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

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