What are you doing?
Perform a physical assessment and ask further questions about her pain
Recommend immediate rest and apply ice
Advise her to push through the pain and keep training.
Physical assesment
What is the next step?
You conducted Hawkins Kennedy Test and Empty Can Test, resulting in positive results. Now, you must decide on the next step.
Educate her on proper swimming technique and suggest stroke modifications
Give her a resistance band and start shoulder strengthening exercises immediately
Rest and ice
She follows your advice and takes a break for a day, but the pain persists
Whats next?
Recommend she take a full week off and reassess
Recommend anti-inflammatory medication and monitor progress
Ignore the pain
The athlete continues training through the pain, but it worsens. After two weeks, she can no longer lift her arm.
What should the athlete do now?
Quit swimming
Finally seek medical attention
Propper swiming technique
You educate the athlete on proper technique and suggest some stroke modification to improve performance
What should the athlete do?
Accept the modifications and learn the new technique
keep their old technique
Resistance band exercises
The athlete realizes several resistance and recovery exercises. After several days of recovery you notices that the athlete is not improving as expected, so you recommend athlete to visit a physical therapist
What should the athlete do?
Denie the offer and keep doing exercises by herself
Go with a physical therapist
Full week off and reasesment
The athlete takes a full week off for rest, recovery, and preparation. After the week the athelete was evaluated to determine her readiness to resume swimming. The athelete was not fully recovered yet, therefore she needs one more week off.
What should the athete do
Wait one more week
Do not wait one week
Inflammatory medication and monitoring
Regular check-ups and symptom tracking, you notice that the medications are not working properly and are causing side effects to the athlete
What are you doing?
Keep relying on medications
Try a different method
Quit swimming
The athlete decieded to quit swimming because she felt frustated
what should you do?
Tell her to try a different sport
Accept her decision
Seek medical attention
After being unable to lift her arm. The athlte finally saw a specialist. You reccomended her to visit a orthopedic specialist or physical therapist
Wich specialist should the athelte choose
Orthopedic specialist
Physical therapist
new technique and modifications
The athlete modifies her strokes, strengthens her rotator cuff, and takes scheduled rest days. Her pain ends, and she returns stronger.
Restart
old technique
The athlete ignores all recommendations and continues training, eventually needing to stop due to severe pain.
Restart
training by her own
The athlete keeps training by her own but shey doesn't see any positive results. The athlete quits swimming out of frustration, losing interest in the sport she once loved
Restart
physical therapist
The athlete accepts the offer and visits a physical therapist. Under a physical therapist’s guidance, She fully recovers and improves her swimming technique
Restart
Week off
The athelte decided to rehabilitate and rest one more week. After combining physical therapy, technique improvement, and adequate rest, the athlete became a stronger swimmer
Restart
do not rest
The athlete did not take a week off and resumed swimming, resulting in severe injuries. The pain led to a full rotator cuff tear, requiring surgery and months of rehabilitation.
Restart
medication dependence
Painkillers mask the pain, leading to worsening injury and dependency. The medications causedadverse effects such as stomach issues, high blood pressure, or immune suppression
Restart
Different method
You encouraged the athlete to try alow impact training such as kickboard drills to reduce strain. While doing low impact training, the athlete prevents injuries and allow recovery, keeps endurance withouth excessive strain, and focuses on controlled tequniquee and efficiency.
Restart
alternative sport
The athlete switches to a different sport with less shoulder stress and succeeded
Restart
accept her decision
The athlete decided quitting swimming because she felt frustrated. You didn't interfere with her decision, you didn't offer her different alternatives. She quit doing what she loved because of you, you are the WORST pathetic trainer in the world.
Restart
Orthopedic specialist
The orthopedic specialist helped the athlete with recovery by diagnosing the severity of the shoulder impingement through a physical exam and tests like X-rays, and MRIs. The orthopedist recommended rest and corticosteroid injections to reduce pain and swelling. Finally, the orthopedic guided the athlete through a rehabilitation program to ensure a safe return to training while minimizing the risk of getting injured again.
Restart
Physical therapist
The physical therapist helped the athlete recover by first assessing the shoulder’s range of motion, strength, and pain level to determine the severity of the impingement. The therapist designed a personalized rehabilitation program that included stretching to improve flexibility and strengthening exercises to stabilize the shoulder. Manual therapy techniques, such as massage or joint mobilization, were used to relieve pain and improve movement. Through a structured recovery plan, The athlete gradually returned to swimming.
Restart
Do you want to customize your branching scenario? Here are some tips:
- Before editing the branching scenario itself, edit in the outline first. This way you’ll get an overview and know which questions and answers go on each page.
- When editing, follow the order of the pages, from the first page or question until you reach the final pages.
Take a look at the structure of this branching scenario. Each page has a number associated with it, contains a question, and leads to several answer options. If on page 4 they choose option A, they go to page 5. But if they choose option B, they go to page 6, which contains a different question. This branching scenario is set up so that if you keep the structure the way it is, there’s no need to edit the interactivity or connections between pages. But you can also modify them. For example, imagine you want to add an option C to the question on page 5, and if they choose this option, they skip to the question on page 10. You’ll just need to set up the 'Go to page' interactivity from option C so that it jumps directly to page 10. As you can see, the most important thing when creating your branching scenario will be planning it well and assigning a number to each page before beginning to edit it. This way, you’ll be able to modify the connections very easily.
shoulder impingement
Juan Pinon Arciga
Created on March 28, 2025
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Transcript
What are you doing?
