women tennis players</subject><issn>0031-9023</issn><issn>1538-6724</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><recordid>eNqV0tuLEzEUB-BBFLeuvvksg8KC4NRcJpd5LGUvleLKuj6HzMyZbkpmUpMM2v_e7LayVIooeQgkX04Szi_LXmM0JYyQj5u4nhKEBCJUPskmmFFZcEHKp9kEIYqLKm2cZC9CWCOEsCir59kJlhURuOKT7NPCGm3z2RDBG-fzGxd1NG7Ir7Yb8L2rjTVxm5sh1_kF9NpCPnfWwsroCPktDIMJ-Rert-BfZs86bQO82s-n2beL89v5VbG8vlzMZ8ui4ZzFgnVt1ZYV4XXJ6ka0WEtZMoZrREuNcCU4AG2IBIGga0glGsx5y4UoSUs7xulpdraru_Hu-wghqt6EBqzVA7gxKF5JRlmJEnz7B1y70Q_pbYoQirHkFCf0bodW6W_KDJ2LXjf3FdUMp1dKKTBJqjiiVjCA19YN0Jm0fOCnR3waLfSmOXrg_cGBZCL8jCs9hqAWX2_-w37-Zysvl3_75N42D_0GlZo4vz70H3a-8S4ED53aeNNrv1UYqftsqpRN9Tubib_Zt2Ose2gf8T6Mj_ffmdXdD-NBhRQ4m_hDpV3vpFSYKMyEpL8AOgLnjg</recordid><startdate>20081201</startdate><enddate>20081201</enddate><creator>Vaughn, H Todd</creator><creator>Nitsch, Wanda</creator><general>American Physical Therapy Association</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8GL</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7RQ</scope><scope>7RV</scope><scope>7TS</scope><scope>7X7</scope><scope>7XB</scope><scope>88C</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M0T</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>S0X</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20081201</creationdate><title>Ilial Anterior Rotation Hypermobility in a Female Collegiate Tennis Player</title><author>Vaughn, H Todd ; Nitsch, Wanda</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c665t-5fd9d4926b45bc7d1a884551b034a01976ee3c28e70efc297c166d67742d3f563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>Back pain</topic><topic>Care and treatment</topic><topic>Cryotherapy</topic><topic>Data collection</topic><topic>Female</topic><topic>Hip Injuries - complications</topic><topic>Hip Injuries - diagnosis</topic><topic>Hip Injuries - rehabilitation</topic><topic>Hip Joint - physiopathology</topic><topic>Humans</topic><topic>Hypermobility</topic><topic>Ilium</topic><topic>Injuries</topic><topic>Joint instability</topic><topic>Joint Instability - complications</topic><topic>Joint Instability - diagnosis</topic><topic>Joint Instability - rehabilitation</topic><topic>Joints</topic><topic>Low Back Pain - etiology</topic><topic>Low Back Pain - rehabilitation</topic><topic>Medical diagnosis</topic><topic>Muscle, Skeletal - pathology</topic><topic>Patients</topic><topic>Physical therapists</topic><topic>Physical therapy</topic><topic>Physical Therapy Modalities</topic><topic>Posture</topic><topic>Practice</topic><topic>Prognosis</topic><topic>Range of Motion, Articular</topic><topic>Tennis - injuries</topic><topic>Transcutaneous Electric Nerve Stimulation</topic><topic>Women tennis players</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vaughn, H Todd</creatorcontrib><creatorcontrib>Nitsch, Wanda</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: High School</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Career & Technical Education Database</collection><collection>Nursing & Allied Health Database</collection><collection>Physical Education Index</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Healthcare Administration Database (Alumni)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>eLibrary</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Healthcare Administration Database</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Science Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>SIRS Editorial</collection><collection>MEDLINE - Academic</collection><jtitle>Physical therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vaughn, H Todd</au><au>Nitsch, Wanda</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ilial Anterior Rotation Hypermobility in a Female Collegiate Tennis Player</atitle><jtitle>Physical therapy</jtitle><addtitle>Phys Ther</addtitle><date>2008-12-01</date><risdate>2008</risdate><volume>88</volume><issue>12</issue><spage>1578</spage><epage>1590</epage><pages>1578-1590</pages><issn>0031-9023</issn><eissn>1538-6724</eissn><abstract>This case report describes the examination, evaluation, and intervention by a physical therapist for a female collegiate tennis player with a right ilial anterior rotation hypermobility.
The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hypermobility as a result of her tennis stroke. Functional limitations were related to sitting, squatting, gait, and playing tennis. Treatment interventions consisted of massage, joint manipulation, stretching, stabilization exercises, sport-specific exercises and modification of tennis stroke, proprioceptive taping, and the use of a sacroiliac belt.
After 26 weeks (33 treatments), tissue tenderness of the sacroiliac joint region was normalized, pelvic/trunk and lower-extremity mobility and flexibility were restored, sacroiliac symmetry and stability were regained, and the patient achieved her goal of returning to competitive tennis at the collegiate level.
The patient's right ilial anterior rotation hypermobility was directly related to the mechanics of her tennis stroke. Her outcomes suggest that rehabilitation should focus on the entire abdomino-sacro-pelvic-hip complex, addressing articular, neural, and muscular inhibitions and deficiencies.</abstract><cop>United States</cop><pub>American Physical Therapy Association</pub><pmid>18927196</pmid><doi>10.2522/ptj.20070238</doi><tpages>13</tpages></addata></record> |
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| identifier | ISSN: 0031-9023 |
| ispartof | Physical therapy, 2008-12, Vol.88 (12), p.1578-1590 |
| issn | 0031-9023 1538-6724 |
| language | eng |
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| source | EBSCOhost SPORTDiscus with Full Text; Oxford Journals Online |
| subjects | Adult Back pain Care and treatment Cryotherapy Data collection Female Hip Injuries - complications Hip Injuries - diagnosis Hip Injuries - rehabilitation Hip Joint - physiopathology Humans Hypermobility Ilium Injuries Joint instability Joint Instability - complications Joint Instability - diagnosis Joint Instability - rehabilitation Joints Low Back Pain - etiology Low Back Pain - rehabilitation Medical diagnosis Muscle, Skeletal - pathology Patients Physical therapists Physical therapy Physical Therapy Modalities Posture Practice Prognosis Range of Motion, Articular Tennis - injuries Transcutaneous Electric Nerve Stimulation Women tennis players |
| title | Ilial Anterior Rotation Hypermobility in a Female Collegiate Tennis Player |
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