Final Instructional Design Project

S A R A H W E AT H E R F O R D
PO ST - SU R G I C A L
R E H AB I L I TAT I O N
PR O TO C O L :
H O W TO C R E AT E A
R E T U R N - TO - P L AY
P R O TO C O L F O R S O C C E R
GOALKEEPERS POST-
SHOULDER SLAP TEAR
S U R G I C A L R E PA I R
EDAE 639
INSTRUCTIONAL DESIGN
Contents
Overview ................................................................................... 3
Why............................................................................................. 4
Instructional Methods ............................................................. 5
Vocabulary and Abbreviations Used................................... 5
Goals and Objectives .............................................................. 7
Important Note ......................................................................... 8
Schedule and Phases of Rehabilitation ............................... 9
Phase 1. 0-4 Weeks Post-Operative.................... 10
Phase 1 Activity: ..................................................... 11
Phase 2. 4-8 Weeks Post-Operative.................... 12
Phase 2 Activity: ..................................................... 13
Phase 3. 8-12 Weeks Post-Operative ................. 14
Phase 3 Activity: ..................................................... 15
Phase 4. 12-26 Weeks Post-Operative ............... 16
Phase 4 Activity: ..................................................... 17
Phase 5. 6 Months Post-Operative and Beyond18
Phase 5 Activity: ..................................................... 19
Evaluation................................................................................ 20
Colleague and Peer Formative Evaluation ...... 20
Learner Formative Evaluation ............................ 20
Summative Evaluation ........................................... 20
Appendix ................................................................................. 22
Jobe Exercises Example ........................................ 22
Learning Assessment Example ............................ 23
Summative Evaluation Interview Questions .... 28
Visual Representation of ID Model .................... 29
P O S T - S U R G I C A L R E H A B I L I TAT I O N
PLAN
HOW TO CREATE A RETURN-TO-PLAY PROTOCOL FOR SO CCER
GOALKEEPERS POST-SHOULDER S LAP TEAR S URGICAL REPAIR
OVERVIEW
Pillars of Athletic Training:

