POPULARITY
4 episodes with Scapula
2 episodes with Scapula
3 episodes with Scapula
3 episodes with Scapula
3 episodes with Scapula
2 episodes with Scapula
2 episodes with Scapula
2 episodes with Scapula
2 episodes with Scapula
Ever wonder why rehab constantly leaves you stuck and frustrated? In this episode, we break down why traditional rehab often stops too soon, leaving behind compensation patterns that limit performance and increase injury risk. We dive into how to assess, correct, and build lasting strength across ALL levels, from desk workers to pro athletes. Join The PSL1 Waitlist Now For An Exclusive Discount. Learn more at https://www.pre-script.com/psl1 FREE Coach's Field Guide: https://www.pre-script.com/coachs-field-guide We've got a new sponsor! Marek Health is a health optimization company that offers advanced blood testing, health coaching, and expert medical oversight. Our services can help you enhance your lifestyle, nutrition, and supplementation to medical treatment and care. https://marekhealth.com/rxd Code RXD Don't miss the release of our newest educational community - The Pre-Script ® Collective! Join the community today at www.pre-script.com. For other strength training, health, and injury prevention resources, check out our website, YouTube channel, and Instagram. For more episodes, subscribe and tune in to our podcast. Also, make sure to sign up to our mailing list at www.pre-script.com to get the first updates on new programming releases. You can also follow Dr. Jordan Shallow and Dr. Jordan Jiunta on Instagram! Dr. Jordan Shallow: https://www.instagram.com/the_muscle_doc/ Dr. Jordan Jiunta: https://www.instagram.com/redwiteandjordan/ Why rehab leaves you weak and in pain (00:00:00) The biggest problem with traditional rehab (00:03:00) Why most rehab stops too soon (00:06:30) Compensation patterns: The hidden reason you're still struggling (00:10:45) How to assess movement properly (00:15:20) The gold-standard approach to building function (00:19:50) Why bilateral exercises aren't the fix (00:24:30) The case for unilateral training in rehab (00:29:15) Core stability: The foundation of real rehab (00:34:40) Fixing upper body mechanics: Scapula & shoulder function (00:39:10) Lower body rehab: Hip rotation, lunges & RDLs (00:44:25) Real functional training vs. gimmicks (00:49:50) Strength coaches vs. rehab pros: Who's doing it better? (00:55:00) How to actually make rehab work long-term (01:00:20)
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Pour accéder à l'intégralité de ce podcast et écouter chaque semaine un nouvel épisode du Quart d'Heure Véto, c'est très simple, il vous suffit de vous abonner en cliquant sur ce lien : https://m.audiomeans.fr/s/S-yUNSBZSR Notes et référencesArticle : Santalucia, V., Hunt, R. & Murphy, M. (2024) A novel radiographic projection for the detection of a scapula body fracture in a Thoroughbred foal. Equine Veterinary Education, 36, 140–144. Available from: https://doi.org/10.1111/eve.13883Retrouvez toute la synthèse sur la fiche podcast juste ici : https://audmns.com/shzVoKSPour nous suivre :1. Abonnez-vous à notre chaine pour profiter de l'intégralité des épisodes : Le Quart d'Heure Véto : décrypte et résume en moins de 15 min un article de biblio véto - Sur abonnement uniquementLe Véto du Mois : Partagez le temps d'une interview l'expérience de vétérinaires emblématiques de notre milieu, des rencontres conviviales, comme si nous étions dans votre salon au coin du feu. Podcasts bonus au fil des inspirations... 2. Le ScopeNous partageons avec vous nos dernières découvertes, inspirations, pistes de réflexion, nouveautés… À découvrir et utiliser dès maintenant, TOUT DE SUITE, dans votre quotidien de vétérinaire, de manager, de vie personnelle, de chef d'entreprise… Et tout cela en moins de 5 minutes top chrono un à 2 mardis par mois ! Je souhaite recevoir mon Scope : https://vetmasterclass.com/lescope/ 3. Contactez-nous, suivez-nous et donnez nous votre avis ! Des sujets que vous souhaiteriez approfondir, des références à partager, ou nous faire part de vos feed-backs :Abonnez-vous à notre chaine, donnez nous des étoiles, un commentaire et partagez autour de vous !Sur notre site : https://vetmasterclass.com/Sur Facebook : https://www.facebook.com/VmHorseSur Instagram : https://www.instagram.com/vetmasterclass/Sur YouTube : https://www.youtube.com/channel/UC18ovcWk9e-mFiTL34OQ03gSur Linkedin : https://www.linkedin.com/company/vetmasterclass-horse/about/Belle journée à tous, Et continuez à vivre votre métier avec Passion !
Jonah Jackson place on injury reserve.
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In this episode of Quah (Q & A), Sal, Adam & Justin coach four Pump Heads via Zoom. Mind Pump Fit Tip: The smartest way to diet to get lean effectively and efficiently as possible. (2:34) Tech is NOT going to solve the obesity epidemic. (14:26) There is truly an app for everything! (21:43) Ukraine robot dogs. (26:32) The ULTIMATE home security. (28:23) Sal's incredible Christian worship concert experience. (31:15) Justin's trip to Kula Sports Performance. (34:41) The 1-2 punch gut/skin axis. (38:48) Would you consider this? (43:06) The controversy surrounding the Shroud of Turin. (47:28) When you see a black widow for the first time. (51:17) It's a weird time for potential homeowners. (52:44) RFK Jr. endorsing Donald Trump. (58:59) Shout out to Kula Sports Performance! (1:02:21) #ListenerLive question #1 – Why am I not losing weight on Semaglutide? (1:03:45) #ListenerLive question #2 – Any advice on how to do a pull-up? (1:13:52) #ListenerLive question #3 – Is it possible to run and be strong and lean? (1:23:54) #ListenerLive question #4 – How can I remedy a trap imbalance due to weakness in my rotator cuff? (1:38:57) Related Links/Products Mentioned Ask a question to Mind Pump, live! Email: live@mindpumpmedia.com Visit Seed for an exclusive offer for Mind Pump listeners! **Promo code 25MINDPUMP at checkout for 25% off your first month's supply of Seed's DS-01® Daily Synbiotic** Visit Caldera Lab for an exclusive offer for Mind Pump listeners! **Promo code MINDPUMP at checkout for 20% off your first order of their best products ** September Promotion: MAPS Starter | Starter Bundle 50% off! ** Code SEPTEMBER50 at checkout ** Mind Pump #1522: How to Stay Consistent With Your Diet & Workout Mind Pump #1572: Is Tonal Worth the Money? With Aly Orady Reflect Orbital Ukraine deploys $9K robot dogs vs. Russia with plans to use them as ‘kamikazes' on the front lines Sublethal Remote Gun Kula Sports Performance Mind Pump #2255: The Smart Way to Improve Speed, Power, & Performance With Brian Kula Mushroom coffins that biodegrade in 45 days will be available in US AI Uses the Turin Shroud to Reveal What Jesus ‘Might Have Looked Like' California Moves Toward Zero-Down-Payment Mortgages for Migrants Visit MASSZYMES by biOptimizers for an exclusive offer for Mind Pump listeners! **Promo code MINDPUMP10 at checkout** Mind Pump #2410: How to Maximize Fat Loss & Preserve Muscle on GLP-1s (Introducing MAPS GLP-1) The RIGHT WAY To Do More Pull-Ups (Make Them EASY!) How to do a Scapula pull up correctly Mind Pump Fitness Coaching Course Personal Trainer Growth Secrets | Powered by Mind Pump Becoming a Supple Leopard 2nd Edition: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance Mind Pump #1790: The Secret to an Attractive & Functional Body Mind Pump #1872: Eight Benefits of Lifting With Light Weight Mind Pump Podcast – YouTube Mind Pump Free Resources People Mentioned Mike Matthews (@muscleforlifefitness) Instagram Brian Kula (@kulasportsperformance) Instagram Christopher M. Naghibi (@chrisnaghibi) Instagram Mind Pump Fitness Coaching (@mindpumptrainers) Instagram
Rams' Jonah Jackson out for 6 weeks with painful injury.
Snapping scapula syndrome (SSS) is a rare condition that is oftentimes debilitating. For patients whose symptoms are resistant to nonoperative treatment, arthroscopic surgery may offer relief. Because of the rarity of SSS, reports of clinical outcomes after arthroscopic SSS surgery are primarily limited to small case series and short-term follow-up studies. In conclusion, patients undergoing arthroscopic bursectomy and partial scapulectomy for SSS experienced clinically significant improvements in functional scores, pain, and quality of life, which were sustained at a minimum of 5 years and a mean follow-up of 8.9 years postoperatively. Higher patient age, inferior mental health status, increased shoulder pain, and lower ASES scores at baseline were significantly associated with worse postoperative outcomes. Click here to read the article.
It's true. Chris broke his scapula during Nashville's "blizzard." The hospital offers a glimpse of the lost middle class. ALSO: Chris's greatest hospitalizations! Cat Scan machines are overpriced toaster ovens. PLUS: Can Do Cold Brew, corporate mergers and a song of the week from Eric Bachmann!!Eric Bachmann - "Heavy Hours": https://www.youtube.com/watch?v=UVviFI54H9ACold Brew Patreon: Patreon.com/chriscroftonChannel Nonfiction: Channelnonfiction.comCan Do Cold Brew: Candocoldbrew.com
Dr. Angelica Lang knows most of the people she sees have to keep working, even if they have shoulder pain. As an assistant professor at the University of Saskatchewan and director of the Musculoskeletal and Ergonomics Lab at the Canadian Centre for Rural and Agricultural Health, Lang's goal is to reduce that pain — keeping patients on the job. “A lot of daily life has to be done with your hands,” she said. “The base of that is your shoulder. It allows you to position your hand in all these different ways.” Lang knows the importance of movement. She grew up in Melfort, Sask., playing hockey, soccer, volleyball, along with track and field. A Huskies track athlete, she found her calling in kinesiology, leading her to a specialization in the clinical biomechanics of the shoulder. Her passion for understanding the shoulder, a joint unique in its movement and demands, drove her towards an MSc in Biomechanics under Dr. Clark Dickerson, a shoulder expert. "This combines math, which I already liked, with movement, which I'm really getting into," she said. “How you perform your work, how you get injured at work, or how a different disorder might influence your movement, and then cause a functional problem.” Lang said at least 40 per cent of people who suffer from a rotator cuff injury still endure shoulder pain up to a year later. That pain can cause sleep issues, and eventually it becomes unsustainable. “My question is, does it matter how long you've had pain?” she said. “Is it the way that they move that's setting them up to not necessarily get better?” Her laboratory is one of the first to look at the time elapsed since an initial injury, and the role of ongoing shoulder pain as a confounding or influencing factor in that patient's recovery. “Once the pain happens, there's some sort of compensation to avoid these painful positions,” said Lang, whose research team is studying 60 people from Saskatoon and rural Saskatchewan, to assess differences in shoulder pain. A significant part of Lang's work involves the musculoskeletal health of breast cancer survivors, particularly those who've undergone mastectomies and reconstructions. "It's fairly well documented that breast cancer survivors have upper limb dysfunction after their treatment,” Lang said. “I'm interested in what that means for their functional abilities.” Participants in those studies often make periodic trips to Saskatoon, for assessments at the Musculoskeletal and Ergonomics Lab at the Canadian Centre for Rural and Agricultural Health. In this episode, Lang shows us the “Rotopod” farm equipment simulator, designed to simulate the seated position farmers often stay in for long hours during seeding, spraying and harvest. Her team examines movement and biomechanics in agricultural settings, particularly how whole body vibrations from machinery affect farmers. They use advanced motion tracking systems, like the Vicon motion capture system and Inertial Measurement Units, to study body movement in various scenarios, both in the lab and when research crews drive to farms and mines across Saskatchewan, to observe work duties in the field. Last summer, her team visited farmers on the job near Aylesbury, Biggar, Clavet, and Debden, Saskatchewan. They tracked their movement as they performed five tasks, including using an overhead drill, lifting a shovel, climbing and dumping a heavy bag, and pruning a shrub. Lang and a pair of graduate students watched farmers put cattle through a squeeze chute — a task that can be challenging for both the operator and the animal. “It's something we never would have been able to measure had we only had them come to the lab,” said Lang. “By being able to be specific to their job and make the recommendations specific to farming demands, hopefully that will help.” Throughout the conversation, Dr. Lang credited her team and colleagues for their contributions and stressed the significance of combining different fields of study to advance understanding and treatment of musculoskeletal disorders. “That's motivating to me as a researcher," said Lang. "The people that we're working with, they see the value in what we're doing, they support us."
