Methods for guided shoulder training and rehabilitation and humeral fixation devices thereof

The reduced friction shoulder slide board system with a humeral fixation device addresses the limitations of existing technologies by providing customizable and guided shoulder rehabilitation, ensuring safe and effective exercises, thereby enhancing patient outcomes and reducing the risk of injury.

WO2024259444A2PCT designated stage expired Publication Date: 2024-12-19MY TOTAL SHOULDER INC
View PDF 0 Cites 0 Cited by

Patent Information

Application Number
PCT/US2024/034394
Authority / Receiving Office
WO · WO
Patent Type
Applications
Current Assignee / Owner
Priority Date
2023-06-16
Filing Date
2024-06-17
Publication Date
2024-12-19

AI Technical Summary

Technical Problem

Current shoulder rehabilitation and training devices are not customizable and fail to effectively guide and limit motion, leading to microtrauma, re-injury, and reduced outcomes for patients due to their inability to provide controlled, specific, and safe exercises for the complex shoulder joint.

Method used

The development of a reduced friction shoulder slide board system with a humeral fixation device that allows for guided passive assisted range of motion, customizable to accommodate various movements and user needs, incorporating features like a ball and socket mount, adjustable trapezius blocker, and resistance bands for progressive resistive exercises.

Benefits of technology

The system provides stability, joint protection, and improved patient outcomes by enabling safe and effective rehabilitation and training across a range of motions, reducing strain on the elbow, wrist, and hand while enhancing strength and stability, suitable for diverse user needs including postoperative care, chronic pain management, and lymphedema treatment.

✦ Generated by Eureka AI based on patent content.

Smart Images

  • Figure US2024034394_19122024_PF_FP_ABST
    Figure US2024034394_19122024_PF_FP_ABST
Patent Text Reader

Abstract

Shoulder slide board systems are disclosed that in some examples include a headrest, a trapezius blocker, and a slide board including a bed section and a sliding section coupled to the bed section via one or more hinges. Each of the headrest and the trapezius blocker is configured to attach to the bed section. The shoulder slide board systems further include one or more forearm supports and a humeral fixation device rotatably attached to the sliding section and comprising a humeral cradle rotatably attached to a humeral base via a glide board. The humeral cradle includes a locking mechanism configured to restrict rotation of the humeral cradle and forearm support slots, each configured to receive one of the forearm supports. Additionally, peg blockers are configured to attach to the sliding section and interface with the humeral base to thereby restrict rotation of the humeral fixation device.
Need to check novelty before this filing date? Find Prior Art

Description

METHODS FOR GUIDED SHOULDER TRAINING AND REHABILITATION AND HUMERAL FIXATION DEVICES THEREOF

[0001] This application claims priority to U.S. Provisional Patent Application No. 63 / 508,625, filed June 16, 2023, which is hereby incorporated by reference herein in its entirety.FIELD

[0002] This technology generally relates to training and rehabilitation devices and, more particularly, to upper extremity ergonomic positioning systems and humeral fixation devices thereof for guided rehabilitation, training, and condition management for the shoulder complex and surrounding structures.BACKGROUND

[0003] The shoulder joint is very complex and subject to several motions, actions, and activities that can cause injury. After many types of shoulder injuries, including those treated surgically (e.g., rotator cuff repairs and total shoulder replacements), physical therapy is often utilized to restore the shoulder complex as close to previous capability as possible. Because of the complexity of the shoulder and its myriad movements, rehabilitation in a controlled, isolated, and specific manner with defined, limited movement ranges or motions is preferable to achieve desired therapy results.

[0004] In addition to rehabilitation from injury, many other types of patients require or benefit from exercise and training of the shoulder in a controlled, effective manner. For example, lymphedema and breast cancer patients manage symptoms with daily exercise of the shoulder complex, unilaterally affected upper extremity stroke patients benefit from independent management of the affected upper extremity, pediatric patients with abnormal tone require repetitive exercise to improve range of motion and strengthen weakened muscles, and amputees require progressive resistive strengthening bilaterally or for a residual limb. Many other use cases exist for shoulder complex exercise including strengthening the shoulder and / or managing forearm dysfunction or tendonitis for athletes.