1. Injury Prevention
2. Clinical Evaluation and Diagnosis
3. Immediate Care
4. Treatment, Rehabilitation, and Reconditioning
5. Organization and Administration
6. Professional Responsibility
The six pillars of athletic training are the basis of the profession. In this instructional design
plan, emphasis will be placed on numbers 4 and 6: “Treatment, Rehabilitation, and
Reconditioning” and “Professional Responsibility.” The purpose of this manual is to give the
athletic trainer guidance on how to progress a soccer goalkeeper back to full participation after
shoulder SLAP tear surgical fixation.
WHY
Soccer goalkeepers are some of the most unique athletes there are. They play as an upper
body athlete in what is considered a “lower body” sport. While goalkeepers use their lower
extremity, they also use their upper extremity for a good amount of the work they do during
practices and games. Goalkeepers are responsible for catching, throwing, and diving and making
incredible saves to support the team. Inevitably, student-athletes will become injured. It is always
the hope that the injuries incurred while playing are not serious, but sometimes they are serious
and require surgical intervention.
Labrums within the shoulder can be very complex. Oftentimes, upper body athletes will
have a labral tear within their shoulder simply from the wear and tear on their body from
constantly using their shoulder; these tears are generally asymptomatic. Sometimes a student-
athlete completes a motion in such a way that this labral tear becomes symptomatic. Other times,
there is a specific mechanism of injury that causes an acute tear of the shoulder labrum. However
it happens, a SLAP tear (Superior Labrum, torn from Anterior to Posterior) can require surgical
fixation in order for the student-athlete to be able to perform at their highest level.
Athletic trainers around the country working with both men’s and women’s soccer teams
would benefit from a goalkeeper labral repair rehabilitation protocol. Through my work, I have
spoken with other soccer athletic trainers and athletic trainers for primarily upper body sports, as
well as soccer goalkeeper coaches. Each of these individuals admits that there is a need for a
soccer-specific shoulder labral tear rehabilitation protocol. Because of the way goalkeepers
catch, throw, and dive for soccer balls, it is virtually impossible to adopt another sports return-to-
play protocol to what the goalkeepers need. For example, a soccer ball is similar in size to a
volley ball, but goalkeepers must be able to throw it (not hit it like in volleyball) about 30 yards
before it bounces. Baseball rehabilitation protocols are also not totally relevant because of the
ball size and throwing technique needed in soccer. Goalkeepers throw the ball in an overhand
“slinging” fashion, versus the standard overhand throw, so the muscles used are slightly different
and require a different rehabilitation process. Because goalkeepers are also diving off the ground
to make saves, more proprioceptive work has to be implemented into the rehabilitation process
than with other overhead sports. Goalkeeper coaches have admitted that there is a gap in the
athletes’ training when returning to participation after shoulder surgeries because of physicians,
physical therapists, and athletic trainers not understanding the demands placed on soccer
goalkeepers.
INSTRUCTIONAL METHODS
The entirety of this instruction is done using experiential learning. The athletic trainer
will learn to create and implement their own post-SLAP tear surgical fixation rehabilitation
protocol. Feedback will be given via expert opinion and one-on-one individual effort.
VOCABULARY AND ABBREVIATIONS USED
SLAP tear: superior labrum, torn from anterior to posterior – one of two types of labral tears that
generally requires surgical intervention
ROM: range of motion
Passive ROM: range of motion is perform by the clinician, the patient is completely relaxed and
muscles are not contracting to perform the motion
Active Assisted ROM: range of motion is performed by the patient and assisted by clinician
ER: external rotation
IR: internal rotation
ABD: abduction
ADD: adduction
Scapular plane: in normal scapular alignment, the scapula of the shoulder is 30° from the midline
of the body
Pendulum exercises: a passive ROM exercise where the patient leans over a table or chair,
relaxes their affected arm, and slowly allows gravity to swing the affected arm in a
pattern (side to side, forward/backward, circles)
Isometric exercises: exercises where the joint angle and muscle length do not change during the
contraction
Isotonic exercises: exercises where the muscle length shortens and the joint angle remains the
same during a contraction
Eccentric exercises: exercises where the muscle lengthens as the joint angle changes during a
contraction
Neuromuscular control: the unconscious trained response of a muscle to a signal from the joint
Proprioception: the unconscious perception of movement and spatial orientation
Cryotherapy: cold therapy – ice bags, ice bath, Cryocuff
Theraband: a brand of resistive bands created for strengthening exercises
PNF stretching: proprioceptive neuromuscular facilitation; involves deeper stretching through
muscle contractions
Jobe exercises: a series of light shoulder exercises designed to strengthen the rotator cuff and
other shoulder muscles
Scapulohumeral coordination: also known as scapulohumeral rhythm; the kinematic interaction
of the scapula and humerus, ideal form decreases risk of injury
GOALS AND OBJECTIVES
Goals
The athletic trainer will be able to rehabilitate a NCAA Division I soccer goalkeeper back to full
participation following surgical fixation of a superior labrum anterior-posterior (SLAP) tear of
the shoulder.
The athletic trainer will learn how to take a goalkeeper through exercises and progressions that
will optimize their rehabilitation in the following categories of exercises:
a. Mobility
b. Strength
c. Proprioception
d. Sport-specific
Sport-Specific Objectives
1. Given a student-athlete soccer goalkeeper post-SLAP tear surgical fixation, the athletic
trainer will be able to create a catching progression from so that the student-athlete is able
to effectively stop shots on goal.
trainer will be able to design a throwing progression so the student-athlete can throw a
soccer ball 30 yards before bouncing.
trainer will be able to produce a diving progression that reteaches the student-athlete to
dive from their feet to save a shot and land in a way that protects their shoulder from
injury.
IMPORTANT NOTE
The student-athlete must be able to complete the goals of the phase before progressing onto the
next phase of the rehabilitation process. The weeks listed next to each phase are soft guidelines;
they are minimums. The athletic trainer should progress the student-athlete through each phase
under the supervision of a team physician and/or operating surgeon. These phases are designed
to allow adequate time for the stitches (internal and external), tendons, muscles, and newly
repaired labrum to heal. The athlete may progress slower that the printed guidelines, but not
faster. The athletic trainer will first have to progress the goalkeeper through mobility exercises,
and then add strength and proprioceptive exercises. It is only once the athlete has full mobility,
strength, and proprioception, that the athletic trainer should progress them to sport-specific
exercises. Clearance from the operating surgeon is required before the student-athlete begins the
throwing and diving progressions and other sport specific exercises (generally occurs around 5-6
months post-operative).
SCHEDULE AND PHASES OF REHABILITATION
For this instruction, the athletic trainer will have to create a rehabilitation protocol based
on the following phases of rehabilitation. Examples are given of what types of exercises should
be implemented during each phase, but it is up to the discretion of the athletic trainer to
determine how and when the athlete progresses. The athletic trainer should look at the goals of
each phase, and create a daily exercise program that will allow the athlete to reach each phase’s
specific goals.
PHASE 1. 0-4 WEEKS POST-OPERATIVE
General Observation Immobilization in sling/brace at all times.
Evaluation Goals
Pain Controlled
Range of Motion (ROM) minimum
Scapular plane elevation See limits below
External rotation See limits below
Internal rotation See limits below
Sleeping – in sling/brace 4 weeks
Frequency Passive and Gentle Active Assisted ROM
Flexion to 60° (week 1), 75° (week 2), 90° (weeks 3-4)
ER in scapular plane to 15° (weeks 1-2), 30° (weeks 3-4)
IR in scapular plane to 45° (weeks 1-2), 60° (weeks 3-4)
Elbow and Hand ROM Exercises