In this episode, we review the high-yield topic of Scapula Fracture from the Orthopedics section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets Linkedin: https://www.linkedin.com/company/medbullets
In this podcast, we explore scapular dyskinesis, the abnormal movement of the shoulder blade. We discuss related terms like scapular misalignment and sick scapula, questioning the practicality of assessing it through visual observation. We highlight that identifying it as normal or abnormal may not guide treatment decisions or pinpoint the cause of shoulder pain. We also address its prevalence in athletes and non-athletes and suggest using various tests to assess scapular dyskinesis. Intriguingly, we'll reveal a surprising connection between scapular dyskinesis and an unexpected aspect of training, which might change the way you think about shoulder issues. So, join us for the full episode to uncover this fascinating insight. Guest Filip Struyf is a sportsphysiotherapist and professor at the Department of Rehabilitation Sciences and Physiotherapy at the University of Antwerp, Belgium. According to Expertscape, he is the #1 shoulder researcher world-wide. He teaches shoulder courses nationally and internationally and has created an online course together with us called “Rotator Cuff Related Shoulder Pain: Separating Facts from Fiction”. Content 00:00 Intro 01:15 The "correct" definition 04:05 What is "normal" 12:05 Prevalence 14:21 Is it a functional adaptation? 16:46 Scapula Dyskinesia as a risk factor? 26:09 How do we assess it? 28:51 How reliable or valid is assessment? 32:39 Can we improve scapula movement? 39:09 What's up with focussing on the lower trapezius? 42:26 What about Rhomboid Pain? 46:21 Is there a place for scapula mobilization techniques? 49:42 Filip's closing thoughts 52:15 Outro Bonus Material To view and download the bonus content such as transcripts of this episode become a Physiotutors Member. All episodes and bonus content can be found here Follow our Podcast on: Spotify | Apple Podcasts
We begin our exploration of the shoulder with an introduction to the basic anatomy of the joints, how they work together and how to coordinate the muscles to improve movement quality. This is the foundation of the work needed to improve outcomes for shoulder injuries such as rotator cuff tears and shoulder impingement.
In this episode of Quah (Q & A), Sal, Adam & Justin answer four Pump Head questions from the Sunday @mindpumpmedia Quah post. Mind Pump Fit Tip: Cardio training is a TERRIBLE way to lose body fat. (2:18) A different take on grounding. (33:27) The human body is so fascinating. (41:11) Weird wisdom with Sal: Urotherapy. (45:41) The differences between the beard oil and the serum from Caldera Lab. (53:07) The profound benefits of vitamin D. (54:35) Are you surprised by the UFC's latest partnership? (57:56) Shout out to Morbid Curiosity. (1:03:33) #ListenerLive question #1 - Considering I have been burnt out in the past, any advice on how I would get back into strength training? (1:04:49) #ListenerLive question #2 - How can I get rid of the stubborn lower belly pooch around my abs? (1:25:18) #ListenerLive question #3 - What program would you recommend next if my goal is to strength train for the future and the rest of my life? (1:40:25) #ListenerLive question #4 - Any recommendations on how to get stronger in the bottom position so I can pull myself up? (1:51:07) Related Links/Products Mentioned Ask a question to Mind Pump, live! Email: live@mindpumpmedia.com Visit PRx Performance for an exclusive offer for Mind Pump listeners! Visit Caldera Lab for an exclusive offer for Mind Pump listeners! **Code MINDPUMP at checkout** November Promotion: MAPS Resistance | MAPS Prime Pro 50% off! **Code NOVEMBER50 at checkout** Strength training burns fat, builds muscle more than cardio: Stanford study Strength training is more effective than aerobic exercise for improving glycaemic control and body composition in people with normal-weight type 2 diabetes: a randomised controlled trial - PubMed Mind Pump #2187: Why Building Muscle Is More Important Than Losing Fat With Dr. Gabrielle Lyon The Resistance Training Revolution – Book by Sal Di Stefano Mind Pump #2157: Using Cardio As A Weight Loss Tool The Millionaire Next Door: The Surprising Secrets of America's Wealthy Ambidextrous artist draws 8 hyper-realistic portraits using all limbs at the same time | SWNS Is Drinking Urine Good for You? Benefits, Risks, and More - Healthline Bud Light to return as the UFC's official beer next year | AP News Visit Organifi for the exclusive offer for Mind Pump listeners! **Promo code MINDPUMP at checkout** Mind Pump #2085: Abs & Core Masterclass No BS 6-Pack Abs | MAPS Fitness Products MAPS Prime Pro Webinar The RIGHT WAY To Do More Pull-Ups (Make Them EASY!) How to do a Scapula pull up correctly Mind Pump Podcast – YouTube Mind Pump Free Resources People Mentioned Dr. Gabrielle Lyon (@drgabriellelyon) Instagram Morbid Curiosity (@morbidkuriosity) Instagram
Thomas und Wolfgang sprechen über den Effekt von Aminosäuren, Verunreinigungen im Creatin, die zu Dickdarmproblemen und somit statischen Dysfunktionen führen können, Dopingfreiheit von Supplements und die Ursache für die Protraktion der Scapula sowie deren Effekt auf das Schulterdrücken.
At least 10% of all Americans are estimated to have Gallbladder issues, but Dr. Prather says he thinks the number is actually closer to 30% of adults. In this episode, you'll find out:—What the Gallbladder does. And why removing a bad Gallbladder (even though necessary at times) does not solve a person's problem.—How the Gallbladder doesn't work right if the Liver isn't working right, and the Liver doesn't work right if the Gallbladder isn't working right.—Why you can have Gallbladder issues without actually having Gallstones. And the "urp" (which is different from a burp) that is a symptom of Gallbladder issues. —How pain in the right Scapula area as well as pain on the inside of the knee are associated with Gallbladder problems. And the connection between loss of eyebrows with Gallbladder problems.—Why Dr. Prather says you cannot lose weight without fixing the Gallbladder. And how obesity causes Gallbladder problems, but Gallbladder problems cause obesity. —How "you can't really absorb Vitamin D" if your Gallbladder isn't working right. And how the Gallbladder can affect your overall health, including Cardiovascular Disease and Cancer. —The role hormones, ethnicity, and age play in Gallbladder issues. And how taking birth control pills will increase your risk of Gallbladder issues.—The foods that contribute to Gallbladder issues, such as: pizza, cheese, chocolate, pork, and man-made fats like margarine. And why Dr. Prather says increasing your fiber "basically eliminates all problems associated with the Gallbladder" and that Buckwheat is "a magic food for the Gallbladder". —Why moderate coffee use is protective for the Gallbladder, but should be avoided when you're having a Gallbladder attack. And why a little bit of Olive Oil is good for the Gallbladder, but Olive Oil flushes are DANGEROUS and can be life-threatening. —The herbals, nutraceuticals, homeopathic remedies, and supplements Dr. Prather finds which work best for his patients with Gallbladder problems. And the "magic formula of Lecithin and Ox Bile" that dissolves Gallstones.http://www.TheVoiceOfHealthRadio.com
In this episode, Chad and Kelley interview Dr. Mike Wasilisin, chiropractic specialist and the founder of MoveU. Dr. Mike is on a mission to empower every human being to take care of their own body and fix their own pain through proper body movement and a champion mindset. Together, they delve into the topic of back pain and its connection to musculoskeletal issues. Dr. Mike emphasizes that 90% of back pain is related to poor movement and posture habits developed during childhood. He questions why healthcare professionals, including chiropractors, focus only on treating symptoms rather than addressing the root cause. If you're someone who struggles with chronic pain and you're ready to learn about the real cause of chronic pain, how mindset is key to healing, and tangible solutions to get relief, this episode is for you. To connect with Dr. Mike Wasilisin click HERETo connect with Kelley click HERE
Rip answers questions from Starting Strength Network subscribers and fans. 02:42 Comments from the Haters! 16:40 Rep ranges for assistance lifts 28:19 Broke scapula…help 45:11 Hurt meniscus 54:14 When to specialize in the OHP 1:05:01 Pregnancy and training 1:16:53 Clavicle pain
Andrew Rothschild is back with an interesting case of severe pain and hyperalgesia around the scapula area in a CrossFit Athlete. This is the second time in 1 year after good resolution the year prior. Both times there was no clear cut mechanism of injury. Then randomly on social media, Andrew saw two posts regarding a differential diagnosis of severe pain in this area in overhead athletes. Treatment ended up being the same, but it makes for interesting discussion on how and why these things may happen. Ever seen a case of nerve entrapment like this? Untold Physio Stories is sponsored by The Eclectic Approach Network - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking. Check out EDGE Mobility System's Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com Curv Health - Start your own Virtual Clinic Side Hustle for FREE! Create your profile in 3 minutes, set your rates, and Curv will handle the rest! From scheduling to payments, messaging, charting, and a full exercise library that allow for patient/clinician tracking, it's never been easier! Click to join Dr. E's new Virtual Clinic Collective to help promote best online practices. --- Send in a voice message: https://podcasters.spotify.com/pod/show/untoldphysiostories/message Support this podcast: https://podcasters.spotify.com/pod/show/untoldphysiostories/support
This week we're talking all about how we're levelling up the podcast with the new studio and content plans. Also, for new listeners, we'll be introducing ourselves and our plans for the future. ———————————————————— TIME STAMPS: (00:00) - Welcome (01:49) - First show of the season (04:32) - Reece prep update (07:28) - Channel logistics (09:09) - Finn's holiday & prep (21:52) - Routine (35:12) - How to progress the pretor horizontal leg press (37:17) - What do you when clients are facing financial issues (43:57) - Favourite alcoholic drink (45:53) - Fish or chicken for the rest of your life (46:37) - Do you coach young mums & dads (49:57) - What is your recreational drug experience (52:13) - Favourite cheat meal (57:03) - Ronnie, Dorian or Phil? (59:23) - How often have you deloaded during prep (01:02:17) - Marinating the muscle (01:06:17) - Favourite exercises based on enjoyment (01:08:35) - Competing after a long period of no training (01:09:17) - Natty 5 a side squad (01:12:39) - Scapula retracted during rear delt flys (01:14:32) - Outro ———————————————————— COACHING: For coaching enquiries, please feel free to DM us on instagram or fill out the application form below! FK Physiques - https://docs.google.com/forms/d/e/1FAIpQLSdi4b1glGKVb0EKeGa_dcYFC9DRSgxkDVFmBzpNy2evDondnQ/viewform?usp=sf_link Team RFit - https://docs.google.com/forms/d/e/1FAIpQLSeaZGqZJEGPhNKzbsRtc2aKFsmqnF1SiC_MXdH4Z2lVdYwnag/viewform ———————————————————— INSTAGRAM: https://www.instagram.com/finnkelly_coach/ https://www.instagram.com/reecefit/ https://www.instagram.com/fkphysiques/ https://www.instagram.com/teamrfit/ https://www.instagram.com/onceyoureinyourein_podcast/ ———————————————————— YOUTUBE: https://www.youtube.com/@finnkelly316 https://www.youtube.com/@reecefit3909 ———————————————————— SUPPLEMENTS: https://www.cnpprofessional.co.uk/ - FINN15 for 15% off https://www.cardiffsportsnutrition.co.uk/
Prophetic News Radio-Does the Catholic "church" cult practice witchcraft? They use blood, bones, and worship other body parts from so-called dead saints in their rituals. including someone's head. Only Jesus saves, He shed His blood once and for all. Believe on him today!