[0005] Unfortunately, current rehabilitation and exercise devices are not customizable and fail to effectively guide and appropriately limit motion to protect joints and improve patient outcomes. Therefore, patients and other users of current shoulder training and rehabilitationsystems face significant risk of microtrauma and re-injury (e.g., from over manipulation), for example, and suffer from reduced outcomes including continued weakness, pain, instability, or other dysfunction.BRIEF DESCRIPTION OF THE DRAWINGS

[0006] FIG. 1 is an exemplary reduced friction shoulder slide board system;

[0007] FIG. 2 is an exemplary cart in a substantially flat position for use with the exemplary reduced friction shoulder slide board system of FIG. 1;

[0008] FIG. 3 is the exemplary cart of FIG. 2 in an elevated position;

[0009] FIG. 4 is an exemplary humeral fixation device and slide board of the exemplary reduced friction shoulder slide board system of FIG. 1;

[0010] FIG. 5 is the exemplary slide board of FIG. 4 in an angled position;

[0011] FIG. 6 is the exemplary humeral fixation device of FIG. 4 with slots for receiving forearm supports;

[0012] FIG. 7 is the exemplary humeral fixation device of FIG. 6 with exemplary forearm supports;

[0013] FIG. 8 is one of the exemplary forearm supports of FIG. 7 coupled to an open palm wrist support and, via a forearm dowel attachment, a dowel;

[0014] FIG. 9 is an exemplary resistance band in use with the exemplary humeral fixation device of FIG. 7; and

[0015] FIGS. 10A-B is an exemplary travel case for use with the exemplary reduced friction shoulder slide board system of FIG. 1.DETAILED DESCRIPTION

[0016] The disclosed technology generally relates to reduced friction shoulder slide board systems and methods for using the same that encourage proper ergonomics for execution of movement, management of symptoms, and patient positioning, for example. The reduced friction shoulder slide board systems described herein address a large scope of functional mobility for the shoulder complex while advantageously providing stability, guidance, and joint protection. In some examples, a reduced friction shoulder slide board system is disclosedthat allows for an extremity to perform a full 180 degrees of shoulder abduction and adduction. This technology also facilitates guided passive assisted range of motion movement. For example, stroke patients may safely address hemiplegic shoulder subluxations by addressing mobility and myofascial tissue restrictions with guided passive assisted abduction and adduction using a dowel attachment, open palm wrist support, adjustable forearm support(s), and / or slide board disposed in an angled position, as described and illustrated in more detail below.

[0017] In other examples, the disclosed technology can be used for postoperative guided shoulder rotation. In these examples, a user can push and pull a dowel attachment on forearm supports for gentle guided passive assisted shoulder rotation without stressing the surgical graph. The user is also able to guide the involved extremity into gentle passive assisted or guided active assistive rotation. This technology also facilitates submaximal isometrics in six planes of motion including via abduction, adduction, external rotation, internal rotation, and flexion and extension of the glenohumeral joint, among other positions.

[0018] In yet other examples, this technology can be used in the home for maintenance programs addressing chronic pain and dysfunction. Specifically, the reduced friction shoulder slide board systems disclosed herein in some examples assist with management of chronic shoulder pain, cervical pain, arthritis, and spine issues by using gently guided mobility exercises and strengthening while encouraging proper ergonomics of the spine and upper extremity. Also in the home, this technology can be used as a progressive resisted ergonomic home exercise station for an amputee or others who can advantageously address upper extremity strength and stability with proper spine mechanics. In particular, eye hook threaded peg blockers may be placed in various locations around a slide board for band attachment s) that provide resistance, also as described and illustrated in more detail below.

[0019] Moreover, rotator cuff repair candidates and athletes, for example, can address strengthening and maintenance with various targeted ranges of motion with this technology. Strain on the elbow, wrist, and hand can be reduced with the use of an open palm wrist support while strengthening is optionally facilitated with resistance band(s). The slide board of a reduced friction shoulder slide board system of this technology can also be elevated to facilitate safe active range of motion movement to address shoulder health and maintenance as well as strengthen in the plane of the scapular. Even further, the disclosed technology provides properergonomics to elevate the upper extremity of lymphedema patients so that hand, wrist, and arm exercises can be safely performed to assist lymph drainage.

[0020] In still other implementations, this technology can be used in the hospital setting, for example, as an upper extremity positioning system for a myriad of diagnoses such as bums, skin grafts, crush injuries, elbow, wrist and hand surgical candidates, and upper extremity procedures. The reduced friction shoulder slide board systems of this technology have many additional uses and advantages as will be apparent to one of ordinary skill in the art based on the following description and accompanying FIGS. 1-10.

