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49 episodes with jo gibson
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Episode 156: Ben Ashworth chats to Jo Gibson. Jo is a Clinical Physiotherapy Specialist working at the Liverpool Upper Limb Unit at the Royal Liverpool Hospital and a Consultant for R4P. She has worked as a Shoulder Specialist since 1995 and lectures nationally and Internationally about assessment and rehabilitation of the shoulder complex. Jo has co-developed Masters modules with Liverpool University for the diagnosis and treatment of upper limb pathology and has co-authored national guidelines for the management of different shoulder pathologies. Jo's recognized expertise has resulted in consultancy work with many elite sports teams in varying sports including football, rugby, cricket, gymnastics, swimming, boxing, canoeing and tennis. - Topics Discussed Addressing Communication Challenges The Role of the Kinetic Chain in Shoulder Function Parallels in Assessment and Treatment Approaches Individualisation in Shoulder Rehabilitation - Where you can find Jo: LinkedIn X (Twitter) Check Out Jo's Shoulder Course - Sponsors VALD Performance, makers of the Nordbord, Forceframe, ForeDecks and HumanTrak. VALD Performance systems are built with the high-performance practitioner in mind, translating traditionally lab-based technologies into engaging, quick, easy-to-use tools for daily testing, monitoring and training Hytro: The world's leading Blood Flow Restriction (BFR) wearable, designed to accelerate recovery and maximise athletic potential using Hytro BFR for Professional Sport. TeamBuildr: A platform for any coach in any setting. Every day, thousands of coaches log into TeamBuildr to write training programs, build questionnaires and access athlete and client performance data. Teambuildr is a complete platform. Whether you're building your own programming, looking to create custom reports or give athletes a tool for accountability, they've built it out. - Where to find Athletic Shoulder Website Podcast
Guildhall De-Centre focuses on the support structures, networks and collaborations that form the basis of socially engaged practices by developing a community of researchers, practitioners, producers, teachers and administrators at Guildhall School. Sophie Hope talks to Sean Gregory and Jo Gibson about the new De-Centre for Socially Engaged Practice and Research. They discuss the roots of this initiative, their different lines of enquiry threading through it, and approach the question of what a socially engaged, de-centred conservatoire might be and do. The De-Centre operates under the stewardship of Guildhall School staff members who convene monthly to deliberate and make decisions collaboratively. So while this episode features Sophie, Sean and Jo telling their story, there are many more people involved who have inspired this work and who are currently making things happen. Please see the website to find out more, and join the mailing list to get updates.
Upper Limb Rehabilitation Specialist Jo Gibson explores an intriguing case of an 84-year-old man with a massive rotator cuff tear of the supraspinatus and partial subscapularis tear. Despite his long history of shoulder issues, he's improving, but constant pain and intermittent numbness in his posterior arm and into his hand complicate the situation. In this podcast, you'll explore: What a massive rotator cuff tear (MRCT) is Common pain patterns with rotator cuff tears Why the Suprascapular nerve can be affected in MRCT's How to set realistic expectations with patients about their recovery Common causes of pain into the posterior arm, wrist and hand How to differentially diagnose shoulder, arm and hand pain Assessment tests to identify and exclude cervical involvement When nerve conduction tests or EMG should be performed Rehabilitation ideas for this patient Listen to this podcast now to improve your rehabilitation of shoulder & arm pain and rotator cuff tears. Free shoulder assessment infographic series Click here to access the free shoulder infographic series and learn how to easily assess shoulder pain patients with this simple 6-step shoulder assessment from Jo Gibson The handout for this podcast consists of a transcript and research articles referenced in this podcast. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Free shoulder assessment infographic series with Jo Gibson Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
In Ep.196, Part 2 of our special Shoulder Series, our guest is Jo Gibson, a hugely respected shoulder specialist & educator both nationally & internationally, and upper limb rehab specialist at Rehab 4 Performance The show focuses on inclusive patient-centric healthcare, encouraging practicioners to use thorough subjective assessment to form a hypothesis, rather than rushing into the objective testing. Jo discusses different classes of shoulder conditions, the importance of clear communication, and strategies for diagnosis. Discover the role of reactive stabilization and neuromuscular elements in treating instabilities, along with the correlation between injury and re-injury. The podcast offers a comprehensive outlook on shoulder cases like impingement and instability. Detailed discussions about the practice of patient-centric listening to guide rehabilitation strategies are provided. A significant highlight of the episode is the exploration of a potential missing link in the recovery process – the critical aspect of neural control, referred to as the 'Control Chaos Continuum' (Taberner et al. 2019) The episode goes on to provide a better understanding of frozen shoulders, the role hormones play in shoulder pain, particularly in menopausal women. Filled with practical resources, Jo also provides details of her up & coming ‘Treating The Shoulder: Steps To Success' courses, both online & face-to-face. Useful Links Details of Jo Gibson courses: https://www.vitalpm.com/ Rehab 4 Performance website: https://rehab4performance.com/ Jo Gibson on Twitter: @ShoulderGeek1 Rehab 4 Performance on Instagram: @r4p_uk Rehab 4 Performance on Facebook: https://www.facebook.com/R4PUK Sports Therapy Association on Facebook Sports Therapy Association on Instagram Sports Therapy Association on Twitter Sports Therapy Association Website Want to join the live recordings? Episodes of the Sports Therapy Association podcast are recorded live every TUESDAY at 8pm on the Sports Therapy Association YOUTUBE CHANNEL and FACEBOOK page. Everyone is welcome - you do not have to be an STA member! If you cannot join us live, be sure to subscribe to the 'Sports Therapy Association Podcast' on all popular podcast apps to be notified when new episodes are available. Please Support Our Podcast! If you appreciate what we do, please take a couple of minutes to leave us a rating & review on Apple Podcasts. It really does make all the difference in helping us reach out to a larger audience. iPhone users you can do this from your phone, Android users you will need to do it from iTunes. Questions? Email: matt@thesta.co.uk
Jo Gibson (Upper Limb Rehabilitation Specialist Physio) discusses the keys to successfully treat persistent anterior shoulder pain in two tennis players who had not recovered despite previous extensive rehab. In this podcast Jo explores what to include in your rehab of sportspeople who place large demands on their shoulders, elements commonly overlooked in shoulder rehab and how to address patients' psychosocial factors, fears and beliefs to successfully treat persistent shoulder pain. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. The handout for this podcast consists of a transcript and research articles referenced in this podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Lluch-Girbés E, Requejo-Salinas N, Fernández-Matías R, Revert E, Mejías MV, Camargo PR, Jaggi A, Sciascia A, Horsley I, Pontillo M, Gibson J. Kinetic chain revisited: Consensus expert opinion on terminology, clinical reasoning, examination and treatment in people with shoulder pain. Journal of shoulder and elbow surgery. 2023 Feb 15.t McMullen J, Uhl TL. A kinetic chain approach for shoulder rehabilitation. Journal of athletic training. 2000 Jul;35(3):329.t Ellenbecker TS, Aoki R. Step by step guide to understanding the kinetic chain concept in the overhead athlete. Current reviews in musculoskeletal medicine. 2020 Apr;13:155-63.t Podcast chapters: 02:30 - Case studies: 2 tennis players 03:14 - Kinetic chain definition 04:18 - When to consider the kinetic chain 07:07 - Screening tests 10:17 - Objective measures
Jingle bells / Dead teens smell / Meat lock the stink away! Up on the housetop, the @super_chillers send you a season's greetings down the chimney in advance of your upcoming holiday commute. For December's episode, Katie and Jeffrey ho-ho-ho about Jo Gibson's SLAY BELLS (1994), a stocking stuffed full of faux animatronic Santas, horse sweat, mayo dip, and Granny's $2 pies. Is it naughty, nice, or a total dish? Stay up all night and keep your ears glued to the cookie plate to find out! E-mail us your questions, comments, or games at superchillerspod@gmail.com Follow Super Chillers on Instagram and Twitter @super_chillers Follow Katie on Instagram @thehauntedoutfit Follow Jeffrey on Instagram and Twitter @jeffreycanino Theme song by Atraxia (https://www.pond5.com/artist/atraxia)
This week Kelly and Katai read "Slay Bells" by Jo Gibson, the story of a bunch of drips in a mall getting killed by an evil Drip Santa. They talk the need for gentle bullying, being obsessed with your drip grandparents, hat on a hat killer motivation, and more! SUBSCRIBE TO THE TEEN CREEPS PATREON to get ad free episodes, bonus episodes, merch, and more: https://www.patreon.com/teencreeps CONNECT W/ TEEN CREEPS: https://twitter.com/teencreepspod https://www.instagram.com/teencreepspod https://www.facebook.com/teencreepspod BUY TEEN CREEPS MERCH: https://www.teepublic.com/stores/teen-creeps TEEN CREEPS IS A FOREVER DOG PODCAST https://foreverdogpodcasts.com/podcasts/teen-creeps *All creepy opinions expressed are those of the hosts and guests. Learn more about your ad choices. Visit megaphone.fm/adchoices
This week Kelly and Katai read "Slay Bells" by Jo Gibson, the story of a bunch of drips in a mall getting killed by an evil Drip Santa. They talk the need for gentle bullying, being obsessed with your drip grandparents, hat on a hat killer motivation, and more!SUBSCRIBE TO THE TEEN CREEPS PATREON to get ad free episodes, bonus episodes, merch, and more:https://www.patreon.com/teencreepsCONNECT W/ TEEN CREEPS:https://twitter.com/teencreepspodhttps://www.instagram.com/teencreepspodhttps://www.facebook.com/teencreepspodBUY TEEN CREEPS MERCH:https://www.teepublic.com/stores/teen-creepsTEEN CREEPS IS A FOREVER DOG PODCASThttps://foreverdogpodcasts.com/podcasts/teen-creeps*All creepy opinions expressed are those of the hosts and guests. SUBSCRIBE TO OUR PATREON for ad free and video episodes, bonus episodes, and more:https://www.patreon.com/teencreeps CONNECT:https://discord.com/invite/FYp4QNhruEhttps://www.instagram.com/teencreepspodhttps://www.facebook.com/teencreepspod MERCH:https://www.teepublic.com/stores/teen-creeps TEEN CREEPS IS AN INDEPENDENT PODCAST. *All creepy opinions expressed are those of the hosts and guests. Hosted on Acast. See acast.com/privacy for more information.
Rotator cuff tear arthropathy (RCTA) is a pattern of glenohumeral joint degenerative changes following rotator cuff tears, causing shoulder pain and stiffness. Subscapularis tears can also be involved in RCTA, or a significant cause of shoulder pain and disability. How can you identify RCTA and subscap tears in your shoulder pain patients? How can they be treated, and do these patients respond well to non-surgical management? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. The handout for this podcast consists of a transcript and research articles referenced in this podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Free webinar - Rotator cuff revealed: Rehab & reasoning with Jo Gibson Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Conaire EÓ, Delaney R, Lädermann A, Schwank A, Struyf F. Massive Irreparable Rotator Cuff Tears: Which Patients Will Benefit from Physiotherapy Exercise Programs? A Narrative Review. International Journal of Environmental Research and Public Health. 2023 Mar 23;20(7):5242. Fahy K, Galvin R, Lewis J, Mc Creesh K. Exercise as effective as surgery in improving quality of life, disability, and pain for large to massive rotator cuff tears: A systematic review & meta-analysis. Musculoskeletal Science and Practice. 2022 Jun 10:102597. Chapters: 03:25 - What is cuff arthropathy? 05:35 - Contributing factors 07:33 - Patient history 08:37 - Subscapularis tendon tears 12:29 - Common mechanisms of injury 13:46 - Assessment tests 16:51 - Rotator cuff related shoulder pain
When a patient presents with a potential frozen shoulder, what other differential diagnoses must be considered? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), exploring the case study of a patient diagnosed with “frozen shoulder” with symptoms that don't quite match a typical frozen shoulder. What's the diagnosis of this patient's stiff shoulder? You'll also discover whether an X-ray or imaging is required when a patient presents with a stiff or frozen shoulder. Click here for the free webinar with Jo Gibson “Rotator cuff revealed! Rehab & reasoning”. The handout for this podcast is the transcript associated with this podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Chapters: 04:03 - Case study 07:23 - Frozen shoulder or misdiagnosis? 10:21 - Screening tests 10:58 - Risk factors 17:14 - Key points
Stingers or burners are a burning or stinging pain, often with some paraesthesia and occasionally weakness, often occurring in impact sports such as rugby or American football. When your patients present with neck and arm symptoms, how can you differentiate a stinger or burner from a C/sp fracture, discogenic symptoms or nerve root compression, which all require very different treatment? How should you manage patients with one-off or repeated stingers or burners? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). The handout for this podcast consists of a transcript and articles referenced in the podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the article associated with this podcast Bowles DR, Canseco JA, Alexander TD, Schroeder GD, Hecht AC, Vaccaro AR. The prevalence and management of stingers in college and professional collision athletes. Current reviews in musculoskeletal medicine. 2020 Dec;13:651-62. Sobue S, Kawasaki T, Hasegawa Y, Shiota Y, Ota C, Yoneda T, Tahara S, Maki N, Matsuura T, Sekiguchi M, Itoigawa Y. Tackler's head position relative to the ball carrier is highly correlated with head and neck injuries in rugby. British journal of sports medicine. 2018 Mar 1;52(6):353-8. Swiatek PR, Nandurkar TS, Maroon JC, Cantu RC, Feuer H, Bailes JE, Hsu WK. Return to play guidelines after cervical spine injuries in American football athletes: a literature-based review. Spine. 2021 Jul 1;46(13):886-92. Chapters: 03:56 - What are stingers or burners? 08:13 - 3 key mechanisms 14:36 - Signs & symptoms 15:36 - Management guidelines 18:46 - Shoulder instability treatment
Posterior shoulder instability can occur after a fall onto an outstretched arm, or diving and hitting the ground with your arm (like diving to score a try in rugby), injuring the posterior labrum and/or the glenohumeral joint. Unlike anterior shoulder instability, patients with posterior shoulder instability may not have have a feeling of instability, but may just experience pain, fatigue and weakness. How can you identify posterior shoulder instability in your shoulder pain patients? What does your rehab for posterior shoulder instability need to include? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). The handout for this podcast consists of a transcript and articles referenced in the podcast. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the article associated with this podcast Brelin A, Dickens JF. Posterior shoulder instability. Sports Medicine and Arthroscopy Review. 2017 Sep 1;25(3):136-43. Gutkowska O, Martynkiewicz J, Urban M, Gosk J. Brachial plexus injury after shoulder dislocation: a literature review. Neurosurgical review. 2020 Apr;43:407-23. Longo UG, Ciuffreda M, Locher J, Casciaro C, Mannering N, Maffulli N, Denaro V. Posterior shoulder instability: a systematic review. British Medical Bulletin. 2020 Jul 9. Sadi J, Torchia E, Faber KJ, MacDermid J, Lalonde C, Watson L, Weber M, Wu N. Posterior shoulder instability classification, assessment, and management: an international Delphi study. Journal of Orthopaedic & Sports Physical Therapy. 2020 Jul;50(7):373-80. Chapters: 03:17 - Case study 06:57 - Assessment tests 13:17 - Rehab 15:32 - Other treatment options 16:10 - Recovery 17:43 - Scapular dyskinesis 21:59 - Barriers to recovery
An unmedicated birth experience doesn't just happen. It requires so much preparation physically and mentally. It also requires you knowing what you want and letting your provider know "this is the plan, get on board." This week's birth story with Jo Gibson is the perfect example of how knowledge is power and the more you know, the more options you have.Links Mentioned:My Essential Birth CourseMy Essential Birth Instagram3 Free ExercisesQuestions to Ask Your MidwifeQuestions to Ask Your ProviderGET IN TOUCH!