Sondre Berg is an expert in bodyweight strength, handstands and movement. He simplifies complex problems in an easy to understand way.Chapters:(00:08) Starting the smart way(02:38) Bodyweight strength standards(03:49) Why do basics?(06:37) Intuitive training(08:11) Handstand myths(12:44) Why use bands? (14:48) Best band exercises(15:32) The advantage of cluster sets (18:51) Overcoming fear(23:25) Dealing with defeat(25:54) Core strength myth(28:59) Controversial opinion(32:29) Accessory exercises?(34:15) Reality of mastery(35:19) Goal setting the right way(37:35) Flexibility for hollow back(39:31) Scapula strength made easy (41:38) How to improve without weights?(44:14) Greasing the groove?(45:48) Acrobatics for adults(48:31) Closing remarksFitnessFAQs Discount Code:✅ Use code 'PODCAST10' at checkout to SAVE 10%https://fitnessfaqs.com/programs/Follow Berg MovementInstagramWebsite
In this podcast, I discuss the scapula with Filip Struyf, PhD. Filip is a former guest on the show (episode 2) and I've pulled him back on the podcast to tackle the hard problems as they relate to the scapula. Specifically, in this episode we consider the question: "If we identify a scapula dyskinesis in our physical examination, should we attempt to rectify it?". Key Resources: Filip's fabulous 2013 paper here Connect with Jared and Filip: Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Filip on Twitter: @Filip_Struyf Cliniko free trial, click here! See our Disclaimer here: The Shoulder Physio - Disclaimer
One of the more common cues I see during shoulder exercises is to pinch your scaps together. I've never completely understood how this started, but it is something we see almost daily.In general, we tend to want to allow the scapula to move to position the arm. But is it ever a good idea to pinch your scaps together?Full Show Notes: https://mikereinold.com/pinching-your-scapula-together-during-exercisesLearn more about enrolling in my Champion Performance Specialist program: https://mikereinold.com/cps/Click Here to View My Online Courses Want to learn more from me? I have a variety of online courses on my website!Support the show
Mr Mike Walton (Wrightington, UK) is an experienced shoulder surgeon with a vast experience in treating high performance athletes. We speak through his mantra for managing patients with injuries to the shoulder girdle.
Quadrare, quadratum; to square, to make four-cornered (quadriceps) Radius; rod, spoke, ray, beam; bone on outer forearm – radius (radius, dorsoradial, radioulnar, radiology) Ramus; branch (ramiform, ramus communicans – nerve which connects two other nerves) Rectus; right, straight (rectus abdominous, rectus femoris) Ren, renis; kidney (adrenalin, renal, circumrenal, prerenal) Rigor; stiffness, cold (rigor mortis) Scapula; shoulder, shoulder-blade (scapula, subscapula, infrascapular, scapuloclavicular, cervicobscapular) Scrotum; bag, pouch (scrotal, scrotum) Sebum; grease, fatty secretion (sebum) Sinister, sinistri; left, on the left (sinistrodextral, sinstrocular) Sinus; curve, cavity and/or recess (sinus, sinusoidal, Ethmoid sinus) Spina; thorn, spine (cerebrospinal, spina bifida, spinal erector) Spirare, spiratum; to breathe, blow (exspiration, inspiration, perspiration) Squama; scale, flake, thin plate (Squamous epithelial tissue, squamella) Stapes, stapedis; a stirrup, innermost ossicle of ear (extrastapedial, mediostapedial, stapes – involved in conduction of sound vibration) Stare, statum; to stand (distal) Sulcus; furrow, grove (costal sulci) Supinus; bending backwards, supine, lying on back (supination, supinator, supine, semisupination) Talus, ankle, ankle-bone (talus, talofibular, talotibial) Tempora; the temple (temporomandibular joint, temporal, infratemporal) Tender, tentum, tensum; to stretch (extensor, tendon, tensor fascia lata, hypertension) Tibia; pipe, flute; shinbone, the innder and larger bone of the lower leg (tibia, femorotibial) Tumere; to swell (tumor, tumentia) Ulcus, ulceris; open sore (ulcer, ulcerate) Ulna; elbow, inner and larger bone of the forearm (radioulnar, ulna) Umbilicus; the navel (umbilical cord, umbilicus) Unguis; nail, claw, hoof (subungual, unguis, ungula) Uva; grape (uvula – small lobe haning from palate) Vagus; wandering (vagus – nerve, valgus knee) Varus; crooked, bent inward (coxa vara, genu varum, pollex varus) Vas; vessel (vascular, cerebrovascular) Vellere, vulsum; to tear, puck (avulsion, evulsion) Vena; vein (intravenous, supervenosity, vein) Venter, ventris; to come (ventral- anatomical position, ventricle, ventrolateral) Verruca; a wart (verruca, verruciform) Vertebra; a joint (vertebrae) Vesica; bladder, blister (vesicle, vesicular, cervicovesicular) Villus; tuft of hair (villi, villiform, intervillous) Virus; potent juice, poison (virus) Vomer; plowshare, a bone in the septum (ethmovomerine, vomer, vomernasal) --- Support this podcast: https://anchor.fm/liam-connerly/support
In this episode, Steve Edwards, owner of Queen Valley Mule Ranch in Queen Valley, Arizona takes time to talk about a bucking mule was found to have a cracked scapula so it cannot be ridden anymore, mule feed for use and problems with weight, adding bucking rolls to adult saddle to adapt for children, and A Whole Lot More!
