Instructional Concurrent Session VIII

Date/Time: Sun, October 10, 2021 8:45 AM to 10:45 AM

All Time is Not Equal: Tissue Healing as a Paradigm for Evidence-Based Clinical Decision Making in the Case of a Student Athlete


This two-hour presentation will discuss the etiology and aggravating factors of common upper extremity soft tissues injuries. The presentation will identify specific soft tissue dysfunctions and propose progressive rehabilitative solutions. It will outline the integration of upper extremity orthoses in the soft tissue rehab process and highlight a male professional tennis player with chronic ulnar-sided soft tissue wrist pain. Both will illustrate the impact of excessive load on the mechanical properties of tissue through a pattern of faulty movement patterns, muscle imbalance, altered joint mechanics and the production of symptoms.


  • Discuss the three phases of tissue healing and the importance of selective, progressive therapeutic intervention during each phase of tissue healing.
  • Describe the pattern of faulty movement, muscle imbalances and altered joint mechanics in the production of common upper extremity soft tissue injuries.
  • Detail the clinical rationale behind distal upper extremity diagnoses resulting from proximal upper extremity pathologies.
  • The learner will recognize three upper extremity orthoses as a critical modality in the effective management of soft tissue upper extremity injuries.
  • Introduce the case of a male professional tennis player as clinical case study evidence of the effects of upper extremity soft tissue mobilization, exercise and orthotic management.