Clinical physiotherapy specialist, Jo Gibson, is making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athletes? Part 2 of our chat with Jo (find it here: https://podcasts.apple.com/us/podcast/ep-99-solving-stubborn-shoulders-part-2-with-jo-gibson/id1522929437?i=1000578394772) was all about supporting the athlete to return to sport: key considerations and best tests. ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/
In part 1 of this mini shoulder masterclass with clinical physiotherapy specialist, Jo Gibson, we tackled a simple approach to assessing and diagnosing shoulder problems in athletes. Today, we launch into supporting the athlete to return to sport: key considerations? Which return to sport tests? How do you know when the athlete is ready to return? All this and more in part 2. ------------------------------ RESOURCES Bern 2022 consensus on shoulder injury prevention, rehabilitation and return to sport: https://www.jospt.org/doi/full/10.2519/jospt.2022.10952 The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/
In part 1 of this 2-part series with clinical physiotherapy specialist, Jo Gibson, we're making assessing and diagnosing shoulder problems simple. What are the keys to communicating well with athletes, and the tests you need in your clinical arsenal to best support injured athletes? ------------------------------ RESOURCES The Athletic Shoulder (ASH) test: https://pubmed.ncbi.nlm.nih.gov/30057775/ Upper-extremity performance tests: https://pubmed.ncbi.nlm.nih.gov/33874850/
In this Episode I talk to Billie Jo Gibson (he / they) who is a National Equity, Diversity and Inclusion officer for the Northern Idependence Party and works in a hospitality job. Billie was diagnosed autistic when they were four years old. In this episode we talk about early diagnosis, friendships, masking, growing up, Speech and Language therapy, forced social interaction and growing up as an autistic child, self-acceptance, gender identity / being trans, hyperfocus, childhood special interests, politics, class, the cost of living crisis, issues with the Labour Party, Northern Independent Party, Democratic Socialism, Disability and PIP assessment, trauma and mental health assessment, Grand Theft Auto and Liverpool / Scouse Culture. [Content warning] this episode includes mention of trauma, challenging early autistic experiences, mental health, food / eating and dysphoria. There is some background noise in this episode as Billie was in a cafe. There is also some swearing. https://shu.padlet.org/dscb18/9m9zy9dwh0cfozn5
Do we need to target “proprioception” in shoulder rehab with flexible or vibratory, blade-like rehab tools or water-filled pipes? Does the evidence support the use of these proprioceptive tools to improve patients shoulder pain, or are there different exercises that provide better results? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) and discover whether to include proprioceptive treatment tools in your patients shoulder rehabilitation programs. The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the article associated with this podcast Ager AL, Borms D, Bernaert M, Brusselle V, Claessens M, Roy JS, Cools A. Can a conservative rehabilitation strategy improve shoulder proprioception? A systematic review. Journal of Sport Rehabilitation. 2020 Jul 31;30(1):136-51. Ager AL, Borms D, Deschepper L, Dhooghe R, Dijkhuis J, Roy JS, Cools A. Proprioception: How is it affected by shoulder pain? A systematic review. Journal of hand therapy. 2020 Oct 1;33(4):507-16. Ager AL, Roy JS, Roos M, Belley AF, Cools A, Hébert LJ. Shoulder proprioception: how is it measured and is it reliable? A systematic review. Journal of Hand Therapy. 2017 Apr 1;30(2):221-31.
Traumatic superior labrum anterior to posterior (SLAP) tears can occur in contact athletes and other patients that land on their arm or shoulder, and in throwers and other athletes. Initial assessment and even MRI often miss or misdiagnose these injuries, leading to ongoing shoulder, long head of biceps tendon (LHBT) or ACJ pain. In this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio) you'll discover how to identify patients with SLAP tears. You'll explore which assessment tests can be used to diagnose and differentiate SLAP tears from other causes of shoulder pain, and which imaging modalities will actually identify SLAP tears. The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Article associated with this episode: CLICK HERE to download the article associated with this podcast Michener LA, Abrams JS, Bliven KC, Falsone S, Laudner KG, McFarland EG, Tibone JE, Thigpen CA, Uhl TL. National Athletic Trainers' Association position statement: evaluation, management, and outcomes of and return-to-play criteria for overhead athletes with superior labral anterior-posterior injuries. Journal of athletic training. 2018 Mar;53(3):209-29.
When things don't go well in a treatment session, what will help you identify the potential reasons and clues? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), and discover how to use non-verbal communication to improve the success of your treatment sessions. The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the article associated with this podcast Riess H, Kraft-Todd G. EMPATHY: a tool to enhance nonverbal communication between clinicians and their patients. Academic Medicine. 2014 Aug 1;89(8):1108-12.
Do your acute ACJ injury patients require surgery, or can they be managed conservatively with a rehab program? Find out in this podcast as Jo Gibson (Upper Limb Rehabilitation Specialist Physio) reveals how to grade patients' acute ACJ injuries, help patients decide on surgery or conservative management, and rehab your patients effectively. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
Shoulder pain & frozen shoulder can be extremely debilitating for patients, impacting their ability to sleep, fulfill their normal work and family role or have fun. How can you as a therapist understand your patients pain experience, help them feel supported and meet your patients needs throughout their journey to recovery from shoulder pain or frozen shoulder? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio), hosted by Clinical Edge, as you explore how the latest research can help improve your shoulder pain treatment. The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Jones S, Hanchard N, Hamilton S, Rangan A. A qualitative study of patients' perceptions and priorities when living with primary frozen shoulder. BMJ open. 2013 Sep 1;3(9):e003452. King W, Hebron C. Frozen shoulder: living with uncertainty and being in'no man's land'. Physiotherapy Theory and Practice. 2021 Dec 23. Minns Lowe CJ, Moser J, Barker K. Living with a symptomatic rotator cuff tear ‘bad days, bad nights': a qualitative study. BMC musculoskeletal disorders. 2014 Dec;15(1):1-0. Ulack C, Suarez J, Brown L, Ring D, Wallace S, Teisberg E. What are People That Seek Care for Rotator Cuff Tendinopathy Experiencing in Their Daily Life?. Journal of Patient Experience. 2022 Jan;9:23743735211069811.
When you're treating patients that feel like their scapulae are asymmetrical, a rib is “out of place”, or they feel neck or thoracic stiffness without any restriction in movement, they may expect you to perform treatment that is unlikely to help, like joint mobilisation, manipulation or massage. How can you use the latest pain science in your treatment to help patients overcome the experience of asymmetry, stiffness or something being out of place? Find out in this podcast with Jo Gibson (Upper Limb Rehabilitation Specialist Physio). The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free trial Clinical Edge membership Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Tabor A, Keogh E, Eccleston C. Embodied pain—negotiating the boundaries of possible action. Pain. 2017 Jun 1;158(6):1007-11. Tabor A, Vollaard N, Keogh E, Eccleston C. Predicting the consequences of physical activity: An investigation into the relationship between anxiety sensitivity, interoceptive accuracy and action. Plos one. 2019 Mar 28;14(3):e0210853. Tabor A, Van Ryckeghem DM, Hasenbring MI. Pain unstuck: the role of action and motivation. The Clinical Journal of Pain. 2020 Mar 10;36(3):143-9. Venter E. Toward an embodied, embedded predictive processing account. Frontiers in Psychology. 2021:137.
Why do some rotator cuff (RC) repair patients progress really slowly post-operatively and experience high levels of pain and sleep disturbance for long periods? Find out in this case study and exploration of the latest evidence in this podcast with Jo Gibson (Shoulder Rehabilitation Specialist) as she reveals: Quick or slow recovery? Which patients are likely to improve quickly, and which patients are likely to take longer to improve. How soon after arthroscopic RC repair your patients will experience significant improvements in pain. When patients sleep is likely to improve. Objective assessment tests How to identify post-op nerve injury, red flags and infection. Objective tests you can safely perform without overstressing the rotator cuff. How to identify patients developing post-op frozen shoulder. Expectations, education & reassurance How to help set patient expectations for recovery before and after surgery. Questions to ask patients after surgery that will help guide your treatment. How to reassure patients that are experiencing pain. How to explain post-op recovery to patients that are unhappy with their progress, even when their recovery is on track. Treatment & resources Activities your patients may be performing that slow their post-op recovery. Positions and postures you can show patients to improve their pain in the day, and sleep at night. Resources to give your post-op patients. The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your frozen shoulder assessment and treatment now with Jo Gibson's free video series at clinicaledge.co/shoulder Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Use a fresh approach to your musculoskeletal and sports injury treatment with a free trial Clinical Edge membership at clinicaledge.co/freetrial Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Cho CH, Bae KC, Kim DH. Patients who have undergone rotator cuff repair experience around 75% functional recovery at 6 months after surgery. Knee Surgery, Sports Traumatology, Arthroscopy. 2021 Jul;29(7):2220-7. Grubhofer F, Martinez AR, Ernstbrunner L, Haberli J, Selig ME, Yi K, Warner JJ. Speed of recovery of the most commonly performed shoulder surgeries. JSES international. 2021 Jul 1;5(4):776-81. Kurowicki J, Berglund DD, Momoh E, Disla S, Horn B, Giveans MR, Levy JC. Speed of recovery after arthroscopic rotator cuff repair. Journal of Shoulder and Elbow Surgery. 2017 Jul 1;26(7):1271-7.
Jo Gibson te gast in de SmartEducation Podcast!In het kader van haar opleiding 'The Shoulder: Steps to Success', schotelden we haar een aantal vragen voor. Alles te weten komen over Jo's gouden tips voor kinesitherapeuten of over aankomend onderzoek? Check it out.
