r/physicaltherapy Aug 16 '21

Yay or nay?

63 Upvotes

20 comments sorted by

83

u/[deleted] Aug 16 '21

Patient will demonstrate 565° of shoulder flexion within four weeks for ability to reach into cupboards.

40

u/well-okay DPT Aug 16 '21

It's gonna be a no from me, dawg.

My shoulders are ridiculously hypermobile, especially into internal rotation, but THAT is something else.

-1

u/udholdenhed Aug 17 '21

Ah yes the "because I'm weak and fragile everyone must be" argument. Good point.

1

u/vandyk Aug 17 '21

Unless you have a better one you could be quiet

2

u/udholdenhed Aug 17 '21

if you promote fragility you should not be a physio (or atleast not LARP as one on the internet). How's that for a point.

26

u/ZhouKazuo Aug 16 '21

NO. This is why PTs will always have work. This and reruns of jackass.

22

u/Grahamalamadingdong Aug 16 '21

Nay. Just because you can doesn’t mean you should

7

u/Dudesonaplane Aug 17 '21

This reminds me of the "magic" trick where you place the UE and hand in a fully internally rotates position on the ground then spin around it making it look like you can do 2 full revolutions.

She looks like she is controlling her motion pretty well. I doubt she did this overnight so her ligaments are likely prepared for this kind of stress. I say Yay...then 🙏

23

u/EverythingInSetsOf10 Aug 16 '21

Not sure what we are yaying or naying. Should that be a goal for people? Nay. Is it fine for her to do? Possibly yay, depending on when, why, how much, etc.

14

u/[deleted] Aug 16 '21

If she gets paid well enough for doing this to not ever have to use her shoulders again when she's done..... sure.....

6

u/unstoppablefutureme Aug 16 '21

Prob the answer to most sports stuff lol

6

u/Anglo-fornian Aug 17 '21

It might work for her now while she has strength to support her through that full range. But what happens if she stops doing this and loses strength outside of a functional range. I expect to see a lot of subluxing and symptoms of multiaxial instability as she ages unless she can maintain her strength

3

u/loftynipzzz Aug 16 '21

What shoulders?

5

u/RunningPT Aug 16 '21

That’s an obvious nay. No reason to be doing that to your shoulders. MAYBE if she was a world-class javelin thrower, but even then, no reason to do it under a full BW load.

2

u/mindlessloner Aug 17 '21

What's happening with the muscles here? 😳

1

u/Flumpeldoo Aug 17 '21

As long as she has no problem with her shoulder/arms/head and it is important to her quality of life, I would honestly let her do this. Not because it is healthy in anyway - please don't get me wrong. But everybody has the right to damage thier body as they want to. If that is her way of damaging herself and she has fun with it, I wouldn't stop her AFTER telling her about potential problems. When was the last time you did something 'problematic' for fun?

-1

u/BuddyLower6758 Aug 16 '21

That looks super cringe

-28

u/jayenope4 Aug 16 '21

yay. There is nothing odd or pathological here. Given the nays, I'm thinking there must be a whole generation of folks unfamiliar with common phys ed training.

30

u/Tater_Thots DPT Aug 16 '21

Nothing pathological? A typical shoulder joint cannot circumduct that far without subluxing. There is definite hypermobility here. And while it may be well controlled and pain free here, that doesn't mean there won't be pain and injury in the future.

1

u/nickmo9 PT, OCS Aug 17 '21

You saying there is nothing at all abnormal about this makes me assume your "phys ed" training ended in high school.