isometric isometric The amount of internal force necessary to maintain stability and/or produce movement is continuously reorganized/reallocated to allow the climber to maintain equilibrium bilaterally along the trunk UE and LE with deviation of the climber’s body-weight. The act of climbing requires coordinated movements of the shoulder and depend on proper function and contribution of contractions.4 different agonist/antagonist muscle groups using specific modes of As the sport climbing places high demands on the shoulder, analyzing the strength profile of the shoulder musculature in these athletes may help to understand the adaptation due to this sport, so that training may be designed injuries.4 accordingly to maximize performance and prevent Future research is indicated including clinical trials that include baseline outcome measures as well as long-term follow-up. High quality clinical trials focused on proprioceptive challenge of the shoulder joint with CKC interventions or implementations of balance and/or core stability training in conjunction with traditional means of shoulder rehabilitation are warranted. Furthermore, such research designs are also indicated that are implemented across patient populations of rock-climbers. This rationale is due to the ever-growing popularity of indoor/outdoor rock-climbing as a competitive or recreational activity across all patient demographics and presents an increased probability of encountering these types of patients within the outpatient setting. References: 1. Kibler W.B et al. Closed-Chain Rehabilitation for Upper and Lower Extremities. J Am Acad Orthop Surg, 2001;volume 9:412-421 2. Forster R et al. Climber’s Back- Form and Mobility of the Thoraco-lumbar Spine Leading to Postural Adaptations in Male High Ability Rock Climbers. Int J Sports Med, 2009;volume 30:53-59 3. Noe. F et al. Modifications of anticipatory postural adjustments in rock climbing task: The effect of supporting wall inclination. Journal of Electromyography and Kinesiology, 2006;volume 16:336-341 4. Wong Emmy K.L et al. Isokinetic Work Profile of Shoulder Flexors and Extensors in Sport Climbers and Non-Climbers. JOSPT, 2008;volume38 (9):572-577.

### Notes on Implications Section

§ section synthesizes your comments from the appraisal of your articles, and § section synthesizes your comments from the appraisal of your articles, and may mention other related research that you have read or that supports your interpretation and discussion

§ on whether the intervention is used in practice in your region/country, § on whether the intervention is used in practice in your region/country, cost of that treatment, need for education of local therapists/students about this intervention and/or outcome measures used in the CAT

§ may wish/need to discuss implications with clinicians or peers for § may wish/need to discuss implications with clinicians or peers for suggestions -- use the discussion board!

§ section should be ¾-1 page § section should be ¾-1 page

§ sure to address both implications for clinical practice and future research § sure to address both implications for clinical practice and future research (separately)

## REFERENCES

[List all references cited in the CAT]

1. Institute for Work & Health. The QuickDASH Outcome Measure, a faster way to measure upper- extremity disability and symptoms, Information for Users. Institute for Work and Health, 2006, Assessed October 21, 2014, www.dash.iwh.on.ca 2. Neuman BJ et al. Results of Arthroscopic Repair of Type II Superior Labral Anterior Posterior Lesions in Overhead Athletes: Assessment of Return to Preinjury Playing Level and Satisfaction. American J Sports Med, September 2011; volume 39(9): 1883-1888 3. Arab A.M et al. Sensitivity, specificity and predictive value of the clinical trunk muscle endurance