On October 10, 1986, during an operation carried out hand in hand by the American DEA, the DEA and the Carabinieri, a battering ram broke down the door of a Swiss chalet in the snowy canton of Fribourg. The investigators' information is fresh, and the catch is rather good: 12 kilos of cocaine searched, 12 traffickers rolling around in the powder snow, including three Frenchmen. Among them is a certain François Scapula, a Marseilles-based gangster who used to be called Francis le Brun, before changing his nickname to Scapu la Balance. Yes, Mr Scapula doesn't particularly want to be extradited to France where, given his extensive criminal record, he could be sent to prison for life. He is therefore rather seduced by the DEA's witness protection programme, which offers to make him disappear to start a new life, somewhere in a warm country and with a new identity, less heavy to bear. To do this, he has to go to the table, break the law of silence, please everyone and especially the DEA, who are sulky at the idea of seeing him escape so easily. They can take comfort in the fact that Scapu the snitch has an ace up his sleeve, the unexpected and invaluable answer to a question that everyone has been asking for years: who killed Judge Michel? Learn more about your ad choices. Visit megaphone.fm/adchoices
On October 10, 1986, during an operation carried out hand in hand by the American DEA, the DEA and the Carabinieri, a battering ram broke down the door of a Swiss chalet in the snowy canton of Fribourg. The investigators' information is fresh, and the catch is rather good: 12 kilos of cocaine searched, 12 traffickers rolling around in the powder snow, including three Frenchmen. Among them is a certain François Scapula, a Marseilles-based gangster who used to be called Francis le Brun, before changing his nickname to Scapu la Balance. Yes, Mr Scapula doesn't particularly want to be extradited to France where, given his extensive criminal record, he could be sent to prison for life. He is therefore rather seduced by the DEA's witness protection programme, which offers to make him disappear to start a new life, somewhere in a warm country and with a new identity, less heavy to bear. To do this, he has to go to the table, break the law of silence, please everyone and especially the DEA, who are sulky at the idea of seeing him escape so easily. They can take comfort in the fact that Scapu the snitch has an ace up his sleeve, the unexpected and invaluable answer to a question that everyone has been asking for years: who killed Judge Michel? Learn more about your ad choices. Visit megaphone.fm/adchoices
AO Trauma North America Internet Live Series: Orthopaedic Trauma Journal Club
Featured this month on Tuesday, April 19, 2022 - Scapula Session ModeratorMai Nguyen, MD David Weatherby, MD Milton Little, MD Albert George, MD Chandra Vemulapalli, MD Session FacultyPeter Cole, MD - http://go.aofoundation.org/e/700333/29762283-/2v8zvd/365273027?h=itQMRQvb5fJcJfLOxBYoTfGsYIb8L8jNklo_7P6bXHQ (Five to Ten-Year Outcomes of Operatively Treated Scapular Fractures) Clifford Jones, MD - http://go.aofoundation.org/e/700333/19704270-/2v8zvh/365273027?h=itQMRQvb5fJcJfLOxBYoTfGsYIb8L8jNklo_7P6bXHQ (Modified Judet Approach and Minifragment Fixation of Scapular Body and Glenoid Neck Fractures) William Obremskey, MD - http://go.aofoundation.org/e/700333/21885996-/2v8zvl/365273027?h=itQMRQvb5fJcJfLOxBYoTfGsYIb8L8jNklo_7P6bXHQ (Understanding the concept of Medialization in Scapula Fractures) David Ring, MD - http://go.aofoundation.org/e/700333/27582994-/2v8zvp/365273027?h=itQMRQvb5fJcJfLOxBYoTfGsYIb8L8jNklo_7P6bXHQ (Extra-articular scapular fractures: Comparison of Theoretical and Actual Treatment)
In this episode, I discuss the scapula with Filip Struyf, PhD. We attempt to answer the measurement error question and how this influences everything thereafter! After all, if we can't accurately measure something it becomes impossible to prove the validity and lacks any utility in clinical practice. Ready to arm yourself (pardon the pun!) with actionable strategies for assessment and treatment to use immediately in the clinic to improve patient outcomes and quality of life? Come learn with me in The Complete Shoulder Online Course. Want to see the conversation happen live? Check us out on YouTube. Connect with Jared and Filip: Filip on Twitter: @Filip_Struyf Jared on Instagram: @shoulder_physio Jared on Twitter: @jaredpowell12 Disclaimer These terms and conditions apply when you listen to The Shoulder Physio Podcast. References McClure et al 2009 A Clinical Method for Identifying Scapular Dyskinesis, Part 1: Reliability https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2657031/ Struyf et al 2013 Scapular-focused treatment in patients with shoulder impingement syndrome: a randomized clinical trial https://pubmed.ncbi.nlm.nih.gov/23053685/ Ellenbecker and Kibler et al 2012 Reliability of scapular classification in examination of professional baseball players https://pubmed.ncbi.nlm.nih.gov/22167659/ Andersson et al 2018 Risk factors for overuse shoulder injuries in a mixed-sex cohort of 329 elite handball players: previous findings could not be confirmed https://pubmed.ncbi.nlm.nih.gov/28784621/ Moller et al 2017 Handball load and shoulder injury rate: a 31-week cohort study of 679 elite youth handball players https://bjsm.bmj.com/content/51/4/231 Wassinger et al 2015 CLINICAL RELIABILITY AND DIAGNOSTIC ACCURACY OF VISUAL SCAPULOHUMERAL MOVEMENT EVALUATION IN DETECTING PATIENTS WITH SHOULDER IMPAIRMENT https://pubmed.ncbi.nlm.nih.gov/26346446/ Rabin et al 2018 A positive scapular assistance test is equally present in various shoulder disorders but more commonly found among patients with scapular dyskinesis 10.1016/j.ptsp.2018.09.008 Wright et al 2013 Diagnostic accuracy of scapular physical examination tests for shoulder disorders: a systematic review 10.1136/bjsports-2012-091573 Burn et al 2016 Prevalence of Scapular Dyskinesis in Overhead and Nonoverhead Athletes A Systematic Review 10.1177/2325967115627608 Plummer et al 2017 Observational Scapular Dyskinesis: Known-Groups Validity in Patients With and Without Shoulder Pain 10.2519/jospt.2017.7268
Kid News This Week: Date set for International Space Station deorbit and splashdown, Jeff Bezos's takes on “De Hef” Dutch bridge, Barcelona bicibus, Guinness Record breaking shoulder power
[01] Bewegungsapparat - Obere Extremität - Knochen
Welcome to Wednesday Q&A, where you ask questions and we answer them!In this Wednesday Q&A, we answer your questions about engaging the scapula, our favorite muscles, and using cold lasers.Your questions:I can engage my scapula in standing split but tend to lose engagement with my left side. Is this OK?What are your favorite muscles?What are your thoughts on cold lasers and taping for pain relief?To learn more, and for the complete show notes, visit: lytyoga.com/blog/category/podcasts/Do you have a question?DM me on Instagram: @lara.heimannEmail me at lara@lytyoga.comRedefining Yoga is a production of Crate Media See acast.com/privacy for privacy and opt-out information.
Watch every Podcast on Youtube (See Link) The ClockWork Junkie Podcast - YouTube My guest on episode #141 of The ClockWork Junkie Podcast is #firefighter Pa Berry. See GoFundMe link: https://www.gofundme.com/f/y8hjzc-patrick-berrys-recovery?utm_source=customer&utm_medium=copy_link_all&utm_campaign=p_cp+share-sheet On Thursday October 14th 2021, Patrick Berry a #fireman with the Athlone Fire and Rescue Unit responded to a call relating to a house fire in the local area of Mount Temple. Patrick unfortunately sustained extremely serious and debilitating injuries during this call out after a gable end wall of the house collapsed on him causing 11 vertebras Fractures, broken Collarbone, broken Scapula, several broken ribs as well as fractured Tubular & Fibula bones and a broken ankle. In addition to these, Patrick also suffered swelling on the brain from the impact as well as serve lacerations to his neck and tongue. Today he tells me his story from arriving to the scene, the accident, his time in hospital and his road to recovery. I would like to thank Pa for telling his story on the #podcast and I wish him a speedy recovery.
We welcome fellowship trained trauma specialist, Dr. Larry Bloomstein of the Orthocenter in Red Bank, NJ. We get practical insight into a fairly uncommon injury, talking about the scapula fracture sustained by Carolina Panthers quarterback, Sam Darnold.
https://www.gofundme.com/f/y8hjzc-patrick-berrys-recovery?utm_source=facebook On October 14th 2021, Patrick Berry a fireman with the Athlone Fire and Rescue Unit responded to a call relating to a house fire in the local area of Mount Temple, thankfully the family of this property were not home at the time of the fire, although it did cause extensive damage. Patrick unfortunately sustained extremely serious and debilitating injuries during this call out after a gable end wall of the house collapsed on him causing 11 vertebras Fractures, broken Collarbone, broken Scapula, several broken ribs as well as fractured Tubular & Fibula bones and a broken ankle. In addition to these, Patrick also suffered swelling on the brain from the impact as well as serve lacerations to his neck and tongue. Patrick is currently undergoing recovery treatment in Tullamore hospital and receiving fantastic medical care. Since being admitted, Patrick has undergone one of the many operations he will need over the next few weeks. The doctors have informed his family that Patrick's recovery will be a long and painful road which will be a battle in itself. Patricks home will need to be renovated to add a downstairs bedroom and bathroom in order to aid in his recovery as well as adding any modifications necessary to make his home accessible to his needs, this will also include any modifications and changes to both the entrance and rare of the home. We his friends & family would like to take the financial burden away from Patrick, his partner Nicola and there 3 beautiful children by raising much needed funds to cover the Financial costs of his medical bills, house renovations and any unsuspected bills arising from his recovery after this devastating accident. We would really appreciate any financial contribution you can offer and sincerely thank you for your support
Clavicle Bone/Collar bone|Scapula Bone/Shoulder Blade|Humerus Bone/Arm Bone/Brachium Bone : Anatomy of Upper limb Bones Features, Ossification,Muscles origin and insertion ,Clinical anatomy of upper limb Bones.BD CHAURASIYA UPPER LIMB BONES ANATOMY.
Dr. Kelli continues to discuss the details about Adductors and how it affects the movements in the muscles. ON THIS EPISODE, WE DISCUSS... Uncovering your invisible belief systems through Immunity to Change. The story of a man that serves as my inspiration as he believes in his body's capability to recover. Hip Mobility and the importance of Centration of your Hip joint. Dr. Kelli introduces the Adductors. Prevention and Cause of Hip Arthritis How to effectively stretch the Adductors? Which body parts are affected by unstretched Adductors? Different cases of ladies suffering pain in the hips. Video of the stretch and image of the Adductors. Things to Remember: Go out of your way to stretch your hip out. It is important that Scapula is included in your repertoire of movement. Maintaining Scapula's stability is vital for the shoulder's efficiency. CALLS-TO-ACTION: Get a copy of the book on Amazon. If you got some questions, reach out through the website: www.8minutestoageless.com
Scapula winging is something we see a lot. Sometimes this is abnormal dyskinesis, but other times it isn't. Here's how to tell. The post Is Scapula Winging Always a Bad Thing? appeared first on Mike Reinold.
In episode 61 we talk about the ribs, positions, movement and the influence on the scapula and vice Versa. Neither the ribs nor the scapula work in individuality and rely on each other for sound function. Communicated with us instagram- @osteocast_ Facebook- osteoclast
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Contributor: Adam Barkin, MD Educational Pearls: Represents less than 1% of all fractures that occur, although it has a significant mortality rate of 2-5% Typically occurs in high-energy trauma and are commonly associated with high injury severity scores and other fractures Concomitant Injuries: 50% have rib fracture 25% have clavicle fracture 30% have a spine fracture 5% have a brachial plexus injury 40% have a pulmonary contusion 30% have a pneumothorax 34% have a head injury 11% have a vascular injury References Cole PA, Freeman G, Dubin JR. Scapula fractures. Curr Rev Musculoskelet Med. 2013;6(1):79-87. doi:10.1007/s12178-012-9151-x Summarized by John Spartz, MS3 | Edited by Erik Verzemnieks, MD The Emergency Medical Minute is excited to announce that we are now offering AMA PRA Category 1 credits™ via online course modules. To access these and for more information, visit our website at www.emergencymedicalminute.com/cme-courses/ and create an account. Donate to EMM today!
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
In episode 184: Long Thoracic Nerve Palsy-Clinical Exam and Conservative Treatment I review the following:▶Signs and symptoms of Long Thoracic Nerve Palsy▶Different causes of LTN Palsy▶The clinical exam of a patient with LTN Palsy▶When diagnostic imaging is indicated▶Conservative treatment, what to avoid when treating these patients and so much more!Long Thoracic Nerve Palsy Patient VideoCome visit our WEBSITE!! Click HERE to check it outGet our NEW downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our NEW downloadable 7.5 hour cervical and lumbar continuing ed courseGet our NEW downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comBe sure to check out our 380+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal Podcast and Enjoy!Interested in our Sponsor Products? Click EZ Glider Socks orEZ SlantWant to start your own podcast? I use Buzzsprout. Sooo easy to use and the customer service is outstanding!!#longthoracicnerve #wingingscapula #physicaltherapypodcast #physicaltherapy #orthopedics #orthoevalpal #shoulderpainSupport the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)
In this episode, we review the topic of the Judet Approach to Scapula from the Approaches section. --- Send in a voice message: https://anchor.fm/orthobullets/message
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.
