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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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

Clinical examination of the shoulder: time to change direction from diagnosing the structural diagnosis towards symptom modification tests.


Ann Cools, Clinical Pearls

The purpose of the physical examination of a patient with shoulder pain is multifactorial. The clinician seeks information about tissue irritability, pain mechanisms, activity and participation limits, the patient’s expectations and goals etc…During the clinical examination, one of the purposes it to examine possible underlying biomechanical factors causing or perpetuating the current movement limitations and/or […]

January 11, 2019

Comparison of 2 rehabilitation programs for multidirectional MDI: which exercise program is the best and what is the rationale behind it?


Birgit Castelein, New in

A new study of Warby et al. (2018, BJSM) compared 2 exercise programs of 12 weeks in patients with non-traumatic multidirectional instability. The effect on function and satisfaction (with questionnaires investigating instability, such as WOSI & MISS) and pain, muscle strength, scapular movement was investigated at 6, 12 and 24 weeks. Participants attended a weekly […]

January 11, 2019

Exercise Therapy in the non-operative treatment of degenerative rotator cuff tears: which exercises should we prescribe?


Ann Cools, Clinical Pearls

Recent studies have shown that patients with degenerative rotator cuff (RC) tears have similar good results from an exercise program compared to surgical intervention (Jeanfavre M et al. IJSPT 2018). In the conservative treatment of RC tears, it is advised to use function-based rather than structure-based exercises. In other words it is much more important […]

January 11, 2019

Is a non-operative treatment an effective and long-lasting option for patients with full-thickness rotator cuff tears?


Birgit Castelein, New in

Both surgical repair as conservative management may serve as treatment options for patients with full-thickness rotator cuff tears. It is important to know if conservative treatment has also a successful result in the long-term. Boorman et al. (2018, JSES) examined 5-year outcomes of patients with chronic full-thickness rotator cuff tears previously enrolled in a nonoperative, […]

January 11, 2019

The Mission…


About

With this blog we want to share our passion for quality in shoulder physiotherapy. Recent scientific publications, ongoing research, experience from practice, interesting lectures and so on each add a piece of knowledge. With our selection from the mass of information we want to filter what matters to physios in practice treating shoulder patients. We […]

January 9, 2019

Does evidence support practice in overhead athlete exercise prescription?


Annelies Maenhout, New in

Results and thoughts on “Exercise prescription for overhead athletes with shoulder pathology: a systematic review with best evidence synthesis.” (Wright et al., 2018) This interesting review summarizes the evidence on exercise prescription for overhead athletes with shoulder pathology. The authors included 6 level I-IV studies and 33 level V studies. They extracted a list of exercises […]

November 14, 2018