title: Return to swimming protocol for competitive swimmers: a post-operative case study and fundamentals.
abstract: A large percentage of swimmers report shoulder pain during their swimming career. Shoulder pain in swimmers has been attributed to duration of swim practice, total yardage, and break down in stroke technique. Rehabilitation programs are generally land-based and cannot adequately address the intricacies of the swimming strokes. Return to swimming protocols (RTSP) that address progression of yardage are scarce, yet needed. The purpose of this clinical commentary is to familiarize the clinician with the culture and vernacular of swimming, and to provide a suggested yardage based RTSP for high school and collegiate level swimmers.
  
  
  METHODS
  5.
authors.affiliation: Eastern Kentucky University, Richmond, KY, USA.
authors.forename: Tracy
authors.initials: T
authors.lastname: Spigelman
authors.affiliation: The Shoulder Center of Kentucky, Lexington Clinic, Lexington, KY, USA.
authors.forename: Aaron
authors.initials: A
authors.lastname: Sciascia
authors.affiliation: University of Kentucky, Lexington, KY, USA.
authors.forename: Tim
authors.initials: T
authors.lastname: Uhl
keywords: Freestyle stroke; technique; yardage