Discussing the role of the scapula in shoulder injury, evaluation concepts to identify scapular dyskinesis, and the rehabilitation of scapular dyskinesis Timestamps 1:41- What is scapular dyskinesis 2:54- Prevalence of scapular dyskinesis 3:47- Scapular dyskinesis as a risk factor for future injury 6:57- Anatomy of the scapulothoracic and scapulohumeral joints 9:14- Kinematics of the scapula 11:54- Evaluation of the scapula 15:48- Special tests for the scapula 21:10- Rehabilitation for scapular control Check out the article citations for this episode! https://atcornerds.wixsite.com/home/blog Join our AT Corner Facebook Group to comment on this episode and join the conversation with other listeners of the show! https://www.facebook.com/groups/atcornerpodcast Listen on Spotify, Apple Podcasts, or your favorite podcast directory! Linktr.ee/atcornerpodcast Instagram, Website, YouTube, and other links: atcornerds.wixsite.com/home/links Medbridge: Use code ATCORNER to get $175 off your subscription Email us your stories, questions to answer on the show, topics you would like to hear, or just say hi! atcornerds@gmail.com Music: Jahzzar (betterwithmusic.com) CC BY-SA -Sandy & Randy
This episode goes over a golf warmup to gain you distance. The article can be found on my website golfphysioaustralia.comThe exercises are:1. Crab walk with scapula stabilisers2. Dynamic stomp with rotation3. Scapula retractions4. Reverse lunge with rotation5. Speed skatersCredit to authors: Langdown, Wells, Graham and Bridge (2018).
In this episode I discuss what contributes to a loss of shoulder strength & mobility as well as what you can do to improve the mobility in your shoulders. The shoulder is a complex joint with many structures acting on it during movement. Focusing on improving these movements is going to be the only way to develop strength & stability and reduce your risk of injury as well as take back that range of motion that may have been lost previously.
Recently there has been huge debate in the role of the Scapula in pressing movements, in particular the bench press. In this podcast I offer my thoughts on it and the application of nuance to get the most out of your clients.
In Todays episode we welcome Dr Peter Cole (well known to many as one of the kings of Scapula ORIF), in discussing all things scapula and more. Specifically we’ll focus on recognizing surgical orthopaedic injuries associated with rib fractures and SSRF, lateral implosion forequarter injuries, indications and outcomes for scapula ORIF, and the need for combined care strategies in these complex chest wall injured patients.
Giriş Omuz çıkığı, acil tıbbın ana konularından birisidir çünkü en sık karşılaşılan eklem çıkığıdır. Tanı koymak nispeten kolay olsa da acil hekiminin karşı karşıya kaldığı çıkık omuzun redüksiyonu, tam bir meydan okumadır. Omuz çıkığının en sık rastladığımız şekli anteriyor çıkıklardır. Abdüksiyon, ekstansiyon ve dış rotasyonun yeterli kuvvetle kombinasyonu anterior dislokasyona neden olur. Redüksiyonda kullanılan tekniklerin çoğunluğunda bir yerde traksiyon uygulanır. Hastanın bir tarafa, kolun diğer tarafa çekiştirildiği görüntüler hepimizin belleklerinde yer almaktadır. Başarısız redüksiyon denemeleri hastanın ağrısını dindirmek ve kasları gevşetmesine yardımcı olmak için prosedürel sedasyonu gerekli kılar. Peki traksiyon yapmadan omuz çıkığı redükte edilebilir mi? Aşağıda okuyacağınız yazıda omuz çıkığına yönelik bakış açısının değiştirilmesi amaçlanmıştır. En sık karşılaşılan anteriyor omuz çıkığı üzerinden anlatılacak olan, çıktıktan sonra neden humerus başının orada kaldığıdır. Okuyucu anatomik terimleri ve yapılan manüplasyonların tarifini okurken hayal gücünü zorlamalıdır. Bunu desteklemek için yazıya videolar eklenmiştir. Omuz anatomisine hakim olmak omuz çıkığını anlamada temeldir. Bu nedenle yazı omuz anatomisi anlatan bir video başlamaktadır. Yazının önemli bir kısmı da çıkan omuzun anatomisidir. Yapılacak manevraları planlamada temel olan şey çıkıkta humerus başının nerede olduğudur. Her hasta farklıdır ve bu durum omuz çıkıkları için de geçerlidir. Her seferinde aynı tekniği kullandığınızda, yanlış tekniğin kullanıldığı durumlarla karşılaşılacaktır. Bu nedenle algoritmik bir yaklaşımın benimsenmesi bundan sonraki yazının temel önermelerinden biri olacaktır. Temel Bilgiler Omuz ekleminde anteriyor, posteriyor, superiyor ve inferiyor dislokasyonlar görülebilir. Bunlardan en sık olanı %96-98 oranında görülen anteriyor dislokasyonlardır. Geri kalanların büyük çoğunluğunu posteriyor dislokasyonlar oluştururken, inferiyor (luxatio erecta) ve superiyor dislokasyonlar nadiren görülür.1 Omuz anatomisinin zemininde dislokasyonun anatomisini belirlemek, redüksiyon manevralarının seçiminde ve A,B,C planlarının oluşturulmasında en önemli adımdır. Burada biraz duralım ve omuz anatomisini kısaca hatırlayalım. Aşağıda yer alan Ortopedist Randale C. Sechrest'ın, eOrthophopodTV'de omuzun temel anatomisi üzerine animasyonlu anlatımı ile omuz anatomisi bilgilerinizi tazeleyebilirsiniz. https://youtu.be/D3GVKjeY1FM Anteriyor Omuz Çıkığı Redüksiyon girişimi planlanırken, dislokasyon olan omuzdaki anatominin anlaşılması önemlidir ve temel başlangıç adımıdır. Scapula'nın glenoid kenarının humerus başına göre konumu, başarılı redüksiyonun anahtarıdır, manevra sırasında bu bileşenlerden birinin istenmeyen hareketi çoğu zaman başarı veya başarısızlığı belirleyecektir. Redüksiyon girişimine başlamadan önce dikkatli bir fizik muayene ile ve gerektiğinde bir yardımcının desteğiyle dislokasyonun hızlı ve doğru değerlendirmesi yapılabilir. Akromiyal basamaklanma, palpasyonla hissedilen humerus başı ve adduksiyon yapılabilmesi dislokasyonun alt gruplarını belirlemede yardımcı olabilir. Klinik değerlendirmeyle sub-korakoid (küçük basamaklanma, daha yukarıda ve palpe etmenin daha zor olduğu humerus başı, spazma bağlı adduksiyon) ve sub-glenoid (büyük basamaklanma, humerus başının daha aşağıda olması, büyük olasılıkla abduksiyonda sıkışıp kalma ) anteriyor dislokasyon alt tipleri arasında ayrım yapmanıza yardımcı olabilir.2 Humerus Başı Glenoid Fossadan Dışarı Çıktığında Ne Değişir? Bir çıkıkta eklemin anatomi ve doğal stabilitesi değişir. Humerus başı ya subkorakoid ya da subglenoid pozisyonuna yerleşir. Subkorakoid dislokasyon Subglenoid dislokasyon Humerus başını subkorakoidden yerine getirmek için anteriyor ve lateral veya subglenoidden yerine getirmek için supralateral hareket ettirmek gerekir. Humeral başın redüksiyonunu engelleyen nedir?
Episode 27 of TAOT. @kickaskey is our first repeat guest on TAOT. Bobby is off this week driving his Land Rover through the middle of Iceland so we have a special guest episode. This is a must listen with so many gems. John and Nick discuss quarantine care, slant boards, nutrition, treating athletes, sauna benefits, recommended books, low back pain, posture…and so much more!1:35 Patients working from home2:48 Treating Athletes3:10 Work from home ergonomics3:50 Frequency of injuries4:10 Cervical radiculopathy 8:05 Low back pain, Sciatica8:35 Lower back pain workout10:10 Work from home ergonomics tips12:15 achilles pain after running 19:40 Magnesium supplement21:00 Back pain rehab21:40 Pain science 22:15 Adam Meakins Manual therapy24:05 Rehab for athletes25:01 Dr. Offenburger stretch26:00 Wall stretch, hip flexor stretch27:00 Middle school, high school athletes injury29:20 deload active rest talk30:35 Quarantine transformation 31:40 Peloton bike 33:20 pain riding bike36:05 Sauna benefits finnish Sauna experience39:50 Kevin Hart Decision Audible exclusive 41:02 James Nestor Breath41:50 James Nestor Joe Rogan breathing tips44:30 The power of habits 57:41 Slant board quad pain calf pain1:01:20 quad pain anterior pelvic tilt1:02:30 Knee's over the toes guy1:03:40 Pat Davidson Zac Cupples Squat1:04:30 Quad strength1:05:05 chondromalacia patella Support the show (https://www.patreon.com/theanatomyoftherapy?fan_landing=true)
In Episode 26 of TAOT, we continue our dive into shoulders with a focus on the ACROMIOCLAVICULAR JOINT (AC). We discuss the anatomy and function, the VI Types of AC injuries, Rehab, and digress into topics such as Bench Pressing. Enjoy!Icelandic word of the day: EyjafjallajökullTAOT Instagramhttps://www.instagram.com/theanatomyoftherapy/TAOT YouTubehttps://www.youtube.com/channel/UCm2Th5O_qjtAk-kFtHwqZdQSupport the show (https://www.patreon.com/theanatomyoftherapy?fan_landing=true)
In Episode 25 of TAOT we begin our dive into shoulder issues with a focus on the SCAPULA. We discuss anatomy and function and discuss slippery topics like scapular winging and posture. TAOT Instagramhttps://www.instagram.com/theanatomyoftherapy/TAOT YouTubehttps://www.youtube.com/channel/UCm2Th5O_qjtAk-kFtHwqZdQSupport the show (https://www.patreon.com/theanatomyoftherapy?fan_landing=true)
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.