Hand Gripping Exercises
Active Assisted ROM

ER/IR in scapular plane (with ROM limits above)
Pullies in scapular plane (with ROM limits above)
Pendulum exercises – side to side, forward/backward, circles
Strengthening
Submaximal/Subpainful Isometrics
 Flexion (elbow bent)
 Extension (elbow bent)
 Abduction (elbow bent)
 External Rotation
 Internal Rotation
No biceps isometrics for 2 weeks
Neuromuscular Control Exercises

Proprioceptive Drills (weeks 3-4)
Modalities Cryotherapy
Electrical Stimulation
Interferential
Pain and Inflammation Control
Precautions No lifting objects (of any weight)
No isolated biceps contractions/strengthening
No active external rotation, internal rotation, extension, or abduction
No excessive stretching
No sudden movements
Sleep in sling/brace immobilizer
Goals  Maintain integrity of surgical repair
 Gradually increase passive range of motion
 Decrease pain and inflammation
 Prevent muscular inhibition
PHASE 1 ACTIVITY:
1. Why would the athletic trainer want to limit the athlete’s shoulder range of motion in the
first four weeks post-surgery?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. What are possible hand and elbow range of motion and hand gripping exercises the
athlete could perform in this phase of rehabilitation?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. What is the difference between passive range of motion and active assisted range of
motion? Why is it important to do both?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
General Observation Immobilization is removed.
Evaluation Goals
Pain Controlled
Flexion to 145° (weeks 4-6), 180° (weeks 7-9)
ER at 45° ABD to 50° (weeks 5-6)
ER at 90° ABD to 90-95° (weeks 7-9)
IR at 90° ABD to 70-75° (weeks 7-9)
Light ROM at 90° ABD (weeks 5-6)
Active Assisted ROM

Strengthening
Rhythmic Stabilization Drills (initiate at week 7)
Proprioceptive Drills (weeks 3-4)
Isotonics
Prone Extension to Neutral
Prone Rowing and Prone Horizontal ABD to Neutral
Full Can Exercises
Theraband Exercises
IR/ER at 0° of abduction (initiate at week 7-8)
Interferential
 Gradually restore full range of motion
 Restore muscular strength and balance
PHASE 2 ACTIVITY:
1. What phase of healing is the shoulder labrum in during this phase of rehabilitation? Why
is it important to take this into consideration when planning rehabilitation exercises for
the athlete?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. Why are neuromuscular control exercises important in a post-surgical rehabilitation

protocol (for any area of the body)? What are 3-5 examples of neuromuscular control
exercises for the shoulder?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. You find out your athlete has been taking their dog out for walks daily. They generally
hold the leash in the hand of the affected shoulder. Should you allow this to continue?
Why or why not?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
General Observation Normal Scapulohumeral Coordination.
Evaluation Goals
Pain Unremarkable
Flexion to 180° (weeks 7-9)
ER at 90° ABD to 90-95° (weeks 7-9)
IR at 90° ABD to 70-75° (weeks 7-9)
Full ROM should be achieved by week 10
Active Assisted ROM

Strengthening
Supine Rhythmic Stabilization Drills (initiate at week 7)
Proprioceptive Drills
PNF Stretching with Manual Resistance (weeks 8-10)
Isotonics
Full Can Exercises
Advance to more aggressive strengthening (weeks 10-12)
Theraband Exercises
Advance theraband program for strengthening ROM
Jobe Exercises with no weight