Patients may develop stiffness following rotator cuff repair or other shoulder surgery, particularly with longer periods of immobilisation. On the other hand, some patients may fail rehab without sufficient immobilisation. How can you identify which patients are likely to develop stiffness and will benefit from early mobilisation? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover: Which patients are likely to benefit from rotator cuff or other surgical repair. How to plan post-op surgical rehab. Whether patients should have a period of immobilisation or not. How to predict patients that are likely to develop post-op shoulder stiffness. Metabolic, genetic, age-related and psychosocial factors that influence development of stiffness. Pre-operative and surgical factors that influence development of stiffness. How to reduce the likelihood of stiffness developing. Comparison between early post-op shoulder mobilisation and six weeks in a sling. Patients more likely to fail a RC repair, who may need more of a conservative approach to early mobilisation. How to explain mobilisation vs immobilisation to patients. Short and long term outcomes when patients develop stiffness. Frozen shoulder If and when corticosteroid injections are helpful. The role of P. acnes in development of frozen shoulder. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Links associated with this episode: Accurately assess, diagnose & treat frozen shoulder, with this free videos series from Jo Gibson Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson Comprehensively assess and treat shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
Can you solve this case of a badminton player with a five year history of posterior shoulder pain and shoulder fatigue with overhead movements? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover the diagnosis and why the patient hasn't improved with rehabilitation, as Jo reveals the case study and: Subjective clues to help diagnose this condition. Questions to ask in the subjective history. Differential diagnoses to keep in mind. How to identify and rule out red flags. Clinical tests to use to rule this condition in and out. What medical tests and MRI reveal. Common causes of this condition. Conservative, medical and surgical management and results. Ideal treatment pathways for this condition. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
Immobilisation following a humeral fracture or shoulder surgery quickly results in muscle atrophy and decreased shoulder strength and proprioception. How can you limit strength deficits that develop while patients are in a sling? During this period of immobilisation, cross education (CE) can help retain shoulder strength. This improved shoulder strength and proprioception after the immobilisation period concludes may enable a faster return to work, high load activities or sport. What is CE, and how can you use it in your treatment? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover: What is cross education (CE)? What the latest research reveals about the effectiveness of CE? Which patients benefit most from CE. Common strength and proprioceptive deficits after shoulder stabilisation surgery. How CE improves strength and proprioception. Recommendations for CE exercise intensity and dosage. Whether to use eccentric, concentric or isometric exercises. How to amplify the strength and cortical effects of CE. How to target the rotator cuff with CE. How to incorporate proprioception into CE. How to use CE in rehab for instability, movement apprehension & kinesiophobia. When to include CE in MRCT post-op rehab. Get free access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/shoulder Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Shoulder: Steps to Success online course with Jo Gibson Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
Is subscapularis the forgotten part of the rotator cuff? Do we ever need to target it individually? If we do what are the best options for exercises? Find out which patients with torn or painful shoulders benefit from targeted subscapularis rehab in this episode of the Physio Edge Shoulder success podcast with Jo Gibson. You'll discover: Rotator cuff & subscapularis anatomy & function. Role and function of subscapularis with shoulder movement. How subscapularis works with the posterior cuff and larger shoulder muscles. Subscapularis pain & injury Subscapularis tears - mechanism of injury. Whether subscapularis is implicated in swimmers' shoulder pain. Objective assessment Objective tests to assess subscapularis strength. The role of special tests to identify subscap tears. Targeted subscapularis rehabilitation Which shoulder pain patients require targeted subscapularis rehab. When to target subscap in post-op rehab. Why and how to start subscap rehab in patients with massive rotator cuff tears Exercises to target subscap. How incorporating the kinetic chain can help your subscap rehab. How to improve subscap recruitment with altered speed of exercise. Plyometrics for subscapularis. Subscapularis rehab in other patients Stiff shoulders - using eccentric subscap exercises to improve range of movement. Whether subscap should be targeted post long head of biceps (LHB) rupture. Improve your rehab of painful and torn shoulders now with this podcast. Get free access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/frozenshoulder Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
Are vaccinations associated with shoulder pain? Shoulder injury related to vaccine administration (SIRVA) has received a lot of attention on social media as vaccination levels have increased. If your patient has shoulder pain after a vaccine, what does this mean for treatment? Also in this podcast, how can you identify non-musculoskeletal causes of shoulder pain related to NSAID use or viscera? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Free video series “Frozen shoulder assessment & treatment” with Jo Gibson at clinicaledge.co/frozenshoulder Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson at clinicaledge.co/shoulder Links associated with this episode: Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Bancsi A, Houle SK, Grindrod KA. Getting it in the right spot: Shoulder injury related to vaccine administration (SIRVA) and other injection site events. Canadian Pharmacists Journal/Revue des Pharmaciens du Canada. 2018 Sep;151(5):295-9. Cross GB, Moghaddas J, Buttery J, Ayoub S, Korman TM. Don't aim too high: avoiding shoulder injury related to vaccine administration. Australian family physician. 2016 May;45(5):303-6. Gonzalez AI, Kortlever JT, Moore MG, Ring DC. Influenza Vaccination Is Not Associated with Increased Number of Visits for Shoulder Pain. Clinical Orthopaedics and Related Research®. 2020 Oct 1;478(10):2343-8. Hesse EM, Atanasoff S, Hibbs BF, Adegoke OJ, Ng C, Marquez P, Osborn M, Su JR, Moro PL, Shimabukuro T, Nair N. Shoulder injury related to vaccine administration (SIRVA): petitioner claims to the National Vaccine Injury Compensation Program, 2010–2016. Vaccine. 2020 Jan 29;38(5):1076-83. Hibbs BF, Ng CS, Museru O, Moro PL, Marquez P, Woo EJ, Cano MV, Shimabukuro TT. Reports of atypical shoulder pain and dysfunction following inactivated influenza vaccine, Vaccine Adverse Event Reporting System (VAERS), 2010–2017. Vaccine. 2020 Jan 29;38(5):1137-43.
Jo Gibson was kind enough to talk to me about everything except shoulders and to allow me a glimpse of the woman behind the stellar career. Her last minute decision to be a physiotherapist and a stern word form the principal. Pivotal career moments and lessons learned Initiation by shame and eventual acceptance by the medics Developing her own gentler leadership style Learning to cope with success And planning to slow down.......maybe!
Shoulder pain with swimming is often referred to as Swimmer's Shoulder. It's a fairly common problem among swimmers and even some triathletes. So what is Swimmer's Shoulder? Well, it's kind of an "umbrella" term for a bunch of different shoulder conditions that may cause pain with swimming. One person with Swimmer's Shoulder could have a painful rotator cuff tear, whereas another may have subacromial bursitis. Many swimmers with shoulder pain are diagnosed with shoulder impingement, so what the hell is that!? My guest today will be helping us unpack this complicated topic. Jo Gibson is a Clinical Physiotherapy Specialist at the Liverpool Upper Limb Unit based at the Royal Liverpool Hospital in the UK. She is an associate lecturer at the University of Liverpool (where I did my Physio training back in the day) and lectures internationally on the subject of shoulder rehabilitation. Jo is also the Squad Physiotherapist for the Great Britain Endurance riding Team and provides consultation to many elite sports teams regarding the management of difficult shoulder pain cases. Jo co-founded the International Congress of Shoulder and Elbow Therapists and has served as Vice president and Chair of the education committee on the EUSSER board (European Society of Shoulder & Elbow Rehabilitation). I could go on listing Jo's achievements for quite some time! However, most importantly Jo has a gift for understanding the whole picture when it comes to her clinical work. Fortunately for us, Jo is also a superb teacher, so get ready to learn a ton about shoulder pain from swimming. Check out the full show notes here Follow Jo Twitter @ShoulderGeek1 Linked In Jo Gibson ResearchGate Jo Gibson Cool stuff mentioned in the show Jo's Clinical Edge Podcasts: Shoulder pain in swimmers & overhead athletes Jo's weekly Facebook Live Broadcasts on Facebook or YouTube Jo' Online Course: Shoulder: Steps to Success online course Would you like your running or triathlon questions featured in a future episode? Just click here to leave me a voicemail. Music By The Passion HiFi --- Send in a voice message: https://anchor.fm/theadaptivezone/message
In this episode Jo Gibson speaks to the latest evidence on shoulders and why our assessment and treatment of shoulders has changed. She shares practical pearls on how she now assesses the shoulder and the words Jo uses that are more in line with an updated narrative. Jo Gibson is a Clinical Physiotherapy Specialist at the Liverpool Upper Limb Unit based at the Royal Liverpool Hospital, UK. She lectures both nationally and internationally about rehabilitation of the shoulder.Our host is Michael Rizk from Physio Network and iMoveU: https://cutt.ly/ojJEMZs
Pec minor cops the blame for shoulder pain, scapular dyskinesia and all sorts of upper limb pain and “dysfunction”. Is pec minor shortness or “tightness” really responsible for shoulder pain? In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you'll discover whether the latest evidence supports pec minor as a major cause of shoulder pain, or whether pec minor is an innocent victim. You'll also explore: Is pec minor responsible for shoulder pain? Does pec minor truly become “shortened”? Is there a link between a shortened pec minor, scapular dyskinesia and risk of developing shoulder pain? Should the Pectoralis minor be stretched in patients with shoulder pain? Review of pec minor attachments & anatomy Measurement of pec minor length has been shown in the literature to be reliable, but do we need to measure it? What is the most effective way of increasing length in pec minor? Stretching, self release, taping or strengthening the rotator cuff? Does pec minor stretching help to improve shoulder function, mechanics or prevent injury in overhead athletes? How long do ROM improvements following pec minor stretching last? If patients have a clear history of trauma, is pec minor shortness relevant? Is pec minor shortness relevant in thoracic outlet syndrome (TOS)? Can weightlifters develop pec minor tendinopathy? Is it worth assessing pec minor length in shoulder pain patients? Does the evidence support treating PM shortness in shoulder pain patients? The handout for this podcast is an article referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Physio Edge 096 Thoracic outlet syndrome with Jo Gibson Physio Edge 099 Upper traps - are they really a bad guy? with Jo Gibson Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Article associated with this episode: CLICK HERE to download the article associated with this podcast Illig KA, Donahue D, Duncan A, Freischlag J, Gelabert H, Johansen K, Jordan S, Sanders R, Thompson R. Reporting standards of the Society for Vascular Surgery for thoracic outlet syndrome. Journal of vascular surgery. 2016 Sep 1;64(3):e23-35.
Patients with atraumatic sternoclavicular joint (SCJ) instability may have pain during overhead activities, throwing or playing sport. How can you diagnose and successfully rehabilitate SCJ instability? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore: Assessment & diagnosis Which bony surfaces, ligaments and muscles provide stability at the SCJ. Why do patients develop SCJ instability, and what are the risk factors? What the research reveals about SCJ instability. Common symptoms that help you identify SCJ instability. Questions you need to ask that help with diagnosis. Posterior instability - Common symptoms & anatomical structures that can be impacted. How to identify clavicular epiphyseal plate injuries in young athletes. When closing of the proximal clavicular epiphyseal plate occurs, and why this is important to know. Rehab & recovery Rehab exercises you can use to develop muscular support for the SCJ. How and why you can add C/Sp exercises into SCJ rehab. How long recovery will take your patients. When patients are likely to start noticing improvements in symptoms. Will SCJ instability patients continue to experience instability and pain after rehab? Is this condition self-limiting? How can involvement of the SCJ disc be identified? What imaging can be helpful? When should you request SCJ imaging? When is SCJ surgery indicated? Jo also answered these questions from FB Live listeners: Does hypermobility change with age? Can asymptomatic SCJ instability occur in weightlifters that do not have hypermobility, and do we need to treat it? Which SCJ patients benefit from injections? When should SCJ injections be avoided? What autoimmune inflammatory conditions may result in SCJ swelling? The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson The Hypermobility Syndromes Association (HMSA) Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Castori M, Tinkle B, Levy H, Grahame R, Malfait F, Hakim A. A framework for the classification of joint hypermobility and related conditions. InAmerican Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 148-157). Malfait F, Francomano C, Byers P, Belmont J, Berglund B, Black J, Bloom L, Bowen JM, Brady AF, Burrows NP, Castori M. The 2017 international classification of the Ehlers–Danlos syndromes. In American Journal of Medical Genetics Part C: Seminars in Medical Genetics 2017 Mar (Vol. 175, No. 1, pp. 8-26). Martetschläger F, Warth RJ, Millett PJ. Instability and degenerative arthritis of the sternoclavicular joint: a current concepts review. The American journal of sports medicine. 2014 Apr;42(4):999-1007. Sewell MD, Al-Hadithy N, Le Leu A, Lambert SM. Instability of the sternoclavicular joint: current concepts in classification, treatment and outcomes. The bone & joint journal. 2013 Jun;95(6):721-31.
How can you rehab patients with an acromioclavicular joint (ACJ) injury, or end of range elevation shoulder pain, long term shoulder pain, clavicular osteolysis, or osteoarthritis? What exercises and manual therapy can you use in your rehab program? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and discover: Common ACJ mechanisms of injury A recap of ACJ injury classification and treatment pathways for different grades of injury. How useful is X-ray in ACJ injuries, and what is the best imaging for this injury? What imaging should ACJ injury patients have? What are the long term risks for ACJ patients? What factors correlate with worsening ACJ pain? Can atraumatic instability occur at the ACJ? What movements should be assessed in ACJ injury patients? Why is symptom modification helpful in shoulder pain and ACJ patients? What compensatory movement patterns do patients adapt that may contribute to ongoing pain? How can we help to break the cycle of ACJ pain? What tests can be performed to identify the best treatment for individual ACJ patients? What muscles help to improve stability around the ACJ, and how can these be targeted in ACJ injury patients? What exercises can be used in initial ACJ rehab? How can ACJ rehab be progressed? How can end range pain (ERP) be improved in ACJ patients? How to identify when scapular mechanics affect the ACJ. Exercises that improve scapular mechanics in ACJ patients? When is manual therapy useful in ACJ patients? What combination of manual therapy or mobilisation with movement and exercises can be used in ACJ patients? What role can the ACJ play in shoulder pain? Does the ACJ need to be symptomatic to cause shoulder pain? What common symptoms make you suspect the ACJ is involved in shoulder pain? Answers to live listener questions: What humeral fractures or bone stress injuries occur in throwing athletes? Who develops humeral spiral fractures or stress fractures? Are recreational or high level athletes more likely to develop humeral fractures? Are players more or less likely to have a fracture after having a 6 week break from training? How can players prevent humeral stress fractures? Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
How can you diagnose posterior shoulder, neck and supraclavicular pain in your weightlifting patients and throwing athletes? Could a bone stress injury be responsible for your patients pain? Explore how to assess, diagnose and rehab shoulder pain from bone stress injuries in weightlifters or throwing athletes in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). Discover: Bone stress injuries in the upper limb and ribcage that cause shoulder pain. What causes first rib stress fractures? Which patients develop first rib bone stress injuries - common populations and activities. Common areas of pain with first rib stress fractures. How to assess & diagnose first rib bone stress injuries. Common painful and restricted movements that help with diagnosis. How to differentiate between a rotator cuff injury and first rib bone stress injuries. Cervical spine & shoulder strength and control assessment tests that help identify where to target your rehab. Do biomechanics in weightlifting matter? How to assess and address weightlifting biomechanics to allow healing and return to sport. Imaging Why imaging is vital in patients with this injury. Common imaging that misses 1st rib bone stress fracture, and what imaging to request that actually identifies it. Why non-healing with the formation of pseudoarthrosis may lead to better outcomes than bony callous formation. Whether patients can return to sport if rib stress fractures don't heal. How can you rehab patients with 1st rib stress fracture? How to progress rehab exercises. Treatment when 1st rib callus formation is causing thoracic outlet syndrome. Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder Improve acute shoulder pain diagnosis with 3 free videos from Jo Gibson clinicaledge.co/shoulder Improve clinical skills, confidence and reasoning for all other areas of the body with a free trial Clinical Edge membership clinicaledge.co/freetrial The handout for this podcast consists of an article referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Article associated with this episode: CLICK HERE to download the article associated with this podcast Miller A, Dodson CC, Ilyas AM. Thrower's fracture of the humerus. The Orthopedic Clinics of North America. 2014 Aug 3;45(4):565-9.
