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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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


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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