This episode is about a weightlifter who suffered a T1 avulsion fracture, had surgery to remove the fragment and still had symptoms. Why? Because the avulsion was not the cause for this patient's lingering symptoms. Neuromuscular holding strategies as well as poor motor patterning were still there post-operatively. Think about what a weightlifter does before he performs a heavy lift and it will give you a clue as to what we needed to change. Check us out: Toughtotreat.com
The information on these podcast are based on information from the foundational work of Erik Dalton’s Myoskeletal Alignment Techniques (MAT), Grey Cook's Functional Movement Screen (FMS), and The Gait Guyswww.betterbodydynamics.comhttps://www.facebook.com/Betterbodydynamics/We discuss a research article that describes how much you should fail to optimize your learning. We also discuss shoulder stabilization and the thoracic spine. Failing 15% of the time is how we learn the most.https://neurosciencenews.com/learning-optimized-15171/
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Jacob is a doctor of physical therapy and works in collaboration with the Strength Guys. He is passionate about spreading solid information and busting myths and correcting misconceptions surrounding the human body as it pertains to physical therapy. We discuss some of the fallacies trainees and physios fall into with ‘band-aids' and get to the core of how to solve people's problems. Furthermore, we delve into exercise mechanics including proper scapular position, active vs. passive ROM and whether or not you need a neutral spine when lifting. Timestamps: 03:14 Anecdotal experience for physios and understanding of athletes 05:31 Physio techniques and bandaid myths 09:01 Applications of foam rollers, theragun, etc 13:32 Massages, heat/ice 15:42 What does physiotherapy look like 19:32 Physios caring and listening 22:04 Good posture 27:16 Body perception of how fragile the body is 28:04 Lumbar flexion and neutral spine 35:52 Scapula retraction on bench press bad? 40:57 Active vs. passive ROM 46:36 Direct ab training and ab development 52:02 Common myths and misconceptions in physique training 53:53 Inactive glutes and tight hamstrings https://www.instagram.com/strengthinevidence_physio/ https://www.patreon.com/strengthinevidencephysio https://www.linkedin.com/in/jacobhtemplar Thanks, please comment, like and subscribe! COACHING: https://revivestronger.com/online-coaching/ MEMBERSITE: https://revivestronger.com/team-revive-stronger/ WEBSITE: https://www.revivestronger.com FACEBOOK: http://www.facebook.com/revivestronger INSTAGRAM: http://www.instagram.com/revivestronger NEWSLETTER: https://bit.ly/2rRONG5 YOUTUBE: https://www.youtube.com/watch?v=CGi8IMOoDUo __ If you want to support us via a donation, that's highly appreciated! Patreon • https://www.patreon.com/revivestronger Don't like Patreon, go to Paypal! • https://bit.ly/2XZloJ4 __ Our Ebooks! Ultimate Guide To Contest Prep Ebook: • https://revivestronger.com/product/the-ultimate-guide-to-contest-prep/ Primer Phase Ebook: • https://revivestronger.com/product/the-primer-phase/ __ Stay up to date with the latest research and educate yourself! MASS (Research Review): • https://goo.gl/c7FSJD RP+ Membership: • https://ob262.isrefer.com/go/plus/Steve90/ JPS Mentorship • https://jpseducation.mykajabi.com/a/13324/esJ8AZwy __ Books we recommend! Muscle & Strength Pyramids • https://goo.gl/S8s6tG RP Books • http://bit.ly/2vREaH0 RP + Members site • https://ob262.isrefer.com/go/plus/Steve90/ For more • http://revivestronger.com/library/ __ Recommended supplements: Denovo Nutrition (use code STEVE) • https://denovosupps.com?aff=6 __ When you're interested in online coaching, please go visit our website and follow the application form: https://www.revivestronger.com/online-coaching/
This lecture discusses the anatomical terms for motion (Kinesiology) for the neck (cervical spine), Shoulder blade (Scapula) and the Shoulder Joint (glenohumeral joint). This language is essential to understand as you progress to talking about the joints and muscles (where these movements happen and what muscles make these specific movements happen). There is a slide show that goes with the audio found in this podcast and the full course (41 lectures & practice videos) can be found here: https://www.udemy.com/user/lauragermanio/ You can also see a sample lecture on my YouTube Channel: LauraGyoga Laura Goellner OTR/L, E-RYT, LMT, C-IAYT www.LauraGyoga.com @LauraGyoga Note :) All strange background noises are attributed to my dog Redford wanting to be involved. I live in a Tiny House on Wheels that is 192 s.q. feet which creates some challenges in filming/recording content - but it is my experience that there is no ideal environment and there will always be distractions & these distractions are just another opportunity to work on our FOCUS :) < *< < < < * > > > > *> Work with Laura Online: I am now offering yoga instruction, yoga therapy and teacher mentoring on two different virtual platforms: Fit My Time: https://www.fitmytime.com/en/laurag Schedulicity & Zoom: https://www.schedulicity.com/scheduling/LGY7U6 < *< < < < * > > > > *> Laura’s Book: “Yoga Therapy At The Wall” is available in 2 formats: Instant PDF download from Etsy: https://www.etsy.com/shop/HealthyFocusByLauraG Full Color Printed Manual from LuLu.com: https://www.lulu.com/shop/search.ep?keyWords=yoga+therapy+at+the+wall&type= < *< < < < * > > > > *> YouTube: https://www.youtube.com/user/LauraGYoga/featured Instagram: @LauraGyoga or @Yoga_At_The_Wall Instagram: https://www.instagram.com/lauragyoga/ Facebook: https://www.facebook.com/LauraGYoga/?ref=bookmarks BLOGspot: https://lauragyoga.blogspot.com/ Spotify Music Playlists: https://open.spotify.com/user/1291821362 Laura’s Website: www.LauraGyoga.com Yoga Focus PODCAST: https://anchor.fm/yogafocus < *< < < < * > > > > *> This is Our TRAVEL & Tiny House Lifestyle channel on YouTube: “Let New Adventures Begin” https://www.youtube.com/c/letnewadventuresbegin Support our work on Patreon: https://www.patreon.com/LauraGyoga --- Support this podcast: https://anchor.fm/yogafocus/support
Dr. Tyler Hill shares a story of a friend of his with right shoulder pain resulting from a pinched nerve. Dr. Hill Chiropractic Clinic, in Ottawa, IL, is the area's leading chiropractor serving Ottawa, Marseilles, Morris and surrounding areas. Professional Associations Member of the Illinois Chiropractic Society Certifications Palmer College of Chiropractic Graduate Cox Technique - Spinal Decompression Magna Wave PEMF Resources: Contact Dr. Hill Find a Back Doctor The Cox 8 Table by Haven Medical
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
In today's episode I talk about Snapping Scapula Syndrome, what it is, how to evaluate it and what I like to do to treat it. This is not a very common diagnosis but one you should know about when patients complain of a "noisy" or painful shoulder blade.Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.WE HAVE A NEW WEBSITE!! Click HERE to check it outAre you looking for One on one Coaching? We have it!Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comBe sure to check out our 360+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal Podcast and Enjoy!#SnappingScapulaSyndrome#ShoulderPain#PhysicalTherapy#OrthoEvalPalSupport the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)
Movement Debrief Episode 109 is in the books. Here is a copy of the video for your viewing pleasure, and audio if you can't stand looking at me. Here is the setlist: What are normal scapular movements during respiration? Are these scapular respiration movements paired together as we move? Is passive exhalation a thing? What are the primary compensatory scapular positions for a wide and narrow ISA? What happens if further compensatory activity occurs? What type of compensatory strategy is a swayback posture utilizing? What are the best ways to gain proximal hamstrings to elicit a posterior pelvic tilt? How would you test whether a client needs inferior or superior posterior thorax expansion? If you want to watch these live, add me on Instagram. Enjoy! t Below are the links mentioned in the show notes Check out Human Matrix promo video here Here are some testimonials for the class Want to sign up? Click on the following locations below: March 28th-29th, Madison, NJ April 4th-5th, 2020, Atlanta, GA (early bird ends March 6th at 11:55pm) May 23rd-24th, 2020, Dickinson College in Carlisle PA (Early bird ends April 26th at 11:55pm!) [Approved for 14 Category A CEUs for athletic trainers] June 6th-7th, 2020, Minneapolis, MN (Early bird ends May 3rd at 11:55pm!) August 1st-2nd, Boston, MA (Early bird ends July 5th at 11:55pm!) September 12th-13th, Montreal, Canada (Early bird ends August 16th at 11:55pm!) [6 CEUs approved for Athletic Therapists by CATA!] October 3rd-4th, Ann Arbor, MI (Early bird ends September 6th at 11:55pm!) November 7th-8th, Charlotte, NC (Early bird ends October 11th at 11:55pm!) November 21st-22nd, San Diego, CA (Early bird ends October 25th at 11:55pm!) Or check out this little teaser for Human Matrix home study. Best part is if you attend the live course you'll get this bad boy for free! Here's is a signup for my newsletter to get nearly 5 hours and 50 pages of content, access to my free breathing and body mechanics course, a free acute:chronic workload calculator, basketball conditioning program, podcasts, and weekend learning goodies: Human Matrix Foundations Reaching Infrasternal angle Respiration Revisited Here is rockback breathing, a great way to encourage a posterior tilt Here is the drunken turtle. You are getting a passive posterior tilt, but it's a great dynamic activity to drive spinal inhalation A great squat variation to get proximal hamstring is the chair and wall squat If you want to learn more about squatting, check out my deep dive. Here is a picture of the subscapularis. Note the differences in fiber direction based on location: Author: National Institute Of Arthritis And Musculoskeletal And Skin Diseases Ben House If you need lower posterior thorax expansion, check out my Youtube playlist on all my favs: If you need more upper thorax expansion, check out my Youtube playlist on all my favs Scapular Respiratory Mechanics (1:09) When talking about respiratory scapular respiratory mechanics, do these mechanics INHaled scaps are ABD, ER, DownRotation, Posterior Tip Do those 4 movements ride together always with regard to a trainer's eye? To say a different way, If I protract/reach and Inhale in mid propulsion, like a pushup position... I should have abd/ER/DownRotation/PosteriorTipping all riding together? Upward Rotation (8:48) Thank you for the response! Could you explain how upward rotation is part of exhalation mechanics? I'm trying to visualize it but I'm having trouble connecting all the dots Passive Exhalation (12:57) Is passive exhalation a thing? Compensatory Scapular Mechanics (14:12) Hey Zac! Could you possibly talk about the compensatory scapular movement for narrow and wide ISA? For example, narrow ISA tends to have anterior compression first, how would this impact scapular movement? I can't seem to quite understand this. Thank you! Swayback and Respiration (25:06) Would you consider someone with a swayback posture using an inhalation or exhalation strategy? Pelvic tilts for Hip Internal Rotation (26:14) How do you get hamstrings to engage to greater influence posterior pelvic tilt, which would greater influence femoral internal rotation? Differentiating Posterior Thorax Expansion (28:25) What is your go-to test to differentiate whether a client needs inferior or superior posterior ribcage expansion? They probably lack humeral ER in both situations if I understand correctly. Thank you! Sum Up Normal scapular mechanics assume a "uniform" expansion in all directions of the thorax. Movement inherently biases air to go in certain areas of the thorax, changing the paired mechanics. Scapular upward rotation is associated with exhalation because the upward rotators compress the thorax. Passive exhalation typically occurs with quiet breathing; different than breathing that intends to restore movement options. Narrow infrasternal angles have thoraxes with increased volume posteriorly and more anterior compression; leading to an abducted and internally rotated scapula. More humeral internal rotation-based measures would be limited Wide infrasternal angles have thoraxes with increased volume anteriorly and more posterior compression; leading to an adducted and externally rotated scapula. More humeral external rotation-based measures would be limited A swayback is using an inhalation strategy, hence the increased thoracic kyphosis Using deeper hip flexion can better recruit the hamstrings when choosing activities for posterior pelvic tilting Posteroinferior thoracic expansion is needed with loss of shoulder external rotation at 90 degrees abduction Posterosuperior thoracic expansion is needed with loss of shoulder external rotation a 0 degrees abduction or horizontal abduction Shoulder flexion limitations can signify total posterior expansion (above 120 flexion needs upper thorax, less than needs mid to lower) Image by Anders Pearson