Time for some detective work - can you diagnose the cause of this man's shoulder pain? Listen out for the clues in this interesting case study. When your shoulder pain patient has bilateral shoulder pain after starting a gym program, difficulty lifting their arms overhead due to weakness, significant bilateral scapular winging and muscle atrophy, what are your potential diagnoses? Find out in this case study with Jo Gibson (Clinical Physiotherapy Specialist), and discover: When patients have uncommon shoulder pain presentations, what potential diagnoses can you keep in mind? How does it impact your diagnosis if your patient has difficulty smiling, whistling and drinking through a straw? What's this patients' diagnosis? What tests can be performed to confirm the diagnosis? Which muscles are commonly affected? How much muscle weakness commonly occurs? What is the long term prognosis for this condition? What treatment is supported by the evidence? Are braces helpful? Which medical specialists are important to include in diagnosis & management? Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson The Facioscapulohumeral Muscular Dystrophy (FSHD) Society Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Hamel J, Tawil R. Case Studies on the Genetic and Clinical Diagnosis of Facioscapulohumeral Muscular Dystrophy. Neurologic Clinics. 2020 Aug 1;38(3):529-40. Mul K, Lassche S, Voermans NC, Padberg GW, Horlings CG, van Engelen BG. What's in a name? The clinical features of facioscapulohumeral muscular dystrophy. Practical neurology. 2016 Jun 1;16(3):201-7.
When paediatric or skeletally immature patients have shoulder pain, what diagnoses should be kept in mind? What are the potential diagnoses following trauma, in overuse injuries or “little leaguers shoulder”? What assessment and imaging is required in these patients? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), and explore: What growth plate injuries may occur in skeletally immature athletes? The case study of a young athlete with misdiagnosed pain over the acromioclavicular joint (ACJ) A recap of acromial apophylysis and distal clavicular osteolysis. What are the common mechanisms of injury for ACJ? How are ACJ injuries classified? What are the limitations of ACJ injury classifications? Why are there often differences in ACJ injury classification between X-ray and MRI? How can ACJ imaging lead to incorrect return to play timeframes in mature athletes? In paediatric patients, what differential diagnosis do you need to keep in mind with an apparent ACJ injury? How does imaging help guide prognosis and treatment in younger athletes with ACJ injuries? How can growth plate injuries be identified? Can patients have a slipped humeral epiphysis? What are the most common humeral fractures What are humeral Salter-Harris fractures? Which fractures may impact future growth in the humerus? When is imaging absolutely required in paediatric shoulder injuries? What is “little leaguers shoulder” and why is it important to identify this early? When is glenohumeral internal rotation deficit (GIRD) relevant in lateral humeral pain? What are the risk factors for shoulder pain in young athletes? What causes GIRD in paediatric and skeletally mature athletes? What tests help with diagnosis in stiff shoulders? When is GIRD relevant? Why should the term “shoulder impingement” be avoided? How can you describe shoulder pain to patients? Can osteolysis of the whole scapula occur? Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Hall K, Borstad JD. Posterior shoulder tightness: to treat or not to treat?. journal of orthopaedic & sports physical therapy. 2018 Mar;48(3):133-6. Zajac JM, Tokish JM. Glenohumeral Internal Rotation Deficit: Prime Suspect or Innocent Bystander?. Current reviews in musculoskeletal medicine. 2020 Feb 12:1-0.
What are the best rehab options for patients with an irreparable rotator cuff tear? Can we predict which patients will do well and how long rehab will take? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), discussing rehab options, a patient case study and the latest evidence for massive rotator cuff tear (MRCT) rehab. Discover: When patients are unable to have surgery, what rehab options are available to rehab MRCT? What is classified as a MRCT? What common issues do patients with MRCT face? What proprioceptive deficits exist in MRCT patients functionally and on fMRI? Is the “Anterior deltoid program” really the best rehab program for MRCT patients? What MRCT rehab exercises & programs are supported by the latest research? Which MRCT patients are likely to respond to rehab? Is scapular dyskinesis important to target in MRCT rehab? When patients are unable to lie supine, and are therefore unable to complete the anterior deltoid program, what options are available for rehab? How do rotator cuff imaging results help guide treatment? Which rotator cuff tendons need to be intact for successful rehab? Specific exercise ideas and progressions that can be used in rehab. How long is recovery likely to take? What key messages are important to convey to patients? What is the evidence for injections in MRCT, including prolotherapy, PRP? How can rehab programs target subscapularis strength? Is humeral head depression an important component in rehab? Get free access to video series on assessment & diagnosis of acute shoulder pain and stiff shoulders at clinicaledge.co/shoulder For improved clinical skills, knowledge and treatment results with all other areas of the body, get a free trial Clinical Edge membership at clinicaledge.co/freetrial The handout for this podcast consists of articles referenced in the podcast. There is no additional transcript or handout available. Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Agout C, Berhouet J, Spiry C, Bonnevialle N, Joudet T, Favard L, Society FA. Functional outcomes after non-operative treatment of irreparable massive rotator cuff tears: Prospective multicenter study in 68 patients. Orthopaedics & Traumatology: Surgery & Research. 2018 Dec 1;104(8):S189-92. Cavalier M, Jullion S, Kany J, Grimberg J, Lefebvre Y, Oudet D, Grosclaude S, Charousset C, Boileau P, Joudet T, Bonnevialle N. Management of massive rotator cuff tears: prospective study in 218 patients. Orthopaedics & Traumatology: Surgery & Research. 2018 Dec 1;104(8):S193-7. Cools AM, Van Tongel A, Berckmans K, Spanhove V, Plaetevoet T, Rosseel J, Soen J, Levy O, Maenhout A. Electromyographic analysis of selected shoulder muscles during a series of exercises commonly used in patients with symptomatic degenerative rotator cuff tears. Journal of Shoulder and Elbow Surgery. 2020 Oct 1;29(10):e361-73. Levy O, Mullett H, Roberts S, Copeland S. The role of anterior deltoid reeducation in patients with massive irreparable degenerative rotator cuff tears. Journal of shoulder and elbow surgery. 2008 Nov 1;17(6):863-70.
In this episode we speak with leading clinician & researcher Jo Gibson Jo Gibson studied physiotherapy at the Salford College of Technology and qualified in 1987. Her physiotherapy career started in Nottingham in 1987 at Queen's Medical Centre where an encounter with Professor Angus Wallace fuelled her interest in the shoulder. Jo moved to Liverpool in 1989 and after completing several years of rotational experience she joined forces with Professor Simon Frostick and, in 1996 she became one of the first specialist Upper Limb Physiotherapists in the UK. In order to increase her sub-speciality knowledge and expertise, Jo completed travel fellowships in the UK, Europe and the USA, sponsored by the British Elbow and Shoulder Society and Royal Liverpool University Hospital Trust Charities Board. Since that time the Liverpool Upper Limb Unit has gained an International reputation as a centre of Excellence in Shoulder and Elbow. Jo has a passion for education and since 1996 she has lectured nationally and internationally on rehabilitation of the shoulder and she runs her own courses all over the World. Internationally, in 2004 she was a co-founder of the International Congress of Shoulder and Elbow Therapists, a meeting which now runs tri-annually. In addition, Jo has served as Vice president and Chair of the education committee on the EUSSER board (European Society of Shoulder & Elbow Rehabilitation). Nationally, Jo has been the AHP representative on the British Elbow and Shoulder Society (BESS) Council and in addition she has served as a member of the BESS Research and Education Committees. She is an associate lecturer at the University of Liverpool and has co-developed tailor made masters modules to support physiotherapists working in or towards specialist Upper Limb appointments. Jo completed her Masters in Advanced Practice at Liverpool University in 2012 and completed her dissertation on the Biopsychosocial model cementing her belief in tailoring treatment to the individual and the importance of communication skills. She continues to be involved in upper limb research, has presented original research at many National and International conferences. She has published in peer-reviewed journals and written several book chapters. Jo also co-authored BESS Care Pathways for the British Elbow and Shoulder Society. Jo continues working at Liverpool Upper Limb Unit & Consultant in Private Practice In this episode we discuss: Jo's early family healthcare influences, how some disappointing A Level grades, her competitive nature and interest in Sports Medicine led to a career in physiotherapyHer main motivations for “helping others, making a difference and always striving to be better” have underpinned her whole careerHow Jo's passion for running and then Endurance Riding satisfied her competitive nature (she was modestly, VERY good too!)Key mentors, clinicians and surgeons who have inspired Jo (her Dad, Prof Angus Wallace, Prof Frostick, Louis Gifford, Ben Kiblet et al)How & what she learnt from trips overseas‘Keeping it simple for the shoulder' and translating the evidence into meaningful application for cliniciansHow communication is our SUPERPOWER Facebook: @hdpnglobal Twitter: @shouldergeek1 Instagram: @shouldergeek1 LinkedIn: https://www.linkedin.com/in/jo-gibson-51008513 Education https://www.hd-pn.com
When swimmers and overhead athletes have superior & anterior shoulder pain, what are your likely diagnoses? How can you successfully treat shoulder pain that improves with rest from sport, then comes back each time they return to training or sport? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist), where you'll discover: What are your likely diagnoses? Distal clavicular osteolysis (DCO) - what is it? How to differentially diagnose acromial apophysitis/apophylysis (AA) in young overhead athletes. What are common areas of pain and aggravating movements in DCO patients? Common training errors and weight training exercises that can cause or aggravate symptoms. Which athletes are likely to develop DCO, and common mechanisms of injury. Imaging you need to order. What Xray and other imaging reveals in DCO. What are potential long term issues following DCO, and how can this be avoided? The MOST important treatment for patients with DCO and AA. How can DCO be successfully managed? How to modify work activities in DCO patients. How long recovery takes. Why asymptomatic stress tests and palpation doesn't mean your patient is safe to return to sport. How to work with coaches when your patients are experiencing DCO. How to successfully return DCO patients to sport. Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) at clinicaledge.co/shoulder Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
When your female patient has shoulder pain, how can you identify if the cause is musculoskeletal, or related to women's health issues? Find out in this podcast with Jo Gibson (Clinical Physiotherapy Specialist). You'll explore two separate case studies of female shoulder pain patients with different diagnoses, that'll help you discover: Which female reproductive issues can cause shoulder pain? How can you differentiate musculoskeletal and non-musculoskeletal causes of shoulder pain? Is pain at different stages of the menstrual cycle really just “hormones”? What questions can you ask your patients to help guide your diagnosis? What is the typical history of patients with shoulder pain related to women's health? If patients wake with acute shoulder pain, what are the potential musculoskeletal and non-musculoskeletal diagnoses? For free video series covering assessment & diagnosis of acute shoulder pain and stiff shoulders head over to clinicaledge.co/shoulder Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
Are eccentric exercises useful in subacromial shoulder pain rehab? When shoulder pain rehab has stalled, and patients aren't improving, will eccentric exercises help? Are eccentric exercises the missing component in successful rehab programs for recalcitrant shoulder pain? Find out in this discussion with Jo Gibson (Clinical Physiotherapy Specialist). Also discover: Should eccentric exercises be included in shoulder rehab programs? What does the research reveal about eccentric shoulder exercises? How can the research be applied and adapted clinically with shoulder pain patients? If eccentric exercises are helpful, which exercises should patients use? When and how often should eccentric exercises be performed? Are eccentric exercises helpful in acute shoulder pain? How long does shoulder pain normally take to recover from? How can gym programs be adapted to allow shoulder pain to recover while patients continue training or exercising? How many exercises should be included in shoulder pain rehab programs? Get free access to the stiff shoulder & acute shoulder pain assessment & diagnosis video series with Jo Gibson at clinicaledge.co/shoulder Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
An unusual cause of shoulder pain - what's the diagnosis? Solve this patient case study with Jo Gibson (Clinical Physiotherapy Specialist) and discover musculoskeletal and non-musculoskeletal causes of shoulder pain that are important to keep in mind when features don't fit. Get free access to the free webinar series on how to assess & diagnose shoulder pain and stiff shoulders with Jo Gibson at clinicaledge.co/shoulder Links associated with this episode: Accurately assess, diagnose & treat stiff shoulders, including frozen shoulder, with this free videos series from Jo Gibson (Clinical Physiotherapy Specialist) Improve your acute shoulder pain diagnosis with 3 free videos from Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Join Jo Gibson live on Facebook & ask your shoulder related questions every Monday Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Jo Gibson on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Infographics by Clinical Edge
Jo Gibson is one of our favourite thinkers and manages to describe and explain reasoning processes in such a skillful and understandable manner that we would probably have her on the podcast every month. In this session she discusses with jack, the nuance of what diagnoses matter and how much, how much psychosocial factors impact therapists decision making and how we go about discussing this with patients without sounding off the wall. Follow Jo @shouldergeek1 on twitter and definitely do one of her shoulder courses! Don't forget to sign up for a free ticket to Therapy-live.co.uk pelvic health show on 06/03/21 and hit the website physio-matters.com for our network podcasts and membership options. Finally, why not rate the podcast on your player? Every little helps as they say and 5*s go a long way in the podcast world! Keep safe :)
When is shoulder pain from the C/sp? When a patient presents with shoulder pain and stiffness, how can C/Sp referral be identified? If a patient has full neck range of movement, and neck movements don't reproduce shoulder pain, can their pain still be from the C/sp? Recent research shows that including treatment of the C/sp can improve results in up to ⅓ of shoulder pain patients. In this video with Jo Gibson (Clinical Physiotherapy Specialist) discover how to identify, assess and treat patients with cervical referral, including: What history and pain features will patients with cervical referred shoulder pain report? What assessment tests can be performed to diagnose or rule out the C/Sp involvement in shoulder pain? What information does palpation and repeated movements in the objective assessment provide? What does the research reveal about cervical referred shoulder pain? What biopsychosocial factors may be involved in cervical referred shoulder pain? How can manual therapy to the C/Sp improve shoulder range of movement? What education can be provided to patients with cervical spine referral? What exercises and exercise variations may be used to improve cervical referred shoulder pain? Are upper muscle fibres of trapezius “overactive” or are these muscles actually weak? What exercises can be used for upper traps in C/sp referred shoulder pain? What manual therapy can be used for C/sp referred shoulder pain? Does the thorax get “stiff”, and what exercises help improve thoracic range of movement? Get your access to free videos with Jo Gibson on acute shoulder pain & stiff shoulder assessment & diagnosis at clinicaledge.co/shoulder. Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Alonso-Perez JL, Lopez-Lopez A, La Touche R, Lerma-Lara S, Suarez E, Rojas J, Bishop MD, Villafañe JH, Fernández-Carnero J. Hypoalgesic effects of three different manual therapy techniques on cervical spine and psychological interaction: A randomized clinical trial. Journal of Bodywork and Movement Therapies. 2017 Oct 1;21(4):798-803. Hauswirth J, Ernst MJ, Preusser ML, Meichtry A, Kool J, Crawford RJ. Immediate effects of cervical unilateral anterior-posterior mobilisation on shoulder pain and impairment in post-operative arthroscopy patients. Journal of back and musculoskeletal rehabilitation. 2017 Jan 1;30(3):615-23. Katsuura Y, Bruce J, Taylor S, Gullota L, Kim HJ. Overlapping, Masquerading, and Causative Cervical Spine and Shoulder Pathology: A Systematic Review. Global Spine Journal. 2020 Apr;10(2):195-208. Vicenzino B, Collins D, Benson H, Wright A. An investigation of the interrelationship between manipulative therapy-induced hypoalgesia and sympathoexcitation. Journal of manipulative and physiological therapeutics. 1998 Sep 1;21(7):448-53.
