shoulder impingement

What are you doing?

Advise her to push through the pain and keep training.

Recommend immediate rest and apply ice

Perform a physical assessment and ask further questions about her pain

What is the next step?

Give her a resistance band and start shoulder strengthening exercises immediately

Educate her on proper swimming technique and suggest stroke modifications

Physical assesment

You conducted Hawkins Kennedy Test and Empty Can Test, resulting in positive results. Now, you must decide on the next step.

Whats next?

Recommend anti-inflammatory medication and monitor progress

Recommend she take a full week off and reassess

Rest and ice

She follows your advice and takes a break for a day, but the pain persists

What should the athlete do now?

Finally seek medical attention

Quit swimming

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?

keep their old technique

Accept the modifications and learn the new technique

Propper swiming technique

You educate the athlete on proper technique and suggest some stroke modification to improve performance

What should the athlete do?

Go with a physical therapist

Denie the offer and keep doing exercises by herself

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 athete do

Do not wait one week

Wait one more week

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 are you doing?

Try a different method

Keep relying on medications

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 should you do?

Accept her decision

Tell her to try a different sport

Quit swimming

The athlete decieded to quit swimming because she felt frustated

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

Physical therapist

Orthopedic specialist

Seek medical attention

The athlete modifies her strokes, strengthens her rotator cuff, and takes scheduled rest days. Her pain ends, and she returns stronger.

Restart

new technique and modifications

The athlete ignores all recommendations and continues training, eventually needing to stop due to severe pain.

Restart

old technique

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

training by her own

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

physical therapist

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

Week off

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

do not rest

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

medication dependence

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

Different method

The athlete switches to a different sport with less shoulder stress and succeeded

Restart

alternative sport

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

accept her decision

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

Orthopedic specialist

Restart

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.

Physical therapist

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.