Injured Reserves: David Millar update

The rehab progress of Team Garmin-Slipstream’s David Millar is moving along well, due both to the medical team’s expertise and a cooperative patient! Millar broke his clavicle during stage 8 of Paris-Nice. Team physiotherapist Toby Watson reports on the status of the team leader in a letter to his specialist Dr. David Potter.

I am Toby Watson, team physiotherapist for the Garmin Slipstream Pro Cycling Team, and as such I have been helping David Millar with his rehab following Dr. Potter’s surgery. I met Dr. Potter the last time David had a follow-up appointment, and he provided me with your details as a contact for further progress.

David has been most diligent with his exercises – his ranges of motion are as follows:
- Flexion to ninety degrees with no compensations if consciously thinking of good movement
- Abduction to eighty without compensations
- External Rotation approximately 90% compared to uninjured side
- Scapular motion equal, but tendency is for the upper traps to be over active, and so the scapula hitches. Once again this can be corrected by David simply with conscious thought.

Strength has only been measured for External and Internal Rotators in the neutral position. IR’ors are adequate – Grade V. Er’ors significantly less so – Grade IV-. Pattern of contraction has improved though – he no longer uses triceps in a futile co-contraction as was his wont at his previous visit with Dr. Potter.

I have attached his two most recent x-rays, and would greatly appreciate Dr. Potter’s opinion on the state of David’s recuperation. I am eager to progress David’s ROM exercises to overhead, and to also work on more functional strength exercises, but await Dr. Potter’s okay prior to taking this next step.

I look forward to Dr. Potter’s opinion greatly.

Thank you kindly,
Toby Watson

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This entry was posted on Tuesday, April 21st, 2009 at 1:12 pm and is filed under Home Page, Injured Reserves, Rider Diaries and tagged with David Millar, Injured Reserves, Toby Watson. You can follow any responses to this entry through the RSS 2.0 feed.