A lack of obedience always leads to a lack of Peace.
Join Jo and ben as they chat about the much discussed BioPsychoSocial (BPS) model. Some points that are pondered! Has the BPS model been misinterpreted? Is it better described as a self reflection tool? Is it really a philosophy of care rather than a treatment model? How does Jo use it in clinical practice? Can we actually measure the effectiveness in research of the BPS?
Jo Gibson joins us for this week's episode and we are delighted to have such a great educator, speaker and all round individual on the podcast as we approach the end of series one. Jo talks us through her career and entertaining conversion into the world of shoulders. Jo has also worked with the very best in sport and tells us about the challenges and positives of being a consultant physio in this environment. We also talk about the kinetic chain, motor cortex and rehabilitation, in relation to the shoulder of course! As well as a small case study scenario. Jo becomes the next guest to tackle our key questions where great communication becomes the hot topic of discussion! If you want to discuss anything in this podcast or leave us any feedback contact us on Twitter and Instagram @thrivepes or Jo @shouldergeek1
Guerilla Autistics Podcast Autism Aspergers Syndrome Neurodiversity Neurodivergent ASD
It was my honour to interview Billie Jo Gibson, who stepped up and took on the responsibility for the Liverpool Autism Pride event a few years ago. She is also the webmanager for Neurodivergent Labour.We all come from somewhere. A place that makes us. I come from the city of Liverpool. As we 'Scousers' say, a boss interview with Billie la.Life can be a huge journey. Billie takes us on her's from a young diagnosis to her creative life and unflinching political stanch. One day people will take for granted the effort and sacrifices that activists like Billie Jo have had to go through. For now, please enjoy this little bit of history. I sometimes think the people who started it all and took on the world in their own small way, were never rewarded by the future's view of just how significant their actions were. Billie, take courage and pride that when I was a child in the 1970's no one knew anything about being autistic like they do now. But in the future your work will go on and mean so much to people like us. Please enjoy.Support this show http://supporter.acast.com/guerilla-aspies-autism-aspergers-syndrome-neurodiversity. Hosted on Acast. See acast.com/privacy for more information.
When you assess your patients shoulder movements, and notice a winging scapula, altered resting position or timing of scapula movement, do you need to treat it? Can we diagnose “Scapular dyskinesis”, and does it matter? How can you simplify your scapular assessment? In this podcast, Jo Gibson (Clinical Physiotherapy Specialist) explores common beliefs and myths around the scapula, including: Abnormal scapular kinematics cause pain We can predict patients that are going to get shoulder pain Upper traps should be retrained to decrease their activation Scapular-based interventions are superior to rotator cuff based treatment There are reliable and valid ways to assess scapular movement Alongside this mythbusting, you'll explore: Is there any point assessing the scapula? Is scapular asymmetry normal or abnormal? Is scapular dyskinesis a normal response to exercise or loading? How accurate are we at identifying scapular dyskinesis compared to findings in laboratory studies of scapula movement? What scapular findings will you commonly observe in patients with massive rotator cuff tears, nerve injuries & stiffness? How does rotator cuff fatigue impact scapular movement? How does fear avoidance and worry about particular movements impact muscle activity and movement? When is increased upper traps activity helpful and beneficial? Should we try to decrease upper traps activity in patients with C/Sp driven shoulder pain? Can we preferentially target the scapular or rotator cuff with our exercises? Do improvements in shoulder pain correlate with changes or “improvements” in scapular movement? How do scapular assessment test (SAT) results impact your treatment and exercise prescription? If the SAT improves pain, does that mean we should perform scapular based exercises? Can we use scapular dyskinesia classification to stratify patients or guide our treatment? Is there any reliability in scapular assessment? Does the SAT simply identify those that have a favourable natural history ie are going to get better on their own regardless? Do scapular treatments increase the subacromial space, and does this matter? Is winging post-surgery (posterior stabilisation + labral repair) a product of surgery or does this need to be addressed? How does incorporating the kinetic chain into rehab impact patient movement strategies, scapular and rotator cuff recruitment? Are scapulothoracic bursae relevant to shoulder pain? How can you address patient beliefs and fear avoidance around their shoulder pain? Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Andersson SH, Bahr R, Clarsen B, Myklebust G. Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed. British journal of sports medicine. 2018 Sep 1;52(18):1191-8. Asker M, Brooke HL, Waldén M, Tranaeus U, Johansson F, Skillgate E, Holm LW. Risk factors for, and prevention of, shoulder injuries in overhead sports: a systematic review with best-evidence synthesis. British journal of sports medicine. 2018 Oct 1;52(20):1312-9. Christiansen DH, Møller AD, Vestergaard JM, Mose S, Maribo T. The scapular dyskinesis test: Reliability, agreement, and predictive value in patients with subacromial impingement syndrome. Journal of Hand Therapy. 2017 Apr 1;30(2):208-13.
A young male patient woke with an acute onset of constant, shooting shoulder pain, is painful into abduction, reluctant to lift his arm, and feels like he's losing shoulder strength. He has no recent history of injury. Can you diagnose this unusual cause of shoulder pain, based on this patient's symptoms and physical tests? What are your differential diagnoses and red flags to keep in mind with this patient? In this podcast, Jo Gibson puts your knowledge of shoulder pain and diagnostic skills to the test, and explores how you can treat patients with this diagnosis. Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Clarke CJ, Torrance E, McIntosh J, Funk L. Neuralgic amyotrophy is not the most common neurologic disorder of the shoulder: a 78-month prospective study of 60 neurologic shoulder patients in a specialist shoulder clinic. Journal of shoulder and elbow surgery. 2016 Dec 1;25(12):1997-2004. Cup EH, Ijspeert J, Janssen RJ, Bussemaker-Beumer C, Jacobs J, Pieterse AJ, van der Linde H, van Alfen N. Residual complaints after neuralgic amyotrophy. Archives of physical medicine and rehabilitation. 2013 Jan 1;94(1):67-73. DO MAGDALIA PB. Neuralgic Amyotrophy. Challenging Neuropathic Pain Syndromes: Evaluation and Evidence-Based Treatment. 2017 Nov 12:197. Feinberg JH, Nguyen ET, Boachie‐Adjei K, Gribbin C, Lee SK, Daluiski A, Wolfe SW. The electrodiagnostic natural history of parsonage–turner syndrome. Muscle & nerve. 2017 Oct;56(4):737-43. Lustenhouwer R, Cameron IG, van Alfen N, Oorsprong TD, Toni I, van Engelen BG, Groothuis JT, Helmich RC. Altered sensorimotor representations after recovery from peripheral nerve damage in neuralgic amyotrophy. Cortex. 2020 Feb 28. Seror P. Neuralgic amyotrophy. An update. Joint Bone Spine. 2017 Mar 1;84(2):153-8. Get access to free videos with Jo Gibson on diagnosis of shoulder pain at clinicaledge.co/shoulder
Do you include stretches in your treatment of shoulder pain? Have you ever identified a glenohumeral internal rotation deficit (GIRD) and used the "Sleeper stretch" to help improve internal rotation? Do stretches have any value for shoulder pain, or are there better treatment options? In this podcast, Jo Gibson (Clinical Physiotherapy Specialist) discusses how to differentiate true capsular stiffness from muscle stiffness, what information GIRD provides, and whether sleeper stretches for shoulder pain are a useful treatment. Jo explores the current research and clinical implications on your treatment, including: What is the driver of decreased range of movement (ROM)? If we get immediate changes in ROM with a sleeper stretch, does that mean we should use this as a treatment? Is stretching an effective, efficient and evidence-based treatment? Can we use strengthening movements to improve range and cuff recruitment? What exercises can you use with patients with GIRD to improve ROM and cuff recruitment? Humeral retroversion and how torsional load from throwing sports at a young age impact your ROM assessment. If you have a patient with GIRD, what does this tell you? In patients with true capsular stiffness, does stretching in combination with damp heat have a role? Does eccentric strengthening have a role in improving GIRD in patients with true capsular stiffness or fibrosis? How can you use GIRD to monitor your athletes fatigue and recovery? Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Hall K, Borstad JD. Posterior Shoulder Tightness: To Treat or Not to Treat?. journal of orthopaedic & sports physical therapy. 2018 Mar;48(3):133-6. Keller RA, De Giacomo AF, Neumann JA, Limpisvasti O, Tibone JE. Glenohumeral internal rotation deficit and risk of upper extremity injury in overhead athletes: a meta-analysis and systematic review. Sports health. 2018 Mar;10(2):125-32. Mine K, Nakayama T, Milanese S, Grimmer K. Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: a systematic review of randomized controlled trials. Journal of sport rehabilitation. 2017 Jul 1;26(4):294-305.
Shoulder surgery in athletes is common following dislocation. Accelerated post-op shoulder stabilisation rehab protocols include early mobilisation to reduce movement, proprioceptive and strength deficits. This has allowed earlier return to play (RTP), however athletes often still have significant proprioceptive and strength deficits up to 2 years post surgery. Despite getting back to play, athletes may struggle to get back to performance. Following surgery, contact athletes such as rugby players, throwing athletes and young players have additional RTP challenges. Redislocation risks in contact sports such as rugby are high, leading to poor outcomes. Younger athletes are not skeletally mature, and with early RTP following stabilisation surgery may have higher failure rates. How can you identify and address these challenges? Which tests and features in a patients history help you determine whether a patient is suitable for an early RTP? In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you’ll explore: Which shoulder tests are most valuable with your patients? How has emerging evidence challenged our previous approach to RTP testing? What are the risks associated with early RTP following shoulder surgery? How can you help identify athletes at risk of redislocation? Which psychosocial factors impact RTP? How does fear of reinjury and levels of anxiety about their shoulder affect RTP? How does your patient’s sport of choice affects dislocation risks? How is RTP impacted by patients age? How do daily stressors impact RTP and predict outcomes? Which psychosocial factors impact RTP? What is the biggest factor in whether an athlete gets back to play? Which question are key to ask your patients? Which questionnaires can you use with your post-op shoulder patients? Which tests and combinations of tests have been validated and are evidence-based? How can you assess range of movement (ROM)? How can you measure patients strength? How is rate of force development (RFD) affected following shoulder injury? How can you assess RFD? How does fatigue impact strength testing eg testing at the start of training compared to the after training? How does the kinetic chain impact RTP testing for throwers? How can you assess shoulder endurance? RTP tests for swimmers What role does manual therapy have in shoulder rehab? Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter Articles associated with this episode: CLICK HERE to download the articles associated with this podcast
Patients with shoulder pain, rotator cuff tears and nerve injuries can often be seen shrugging their shoulder while they lift their arm, appearing to overuse their upper fibres of trapezius. Surface EMG research has shown increased activity in UFT in shoulder pain and whiplash patients. To add to this, patients get sore upper traps, and can be adamant that they need regular massage of their upper fibres of trapezius (UFT). We seem to have plenty of evidence that we need to decrease UFT muscle activity, and help this by providing exercises to target the middle and lower traps. Is this really the case? Are the upper traps really a bad guy, or a victim caught in the spotlight? Do we need to decrease upper traps muscle activity to help our patients shoulder or neck pain? Or perhaps counter-intuitively, do we need to strengthen upper traps and help them to work together with the surrounding muscles? In this podcast, Jo Gibson (Clinical Specialist Physio) explores the evidence around the upper fibres of trapezius, and implications on your clinical practice. You’ll discover: What are the myths around upper traps? Are upper fibres of trapezius a bad guy or a victim? Why do upper traps sometimes seem to be overactive? Should we aim to increase the activity in middle and lower traps? What information does surface EMG really provide? Can taping of the scapula change recruitment of the trapezius? Should we strengthen UFT? Why is initial activation of the UFT important in shoulder elevation movements? Why should patients with rotator cuff tears or stiff & painful shoulders use upper traps more with their movements? How can we incorporate UFT strengthening into our shoulder strengthening? What exercises can we use to strengthen UFT without increasing activity in levator scapulae? Why is UFT strengthening important in ACJ injury rehab? In gym goers, what scapula setting errors are commonly used? How do nerve injuries that affect the upper traps impact movement? Do trigger points or soreness indicate that our patients need massage or exercises to decrease UFT activity? Download this episode now to improve your treatment of shoulder and neck pain. Links associated with this episode: Download and subscribe to the podcast on iTunes Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter Articles associated with this episode: CLICK HERE to download the articles associated with this podcast Lee JH, Cynn HS, Choi WJ, Jeong HJ, Yoon TL. Various shrug exercises can change scapular kinematics and scapular rotator muscle activities in subjects with scapular downward rotation syndrome. Human movement science. 2016 Feb 1;45:119-29. Pizzari T, Wickham J, Balster S, Ganderton C, Watson L. Modifying a shrug exercise can facilitate the upward rotator muscles of the scapula. Clinical Biomechanics. 2014 Feb 1;29(2):201-5.