The winter months should be the time when you address the weaknesses that limited your progress in the previous season, and which may do so again in the next season. In an ideal world, this would start with a thorough physical assessment by a qualified practitioner, such as my guest today Louisa Holmes (a.k.a. The White Witch). I have linked two previous podcasts to highlight the full assessment process (part 1) and then on to the hard work required by you, the athlete, to ensure that those identified weaknesses are strengthened (part 2, beginning at 0:32:12). I have been through this process myself and the fact that I can now run without Achilles or calf pain during or after is testament to the value of such an assessment and the necessity to spend more time working on mobility and stabiliser muscle strength. Please make sure you take notes while you listen as I have no doubt that you can benefit from this as much as I have! Part 1 Why a hi tech bike fit isn’t necessary to find the best riding position Why a bike fit must include a full head to toe muscle skeletal assessment and lifelong medical history How injuries that occurred when you were a child could impact your bike fit as an adult When the information obtained from a bike fit can benefit your run performance How a bike fit turned into a 10 minute examination of my jaw The reason why hip flexors are the most talked about muscles in my podcasts How a single leg squat influences your bike fit Why you should have a bike fit at least twice each year Part 2 (0:32:12) Scapula stability and its impact on rider comfort and run performance Why you must take care of the Soleus muscle The startling revelation that endurance athletes should spend 30-60 minutes per day on their strength, conditioning, and mobility Further confirmation that reducing aerobic training and increasing conditioning work will give better overall results How to produce your FTP power in the aero position Breathing pattern disorder, why you probably have one, and how it’s limiting your performance The compromise between your most aero tri bike position and the one which helps you to run fastest You can find out more about the Cyclist's Full Body MOT —>> HERE Find out more about the Runner’s Full Body MOT —>> HERE To book your appointment with Louisa Holmes or any of her equally able colleagues, please contact CSPC, phone 0113 2750606 To find out more about Simon’s SWAT programme, please click HERE To comment on this podcast, please visit Simon's Facebook page HERE Visit Simon's website for more information about his coaching programmes For any questions please email Beth@TheTriathlonCoach.com
In this episode, we review the high-yield topic of Scapula Fractures from the Trauma section. --- Send in a voice message: https://anchor.fm/orthobullets/message
The 23rd edition of the Psy-Nation Radio podcast hosted by Ace Ventura & Liquid Soul (Liquid Ace) is here! Bringing to you the freshest music, news and interviews from Psytrance culture. Including a guest mix from Outsiders celebrating a new album and an interview with the one and only Mr. Pink ! We always love to hear your thoughts - feel free to send suggestions, feedback and requests to: psynationradio@gmail.com Turn on, Tune in, Drop out! #WeArePsyNation Track list: 1. Modus - Strange Modulation / Kanobi Remix (TechSafari Records) 2. Ace Ventura - Hello ? (Iboga Records) 3. Ritmo - Flow (Iboga Records) 4. Oforia - Arcadia / Captain Hook Remix (Iboga Records) 5. Genetrick & V Society - Freedom In You (Iboga Records) 6. Will Atkinson - Autobahn / Volcano On Mars Remix (VII) 7. Starlab & Mental control - Symphonic Universe (Digital OM) 8. Menog - Kikkarapyllyt (Nano records) 9. Sulfurex - Point Break / 3 of Life Remix (Stereo Society) Outsiders Guest Mix 01. Genesis (Intro) 02. Life Frequency (With Liquid Soul) 03. Life Forms (With Burn In Noise & Altruism) 04. Seeds Of Consciousness 05. HillTop (With Raja Ram) 06. Distortion Of Time 07. Portals Of Infinity (Feat. Scapula) 08. Strange Goblin (With Dickster) 09. Nuclear Reality (With Tristan) 10. B.A.Y.A (Feat. Scapula) Follow us: You Tube: bit.ly/psy-nationradio Facebook: www.facebook.com/Psynationradio1/ Mixcloud: www.mixcloud.com/psynationradio/ Website: www.psynationradio.com/ iTunes: itunes.apple.com/il/podcast/psy-n…d1331677285?mt=2 Twitter: twitter.com/psynationradio Instagram: www.instagram.com/psynationradio/ This show is syndicated & distributed exclusively by Syndicast. If you are a radio station interested in airing the show or would like to distribute your podcast / radio show please register here: https://syndicast.co.uk/distribution/registration
The 23rd edition of the Psy-Nation Radio podcast hosted by Ace Ventura & Liquid Soul (Liquid Ace) is here! Bringing to you the freshest music, news and interviews from Psytrance culture. Including a guest mix from Outsiders celebrating a new album and an interview with the one and only Mr. Pink ! We always love to hear your thoughts - feel free to send suggestions, feedback and requests to: psynationradio@gmail.com Turn on, Tune in, Drop out! #WeArePsyNation Track list: 1. Modus - Strange Modulation / Kanobi Remix (TechSafari Records) 2. Ace Ventura - Hello ? (Iboga Records) 3. Ritmo - Flow (Iboga Records) 4. Oforia - Arcadia / Captain Hook Remix (Iboga Records) 5. Genetrick & V Society - Freedom In You (Iboga Records) 6. Will Atkinson - Autobahn / Volcano On Mars Remix (VII) 7. Starlab & Mental control - Symphonic Universe (Digital OM) 8. Menog - Kikkarapyllyt (Nano records) 9. Sulfurex - Point Break / 3 of Life Remix (Stereo Society) Outsiders Guest Mix 01. Genesis (Intro) 02. Life Frequency (With Liquid Soul) 03. Life Forms (With Burn In Noise & Altruism) 04. Seeds Of Consciousness 05. HillTop (With Raja Ram) 06. Distortion Of Time 07. Portals Of Infinity (Feat. Scapula) 08. Strange Goblin (With Dickster) 09. Nuclear Reality (With Tristan) 10. B.A.Y.A (Feat. Scapula) Follow us: You Tube: bit.ly/psy-nationradio Facebook: www.facebook.com/Psynationradio1/ Mixcloud: www.mixcloud.com/psynationradio/ Website: www.psynationradio.com/ iTunes: itunes.apple.com/il/podcast/psy-n…d1331677285?mt=2 Twitter: twitter.com/psynationradio Instagram: www.instagram.com/psynationradio/ This show is syndicated & distributed exclusively by Syndicast. If you are a radio station interested in airing the show or would like to distribute your podcast / radio show please register here: https://syndicast.co.uk/distribution/registration
American Alternate Rock Bands, Tennis Players, Cured Sausages and Sodium Chloride. All this and a sizable serve more in this next round of trivia training.Pub Quiz Prep - Putting the 'edge' in your general knowledge.Invest in success with Pub Quiz Prep.The education you want, the education you deserve.https://www.pubquizprep.com/https://www.youtube.com/channel/UCGPntvGDgKZVvQ6MPeix1eQhttps://www.instagram.com/pubquizprep/?hl=enhttps://twitter.com/PubQuizPrep
Today's episode is all about the scapula, otherwise known as the shoulder blade. A lot of people have problems with their shoulders, but 90% of these can be solved if you understand where to put your shoulder blades, how to move them and how to strengthen the muscles that control them. To learn more, and for the complete show notes, visit: movementbylara.com Resources: Check out: (https://www.movementbylara.com/) Instagram: @lara.heimann Facebook: facebook.com/movementbylara Redefining Yoga is a production of (http://crate.media/)
He’s gone blank ma’am! Thus begins the saga of how the great, trash underdog vigilante, Blankman, was birthed upon us all. Scapula of Life for the win (a mighty gizmo indeed). Everyone is still somewhat confounded. This week we bangarang through 1994’s cult-hit Blankman! The night was served up a double-extra-fat-bastard-with-cheese full house gathering of … Continue reading "CineKuest Video Episode 8: Blankman"
He’s gone blank ma’am! Thus begins the saga of how the great, trash underdog vigilante, Blankman, was birthed upon us all. Scapula of Life for the win (a mighty gizmo indeed). Everyone is still somewhat confounded. This week we bangarang through 1994’s cult-hit Blankman! The night was served up a double-extra-fat-bastard-with-cheese full house gathering of … Continue reading "CineKuest Video Episode 8: Blankman"
Varför är skulderbladen viktiga? Hur hänger de ihop med axelsmärta? Vi fick en lyssnarfråga om vi inte kunde prata om skulderbladen och vi älskar ju dem så här kommer en massa bra snack! Vi går igenom skuldergördelns muskler, hur de rör sig, vad de är bra för och hur du blir stark och rörlig i dem. Vi snackar också lite om mäns knipträning. Hallihallå! Hålltider: 0.00 Intro om Johannas kommande tävling i styrkelyft i serie 1. 17.39 Män, bäckenbotten och knipträningKnipträning för män bör ske av samma anledning som för kvinnor: bättre sexliv, bra mot urinläckage, starkare till träning. Så gör du: 1 knip kisstrålen2 knip strålen och dra in pungkulorna i kroppen3 knip strålen, dra in pungkulorna och knip runt analen 21:44 SkulderbladenSkuldergördeln består av 17 muskler och behöver vara både rörlig, stark och stabil: Serratus Anterior Supraspinatus Subscapularis Trapezius Teres Major Teres Minor Triceps Brachii långa huvudet Biceps Brachii Rhomboid Major Rhomboid Minor Coracobrachialis Omohyoid inferior Lattisimus Dorsi Deltoid Levator Scapula Infraspinatus Pectoralis Minor Svaghet i någon av musklerna som fäster vid skulderbladet, särskilt i de större musklerna som serratus anterior, latissimus dorsi, rhomboideerna och trapezius, kan påverka hur skuldergördeln fungerar och rör sig. Svaga skulderblad kan också påverka armbågar och handleder eftersom armarna är lösa utväxter på skulderbladen. Även detta viktigt vid stora övningar som chins, bänkpress och ståpress. Ett tecken på svaga axlar och dålig skulderbladskontroll kan vara att axlarna gärna åker upp mot öronen vid övningar som rodd, armhävningar och bänkpress. Grymma övningar för skulderbladsstabilisering - det vill säga bli stark! Ringplanka Rodd - till exempel hängande i ringar eller TRX Ringarmhävning Scapula pushups - retraktion och protraktion på handtag Armhävningar på handtag Hängande retraktioner i räcke Bänkpress! Horisontell rodd till exempel i kabelmaskin, eller med gummiband Facepulls IYT- hantellyft Små utåtrotationer med gummiband // Spana in vår bok Rumpboken - få en stark och stabil röv som drar tunga mark och pallar livet! Poddradion Styrkebyrån produceras av Johanna Barvelid och Clara Fröberg. Missa inte Styrkebyråns nyhetsbrev innan de kommer, anmäl dig här.
