Sheila Leddington Wright*
School of Life Sciences, Coventry University, UKFulltext PDF
Participant: Male athlete early 30’s presenting post-competition at World Transplant Games with reoccurring piriformis syndrome. Previously treated successfully, however reoccurs after intense periods of exercise and settles after 2 to 3 weeks. Generally good health with no previous injuries reported however kidney transplants two years ago following eight years of illness. Medication for high blood pressure and anti-rejection. Works full time as a sound engineer involving standing holding a boom for long hours. Main Outcome Measures: Assessment using the selective functional movement top tier and breakout multi-segment rotation. During breakout remembered previous right ankle injury. Results: Thoracic stability/motor control dysfunction and mobility dysfunction medial tibial rotation. Treatment with exercises to improve stability and motor control in thoracic rotation and mobilization to improve right medial tibial rotation. Discussion: SFMA assessment stimulated remembering an ankle injury whilst playing semiprofessional football prior to transplant. The thoracic stability and motor control could be related to the deconditioning during illness, the transplant surgery and his working stance. The mobility dysfunction of tibial rotation may relate to the previous ankle injury. Conclusion: The SFMA is a useful took to identify areas of dysfunction away from the symptoms which maybe sustaining the chronic problems.
Piriformis syndrome; SFMA; Multi-sport event
Wright SL. A Case Study: Piriformis Syndrome in Transplantee Athlete Special Considerations? Treat the Symptoms? Find the Cause?. Ann Clin Case Rep. 2020; 5: 1811.