Type II Slap Lesion This concept map represents

Type II Slap Lesion This concept map represents the treatment plan during the repair phase for a 20 year old baseball pitcher with a Type II Slap Lesion. Electrotherapy, exercise, ultrasound and massage are used to facilitate the healing process. IFC Gate Control 90 -130 pps <100 μsec 20 min 2 Repair Phase Treatment Plan IFC Atrophy Reduction 50 -85 pps 5/5 20 min 3 Activates Gate Control Theory 2 Leads To Effleurage 4 Massage Exercise Stimulates 1 Muscle Contraction 3 Increases 4 Ultrasound Allows for 4 Blood Flow 4 Results In 6 Lymphatic Drainage 4 Leads To 4 4 Collagen Restructuring 4 1. Herzog (2008) 2. Titinsky (2010) 3. Dolan (2004) 4. Knight (2008) 5. Baker (2001) 6. Speed (2001) Produces 5 Decreases 1 Cellular Debris 1 Results In 1 ↓ Post Acute Edema 1 Cavitation 5 5 Increases 5 O 2 & Nutrient Delivery 4 Follows 4 Leads To 6 Increases Lines of Force 4 4 Fibroblast Activity 4 Increases 4 Tensile Strength 4 Collagen Extensibility Microstreaming 5 Increases 4 ↓ Joint Stiffness 4 Increases 6 Increases 4 ↓ Pain 2 Leads To 4 Produces 5 Angiogenesis 6 Stimulates 2 ↑ ROM Promotes 6 Increases 4 Stimulates 4 2 References: Thermal 100% DF 3 MHz 10 min 6 AROM and strengthening exercises 1 Produces 3 Stimulates 2 2 150° F Hot pack 20 min. 4 4 Begin With 4 Electrotherapy A-Beta Fibers 2 Decreases 4 Ohms Increases 5 ↑ ROM 5 Leads To 6 Macrophage Activity 5 Decreases 5 Increases 4 Collagenization 4 ↓ Joint Stiffness 5 Cellular Debris 5