[0021] Referring more specifically to FIG. 1, an exemplary reduced friction shoulder slide board system 100 is illustrated. The reduced friction shoulder slide board system 100 in this example is inversely functional for use with either the right or left upper extremity and includes a slide board 102 with a bed section 104, which can be cushioned or padded, at least in part, and a sliding section 106 optionally coupled together via one or more hinges 108A-B. While in this example, the slide board 102 104 is circular with a semicircular bed section and a semicircular sliding section 106 coupled together via hinges 108A-B, other shapes and configurations can also be used in other examples.

[0022] Also, optionally, the reduced friction shoulder slide board system 100 can include a cart 110 on which a portion of the slide board 102 can be supported when in use. The exemplary reduced friction shoulder slide board system 100 further includes a customizable headrest 112 and an adjustable trapezius blocker 114, each of which is configured to removably mount to the bed section 104, and a humeral fixation device 116 configured to rotatably attach to the sliding section 106, such as via a ball and socket mount 118, although any other attachment mechanism that allows for 180 degrees of movement of the humeral fixation device 116 in the transverse plane can also be used.

[0023] Thus, the humeral fixation device 116 is configured to rotate via a fixed point (e.g., the ball and socket mount 118) at a distal end and, toward a proximal end, within a groove or slot referred to herein as a guide track 120 in the sliding section 106 of the slide board 102, as will be explained in more detail below with reference to FIGS. 4-5, for example. The humeral fixation device 116 includes a humeral cradle 122 rotatably attached to a humeral base 124 via a reduced friction surface or glide board (illustrated in FIG. 6, for example), as will also be described in more detail below with reference to FIG. 6, for example.

[0024] In use, a patient can lay on top of the bed section 104 with head proximate the headrest 112, shoulder proximate the trapezius blocker 114 and arm proximate the humeral cradle 122. The optional and removeable trapezius blocker 114 in some examples is soft, supportive, spring-loaded, and configured to limit shoulder elevation. Training and / or rehabilitation exercised and / or movements can then be facilitated by the user moving the humeral fixation device 116 within the guide track 120 of the sliding section 106 and / or rotating the humeral cradle 122 on the glide board of the humeral base 124, with optional peg blockers, resistance bands, and / or locking pins (illustrated in FIGS. 7, 9, and 6, respectively, for example) controlling or limiting the movement of the various components. Forearm supports, an open palm wrist support, and a dowel (illustrated in FIGS. 7-8, for example) can also be used for desired exercise and movements, as will be explained in more detail below.

[0025] Referring to FIG. 2, an exemplary cart 110 in a substantially flat position is illustrated. In this example, the cart 110 has a top 200 coupled to a base 202 coupled to four legs 204A-C, each of which is coupled to a lockable wheel 206A-B at a distal end away from the base 202. The cart 110 in this example also includes an extendable section 208 configured to extend out from the top 200 and / or the base 202 in at least one direction. Thus, the extendable section 208 can be retained within the base 202 and below the top 200 or the extendable section 208 can be received by and extended from one or more grooves or channels in a top surface of the top 200, and other configurations can also be used in other examples.

[0026] The extendable section 208 in this example includes a plurality of apertures 210 that are rectangular in shape, although other shapes can also be used, and the extendable section 208 can also be a solid structure in yet other examples. Optionally, a portion of the bed section 104 of the slide board 102 can attach to or rest within a portion of the extendable section 208 to thereby restrict movement of the slide board 102 relative to the extendable section 208 and cart 110. Optionally, the cart 110 can include shelves, drawers, or any other storage components, which could be configured to retain some or all of the components of the reduced friction shoulder slide board system 100. For example, the slide board 102 can be folded about the hinges 108A-B and maintained on or in the cart 110 at physical therapy clinics and / or rehabilitation facilities. Folding the slide board 102 ensures that less dust, pollen and / or other debris, etc. interfaces with components of the reduced friction shoulder slide board system 100 and, in particular, the reduced friction surface of the slide board 102.