Interferential
No open-chain exercises
 Gradually restore full range of motion
 Restore muscular strength and balance
PHASE 3 ACTIVITY:
1. What is considered normal scapulohumeral coordination? How would you assess for
this?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. What are the different types of PNF stretching? How do you perform them?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. What is the purpose and benefit of Jobe exercises? Are there any that you would not want
the athlete to perform during this phase of the rehabilitation protocol?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
General Observation Normal Scapulohumeral Coordination.
Strength is 80% of contralateral side.
No pain or tenderness.
Evaluation Goals
Pain Unremarkable
Scapular plane elevation Full
External rotation Full
Internal rotation Full
Frequency Passive and Active ROM
Stretch as needed to maintain full ROM, especially ER
Stretching Exercises
Continue daily stretching
Capsular stretches vs Muscular stretches
Strengthening
Supine Rhythmic Stabilization Drills
PNF Stretching with Manual Resistance
Isotonics
Aggressive Strengthening Program – continue to progress
Full Can Exercises
Advance to more aggressive strengthening
Theraband Exercises
Jobe Exercises with weight (progress as tolerated)
Plyometrics
Light plyometric program (initiate in weeks 14-16)
Advance plyometric program (weeks 20-26)
Functional Activities
Restricted sports (initiate in weeks 14-16)
Initiate sport specific program (catching, throwing, etc.)
Interferential
Precautions Avoid loading posterior labrum and posterior shoulder capsule
No narrow grip bench press, no flys, etc.
Goals  Gradually restore full function
 Advance muscular strength and balance
PHASE 4 ACTIVITY:
1. What is the difference between a capsular stretch and a muscular stretch? Which is
generally more comfortable for the athlete?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. What are your criteria for beginning sport-specific activities, such as catching and
throwing?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. Why do you not want the athlete to load the posterior labrum or posterior shoulder
capsule?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
PHASE 5. 6 MONTHS POST-OPERATIVE AND BEYOND
General Observation Full non-painful ROM.
Satisfactory stability.
Strength is 90% of contralateral side.
No pain or tenderness.
Evaluation Goals
Pain Unremarkable
Scapular plane elevation Full
External rotation Full
Internal rotation Full
Frequency Stretching Exercises
Continue daily stretching
Capsular stretches vs Muscular stretches
Strengthening
Supine Rhythmic Stabilization Drills
PNF Stretching with Manual Resistance
Isotonics
Aggressive Strengthening Program – continue to progress
Full Can Exercises
Advance to more aggressive strengthening
Theraband Exercises
Jobe Exercises with weight
Plyometrics
Advanced plyometric program
Functional Activities
Progress sport specific program (throwing, diving, etc.)
Interferential
Precautions No restrictions
Goals  Gradually restore full function
 Advance muscular strength and balance
 Gradual return to full sport participation
PHASE 5 ACTIVITY:
1. Should the athlete be allowed to participate in weight room activities in this phase of
rehabilitation? Why or why not?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
2. How would you progress the athlete’s sport specific program? What activities or
exercises would you have them doing?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. Create a rough draft of a sport-specific throwing and diving program for your student-
athlete. Attach separately.
4. Is it necessary to continue cryotherapy in the end phases of rehabilitation? Why or why

not?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
EVALUATION
COLLEAGUE AND PEER FORMATIVE EVALUATION

Prior to the creation and implementation of this guide, informal interviews will be
conducted with stakeholders of the program: athletic trainers, team physicians, coaches, sports
medicine directors, and student-athletes. It is also these individuals who are responsible for the
evaluation throughout the program. Their input is important for determining if the goals of the
rehabilitation protocol are being met.
LEARNER FORMATIVE EVALUATION

Throughout the rehabilitation process and working with the student-athlete, the athletic
trainer will constantly be evaluated by the stakeholders. Creating a rehabilitation protocol is
something that cannot be practiced because an injured student-athlete is working on returning to
full participation by going through the rehabilitation protocol. One-on-one evaluation of the
rehabilitation protocol will be able to determine if the protocol created by the athletic trainer is
effective.
SUMMATIVE EVALUATION
At the completion of the rehabilitation protocol when the student-athlete has been cleared
by a team physician for full athletic participation in their sport, an interview process will take
place. The purpose of this interview process is to look at the potential benefit the rehabilitation
protocol design program had for athletic trainers and student-athletes. Multiple questions will be
asked of the athletic trainers, student-athletes (sample questions in Appendix), and other
stakeholders and a final report will be compiled with themes from the interview responses. From
these themes, further evaluation will be completed to determine if any additional teaching or
resources are needed for the athletic trainer to create and progress a full rehabilitation protocol
for the athlete. All of this information will be shared with the program stakeholders.
Athletic trainers do not have the luxury of getting to “do-over” an athlete’s rehab if
something does not progress according to plan or if, when the athlete returns to full participation,
they decide they do not feel comfortable with a movement or exercise. Because of that, this
evaluation will impact the next athlete who has to go through surgery and rehabilitation for a
shoulder labral tear. The athletic trainers will be responsible for taking the feedback and from the
interviews and changing how the rehabilitation process is done based on what is needed.
APPENDIX
JOBE EXERCISES EXAMPLE

