Shoulder Symptom Modification Procedure - picking the right shoulders to treat

This week we take a look at one more approach to assessing shoulders, the Shoulder Symptom Modification Procedure. It was developed by internationally acclaimed Physiotherapist Dr Jeremy Lewis and it links beautifully with the previous shoulder blogs, providing a more holistic assessment for the painful shoulder. The SSMP helps identify those suitable for conservative treatment and directs our initial rehabilitation approach. 

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Scapula rehabilitation - which exercise to choose?

This blog compares different approaches for scapula rehabilitation. It has been interesting reading about the research which explores which exercises promote certain muscles around the scapula. This blog also introduces a contrasting approach, which focussing on retraining upward rotation rather than isolated muscle strengthening. While the focus has been on scapula dyskinesis relating to shoulder impingement, the principles in this blog are generalisable to some extent to many shoulder problems. 

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The role of the scapula in Shoulder Impingement Syndrome: part 2

Part 2 of the shoulder impingement series is an entire blog dedicated to looking at the finer detail of normal functioning of the scapula and then applying this knowledge to scapula assessment and diagnosis of scapula dyskinesis. Before we can move onto rehabilitation pathways, you first need to try decipher what we see. 

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Frozen Shoulder...Fear Avoidance?

A interesting case study presented by Alicia from her clinical experience during her Masters on adhesive capsulitis. Sometimes when the pieces don't fit together we need to think beyond the patho-anatomical model. In this case, fear and the cognitive-affective aspects of the presentation were the patients biggest problem. In this blog Alicia explores the fear-avoidance model and its effect on pain. 

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Adhesive Capsulitis - Pathology & Assessment

Adhesive capsulitis is a shoulder condition resulting in loss of active and passive ROM. It's a combination of synovial inflammation and capsular fibrosis. This blog outlines the clinical assessment of adhesive capsulitis and differential diagnosis.

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