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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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