[0027] Additionally, the leg(s) 206 A-B of the cart 110 and / or a portion thereof can be telescoping or otherwise extendable to allow the height of the top 200 and / or extendable section 208 to substantially match that of a bed. While the reduced friction shoulder slide board system 100 in some examples described and illustrated herein is supported at least in part on the cart 110 and a bed, the reduced friction shoulder slide board system 100 can be used in any other manner and on any other type of surface including a floor or wall, for example.

[0028] Referring to FIG. 3, the exemplary cart 110 of FIG. 2 in an elevated position is illustrated. In this example, two of the legs 204A and 204D (not shown) are configured to extend upward to thereby support the top 200 (although the base 202 could also be supported in other examples) in an elevated, angled position, such as to match an elevation of the bed that is disposed adjacent the cart 110. In other example, hinged supports, optionally adjustable in any length, can be rotated out from the top 200 and / or base 202 and coupled to the legs 204A and 204D to facilitate the elevated position, and other methods for facilitating an elevation or angle of at least the top 200 of the cart 110 can also be used in other examples. Additionally, the slide board 102 is shown in this example with the sliding section 106 angled relative to the bed section 104, as will be explained in more detail below with reference to FIG. 5.

[0029] Referring to FIG. 4, the exemplary humeral fixation device 116 and slide board 102 are illustrated. In this example, the humeral base 124 functions off the secure axis of rotation with an adjustable telescoping arm 400 within a full 180 degrees. Thus, the telescoping arm 400 is coupled between the ball and socket mount 118 and the humeral base 124 in this example and facilitates movement of the humeral fixation device 116 toward and away from a perimeter of the slide board 102 to accommodate users of different sizes and arm lengths.

[0030] Optionally, the telescoping arm 400 includes locking features that are spaced apart and lock the extension of the telescoping arm 400 into particular positions, but other types of extension components can also be used in other examples. While the humeral fixation device 116 in the examples described and illustrated herein is attached and used in conjunction with the slide board 102, the humeral fixation device 116 can be used independently of the slide board 102 and / or any number of other components of the reduced friction shoulder slide board system 100.

[0031] Referring to FIG. 5, the exemplary slide board 102 in an angled position is illustrated. In this example, the sliding section 106 is coupled to the slide board 102 via hinges108A-B and is configured to open via the hinges 108A-B to allow for 0-90 degrees of mobility in the transverse plane to facilitate utilization of the plane of the scapula with mobility. Additionally, the slide board 102 may accommodate shoulder extension (e.g., by folding in an opposite direction (i.e., down)) and / or functions of horizontal abduction) or other. The sliding section 106 is maintained in an open or angled position by support arms 500A-B that are rotatably coupled to the slide board 102 and optionally retained within arm recesses 502A-B of the slide board 102 when the sliding section 106 is in a closed position adjacent the slide board 102. Optionally, the support arms 500A-B can lock via a hinge or rotation point and / or any other features (e.g., recesses) on a bottom side of the sliding section 106, for example, and other methods for maintaining the sliding section 106 in an open position at a desired angle with respect to the slide board 102 can also be used in other examples.

[0032] Also illustrated in FIG. 5 is a humeral peg 504 that allows for easy and secure guiding and gliding of the humeral base 124 along the guide track 120 on the adjustable sliding section 106 of the slide board 102. While only one guide track 120 is illustrated in FIG. 5, any number of guide tracks can be used in other examples. Accordingly, the humeral peg 504 is configured to engage and couple to the humeral base 124 in this example, and to maintain its position within the guide track 120 to facilitate motion of the humeral fixation device 116 along a path corresponding to the guide track 120 or a portion thereof. In yet other examples, the slide board 102 does not include any guide tracks and the motion in the transverse plane, and / or another plane of motion, is controlled only, or in significant part, by the ball and socket mount 118 or other type of mount coupled to the humeral base 124.

[0033] Referring to FIG. 6, the exemplary humeral fixation device 116 is illustrated. As explained above, the humeral fixation device 116 includes a humeral cradle 122 and a glide board 600 disposed between the humeral cradle 122 and a humeral base 124. The shoulder rotation function occurs within the humeral cradle 122, allowing for a combined 180 degrees of shoulder rotation with guided passive, active assistive, active, or resisted motion. Specific degrees of rotation may be chosen with locking pins 602A-B, which may be configured to be received by pin apertures 604 or recesses disposed in one or both of a distal end or a proximal end of the humeral cradle 122 or in another location associated with the humeral cradle 122 or another component of the humeral fixation device 116. More specifically, the locking pins 602 A-B engage the humeral cradle 122 within the pin apertures 604 and interface with an extension pin 606 to restrict further rotation of the humeral cradle 122 in one or both directions.Any other type of locking mechanism(s) may be used to restrict rotation of the humeral cradle 122 in other examples.

