Winter weather in Colorado means, skiing, snowboarding, cross country skiing, and snowshoeing, in additional to all the normal running and biking people do. It also means snow with slippery parking lots and sidewalks. All of these things can create a nightmare situation for your upper extremities, should you fall and catch yourself on an outstretched hand.
Faced with the humeral head not going posterior? In the manual therapy video below, NAIOMT faculty member Stacy Soappman demonstrates one way to treat it.
How many of you start your shoulder examination with a look at the cervical and thoracic spine? In the absence of trauma it makes the most sense to do a cervical and thoracic scan during the initial evaluation. The scapula is part of the shoulder girdle. A lot of the muscles that attach to the scapula are innervated by the cervical spine. If the patient presents with a cervical dysfunction they can wind up with altered muscle length of muscles that attach to the scapula. This can lead to altered scapula positioning at rest and with motion. If the patient has altered scapula movement it can lead to shoulder impingement during shoulder girdle movements.
The article below demonstrates that patients presenting with shoulder pain who received a thoracic manipulation experienced significant reduction in their shoulder pain and improved function. So don't forget to widen your focus and include the thoracic spine!
Non-specific shoulder pain (NSSP) is often persistent and disabling leading to high socioeconomic costs. Cervical manipulation has demonstrated improvements in patients with NSSP, although risks associated with thrust techniques are documented. Thoracic manual therapy (TMT) may utilise similar neurophysiological effects with less risk. The current evidence for TMT in treating NSSP is limited to systematic reviews of manual therapy (MT) applied to the upper quadrant. These reviews included trials that used shoulder girdle manual therapy (SG-MT) in the TMT group. This limits the scope of their conclusions with regard to the exclusive effectiveness of TMT for NSSP. Read Methods and Results here.
For a deeper look into effectively treating a host of conditions, browse these upcoming manual therapy courses offered across the country.
**Abstract of the week shared by NAIOMT Instructor Stacy Soappman, PT, DSc, COMT, FAAOMPT.
It's only natural for physical therapists to gravitate toward their favorite areas and issues to treat in the clinic. They're usually ones we feel most confident with, aren't they? But sometimes--oftentimes--going outside of our comfort zones to learn new skills, and gain a new understanding of the human body not only makes us better physical therapists, it's where we can start reshaping the healthcare system itself. It can turn an avenue of care many aren't even aware exists into standard practice. We're talking female pelvic and perinatal health. And the nearly 4 million women who give birth in the U.S. every year need our help.
It is winter time here in Colorado which means, skiing, snowboarding, cross country skiing, and snowshoeing, in additional to all the normal running and biking people do. It also means snow with slippery parking lots and sidewalks. All of these things can create a nightmare situation for your upper extremities, should you fall and catch yourself on an outstretched hand.