How to treat long thoracic nerve injury: a case report

Ann Cools, From Practice

Lena, 29 years old, is a midwife, active in assisting home births. Recently, she assisted a long-term home birth, and stayed in the same position, hanging over a bath with both arms, monitoring the baby’s heartbeat for nearly 3 hours. When coming home after a very tiring working day, she woke up the next morning […]

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Important elements for rehab in work related shoulder pain.

Annelies Maenhout, New in

Both individuals and society experience serious consequences of work disability associated with workrelated musculoskeletal disorders. Shoulder pain is common in overhead workers, often requiring them to seek help from medical professionals. Return to work after shoulder rehabilitation is not always successfull and recurrence of shoulder pain at work can occur when professional activities (again loading […]

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Reflections from the GRASP trial results: Getting it Right Addressing Shoulder Pain

Ann Cools, New in

Although rotator cuff disorders are very common (about 70% of all patients with shoulder pain), the clinical effectiveness and cost-effectiveness of physiotherapy interventions is still unclear, mainly due to the fact that most trials are small sample size short term studies. Therefore the aim of the GRASP-trail was to investigate in a randomized trial the […]

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Is an online consultation for shoulder pain reliable and valid?

Ann Cools, New in

This was the question the Master students Rehabilitation Sciences and Physiotherapy from Ghent University Léonie Lejon, Yao Lin, and Silke Schotte wanted to answer with their project. The covid pandemic has forced us to examine, treat and guide patients with shoulder pain through internet communication as an alternative for the usual care in vivo. Many […]

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Important elements for rehab in work related shoulder pain.


Annelies Maenhout, New in

Both individuals and society experience serious consequences of work disability associated with workrelated musculoskeletal disorders. Shoulder pain is common in overhead workers, often requiring them to seek help from medical professionals. Return to work after shoulder rehabilitation is not always successfull and recurrence of shoulder pain at work can occur when professional activities (again loading […]

September 9, 2021

Is an online consultation for shoulder pain reliable and valid?


Ann Cools, New in

This was the question the Master students Rehabilitation Sciences and Physiotherapy from Ghent University Léonie Lejon, Yao Lin, and Silke Schotte wanted to answer with their project. The covid pandemic has forced us to examine, treat and guide patients with shoulder pain through internet communication as an alternative for the usual care in vivo. Many […]

July 5, 2021

From research to clinic: how do injury prevention programs work to decrease shoulder injuries in sports?


Ann Cools, Clinical Pearls

Although we don’t know their real interaction, common risk factors for sportsrelated shoulder pain have been described, such as range of motion deficits, mainly into internal rotation (IR), external rotator ER) strength deficits, scapular dysfunction, but also a lack of core stability, hip stability and mobility.  (Clarsen et al. BJSM 2014, Chalmers et al. Sports […]

May 10, 2021

What can we learn from evidence on exercise therapy for shoulder pain in overhead workers?


Annelies Maenhout, New in

Return to work is a challenge in shoulder rehabilitation for patients participating in jobs with high requirements for the shoulder like for example construction workers, dentists or domestic helpers. From working with these patients I recognize three pitfalls related to exercise therapy, that might contribute (among other factors) to early failure of return to work […]

April 23, 2021

Predictors of failure after conservative treatment of symptomatic partial-thickness rotator cuff tear.


Dorien Borms, New in

Conservative treatment is considered as the first-line treatment for partial-thickness rotator cuff tears (PTRCT) while surgical treatment is generally indicated in patients with failure of conservative treatment for 3-6 months and in younger patients with a traumatic tear. Although more research is needed concerning (the effectiveness) of conservative treatment management, it could be interesting for […]

February 20, 2020

Who will redislocate his/her shoulder? Predicting recurrent instability following a first traumatic anterior shoulder dislocation


Ann Cools, New in

The incidence of a traumatic shoulder dislocation is 23/100 000 persons/year with a recurrence rate from 26% up to 92%. Incidence of a first time traumatic anterior shoulder dislocation (FTASD) is higher in contact sports, and recurrence rate depends upon risk factors that may be modifiable (such as activity level) or non-modifiable (such as age […]

January 10, 2020

Training the shoulder in climbers


Annelies Maenhout, From Practice

In recent years, climbing has experienced a large increase in popularity as a sport. As more people have started climbing, so have injury rates grown. Shoulder injuries make up about 17% of all rock climbing injuries, and chronic pain has been reported in 33% of elite climbers. Interesting enough to think about how to prevent […]

November 22, 2019

Exercise guidelines for multidirectional shoulder instability


New in

The hypermobility type of the Ehlers-Danlos Syndrome and Hypermobility Spectrum Disorders By Valentien Spanhove, PT and PhD researcher @Ghent University Hypermobility disorders range from asymptomatic joint hypermobility, through Hypermobility Spectrum Disorders (HSD), to the hypermobility type of the Ehlers-Danlos syndrome (hEDS) (Malfait et al. AJMG 2017). While patients with hEDS are characterized by signs of […]

October 28, 2019

Dynamic systems theory -Frans Bosch


Annelies Maenhout, Events

Gaining new insights in motor control with Frans Bosch was a professional “life-changing” experience. Going away from analytic stability training to dynamic functional training. There remain challenges to integrate this perspective in current shoulder rehabilitation but boosts the creativity in exercise therapy. To share this boost, we throw a few of the important ideas below. […]

October 23, 2019

Screening tests for the overhead athlete: why, when and how?


Ann Cools, Events

On October 4-5th  2019, sports physiotherapists from all over the world gathered for the 3rd World Congress of Sports Physiotherapists (https://www.sportphysio.ca/calendar-of-upcoming-events/spc2019/). A major topic of discussion was the value of screening (ROM, strength, functional tests…) for injury prevention and return to play after injury. The world experts agree that at this moment, there is not […]

October 9, 2019

Gentle exercises for Parsonage Turner


Ann Cools, Clinical Pearls

Parsonage-Turner syndrome (PTS) is an uncommon neurological disorder characterized by rapid and idiopathic onset of severe pain in the shoulder and arm. It involves mainly the plexus brachialis and/or the n. thoracicus longus or accessorius. Often the patient reports getting up in the morning with a painful arm and a substantial scapular malpositioning (“I felt […]

July 19, 2019

Message in a physio-bottle: what can we tell our patients and more importantly, how?


Ann Cools, Clinical Pearls

Efficient communication with patients is challenging but crucial in our shared pathway through rehabilitation. There is a great body of evidence highlighting the importance of acknowledging the psycho-social and emotional context of the patient (De Baets et al. 2019), efficient communication (Bukstein et al. 2016),  shared decision making, and patient centered approach (Wijma et al. […]

July 5, 2019