[0034] The extension pin 606 has at a distal end a sphere in this particular example that resides within a channel 608 disposed between top and bottom surfaces of the humeral cradle 122 and toward a distal end of the humeral cradle 122. Thus, the humeral cradle 122 is configured to rotate on a top surface of the glide board 600, about the sphere of the extension pin 606 within the channel 608, and to degree(s) defined by the locking pins 602 A-B. Other types of extension pins and / or other methods for facilitating and / or restricting rotation of the humeral cradle 122 can also be used in other examples.

[0035] Also illustrated in FIG. 6 are humeral dowel attachments 610A-B on first and second sides of the humeral base 124, respectively, and a base resistance hook 612 (e.g., an eye hook) on the first side of the humeral base 124, although any number of humeral dowel attachments and / or base resistance hooks can be disposed on any number of sides of the humeral base 124 in other examples. The humeral dowel attachments 610A-B are configured to couple to a dowel, as explained in more detail below with reference to FIG. 8. Additionally, the base resistance hook 612 is configured to attach to a resistance band coupled to a board resistance hook, as described and illustrated in more detail below with reference to FIG. 9.

[0036] Referring to FIG. 7, the exemplary humeral fixation device 116 of FIG. 6 is illustrated with optional first and second forearm supports 700A-B. In this example, the humeral cradle 122 includes first and second forearm support slots 702A-B for receiving first and second forearm supports 700A-B, respectively. The first and second forearm supports 700A-B may be locked into place within the first and second forearm support slots 702A-B at any number of angles (e.g., 90 and / or 45 degrees) for any degree of elbow flexion. Optionally, the first and second forearm supports 700A-B can be adjustable in length (e.g., based on a plurality of locking positions within the first and second forearm support slots 702A-B) and can provide functional rotation for forearm supination and pronation as well as stabilize the forearm of a user.

[0037] The second forearm support 700B also includes a forearm dowel attachment 704 and a forearm resistance hook 706 operable as explained above with reference to the humeral dowel attachments 610A-B and base resistance hook 612, respectively, as also explained in more detail below with reference to FIGS. 8-9. Also illustrated in FIG. 7 is a pegblocker 708 A coupled to the sliding section 106 and configured to restrict abduction, adduction, or other planes of motion of the humeral base 124 when the humeral base 124 interfaces with the peg blocker 708A. Any number of peg blockers can be disposed in any number of locations about the sliding section 106 to address desired mobility parameters. Additionally, the first and second forearm supports 700A-B include first and second wrist support apertures 710A-B, respectively, each of which is configured to receive an open palm wrist support as will now be described with reference to FIG. 8.

[0038] In FIG. 8, the exemplary second forearm support 700B is illustrated coupled to an open palm wrist support 800 and, via the forearm dowel attachment 704, a dowel 802. The open palm wrist support 800 is configured to be received within, and optionally locked by, the wrist support aperture 710B in a top or distal end of the second forearm support 700B in this example, although other methods of attaching the open palm wrist support 800 can also be used. The open palm wrist support 800 in this example is curved toward a distal end to facilitate an ergonomic configuration for the hand of a user. Thus, the open palm wrist support 800 facilitates stabilization of the wrist and hand and can also be adjusted in length and / or removed to be used as a hand strengthening tool.

[0039] The dowel 802 in this example has a curved shape to facilitate ease of use by an uninvolved extremity of a user to independently and safely guide an involved extremity in various ranges of motion, although other shapes and configurations for the dowel 802 can also be used in other examples. Optionally, the dowel 802 attaches via the forearm dowel attachment 704 in a flexible configuration that allows the dowel 802 to rotate in several directions, although a rigid connection can also be used in other examples. While the dowel 802 is disclosed in FIG. 8 as attached to the forearm dowel attachment 704 for rotation and / or other planes of motion, the dowel can operate in a similar manner for guided shoulder abduction and and / or motion in other planes when attached to the humeral base dowel attachment 610A.

