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Shoulder Symptom Modification Procedure

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Nick Naylor

Transcript

Nick Naylor Feb '16

1. Thoracic Kyphosis

  • Postural observation
  • AROM into extension specifically
  • Example from clinical experince:
  • Screening thoracic rotation in sitting
  • Sub Acromial Pain Syndrome (SAPS)

Shoulder Symptom Modification Procedure

2. Scapular positioning

  • Manual correction
  • Taping techniques
  • Activation...?

  • Dr Jeremy Lewis (2009)

"The SSMP involves a sequential process that aims at immediately identifying postures and techniques that will reduce symptoms."

Lewis, J. S. (2009) Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment? British Journal of Sports Medicine, Vol 43, pp. 259-26

  • The big bad bursa....

3. Glenohumeral jt. repositioning

Testing for impingement type symptoms

4. Neuromodualtion procedures....

  • Resources:
  • https://www.londonshoulderclinic.com/wp-content/uploads/2015/11/SSMPv5.pdf
  • http://bjsm.bmj.com/site/podcasts/
  • http://fysioterapeuten.no/Fag-og-vitenskap/Fagartikler/Subacromial-impingement-syndrome-and-rotator-cuff-tendinopathy-The-dilemma-of-diagnosis
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