Long head of biceps (LHB) tendinopathy and associated anterior shoulder pain can develop in patients that increase their lifting load eg moving house, overhead activities, activities that involve loaded shoulder extension and in throwing athletes. Patients may also develop long head of biceps tendon pain after a traumatic ACJ injury or SLAP tear. How can you identify and treat LHB tendinopathy? In this podcast with Jo Gibson, you’ll explore: What causes LHB tendinopathy? What mechanisms of injury commonly cause LHB pain, ACJ injury or SLAP tears? Key traumas you need to keep an eye out for that impact LHB Why do patients with ACJ injuries develop LHB pain? Why do patients with SLAP lesions develop LHB pain? What causes LHB reactive tendinopathy? LHB Anatomy & function What activities does LHB help with? Long head of biceps (LHB) anatomy Variance in proximal biceps attachment and how traumatic LHB injuries impact different structures How the LHB is stabilised anatomically in the bicipital groove Does the transverse ligament exist? Patient features that help your diagnosis Which patients are likely to present with LHB pain? Which structures are more likely to be affected with traumatic shoulder injuries in younger vs older patients? Why do young patients with LHB instability develop pain? Subjective history features that help your diagnosis Where do patients with LHB tendinopathy experience pain? Which movements are likely to be painful in LHB tendinopathy patients? Objective testing & diagnosis Which tests or combinations of tests help diagnose LHB pain? Which special tests help your diagnosis? Does palpation have any value in LHB diagnosis? How can you exclude intra-articular pathology with your testing? How can you rule in or rule out rotator cuff pathology? Rotator cuff tears & involvement in LHB How does LHB muscle activity vary in painful vs painfree massive rotator cuff tear patients? How do traumatic rotator cuff tears, particularly subscapularis, impact LHB? If patients have rotator cuff surgery, what details in the operation notes will help you identify if they are at risk of persistent post-op pain and stiffness? Why do subscapularis tears cause LHB pain? Imaging What information does imaging of LHB provide? What imaging can you use if your patient is not progressing? MRI vs MRA vs US for different pain & injuries How to treat LHB What is the best way to treat LHB tendon pain? Are isometrics helpful with LHB, and how do these help? What surgery is used for LHB pain? Additional questions covered How are results after rotator cuff tears impacted by the rotator interval? Links associated with this episode: Download and subscribe to the podcast on iTunes Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter
Patients with thoracic outlet syndrome (TOS) may have undiagnosed pain and symptoms into their shoulder, arm, hand, scapula, head, face, upper back, axilla, chest and anterior clavicle. With a number of potential sources of pain in these areas, TOS patients commonly have a delayed or incorrect diagnosis, followed by unnecessary and unsuccessful surgery. Further complicating matters, imaging and nerve conduction studies are often clear or inconclusive. Studies show that on average, patients with TOS have an average of 5 years of symptoms and see 6 doctors before receiving an accurate diagnosis. What tests and questionnaires will help guide your diagnosis and intervention? When are patients suitable for Physiotherapy and conservative management? When should you refer on for a surgical opinion? In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you will discover: What is Thoracic outlet syndrome (TOS)? Commonly reported symptoms of TOS Three different types of TOS The most common type of TOS with around 80% of all TOS patients Why imaging and investigations are often clear, and don’t match up with symptoms 3 key causes of TOS The relationship between TOS and hypermobility syndrome Criteria for diagnosis in the latest TOS diagnostic consensus statement Differential diagnosis (DDx) - Cervical NR compression, and peripheral nerve entrapment Common subjective findings that guide you towards a diagnosis of TOS A questionnaire you can use to assist cervicobrachial diagnosis What information is gained from imaging, including MRI and MR Neurography & nerve conduction studies What are the limitations of imaging? What is the difference between small nerve fibre and large nerve fibres, and how this impacts diagnosis QST - Quantitative sensory testing - Pin prick (Neurotip) and Thermal testing - warm and cold Simple QST test using a coin Objective testing What tests do you need to perform in patients with suspected TOS? What is the elevated stress test (EST)? What information does an upper limb tension test (ULTT) provide? Does a negative ULTT test exclude TOS? How are nerve blocks used? What is the best way to perform a nerve block? How effective are nerve blocks in assisting diagnosis? Who should we refer on for early medical or surgical management? When should you get an early surgical opinion? Which patients are likely to benefit from conservative management? Links associated with this episode: Download and subscribe to the podcast on iTunes Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter Articles associated with this episode: CLICK HERE to download the articles associated with this podcast
The sternoclavicular joint (SCJ) can cause pain locally, or refer into the neck and shoulder. With a relatively high incidence of serious and potentially life-threatening pathology at the SCJ, it’s important to diagnose the source of SCJ pain. In this (Facebook live/video/podcast) with Jo Gibson (Clinical Physiotherapy Specialist ), you’ll discover: How to identify and diagnose the SCJ as the source of pain Where does the SCJ commonly refer pain to? What pathologies cause SCJ pain What activities & movements commonly reproduce pain in the SCJ? Who develops SCJ pain? Which differential diagnosis (DDx) are important to identify, including localised osteoarthritis (OA) rheumatoid arthritis septic arthritis atraumatic subluxation seronegative spondyloarthropathies gout, pseudogout SC hyperostosis condensing osteitis Friedrich’s disease/avascular necrosis condensing arthritis Friedrich’s disease and ‘SAPHO’ (Synovitis Acne Pustulosis Hyperostosis Osteitis) syndrome How does DDx impact prognosis? What role does imaging have with the SCJ? SCJ Imaging - MRI vs CT vs Xray. If pain refers down to the anterior chest, what other structures may be involved? Tietze syndrome at the costochondral junction. Costochondritis - who develops it, is there a mechanism of injury? Red flags you need to be aware of around the SCJ Case study of an SCJ patient where a potentially life-threatening illness was identified Other red flags - infection, HIV, septic arthritis, diabetes, ankylosing spondylitis, gout What investigations are important for SCJ pain patients? What are realistic expectations for prognosis and resolution of SCJ symptoms? How can you rehab patients with SCJ pain? Costochondral joint pain Rehab following clavicular ORIF When is arthroscopic release suitable in frozen shoulder patients Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using the best podcast app currently in existence - Overcast Listen to the podcast on Spotify Improve your diagnosis of acute shoulder pain with 3 free videos with Jo Gibson Improve your confidence and clinical reasoning with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Jo Gibson on Twitter
Squeezing a stress ball and strengthening with 0.5kg dumbells will only get you so far with your treatment of hand and wrist injuries, and soon enough you'll hit a wall with treatment results. How are you going to smash through that wall, and help your patients keep working or playing, or get back to it? If you've felt limited with your hand and wrist treatment and exercises, you'll love the treatment approach and strengthening exercises from the third and final podcast in this series with Ian Gatt. In the previous two podcasts with Ian we explored how you can take a great history, assess and diagnose wrist and hand injuries. You discovered types of grip strength and how to perform low and high tech grip strength assessment. In this new podcast with Ian Gatt you will discover how to use your assessment findings to develop a treatment plan, and how to develop your patients hand and wrist strength, plus: Strength exercises can you use in your rehab of hand and wrist injuries What pain level is acceptable during rehab exercises? How many sets and reps should your patients perform of each exercise? How can you reduce the pain your athlete experiences so they can perform their rehab exercises? What finger strengthening exercises can you use? Why is the proximal radio-ulnar joint (PRUJ) so important to treat with wrist and elbow injuries? How can you treat the PRUJ? How can you incorporate the kinetic chain into your hand and wrist rehab? How and why would you want to use vibration as part of rehab, even if you don't have a vibration plate? What manual therapy can you use with your hand patients? How can you maintain your athletes skill and performance while taking them through a rehab program? How should you adjust training volume or intensity with knuckle or Carpometacarpal joint (CMCJ) injuries? Can boxers with CMCJ injuries continue to hit the bag? What wrist positions and movements need to be limited during rehab and to prevent injury? Why is wrapping your boxers hands properly so important? How can you wrap your boxers hands? What gloves are recommended for boxers? Ian works with GB Boxing, which involves helping boxers recover from hand, wrist and other injuries. This podcast is therefore boxer-centric, however there are a lot of specifics, exercises & principles in this podcast that you can use with your hand & wrist patients. Dive into this podcast, and pick up a lot of great ideas for your hand & wrist injury treatment. Links associated with this episode: Download and subscribe to the podcast on iTunes Listen to the podcast on Spotify Improve your confidence and patient results with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge LinkedIn - Ian Gatt Twitter - @IanGattPhysio Instagram - @IanGattman Sheffield Hallam University - Ian Gatt Courses - HE Seminars CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon. Resources associated with this episode: Video - How to wrap a boxer's hands with Ian Gatt Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad. Other Episodes of Interest: PE089 - Combating hand & wrist injuries part 2 - Objective assessment with Ian Gatt PE 088 - Combating hand and wrist injuries part 1 with Ian Gatt PE 043 - Sporting Shoulder with Jo Gibson PE 027 - Sports Injury Management with Dr Nathan Gibbs
Your knuckles getting crushed in an overenthusiastic handshake by hands the size of watermelons isn't a fun experience. Do these knuckle-crushers know they're squeezing that hard, or do they just regularly snap pencils while taking notes, and wonder why pens and pencils are so fragile nowadays? How much grip strength do you actually need, even if you're not planning on crushing any knuckles the next time you meet someone? How much grip strength do your patients need when recovering from a hand, wrist or upper limb injury? Testing and building grip strength is a really important part of helping your hand, wrist, elbow pain and injury patients get back to work and day to day life. Gripping also pre-activates the rotator cuff, so you can use gripping as part of your patients shoulder rehab exercises. Grip strength tests using handheld dynamometers (HHD)* test your "Power Grip", but this test doesn't assess thumb or pinch grip strength. There are two other grip strength tests that are pretty easy to perform, that are going to be better suited to some of your patients. What are they, and how can you test the different types of grip strength in your patients? In this podcast with Physiotherapist (English Institute of Sport Boxing Technical Lead Physio) Ian Gatt, we discuss assessing and building grip strength, assessing hand and wrist injuries and more, including: 3 different types of grip strength you need to measure in your hand and wrist patients How grip strength measures help guide your assessment and prognosis What is the "Power grip" and how is it useful? How can you test thumb strength? Low-tech, simple grip strength tests you can use in your clinic The high-tech approach to grip strength testing How strong should wrist flexors and extensors be? How can you assess weight bearing tolerance of the hand and wrist? Why your patient can have a painfree grip and still be painful with weightbearing on the hand What exercises, weights and reps should you use following upper limb injury? How can you accurately measure wrist range of movement? How are the proximal radio-ulnar joint (PRUJ) and radio-humeral joint (RHJ) involved in hand and wrist injuries, and how can you assess these? Like the tests demonstrated in the Clinical Edge online courses on Assessment & treatment of the elbow Links associated with this episode: Download and subscribe to the podcast on iTunes Download the podcast now using my favourite podcast app - Overcast Listen to the podcast on Spotify Improve your confidence and patient results with a free trial Clinical Edge membership Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Linked In - Ian GattTwitter - @IanGattPhysio Instagram - @IanGattman Sheffield Hallam University - Ian Gatt Courses - HE Seminars CLICK HERE for your spot on a free shoulder assessment webinar with Jo Gibson, available soon. Resources associated with this episode: Video - How to wrap a boxer's hands with Ian Gatt Loosemore et al. 2016. Hand and Wrist Injuries in Elite Boxing: A Longitudinal Prospective Study (2005-2012) of the Great Britain Olympic Boxing Squad. Other Episodes of Interest: PE 088 - Combating hand and wrist injuries part 1 with Ian Gatt PE 043 - Sporting Shoulder with Jo Gibson PE 027 - Sports Injury Management with Dr Nathan Gibbs
Following ACL injury, patients can have a smooth recovery with full return to sport and activity, or end up with ongoing knee symptoms and limited ability to perform the activities they love. How can you help your ACL injured patients have a great outcome? In Physio Edge podcast episode 079, Dr Lee Herrington and David Pope explore how to make your ACL injury rehab successful, and provide you with a comprehensive guide to rehabilitate ACL injuries. You will understand how to take your patients from initial injury to return to sport, and develop the knowledge to help inform your patients decide with your patient whether surgical repair or conservative management is their best option. You will discover: Do ACL injuries require surgical management? Which factors commonly affect whether people with ACL-deficient knees require surgery? Common diagnostic errors in ACL injury patients What are the key elements you need to include in your rehab of ACL injuries? Conservative vs surgical management Should your rehab focus on movement control, strength or skills? How you should objectively assess your patients rehab progress? What valid measurement tools can you use when assessing patient progress? Are open-chain exercises safe, and should they be used in your rehab? Most effective types of movement control and skill training How to know when your patient should progress their exercises? Which strength measures are important? Which strength training exercises can you include? When can running be commenced? Running progressions you can use What pain measures should you monitor throughout rehab? Is pain during rehab ok? How to return your patient to training and sport What maintenance exercises should your patient continue after completing their rehab? Related online courses Advanced ACL rehab with Andrew Ryan Other episodes of interest: Physio Edge 052 Conservative or surgical management for ACL injuries with Enda King Physio Edge 051 Lateral knee and LCL injuries with Matt Konopinski Physio Edge 034 - Advanced ACL rehab with Enda King Click here to download the podcast handout Links associated with this episode: Download and subscribe to the podcast on iTunes Twitter - @LeeHphysio MSc Sports injury rehabilitation - University of Salford Online course - Acute low back pain treatment with David Pope - available with a free trial Clinical Edge membership Free sports injuries videos with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Articles associated with this episode: Bollen et al. 1996. Rupture of the anterior cruciate ligament - a quiet epidemic? Comfort et al. 2011. Kinetic comparisons during variations of the power clean Frobell et al. 2010. A randomised trial of treatment for acute anterior cruciate ligament tears Gabbett. 2016. The training - injury prevention paradox: should athletes be training smarter and harder? Harris et al. 2017. Tibiofemoral osteoarthritis after surgical or nonsurgical treatment of anterior cruciate ligament rupture: a systematic review Herrington et al. 2013. Task based rehabilitation protocol for elite athletes following Anterior Cruciate ligament reconstruction: a clinical commentary Hewett et at. 2010. Understanding and Preventing ACL injuries: current biomechanical and epidemiological considerations Mikkelsen et al. 2000. Closed kinetic chain alone compared to combined open and closed kinetic chain exercises for quadriceps strengthening after anterior cruciate ligament reconstruction with respect to return to sports: a prospective matched follow-up study Weiler et al. 2015. Non-operative management of a complete anterior cruciate ligament injury in an English Premier League football plater with return to play in less that 8 weeks: applying common sense in the absence of evidence