[0040] Referring to FIG. 9, an exemplary resistance band 900 is illustrated in use to facilitate resistive movement. The resistance band 900 is illustrated coupled at a first end to the base resistance hook 612 and at a second end to a peg blocker 708B. In this example, the peg blocker 708B further includes a hook configured to attach-to an end of the resistance band 900, although separate board resistance hooks placed about the sliding section 106 can also be used in other examples. While the resistance band 900 is disclosed in FIG. 9 as attached at the first end to the base resistance hook 910, the resistance band 900 can operate in a similarmanner to facilitate strengthening and resisted rotation and other planes of motion of the involved extremity when attached at the first end to the forearm resistance hook 706.

[0041] Referring to FIGS. 10A-B, an exemplary travel case 1000 of an exemplary reduced friction shoulder slide board system 100 is illustrated in an open and closed position, respectively. The travel case 1000 includes first and second hinged sections 1002A-B each configured to receive and retain respective portions of the reduced friction shoulder slide board system 100. In particular, the first hinged section 1002A include a headrest recess 1004 for receiving and / or retaining the headrest 112, first and second forearm recesses 1006A-B for receiving and / or retaining the first and second forearm supports 700A-B, and an accessory recess 1008 for receiving and / or retaining the resistance band 900, open palm wrist support 800, and / or trapezius blocker 114. The second hinged section 1002B in this example include a dowel recess 1010 for receiving and / or retaining the dowel 802 and a slide board recess 1012 for receiving the slide board 102.

[0042] In this example, the bed section 104 has a removable bed portion 1014 that when removed allows the humeral fixation device 116 to be placed at 90 degrees of abduction motion when folded. The first hinged section 1002 A further includes a bed recess 1016 for receiving and / or retaining the removable bed portion 1014 and, when in the closed position, a portion of the humeral fixation device 116. Thus, the first and second hinged sections 1002A- B fold up adjacent one another and optionally lock or otherwise clasp together to be retained in the closed position of FIG. 10B. The travel case also optionally includes wheels 1018A-B disposed at a bottom portion to facilitate mobility of the retained components of the reduced friction shoulder slide board system 100.

[0043] Having thus described the basic concept of the invention, it will be rather apparent to those skilled in the art that the foregoing detailed disclosure is intended to be presented by way of example only and is not limiting. Various alterations, improvements, and modifications will occur and are intended to those skilled in the art, though not expressly stated herein. These alterations, improvements, and modifications are intended to be suggested hereby, and are within the spirit and scope of the invention.

Claims

CLAIMSWhat is claimed is:

1. A shoulder slide board system, comprising: a headrest, a trapezius blocker, and a slide board comprising a bed section and a sliding section coupled to the bed section via one or more hinges, wherein each of the headrest and the trapezius blocker is configured to attach to the bed section; one or more forearm supports; a humeral fixation device rotatably attached to the sliding section and comprising a humeral cradle rotatably attached to a humeral base via a glide board, wherein the humeral cradle comprises a locking mechanism configured to restrict rotation of the humeral cradle and one or more forearm support slots, each configured to receive one of the forearm supports; and one or more peg blockers configured to attach to the sliding section and interface with the humeral base to thereby restrict rotation of the humeral fixation device.

2. The shoulder slide board system of claim 1, further comprising a cart comprising a top coupled to a base coupled to one or more legs, wherein the cart comprises an extendable section configured to be received by and extracted from the top or the base and to attach to the bed section and at least one of the legs has an adjustable length configured to, when extended, support the slide board in an angled position.

3. The shoulder slide board system of claim 1, further comprising one or more support arms disposed between the sliding section and the slide board and configured to attach to the sliding section to thereby maintain the sliding section in an angled position with respect to the slide board when the sliding section is rotated about the hinges.

4. The shoulder slide board system of claim 1, further comprising a humeral peg coupled to the humeral base, wherein the sliding section comprises a guide track and the humeral peg is configured to engage the guide track and thereby facilitate motion of the humeral fixation device along a path corresponding to the guide track.

5. The shoulder slide board system of claim 1, wherein humeral cradle comprises one or more locking pins, one or more pin apertures configured to receive the locking pins, and an extension pin, wherein the locking pins are configured to interface with the extension pins to thereby restrict the rotation of the humeral cradle with respect to the humeral base.

