031. Scapula assessment in shoulder pain with Ann Cools - a podcast by David Pope
from 2014-10-10T01:12:11
Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax?
In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae.
Other topics covered in this podcast include:
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Research by Ann Cools
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What we currently know from the research about the role, movement and control of
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the scapula
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Scapula dyskinesis - what is it
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Static vs dynamic assessment of the scapula
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Altering muscle balance and timing with specific exercises
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How altering scapula mechanics effects muscle balance around the shoulder
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Important parts of the subjective history
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Scapula vs glenohumeral joint
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How subjective will guide your objective assessment and treatment
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Red flags around the shoulder, nerve pathology and frozen shoulder
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Frozen shoulder imaging
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Nerve injuries - symptoms, objective examination and treatment
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Assessment of the scapula, Type 1 scapula dyskinesis
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Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)
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Testing GHJ IR
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Stretching and shoulder joint mobilisation
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Palpation, stretching and manual therapy for pec minor
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Type 2 scapula dysfunction
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Handheld dynamometry - serratus
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Handheld dynamometry - middle and lower traps
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Pain when strength testing
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Type 3 scapula dysfunction
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Dynamic assessment of the scapula
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To retract and depress the scapula or not?
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Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis
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Special tests around the shoulder
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Laxity tests for the GH joint
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Posterior GHJ laxity
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Anterior GHJ laxity
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Explanations of scapula dysfunction to your patients
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Information on Ann Cools
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EUSSER
Timeline:
0:30 Research by Ann Cools
4:20 What we currently know from the research about the scapula
6:30 Scapula dyskinesis - what is it
8:30 Static vs dynamic assessment of the scapula
11:45 Altering muscle balance and timing with specific exercises
13:15 How altering scapula mechanics effects muscle balance around the shoulder
14:10 Important parts of the subjective history
16:20 Scapula vs glenohumeral joint
18:20 How subjective will guide your objective assessment and treatment
18:55 Red flags around the shoulder, nerve pathology and frozen shoulder
21:15 Frozen shoulder imaging
21:45 Nerve injuries - symptoms, objective examination and treatment
30:30 Assessment of the scapula, Type 1 scapula dyskinesis
35:00 Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula)
36:10 Testing GHJ IR
42:00 Clinical Edge
44:00 Stretching and shoulder joint mobilisation
51:45 Palpation, stretching and manual therapy for pec minor
55:40 Type 2 scapula dysfunction
59:20 Handheld dynamometry - serratus
1:00:51 Handheld dynamometry - middle and lower traps
1:03:54 Pain when strength testing
1:04:50 Type 3 scapula dysfunction
1:10:03 Dynamic assessment of the scapula
1:15:00 To retract and depress the scapula or not?
1:16:23 Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis
1:17:50 Special tests around the shoulder
1:20:35 Laxity tests for the GH joint
1:23:00 Posterior GHJ laxity
1:24:30 Anterior GHJ laxity
1:26:20 Explanations of scapula dysfunction to your patients
1:31:00 Information on Ann Cools
1:32:20 EUSSER
1:33:00 Wrap up
Links of Interest
- Anne Cools on Linked In
- Ann Cools’ Research
- Ann Cools at Ghent University
- Ann on Twitter
- Clinical Edge
- Show your love for the Physio Edge podcast with a review on iTunes
Further episodes of Physio Edge podcast
Further podcasts by David Pope
Website of David Pope