Return to sports after shoulder injury: progressive performance training

Ann Cools, Clinical Pearls

During the RTP phase of rehabilitation, the practitioner must balance 2 conflicting components, on one hand the knowledge that premature RTP increases the risk for re-injury and on the other hand that the player as well as the team desire return to participation as quickly as possible. Combining evidence with clinical expertise, the clinician plans […]

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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 […]

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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. […]

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Gentle progression of closed chain shoulder exercises: which variables to consider?

Ann Cools, Clinical Pearls

Closed chain exercises (where the hand is supported on a moveable or fixed surface) are considered to be safe in the early stages of rehab in patients with shoulder instability, and are supposed to increase proprioceptive quality and neuromuscular control. Many variables determine the level of difficulty of these exercises, such as the body weight […]

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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

Update on the stiff shoulder


Dorien Borms, Events

On April 27 2018, TerBrugGen organized a shoulder symposium about the stiff shoulder. Venue of the meeting was a theme park for children (in case you are wondering why there is an image of a gnome inspired hat on the lecture stand). The first part focused on the orthopedic approach with interesting background information on […]

May 14, 2019

Subacromial pain syndrome: exercise therapy or subacromial decompression surgery? That’s the question!


Dorien Borms, New in

Subacromial pain syndrome (SAPS)  is the most common diagnosis for shoulder pain. Subacromail decompression, which is the removal of the subacromial bursa with some bone from the anteroinferior surface of the acromion is a common treatment option for  SAPS in order to prevent impingement of the rotator cuff tendons. Although the decision of whether or […]

March 7, 2019

Case presentation poster on professional golfer with yips


Annelies Maenhout, From Practice

This golfer presented with very frutstrating dystonia that developed post shouder surgery in pro-supination movement. The main treatment component was motor control training. Starting point was “what is possible without dystonia?”. High speed pro-supination motion and highly loaded pro-supination motion were free of tremor. The problem only occurred in slow, unloaded movements so this determined […]

February 18, 2019