@ACadogan_NZ@JeremyLewisPT @burleychasiss @MindyCairns@RachelChesterPT Similar findings to us 👇- an injection in our study was ‘life changing’ and gave ‘light at the end of the tunnel’ for people living with frozen shoulder who had felt ‘if you were an animal you would be put down because your miserable’
https://t.co/Yr4fSmO84C
@JeremyLewisPT @burleychasiss @MindyCairns@RachelChesterPT Brilliant 👏. Exploring & addressing beliefs is so impt. Pts often say "I feel better already" simply after explanation (even before injection). Well done team. Great study. 👍
"Are you seeing ACJ presentations? Because they're probably seeing you!"
In June's #MSKMag, the esteemed @ACadogan_NZ puts the acromioclavicular joint under the spotlight.
Read it via the QR code or here on Substack: https://t.co/1qtkoxu4pD
Shoulder Diagnosis Course
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Want to improve your shoulder assessment over the summer?😎🌞 What tests to use? What do they mean? Is imaging needed? 🤔
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@FisioGuillem @ChrisLittlew00d @ShoulderGeek1@ShoulderDocUK@shoulderexperts@AdamMeakins@anncools4 4/4: Cortical planning: This may be the easiest of the 3 to assess. Can you change symptoms by focusing on specific task, pre-planning movement, using external cues or integrating the kinetic chain? If symptoms change, use this as the start point for rehab. Hope this helps.
@FisioGuillem @ChrisLittlew00d @ShoulderGeek1@ShoulderDocUK@shoulderexperts@AdamMeakins@anncools4 1/4: I see you have had some great advice for this complex problem Willem! I agree that finding the main driver is key. Here is my approach to these pts which is based on assessing each component of motor control then targeting rehabilitation according to findings….
@FisioGuillem @ChrisLittlew00d @ShoulderGeek1@ShoulderDocUK@shoulderexperts@AdamMeakins@anncools4 ¾: Sensory processing: Processing of sensory input can be affected by many things including cognitive, emotions, mood, fear, previous psych trauma, head injuries, pain & neurodiversity to name a few. This can get complex and if there are sig issues, MD input may be needed.
@FisioGuillem @ChrisLittlew00d @ShoulderGeek1@ShoulderDocUK@shoulderexperts@AdamMeakins@anncools4 2/4: Sensory input: Bad information in = poor motor control out. Do they have any detection, discrimination and localisation deficits? This may need addressing if found. Sometimes tactile input, taping, mirror feedback etc can help.
@Physio1Sr 2/2: Practice should be 'informed' by evidence, not rely on it exclusively. I would suggest it's not a bias, but good clinical reasoning based on selective tissue tension principles. Especially impt since we know we cannot ID specific tissue pathology with clinical tests.
🤜What he said👇😁. 100% Jeremy. When imaging/surgery used as ref. std it will inflate test sensitivity. Imaging/surgery findings not always symptomatic. I hardly use "special tests" now. Basic ROM & resisted tests better diagnostic value IMO.
@Physio1Sr 1/2: Hardly any research on Dx Acc of ROM/res tests. Our research consistently identified full PROM ext. rot (& GHJ Abd) as being predictive of subacromial and AC jt pain. (Excludes 'stiff' sh conditions e.g FS making SA and AC pain more likely).
https://t.co/Dljl961BuA