LEARNING ASSESSMENT EXAMPLE
The following is an example of daily rehabilitation exercise sheet for phase 5 that an
athletic trainer could create. It is important to note that this is not the only possible progression,
simply an example of one potential progression. The athletic trainer receives feedback from their
coworkers, peers, supervisory staff, and team physicians on the content, quality, and timing of
the protocol. Should any changes to the created rehabilitation protocol be necessary, the athletic
trainer would go back and complete those necessary changes before the student-athlete begins
that part of the rehabilitation protocol.
Name: DOI:
Injury: SLAP Tear Repair DOS:
Exercise A Day B Day
TB ER/IR @ 0 deg 3x10
TB ER/IR @ 90 deg 3x10

Sidelying DB ER - plank
3x12 3x12
position
DB flexion, scap, abduction 3x10 3x10
Prone ER 3x10
Prone Horizontal Abduction
3x
5/5/5
TB PNF D1 and D2 Patterns 2x15each 2x15each
Wall Dribble 3x30sx3pos 3x30sx3pos
Wall Clocks 3xeach 3xeach
Rhythmic Stabilization 3x30sx3pos 3x30sx3pos
Ice X X
Notes:
Athletic Trainer:
Soccer Goalkeeper Throwing and Diving Progression Example
Criteria for Progressing to Next Step:
 Pain-free after completing step
 If step is able to be completed pain-free, repeat step the next day
 No more than two days of throwing in a row
 May progress to next step if pain-free, no swelling, or any other symptoms
 Two days per step – two steps each week
 Schedule Example: Step Two (Monday/Tuesday), Rest (Wednesday), Step Three
(Thursday/Friday), Rest (Saturday/Sunday)
Throwing Diving
Step One (warm-up throws) Start at 7 months
*Start with a tennis or lacrosse ball to get Step One (8-12 balls)
the motion correct and pain-free  Sit on ground
 Stand 5-15ft away from  Receive ball with 2 hands elbows in, 2-3
wall/goal/partner times each side
 1 arm underhand roll to R and L sides (5 o Controlled collapse to the ground,
rolls each) forward and to both sides
 2 arms overhead (5 tosses)  5 minute rest
 2 arms overhead with bounce (5 tosses)  Receive ball with 2 hands elbows in, 2-3
 1 arm overhead (5 tosses) times each side
 1 arm overhead with bounce (5 tosses) o Controlled collapse to the ground,
forward and to both sides
Start at 5-6 months Step Two (12-18 balls)
Step Two (20-30 throws total)  Sit on ground
 Warm up throws  Receive ball with 2 hands extended from
 10ft from a wall, 10-15 throws at 50% body, 2-3 times each side
effort o Controlled collapse to the ground,
 5 minute rest forward and to both sides
 10ft from a wall, 10-15 throws at 50%  5 minute rest
 Receive ball with 1 hand extended from
body, 2-3 times each side
o Controlled collapse to the ground, to
both sides
Step Three (30-36 throws total) Step Three (12-18 balls)
 Warm up throws  Kneel on ground
 10ft from a wall, 10-12 throws at 75%  Receive ball with 2 hands elbows in, 2-3
 5 minute rest times each side
 10ft from a wall, 10-12 throws at 75% o Controlled collapse to the ground,
 5 minute rest forward and to both sides
 Receive ball with 2 hands elbows in, 2-3
times each side
o Controlled collapse to the ground,
Step Four (20-30 throws total) Step Four (10-15 balls)
 Warm up throws  Kneel on ground
 20ft from a wall, 10-15 throws at 50%  Receive ball with 2 hands extended from
 5 minute rest body, 2-3 times each side
 20ft from a wall, 10-15 throws at 50% o Controlled collapse to the ground,
 5 minute rest
both sides
Step Five (30-36 throws total) Step Five (8-12 balls)
 Warm up throws  Standing
 20ft from a wall, 10-12 throws at 75%  Receive ball with 2 hands elbows in, 2-3
 5 minute rest times each side
 20ft from a wall, 10-12 throws at 75% o Controlled collapse to the ground, to
 5 minute rest both sides
 Receive ball with 2 hands elbows in, 2-3
times each side
both sides
Step Six (20-30 throws total) Step Six (8-12 balls)
 30ft from a wall, 10-15 throws at 50%  Receive ball with 2 hands extended from
 5 minute rest body, 2-3 times each side
 30ft from a wall, 10-15 throws at 50% o Controlled collapse to the ground, to
both sides
 5 minute rest
both sides
Step Seven (30-36 throws total) Step Seven
 30ft from a wall, 10-12 throws at 75%  Receive ball outside of shoulder range
 5 minute rest o Push off of the ground
 30ft from a wall, 10-12 throws at 75%  Either collect ball or tip ball out of goal
 5 minute rest  Control body when making contact with the
 30ft from a wall, 10-12 throws at 75% ground
Step Eight (15-24 throws total)