Perform a physical assessment and ask further questions about her pain
Recommend immediate rest and apply ice
Advise her to push through the pain and keep training.
Physical assesment
What is the next step?
You conducted Hawkins Kennedy Test and Empty Can Test, resulting in positive results. Now, you must decide on the next step.
Educate her on proper swimming technique and suggest stroke modifications
Give her a resistance band and start shoulder strengthening exercises immediately
Rest and ice
She follows your advice and takes a break for a day, but the pain persists
Whats next?
Recommend she take a full week off and reassess
Recommend anti-inflammatory medication and monitor progress
Ignore the pain
The athlete continues training through the pain, but it worsens. After two weeks, she can no longer lift her arm.
What should the athlete do now?
Quit swimming
Finally seek medical attention
Propper swiming technique
You educate the athlete on proper technique and suggest some stroke modification to improve performance
What should the athlete do?
Accept the modifications and learn the new technique
keep their old technique
Resistance band exercises
The athlete realizes several resistance and recovery exercises. After several days of recovery you notices that the athlete is not improving as expected, so you recommend athlete to visit a physical therapist
What should the athlete do?
Denie the offer and keep doing exercises by herself
Go with a physical therapist
Full week off and reasesment
The athlete takes a full week off for rest, recovery, and preparation. After the week the athelete was evaluated to determine her readiness to resume swimming. The athelete was not fully recovered yet, therefore she needs one more week off.
What should the athete do
Wait one more week
Do not wait one week
Inflammatory medication and monitoring
Regular check-ups and symptom tracking, you notice that the medications are not working properly and are causing side effects to the athlete
What are you doing?
Keep relying on medications
Try a different method
Quit swimming
The athlete decieded to quit swimming because she felt frustated
what should you do?
Tell her to try a different sport
Accept her decision
Seek medical attention
After being unable to lift her arm. The athlte finally saw a specialist. You reccomended her to visit a orthopedic specialist or physical therapist
Wich specialist should the athelte choose
Orthopedic specialist
Physical therapist
new technique and modifications
The athlete modifies her strokes, strengthens her rotator cuff, and takes scheduled rest days. Her pain ends, and she returns stronger.
Restart
old technique
The athlete ignores all recommendations and continues training, eventually needing to stop due to severe pain.
Restart
training by her own
The athlete keeps training by her own but shey doesn't see any positive results. The athlete quits swimming out of frustration, losing interest in the sport she once loved
Restart
physical therapist
The athlete accepts the offer and visits a physical therapist. Under a physical therapist’s guidance, She fully recovers and improves her swimming technique
Restart
Week off
The athelte decided to rehabilitate and rest one more week. After combining physical therapy, technique improvement, and adequate rest, the athlete became a stronger swimmer
Restart
do not rest
The athlete did not take a week off and resumed swimming, resulting in severe injuries. The pain led to a full rotator cuff tear, requiring surgery and months of rehabilitation.
Restart
medication dependence
Painkillers mask the pain, leading to worsening injury and dependency. The medications causedadverse effects such as stomach issues, high blood pressure, or immune suppression
Restart
Different method
You encouraged the athlete to try alow impact training such as kickboard drills to reduce strain. While doing low impact training, the athlete prevents injuries and allow recovery, keeps endurance withouth excessive strain, and focuses on controlled tequniquee and efficiency.
Restart
alternative sport
The athlete switches to a different sport with less shoulder stress and succeeded
Restart
accept her decision
The athlete decided quitting swimming because she felt frustrated. You didn't interfere with her decision, you didn't offer her different alternatives. She quit doing what she loved because of you, you are the WORST pathetic trainer in the world.
Restart
Orthopedic specialist
The orthopedic specialist helped the athlete with recovery by diagnosing the severity of the shoulder impingement through a physical exam and tests like X-rays, and MRIs. The orthopedist recommended rest and corticosteroid injections to reduce pain and swelling. Finally, the orthopedic guided the athlete through a rehabilitation program to ensure a safe return to training while minimizing the risk of getting injured again.
Restart
Physical therapist
The physical therapist helped the athlete recover by first assessing the shoulder’s range of motion, strength, and pain level to determine the severity of the impingement. The therapist designed a personalized rehabilitation program that included stretching to improve flexibility and strengthening exercises to stabilize the shoulder. Manual therapy techniques, such as massage or joint mobilization, were used to relieve pain and improve movement. Through a structured recovery plan, The athlete gradually returned to swimming.
Restart
Do you want to customize your branching scenario? Here are some tips:
Take a look at the structure of this branching scenario. Each page has a number associated with it, contains a question, and leads to several answer options. If on page 4 they choose option A, they go to page 5. But if they choose option B, they go to page 6, which contains a different question. This branching scenario is set up so that if you keep the structure the way it is, there’s no need to edit the interactivity or connections between pages. But you can also modify them. For example, imagine you want to add an option C to the question on page 5, and if they choose this option, they skip to the question on page 10. You’ll just need to set up the 'Go to page' interactivity from option C so that it jumps directly to page 10. As you can see, the most important thing when creating your branching scenario will be planning it well and assigning a number to each page before beginning to edit it. This way, you’ll be able to modify the connections very easily.