en آسیب شناسی ورزشی و حرکات اصلاحی Sport injury and corrective exercises گزارش مورد case report <div style="text-align: justify;"><span style="font-size:14px;"><span style="font-family:Tahoma;"><span style="line-height:2;"><b><span lang="EN-IN">Background: </span></b><span lang="EN-IN">Shoulder injuries are prevalent among fast bowlers due to repetitive high-velocity overhead movements commonly resulting in rotator cuff tears, superior labrum anterior-posterior (SLAP) lesions and shoulder impingement. These injuries affect both physical function and psychological readiness, posing challenges in return-to-sport outcomes.</span><br> <b><span lang="EN-IN">Case Presentation: </span></b><span lang="EN-IN">This case study reports the rehabilitation of a 30-year-old male professional fast bowler who presented with a Grade 2C rotator cuff tear, SLAP tear and signs of shoulder impingement confirmed by MRI. The athlete underwent arthroscopic repair followed by a structured 12-week rehabilitation program.</span><br> <b><span lang="EN-IN">Intervention:</span></b><span lang="EN-IN"> The rehabilitation protocol was delivered in three progressive phases focusing on pain management, range of motion restoration, scapular and rotator cuff strengthening and sport-specific drills. Psychological readiness was concurrently addressed using the Injury Psychological Readiness to Return to Sport Scale.</span><br> <b><span lang="EN-IN">Outcome Measures:</span></b><span lang="EN-IN"> Outcomes were measured using the Visual Analogue Scale (VAS), Shoulder Pain and Disability Index (SPADI), I-PRRS, Range of Motion (ROM) and Manual Muscle Testing (MMT). Assessments were conducted at baseline, 6 weeks, and 12 weeks postoperatively.</span><br> <b><span lang="EN-IN">Results:</span></b><span lang="EN-IN"> The athlete demonstrated significant improvements in pain, function (SPADI: 72% to 9%), and psychological readiness (I-PRRS: 38 to 92). ROM improved to near-normal values, and MMT scores increased from Grade 3 to 5. The athlete successfully returned to competitive bowling without complications.</span><br> <b><span lang="EN-IN">Conclusion:</span></b><span lang="EN-IN"> A multidimensional, phased rehabilitation program that integrates physical and psychological recovery strategies can effectively restore shoulder function and performance in elite fast bowlers&rsquo; post-surgery. This case underscores the importance of individualized, sport specific rehabilitation in overhead athletes.</span></span></span></span></div> Rotator cuff tear, SLAP lesion, fast bowler, shoulder rehabilitation, I-PRRS, SPADI, return to sport 0 0 http://ptj.uswr.ac.ir/browse.php?a_code=A-10-701-3&slc_lang=en&sid=1 Geethapriya Vadamalai geethapriyavadamalai@gmail.com No Saveetha college of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India. Karthika Ramalingam karthikabr2111@gmail.com Yes Saveetha college of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India. Kamalakannan M kamal1712@gmail.com No Saveetha college of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India. Karthik Tamildasan karthikdasan@gmail.com No Saveetha college of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India. Suriya N suriya11nedunchezhiyan@gmail.com No Saveetha college of Physiotherapy, Saveetha Institute of Medical and Technical Sciences, Chennai, Tamil Nadu, India. Kavitha K kavibpt.1984@gmail.com No Meenakshi Academy of Higher Education and Research Centre, Chennai, Tamil Nadu.