How can you incorporate high performance elements into your sports injury rehab, to help your injured players and athletes become strong, fit, powerful and fast? How can you rehab a player to perform at a high level when they return to sport following injury? In Physio Edge podcast episode 78, David Joyce shares how you can improve the performance aspects of your rehabilitation. You will discover some of the key elements when managing high performance athletes and sporting teams. If you work with injured athletes at an elite, recreational or junior level, or would like to work with a sports team, you will love this podcast. In this podcast, David Joyce and David Pope discuss: How to help athletes move from being a junior player to performing at an elite level How to help players build tolerance and resilience to cope with high level sport How to create "elite level people", not just "elite level players" What makes a player likely to succeed? Schedules and weekly programs you can use to prepare junior players What load should a junior player perform during preseason relative to a senior player? When players need to be exposed to higher loads How to schedule training and running to prevent bony and soft tissue injuries How many running sessions per week should players perform? "Earning the right" to run at full speed How to structure strength sessions do players perform Incorporating plyometrics What load measures are actually important Important screening questions to ask your players How to return injured players to high level sport How many weeks of full training do ACL injured players require before return to play Key tests to perform for your players Tips when objectively testing athletes CLICK HERE to download your podcast handout Get your access to Sports Injury Assessment and Treatment FREE videos Links associated with this episode: David Joyce at Greater Western Sydney Giants David Joyce on Twitter - @DavidGJoyce Twitter - Giants Athletic Performance Unit @Giants_APU Book - Sports injury prevention and rehabilitation Book - High performance training for sports Online course - Acute low back pain treatment with David Pope - available with a free trial Clinical Edge membership Download and subscribe to the podcast on iTunes Free sports injuries videos with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Other episodes of interest: PE 003 - Rugby, rehab and return to sport with the Australian Wallabies Physio PE 027 - Sports injury management with Dr Nathan Gibbs PE 034 - Advanced ACL rehab with Enda King
The long head of biceps tendon and superior labrum can get a hard time in throwing athletes and patients that fall on their arm or shoulder. This can result in long head of biceps tendon pathology or SLAP tears, and cause ongoing shoulder pain. A lot of our shoulder tests are non-specific, and are unable to identify particular structures that are irritated or painful in the shoulder. In the case of the long head of biceps (LHB) tendon and slap tears, there are a few useful tests that in combination with a good history can help you identify when the structures are involved in your patient's shoulder pain. In episode 77 of the Physio Edge podcast, Jo Gibson, Shoulder Specialist Physio and David Pope discuss anterior shoulder pain, LHB pathology and SLAP tears. You will discover: Anatomy of the long head of biceps tendon and superior labrum Why the anatomy is important, and may be different to what you learnt at university around the biceps tendon and bicipital groove The clinical presentation and relevant history of patients with SLAP lesions and LHB tendon pathology Which patients are more likely to get SLAP tears following trauma Special tests that may help you identify LHB pathology and SLAP tears What information imaging gives us When to request imaging for your shoulder pain patients Different groups of patients that develop LHB pathology Rehabilitation of LHB tendon pathology and SLAP tears When to specifically target the LHB tendon, and when to target the surrounding structures for best results Other areas to consider in your rehab beyond the shoulder How the kinetic chain can impact shoulder pain How someone's hop distance can influence their shoulder pain How to start treatment of someone with an irritable LHB tendon Important education components to include in your treatment Time frames - How long do these injuries take to recover? Which patients are suitable for surgical management? Different types of surgery for LHB tendon pathology Which SLAP tear patients should have conservative treatment? How suprascapular nerve involvement can present following traumatic shoulder injury, and how to identify patients with suprascapular nerve compression Links of Interest Free Shoulder assessment videos with Jo Gibson - a series of three evidence-based videos to get you great results with shoulder pain Free sports injuries videos including the AC joint with Jo Gibson Download and subscribe to the podcast on iTunes Jo Gibson on Twitter - @ShoulderGeek1 Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Courses - Steps to Success Articles associated with this episode: Hendy et al. 2012. Cross education and immobilisation: mechanisms and implications for injury rehabilitation Kibler et al. 2009. Clinical utility of traditional and new tests in the diagnosis of biceps tendon injuries and superior labrum anterior and posterior lesions in the shoulder McCreesh et al. 2017. Increased supraspinatus tendon thickness following fatigue loading in rotator cuff tendinopathy: potential implications for exercise therapy Parle et al. 2017. Acute rotator cuff tendinopathy: does ice, low load isometric exercise, or a combination of the two produce an analgaesic effect? Saithna et al. 2016. Shoulder Arthroscopy Does Not Adequately Visualize Pathology of the Long Head of Biceps Tendon Schroder et al. 2017. Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial Taylor et al. 2017. The "3-Pack" Examination Is Critical for Comprehensive Evaluation of the Biceps-Labrum Complex and the Bicipital Tunnel: A Prospective Study Exercise videos Thoracic rotation exercise Dynamic rotation exercise Other episodes of interest: PE 043 - Sporting Shoulder with Jo Gibson PE 031 - Unruly scapular assessment and retraining with Ann Cools
In today's episode of the mind set game podcast, I sat down with Jo Gibson. Jo is a Clinical Physiotherapy Specialist working at the Liverpool Upper Limb Unit at the Royal Liverpool Hospital and a Consultant in private practice. She has worked as a Shoulder Specialist since 1995 and lectures nationally and internationally about assessment and rehabilitation of the shoulder complex. Jo has co-developed Masters modules with Liverpool University for the diagnosis and treatment of upper limb pathology and has co-authored national guidelines for the management of different shoulder pathologies. She has presented original research at many National and International conferences, published in peer-reviewed journals and written several book chapters. In addition, she is an Associate Editor of the British Shoulder & Elbow Journal. For more information about Jo connect with her on Twitter. For more information about Mind Set Game connect with us on Facebook @mindsetgamepodcast For more information about James Roberts (the host of the podcast), visit fitamputee.co.uk and connect with me on Facebook, Twitter and Instagram
Tendinopathy patients may present for treatment with an ultrasound or MRI report in hand, unsure how you can help them, or how they can possibly recover when they have so much tendon pathology. To add insult to injury, they may even have a partial tendon tear on their imaging report thrown into the mix. How do imaging results impact your treatment and your patient's recovery? Are the imaging findings relevant to their pain? In this Physio Edge podcast with Dr Sean Docking (Physiotherapist, PhD), you will explore what information imaging actually provides in your tendinopathy patients, how to explain imaging to your patients, and whether partial tendon tears identified on imaging will effect your treatment. You will also discover: Who develops tendon pathology If patients have tendon pathology on imaging, is this responsible for their symptoms, or will it cause future tendon pain Asymptomatic tendon pathology in sports people How tendon pathology can actually be linked to better performance Can we prevent tendon pathology The advantages and disadvantages of different imaging types, including MRI Ultrasound Ultrasound tissue characterisation (UTC) Why a thickened tendon may actually be helpful in recovery How can we actually diagnose tendinopathy When is imaging useful Differential diagnosis of Achilles pain, including Achilles tendinopathy Paratenonitis Plantaris associated tendinopathy Partial tendon tears, the accuracy of identification, and how they impact your treatment Sports injuries virtual conference As mentioned in this episode Sean presented at the 2017 Sports Injuries virtual conference. His main conference presentation on tendinopathy and imaging discusses: The research around the use for imaging A framework for when and when not to use imaging How to explain imaging findings to patients You can get immediate access to his presentation, and presentations from 13 of the leaders in sports injuries by CLICKING HERE Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Twitter - @SIDocking Sean Docking - La Trobe University website Sean Docking - Research gate David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership Articles associated with this episode: Alfredson. 2011. Midportion achilles tendinosis and the plantaris tendon Brown et al. 2011. The COL5A1 gene, ultra-marathon running performance and range of motion Docking et al. 2016. Pathological tendons maintain sufficient aligned fibrillar structure on ultrasound tissue characterization (UTC). Docking et al. 2015. Tendinopathy: Is imaging telling us the entire story? Lieberthal et al. 2014. Asymptomatic achilles tendinopathy in male distance runners McAuliffe et al. 2016. Can ultrasound imaging predict the development of Achilles and patellar tendinopathy? A systematic review and meta-analysis Simpson et al. 2016. At What Age Do Children and Adolescents Develop Lower Limb Tendon Pathology or Tendinopathy? A Systematic Review and Meta-analysis Other episodes of interest: PE 068 - Lower limb tendinopathy loading, running and rehab with Dr Pete Malliaris PE 042 - Treatment of Plantaris and achilles tedninopathy with Seth O’Neil PE041 - Plantaris involvement in achilles tendinopathy with Dr Christoph Spang
Femoroacetabular impingement (FAI) may contribute to hip and groin pain, buttock pain, pelvic or low back pain and referred pain into the thigh. Is conservative management effective in patients with FAI, or is surgery required? If we can treat FAI conservatively, what is the best treatment, and how can you tailor your treatment to your individual patients? In episode 74 of the Physio Edge podcast with Dr Joanne Kemp you will discover: What is FAI, and how can you identify it? Common clinical presentations Key subjective questions to ask Types of FAI morphology and how they are identified Is FAI just a normal finding? How you can perform an objective assessment in patients with FAI Differential diagnosis Components you need to include in your conservative treatment for FAI Which objective markers to use when treating FAI How to address common impairments in your rehabilitation, including strength, functional tasks, cardiovascular training and range of movement When to refer for a surgical opinion Outcomes of surgical treatment Future risk of developing OA in presence of FAI Sports Injuries virtual conference presentation As mentioned in this episode Joanne will be part of the Sports Injury virtual conference. Her pre conference presentation will discuss FAI and the diagnostic process in more detail. Her subsequent conference presentation will be available on 9-10 December 2017, with access for up to 12 months following the conference, and will discuss: • Conservative management of FAI • Specific exercise progressions you can use • Return to sport for athletes Enrol on the 2017 Sports Injuries virtual conference by CLICKING HERE Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Twitter - @JoannaLKemp Joanna Kemp - Research gate David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership LaTrobe Sports and Exercise Medicine Research Blog Twitter - @LaTrobeSEM GLA:D Australia Lake Health Group Articles associated with this episode: Griffin et al. 2016. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement. Articola et al. 2014. A Cam Deformity Is Gradually Acquired During Skeletal Maturation in Adolescent and Young Male Soccer Players. A Prospective Study With Minimum 2-Year Follow-up. Other episodes of interest: Physio Edge 054 - Hip and groin pain part 2 with Benoy Matthew Physio Edge 053 - Hip and groin pain part 1 with Benoy Matthew Physio Edge 009 - Lateral hip pain with Dr Alison Grimaldi Physio Edge 004 - Hip injuries and labral tears with Nicole Hamilton
Strengthening is not commonly used in neck pain treatment and rehabilitation, however athletes may place large demands on their neck during training and play that require a high level of strength or endurance. When should you include strength training in your rehabilitation? What patients will benefit from strength training? How can you incorporate strengthening into your treatment? In episode 73 of the Physio Edge podcast, we explore the role of neck strengthening with Kay Robinson, Physiotherapist working with Australian sailing, and previously with the British Olympic Skeleton team. In the podcast you will discover: Objective assessment of patients with neck pain Range of movement and strength tests you can use with your neck pain patients How to assess neck strength in your patients Indications for strength training Is strength training suitable in the early stages of neck pain rehabilitation? Early-stage cervical spine rehabilitation exercises you can use Exercise progressions to improve neck strength Neck strengthening in concussion Is neck strength training suitable for whiplash patients? Aspects incorporated into a typical neck strengthening program Kay Robinson will also be presenting at the 2017 Sports Injury virtual conference. Her conference presentation on neck strengthening will discuss: How to incorporate neck training into rehabilitation post injury Neck strengthening for injury prevention How to make exercise patient or sport specific Other consideration with neck training Case studies Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Enrol on the 2017 Sports Injuries virtual conference Kay Robinson on Twitter - @kaylourob Kay Robinson at Total Physiotherapy David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership Book - Sports Injury Prevention and Rehabilitation: Integrating Medicine and Science for Performance Solutions High-Performance Training for Sports Articles associated with this episode: Durall. 2012. Therapeutic Exercise for Athletes With Nonspecific Neck Pain: A Current Concepts Review. Falla et al. 2003. An electromyographic analysis of the deep cervical flexor muscles in performance of craniocervical flexion. Falla et al. 2007. Recruitment of the deep cervical flexor muscles during a postural-correction exercise performed in sitting. Jull et al. 2009. The effect of therapeutic exercise on activation of the deep cervical flexor muscles in people with chronic neck pain. Other episodes of interest: PE 013 - Cervical Spine Artery and VBI Testing with Roger Kerry 5 Minute Physio tip - Manual therapy for the cervical spine - Is there any evidence? 5 Minute Physio tip - Contraindications and red flags to cervical spine manual therapy.