 Warm up throws
 10ft running approach, receive volley,
catch, and throw back at 50%, 5-8
throws
 5 minute rest
throws
 5 minute rest
throws
Step Nine (15-24 throws total)
 Warm up throws
throws
 5 minute rest
throws
 5 minute rest
throws
Step Ten (12-20 throws total)
 Warm up throws
 6-10 standing short throws, full arm
swing (smooth swing – easy, does not
require full effort)
 5 minute rest
 6-10 standing short throws, full arm
swing (hard swing – stronger, requires
more effort)
Step Eleven (12-20 throws total)
 Warm up throws
 6-10 standing long throws, full arm
swing (smooth)
 5 minute rest
 6-10 standing long throws, full arm
swing (hard)
Step Twelve (16-20 throws total)
 Warm up throws
 8-10 standing target throws, full arm
swing (can be smooth or hard depending
on where the ball is going)
 5 minute rest
 8-10 standing target throws, full arm
swing (can be smooth or hard depending
on where the ball is going)
SUMMATIVE EVALUATION POSSIBLE INTERVIEW QUESTIONS
Athletic Trainer
1. How much planning ahead did you do for your athlete’s rehabilitation and how much was
determined based on how the athlete presented each day?
2. What did your athlete struggle with the most as they neared the end of their rehabilitation
process and were working towards sport-specific goals?
3. What was the most difficult part of the rehabilitation process as an athletic trainer?
Team Physician
1. Did you feel comfortable with the athletic trainer progressing the athlete per surgical
protocol? Or did you feel that is was necessary to have frequent follow-ups with the
athlete to determine progression through the rehabilitation protocol?
2. What do you look for when doing a return-to-play clearance evaluation? How can athletic
trainers and athletes better prepare for this?
Coaches – Soccer and Strength & Conditioning
1. What is the relationship between the athletic trainer/rehabilitation and the strength and
conditioning coaches/weight lifting during the rehabilitation process?
2. Do you feel that the athlete was prepared for full participation in their sport and position
once they were cleared to do so?
3. Do you wish the athlete was more prepared in any areas? (Examples: strength, mobility,
endurance, etc.)
Athlete
1. Were you comfortable with the rate at which you progressed through your rehabilitation?
2. Did you feel the sport-specific portion of your rehabilitation could easily be transferred to
what you would be expected to do in a practice or game?
3. When you were cleared for full participation in your sport, did you feel that you were
ready to play and at 100%?
VISUAL REPRESENTATION OF ID MODEL

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S A R A H W E AT H E R F O R D

Pillars of Athletic Training:

Elbow and Hand ROM Exercises

Active Assisted ROM

Neuromuscular Control Exercises

Active Assisted ROM

2. Why are neuromuscular control exercises important in a post-surgical rehabilitation

Active Assisted ROM

Jobe Exercises with no weight

Jobe Exercises with weight (progress as tolerated)

Jobe Exercises with weight

4. Is it necessary to continue cryotherapy in the end phases of rehabilitation? Why or why

COLLEAGUE AND PEER FORMATIVE EVALUATION

LEARNER FORMATIVE EVALUATION

JOBE EXERCISES EXAMPLE

Injury: SLAP Tear Repair DOS:

Exercise A Day B Day

TB ER/IR @ 0 deg 3x10

TB ER/IR @ 90 deg 3x10

Wall Dribble 3x30sx3pos 3x30sx3pos

Wall Clocks 3xeach 3xeach

Rhythmic Stabilization 3x30sx3pos 3x30sx3pos

Step Eight (15-24 throws total)

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