6. The shoulder slide board system of claim 1, wherein the humeral fixation device is further configured to rotatably attach to the sliding section via a ball and socket mount and further comprises a telescoping arm disposed between the ball and socket mount and the humeral base to facilitate movement of the humeral fixation device toward and away from a perimeter of the slide board.

7. The shoulder slide board system of claim 1, further comprising at least one resistance band, a base resistance hook configured to attach to the sliding section and to receive a first end of the resistance band, and at least one of: one of the peg blockers is configured to receive a second end of the resistance band; or the shoulder slide board system further comprises a board resistance hook configured to receive the second end of the resistance band.

8. The shoulder slide board system of claim 1, further comprising at least one resistance band, wherein the one of the forearm supports comprises a forearm resistance hook configured to receive a first end of the resistance band and at least one of: one of the peg blockers is configured to receive a second end of the resistance band; or the shoulder slide board system further comprises a board resistance hook configured to receive the second end of the resistance band.

9. The shoulder slide board system of claim 1, further comprising a dowel, wherein the one of the forearm supports further comprises a forearm dowel attachment configured to rotatably couple to the dowel.

10. The shoulder slide board system of claim 1, wherein the one of the forearm supports further comprises a wrist support aperture configured to receive an open palm wrist support.

11. The shoulder slide board system of claim 1, further comprising a dowel, wherein the humeral base further comprises one or more humeral dowel attachments configured to couple to the dowel.

12. The shoulder slide board system of claim 1, further comprising a travel case comprising: a first d hinged section comprising a headrest recess for receiving the headrest, first and second forearm recesses for receiving the first and second forearm supports, and anaccessory recess for receiving one or more of one or more resistance bands, an open palm wrist support, the peg blockers, or the trapezius blocker, wherein the bed section comprises a removable bed portion and the first hinged section further comprises a bed recess for receiving the removable bed portion and, when the travel case is in a closed position, at least a portion of the humeral fixation device; and a second hinged section comprising a slide board recess for receiving the slide board and a dowel recess for receiving a dowel.

13. A shoulder slide board system, comprising: a slide board comprising a bed section and a sliding section coupled to the bed section via one or more hinges; a humeral fixation device rotatably attached to the sliding section and comprising a humeral cradle rotatably attached to a humeral base via a glide board, wherein the humeral cradle comprises a locking mechanism configured to restrict rotation of the humeral cradle; and a cart comprising a top coupled to a base coupled to one or more legs, wherein: the cart comprises an extendable section configured to be received by and extracted from the top or the base and to attach to the bed section; and at least one of the legs has an adjustable length configured to, when extended, support the slide board in an angled position.

14. The shoulder slide board system of claim 13, further comprising a headrest and a trapezius blocker, wherein each of the headrest and the trapezius blocker is configured to attach to the bed section.

15. The shoulder slide board system of claim 13, further comprising one or more forearm supports, wherein the humeral cradle comprises one or more forearm support slots, each configured to receive one of the forearm supports.

16. The shoulder slide board system of claim 13, further comprising one or more peg blockers configured to attach to the sliding section and interface with the humeral base to thereby restrict rotation of the humeral fixation device.

17. A shoulder slide board system, comprising:a slide board comprising a bed section and a sliding section coupled to the bed section via one or more hinges, wherein the bed section comprises a removable bed portion; a humeral fixation device rotatably attached to the sliding section and comprising a humeral cradle rotatably attached to a humeral base via a glide board, wherein the humeral cradle comprises a locking mechanism configured to restrict rotation of the humeral cradle; and a travel case comprising: a first hinged section comprising a headrest recess, first and second forearm recesses, an accessory recess, and a bed recess, wherein the bed recess, when the travel case is in a closed position, is configured to receive at least a portion of the humeral fixation device; and a second hinged section comprising a slide board recess and a dowel recess.

18. The shoulder slide board system of claim 17, further comprising a headrest and a trapezius blocker, wherein each of the headrest and the trapezius blocker is configured to attach to the bed section.

19. The shoulder slide board system of claim 17, further comprising one or more forearm supports, wherein the humeral cradle comprises one or more forearm support slots, each configured to receive one of the forearm supports.

20. The shoulder slide board system of claim 17, further comprising one or more peg blockers configured to attach to the sliding section and interface with the humeral base to thereby restrict rotation of the humeral fixation device.