Injured athletes like to recover and return to play as quickly as possible, and we need to balance return to play against impaired strength, performance and risk of reinjury. Initial injury rehabilitation often commences with isometric exercises, progressing into concentric/eccentric style exercises when isometric tests are pain-free. Finally high load eccentric exercises such as the Nordic hamstring are introduced for their positive effects of increased strength, fascicle length and reduced injury risk. High level and eccentric exercises are often avoided in the early stages of rehab, for fear of aggravating the injury. What if we could commence higher-level and eccentric exercises safely at an earlier stage? Would this impair or accelerate your patients' recovery? In this podcast with Jack Hickey, currently completing a PhD with the QUT/ACU hamstring injury research group, we explore an accelerated hamstring injury rehabilitation program, and how this can be implemented with your patients. You will discover: The limitations of traditional rehabilitation What is the evidence for only using isometric exercises in the early stages of rehab Why eccentric exercises are commonly thought of as too high a load for initial rehab More modern rehabilitation programs for hamstring strain injuries, including the Askling (2013), Aspetar (2017) and Mendiguchia (2017) programs An accelerated rehab program, introducing higher-level and eccentric exercises at an early stage How often high-level exercises need to be performed Which exercises you can use with your hamstring injury patients How to know when to progress your patient's exercises When you can start your patient's rehabilitation When your patients can return to running How to progress your patience through a return to running program When your patients are suitable for return to sport Download this podcast and subscribe on iTunes Links associated with this episode: Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino Jack Hickey David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership ACU open access hamstring journal repository Dr David Opar on Twitter Dr Anthony Shield Dr Morgan Williams Dr Matthew Bourne Nicol van Dyk Rod Whiteley Nirav Maniar Ryan Timmins Dr Steve Duhig Sliding discs to use in hamstring slider exercises in your clinic - available in Australia. Use the code "clinicaledge" to get 20% off your order (at the above link, not applicable on Amazon) Amazon (outside Australia)- Sliding discs to use in hamstring slider exercises Other episodes of interest: PE 071 - Hamstring strengthening, lengthening and injury prevention with Dr David Opar PE 019 - Hamstring strength, flexibility and injury reduction with Dr Kieran O’Sullivan PE016 - Preventing hamstring injuries with Dr Kristian Thorborg Articles associated with this episode: Askling et al. 2013. Acute hamstring injuries in Swedish elite football: a prospective randomised controlled clinical trial comparing two rehabilitation protocols Aspetar Hamstring Protocol Hickey et al. 2016. Criteria for Progressing Rehabilitation and Determining Return-to-Play Clearance Following Hamstring Strain Injury: A Systematic Review Jacobsen et al. 2016. A combination of initial and follow-up physiotherapist examination predicts physician-determined time to return to play after hamstring injury, with no added value of MRI. Järvinen et al. 2007. Muscle injuries: optimising recovery. Mendiguchia et al. 2017. Hamstring rehab for football players. Silder et al. 2013. Clinical and Morphological Changes Following 2 Rehabilitation Programs for Acute Hamstring Strain Injuries: A Randomized Clinical Trial
Hamstring injuries are the most common injury in football and AFL, and we can help our patients strengthen their hamstrings while significantly reducing their risk of injury with the right exercise program. What are the best exercises to use to strengthen and lengthen the hamstrings, and to prevent hamstring injury? In this Physio Edge podcast with Dr David Opar, we discuss hamstring injury prevention, which athletes will benefit, which exercises to use, the most important aspects of each exercise and how to incorporate these with your athletes. You will discover: What does the latest research around hamstring exercises and injury reveal? Which players are most at risk of hamstring injury? How can we prevent hamstring injuries? How does hamstring muscle architecture adapt to training, and how does this relate to your exercise selection or prescription? How can we increase hamstring muscle fascicle length? How can we tailor our patients hamstring program based on whether they are preseason, in-season, uninjured or previously injured? Which exercises are important in hamstring rehabilitation and prehabilitation? How can you start and progress a hamstring injury prevention program? How quickly do patients lose their hamstring gains, and how much maintenance do they need to perform? What happens to hamstring muscle strength and flexibility following injury? What neuromuscular inhibition happens following hamstring injuries, and how can we address this in our rehab? There has been a lot of great research performed recently on hamstring injuries, and to share this and help you with your hamstring injury patients, we have invited Dr David Opar to present at the upcoming Sports Injuries virtual conference in December 2017. You can access six free preconference sports injury presentations by CLICKING HERE. Links Get your free access to Sports Injuries presentations with Dr Ebonie Rio, Jack Hickey, Dr Adam Weir, Dr Michael Rathleff, Jo Gibson and Prof Bill Vicenzino David Pope on Twitter Clinical Edge on Facebook Have a free trial Clinical Edge membership ACU open access hamstring journal repository Dr David Opar on Twitter Dr Anthony Shield Dr Morgan Williams Dr Matthew Bourne Nicol van Dyk Rod Whiteley Nirav Maniar Jack Hickey Ryan Timmins Dr Steve Duhig Articles associated with this episode: Bourne et al. 2017. Impact of exercise selection on hamstring muscle activation. Opar et al. 2015. Eccentric hamstring strength and hamstring injury risk in Australian footballers. Petersen et al. 2011. Preventive Effect of Eccentric Training on Acute Hamstring Injuries in Men’s Soccer. Timmins et al. 2015. Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study. Timmins et al. 2016. Architectural Changes of the Biceps Femoris Long Head after Concentric or Eccentric Training. van Dyk et al. 2016. Hamstring and Quadriceps Isokinetic Strength Deficits Are Weak Risk Factors for Hamstring Strain Injuries: A 4-Year Cohort Study.
On this episode of the Healthy Wealthy and Smart Podcast, Jo Gibson is featured to discuss physical therapy treatment of the unstable shoulder. Jo is a Clinical Physiotherapy Specialist working at the Liverpool Upper Limb Unit at the Royal Liverpool Hospital and a Consultant in private practice. She has worked as a Shoulder Specialist since 1995 and lectures nationally and internationally about assessment and rehabilitation of the shoulder complex. Jo has co-developed Masters modules with Liverpool University for the diagnosis and treatment of upper limb pathology and has co-authored national guidelines for the management of different shoulder pathologies. She has presented original research at many National and International conferences, published in peer-reviewed journals and written several book chapters. In addition she is an Associate Editor of the British Shoulder & Elbow Journal. In this episode, we discuss: -Using patient history to classify shoulder pathology -Factors to consider when deciding whether to treat with surgery or rehabilitation -The nervous system’s role in shoulder instability -How to use language and metaphors to develop buy-in -Jo’s takeaways from the British Elbow and Shoulder Society Conference -And so much more! Jo prioritizes learning about a patient’s history during the initial evaluation because it can serve as a roadmap for treatment. Jo has found that, “The biggest investment of my time is hearing how everything started and what the story has been from there.” Jo believes patient history to be more valuable than other evaluation method as she states, “The history tells me far more than any clinical test.” Symptom modification can be an important psychological tool to encourage more confidence in a patients shoulder capabilities. Jo stresses, “It is very empowering for the patient because it shows them that if we make their muscles work differently they are stable.” Jo’s treatment protocol includes a variety of functional exercises which utilize external cues to promote motor learning and neuroplasticity. Jo believes there is room for physical therapists to get creative with these treatments and that sometimes, “We kind of undermine the artistry of what we do.” Jo has found that improving her communication skills has led directly to improved physical therapy treatment outcomes. Jo reminds us that, “This is about being human. Communication underpins everything we do… Patients are just the biggest source of information and actually they give us all of the clues and give us the language to use.” For more information on Jo: Jo Gibson Grad.Dip.Phys MSc.(Adv.Pract) MCSP. Jo Gibson studied physiotherapy at the Salford College of Technlogy and qualified in 1987. Her physiotherapy career started in Nottingham in 1987 at Queen’s Medical Centre where an encounter with Professor Angus Wallace fuelled her interest in the shoulder. Jo moved to Liverpool in 1989 and after completing several years of rotational experience she joined forces with Professor Simon Frostick and in 1996 she became one of the first specialist Upper Limb Physiotherapists in the UK. In order to increase her subspeciality knowledge and expertise, Jo completed travel fellowships in the UK, Europe and the USA sponsored by the British Elbow and Shoulder Society and Royal Liverpool University Hospital Trust Charities Board. Since that time the Liverpool Upper Limb Unit has gained an International reputation as a centre of Excellence in Shoulder and Elbow surgery and it was here that Jo started working with Peter Brownson. Jo has a passion for education and since 1996 she has lectured nationally and internationally on rehabilitation of the shoulder and she runs her own courses all over the World. Internationally, in 2004 she was a co-founder of the International Congress of Shoulder and Elbow Therapists, a meeting which now runs tri-annually. In addition, Jo has served as Vice president and Chair of the education committee on the EUSSER board (European Society of Shoulder & Elbow Rehabilitation). Nationally, Jo has been the AHP representative on the British Elbow and Shoulder Society (BESS) Council and in addition she has served as a member of the BESS Research and Education Committees. She is an associate lecturer at the University of Liverpool and has co-developed tailor made masters modules to support physiotherapists working in or towards specialist Upper Limb appointments. Jo completed her Masters in Advanced Practice at Liverpool University in 2012 and completed her dissertation on the Biopsychosocial model cementing her belief in tailoring treatment to the individual and the importance of communication skills. She continues to be involved in upper limb research, has presented original research at many National and International conferences winning three Best Paper prizes. She has published in peer-reviewed journals and written several book chapters. Jo has also co-authored BESS Care Pathways for the British Elbow and Shoulder Society. Jo’s recognized expertise in the assessment and management of shoulder pathology has resulted in consultancy work with many elite sports teams in a variety of sports including football, rugby, cricket, gymnastics, swimming, boxing and tennis. In addition she is regularly sought out by other clinicians to help problem solve more challenging presentations. Her close working relationship with Peter Brownson has been pivotal in the opportunity to develop postoperative rehabilitation regimes facilitating early return to sport or function and has resulted in a publication of results in an elite football population. Resources discussed on this show: Stanmore Classification Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial Derby Shoulder Jane Moser Research Noi Group Apps Noi Group Website Twitter #bess2017 British Elbow and Shoulder Society Jo Gibson Twitter Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!
Jo Gibson is a Clinical Physiotherapy Specialist at the Liverpool Upper Limb Unit based at the Royal Liverpool Hospital, UK. She lectures both nationally and internationally about rehabilitation of the shoulder. Her research interests are shoulder instability and motor learning. Jo is currently Squad Physiotherapist for the Great Britain Endurance riding Team.
Shoulder pain and injury in overhead athletes is very common and has a high recurrence rate. In this podcast with Jo Gibson we discuss sporting shoulder injuries and rehabilitation, including: The role of the Rotator Cuff Train strength or efficiency in the Rotator Cuff? Rotator Cuff muscle balance When is (and when isn’t) surgery necessary for Rotator Cuff or SLAP tears Assessment of shoulder stiffness Bursal involvement Imaging of the shoulder How you can help improve Rotator Cuff activation What role does manual therapy have in shoulder treatment? The importance of the postero-superior cuff What stretches can you perform for the postero-superior Rotator Cuff Treating pain in loaded and overhead activities Exercises you can use in shoulder treatment with your athletes Incorporating the kinetic chain in shoulder rehabilitation Managing shoulder load Central sensitisation Treating throwing athletes The role of the thoracic spine in shoulder pain Communication tips with your shoulder pain patients Download the podcast from iTunes Review the Physio Edge podcast in iTunes Download the podcast from Stitcher Download and listen to the podcast on Soundcloud Links of Interest Jo Gibson Download the free podcast handout Subscribe free to the podcast in iTunes Jo Gibson’s courses David Pope Clinical Edge Get your free trial of Clinical Edge online education Jo Gibson’s video - Gym ball rollout Jo Gibson’s video - Wall squat Jo Gibson’s video - Step up with V Physio Matters Podcast with Jo Gibson Skills for Communicating with Patients Book Key communication skills and how to acquire them - Article in BMJ by Peter Maguire, Carolyn Pitceathly EUSSER
Putting big mouths and big ideas behind microphones. The Physio Matters Podcast is a feature of Chews Health's third core value ‘We
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