What's up, Achievers?! Another successful podcast! This time Kendrick was fast asleep in a carrier beside us - he made a couple of peeps, but slept pretty peacefully throughout the episode overall! In the first question, we cover a question concerning how to increase grip strength for deadlifts (1:53). Then, we go over the topic of "winging scapula". We talk about why there isn't anything inherently "wrong" with winging scaps and how to go about addressing it (7:17). Finally, we delve into two questions from a lister who asks how to deal with repetitive injuries in the same area and if EMS (electronic muscle stimulation) training is valuable at all (14:11). We hope you enjoyed this episode! If you did, we'd love you forever if you left a rating and review on iTunes - it seriously helps us out a lot! Please DM us @achievefitnessboston on Instagram if you have any questions you'd like us to answer. Until next time, Peace, Love, and Muscles! Jason and Lauren
What's up, Achievers?! Another successful podcast! This time Kendrick was fast asleep in a carrier beside us - he made a couple of peeps, but slept pretty peacefully throughout the episode overall! In the first question, we cover a question concerning how to increase grip strength for deadlifts (1:53). Then, we go over the topic of "winging scapula". We talk about why there isn't anything inherently "wrong" with winging scaps and how to go about addressing it (7:17). Finally, we delve into two questions from a lister who asks how to deal with repetitive injuries in the same area and if EMS (electronic muscle stimulation) training is valuable at all (14:11). We hope you enjoyed this episode! If you did, we'd love you forever if you left a rating and review on iTunes - it seriously helps us out a lot! Please DM us @achievefitnessboston on Instagram if you have any questions you'd like us to answer. Until next time, Peace, Love, and Muscles! Jason and Lauren
Trina Altman is the creator of Yoga Deconstructed® and Pilates Deconstructed®, which take an interdisciplinary approach to foster an embodied understanding of yoga and Pilates and their relationship to modern movement science. Her book, Yoga Deconstructed®: Transitioning From Rehabilitation Back Into The Yoga Studio is slated to be published by Handspring Publishing in December 2019. Check out our previous interview to get to know more about Trina and her Yoga Deconstructed approach in Episode #3. In this episode you'll hear: Why it can be helpful to add more stability, strength and motor control into our asana classes. The difference between local stabiliser muscles, global stabiliser muscles and global mobilizing muscles. Some of Trina's favorite props to bring into a yoga class in a non-traditional way. Some cues that help students to support themselves in the poses rather than sinking in their joints. Here's some examples of exercises for the local stabilizers: Scapula circles Pelvic Sobriety Test Here's some examples of exercises for the global stabilizers: Crawling Here's some examples of exercises for the global mobilizers: Open Chain Bird of Paradise Hand Jumps Here's the link for the Adductor Slides video and here's the link for Trina's Pilates Style magazine article with 8 blanket slide exercises.
(#255) What are the best exercises for strong, powerful, healthy shoulders? In this session, I'll discuss 7 proven exercises to keep your shoulders supple and strong. While there are many considerations when strengthening the shoulders, I'll share what I have found to be most valuable in recent years to maintain strong and injury-free shoulders. If you're looking to optimize health of the shoulders, listen and learn about the rationale for this progressive approach. Get value from this podcast? Then please take a minute to review the show. It’s fast and easy to do. To see how to post a review in Apple Podcasts, go to RdellaTraining.com/review SUBSCRIBE AND REVIEW THE SHOW IN APPLE PODCASTS SUBSCRIBE AND REVIEW THE SHOW IN STITCHER LISTEN AND SUBSCRIBE IN GOOGLE PLAY LISTEN AND SUBSCRIBE IN OVERCAST The Rdella Training® Podcast is published every week with valuable training information and amazing interviews with many “world-class” coaches, experts, and authors in the fitness industry. The Rdella Training Podcast is committed to "bridging the gaps" in strength, performance, and injury prevention. Created for the serious fitness enthusiasts and dedicated lifters around the world. SHOW NOTES: The SOTS Press - The Ultimate Guide Last Week's Episode (Discussing the Plane of The Scapula) [jbox color="red" radius ="2"]Follow @RdellaTraining on Instagram for high-value training tips, tutorials and education.[/jbox] [jbox color="yellow" radius ="2"]Community page: RdellaTraining.com/ask.[/jbox] Spread the word! Please share this on Facebook, Twitter or anywhere you’d like. [jbox color="blue" radius ="2"]Scott Iardella, MPT, CSCS is a strength coach, athlete, and former "physio" who's mission is to help men and women, regardless of age or background, forge their best, strongest self. Scott is the author of the book, The Edge of Strength.[/jbox]
Between Two Wheels: Cycling News and Commentary from NorCal and the World
Between 2 Wheels Podcast: Cycling News, Commentary, and Analysis from NorCal; Host Tyler Janke, Curt Mills and Chris Flower; CyclingNews. Stage 2 of the 2018 Tour de France once again went a little crazy with lots of mishaps along the way and dictating the outcome of the race. American Lawson Craddock hangs on the back with a fractured Scapula drawing comparisons to soccer players faking injuries. Sagan does his best to show why he's a World Champion but does his riding need to be reigned in? Also, look for our continued live streams over this month recapping the stages and join in with the conversation. Stage 2 | YouTube LiveStream Link Subscribe to our Between 2 Wheels Podcast YouTube Channel. This Episode is sponsored by HealthIQ. To learn more and support the show, visit www.healthiq.com/btwGive us a rating and comment on iTunes, Stitcher, Overcast.fm, GooglePay or Podbean and now also on TuneinSubscribe on Android Follow and share us on Facebook at: https://www.facebook.com/between2wheels/Find us on twitter @b2w_podcast or Email: admin@between2wheels.comWebsite: www.between2wheels.com
More Than Lifting is a podcast all about Calisthenics, Bodyweight Exercise, by Rhys Morgan, to share his experience in gymnastics and functional strength training with the world. In this episode: We talk about shoulder strength, specifically 5 exercises you can use to build strength mobility and stability in your shoulders - Scapula Exercises Heres the breakdown: 1 - Scapula Push Ups 2 - Scapula Rows 3 - Scapula Dips 4 - Scapula Pulls 5 - Handstand Shrugs To learn more visit https://morethanlifting.com/podcast/ Disclaimer: The activities and research discussed in these podcasts are suggestions only and should not be undertaken without prior consultation with a health or medical professional. Fitness training, nutrition and other physical pursuits should be tailored to the individual based upon an assessment of their personal needs
Ortho Eval Pal: Optimizing Orthopedic Evaluations and Management Skills
In this podcast I talk about the most common nerve related injuries in the shoulder complex. I'll discuss how I like to identify them, what the common findings are, which muscle groups they innervate and how to manage them. Check out our YouTube shoulder playlist to see some actual patients with nerve related injuries and…VIDEOS with patients with real nerve injuries: Click HEREWE HAVE A NEW WEBSITE!! Click HERE to check it outJoin our email list: Hit SUBSCRIBE on our WebsiteOne on one Coaching? We have it!Ask me your ortho evaluation questions and I will answer them on the show: paul@orthoevalpal.comBe sure to check out our 330+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval PalIf you are serious about Ortho Eval Pal content, click HERE and ask to join our closed Facebook page.#ShoulderPain#ShoulderNerveInjuries#OrthoEvalPal#PhysicalTherapyThe post Episode 020-Nerve Injuries of the Shoulder Complex appeared first on Ortho Eval Pal.Support the show (https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=6GY24EJMBHTMU&source=url)
Shit gets weird in this very special episode of anime pulse after dark, dear listeners. We skip the hentai and move straight to dramatic reading erotica. Ryo reading tentacles, magical girls, and a bad hatoful boyfriend fan fiction. Blonde read aliens, fucking to death, and something really boring. Do not worry, dear listeners, the hentai will return shortly. Until then enjoy this fuck fest of an episode.
Parts by Paul Lorello I honestly don't think anyone on Earth was ever happier than Jake was when Bobo Schmuley's index finger arrived by Special Courier on Tuesday. I was the one who got stuck signing for it and paying the non-breakability reward while Jake stood right there in the sub-cooler, jumping up and down and slapping at his sides. I held the parcel out at him. He grabbed it hungrily and tore it open and he took out Bobo Schmuley's finger and held it up to the light and turned it around—this pallid, hairy thing, stubbier than I thought it would be. He smiled, and I'll confess now that it gave me a soft spot to see him made so happy by simple pleasures. He'd make up for it by the end of the week, but I did have that one soft spot at that moment. Full transcript after the cut. ----more---- [Intro music plays] Hello! Welcome to GlitterShip, episode 31 for January 11, 2017. This is your host, Keffy, and I'm super excited to be sharing this story with you. Before I get started, I'd like to let you know about a slight format change for GlitterShip. If you enjoy listening to GlitterShip via podcast or reading the fiction on our website as the stories are released, don't worry! That's not going to change. However, GlitterShip's stories will be released in 4 seasonal issues per year starting this month with Winter 2017. These issues will be available to purchase at the beginning of the season in EPUB, MOBI and PDF format and will include three months' worth of stories. If you like what we do here and would like to support GlitterShip, as well as get an electronic copy of the stories to keep, check out GlitterShip.com/buy. Our story this week is a GlitterShip original: "Parts" by Paul Lorello. Paul Lorello is a freelance writer from Ronkonkoma, New York. His fiction has appeared in Big Pulp's Kennedy Curse anthology, Black Chaos: Tales of the Zombie, Membrane, The Big Adios, Way Out West, and Pseudopod. In 2014, the Pseudopod podcast of Paul's story, "Growth Spurt", was chosen as the winner of the coveted Parsec Award for Best Speculative Fiction Short Story. Paul lives with three quadrupeds and one biped. He knows very little about everything. Parts by Paul Lorello I honestly don't think anyone on Earth was ever happier than Jake was when Bobo Schmuley's index finger arrived by Special Courier on Tuesday. I was the one who got stuck signing for it and paying the non-breakability reward while Jake stood right there in the sub-cooler, jumping up and down and slapping at his sides. I held the parcel out at him. He grabbed it hungrily and tore it open and he took out Bobo Schmuley's finger and held it up to the light and turned it around—this pallid, hairy thing, stubbier than I thought it would be. He smiled, and I'll confess now that it gave me a soft spot to see him made so happy by simple pleasures. He'd make up for it by the end of the week, but I did have that one soft spot at that moment. Jake had about sixteen more bids on other parts of Bobo Schmuley. He feverishly browsed them, like watching all these little pots of water set to boil. I failed to mention that this was merely his latest acquisition. That more of Bobo Schmuley was gathered up in a stoneware bowl in Jake's room. They listed the items for auction piecemeal. Bit by bit, as it were. Whet the appetites of folks like Jake for as long as they possibly could, issuing little teasers on newstables and crawl signs, a scroll on the side of a community car—as if the community car industry hadn't already sold out—Bobo Schmuley's Uvula Coming Soon! Or something like that. The heads would turn and suddenly there would be this electric buzz in the air. And then would come sounds from the detractors, who blow these little horns that go skeeeeeet, as they shout their little slogans. I was always one with them in spirit, though I always knew enough to keep my gob stopped. Get a few detractors who'd been sniffing Sour Air and mix them up with these fervent Schmuley devotees and you've got yourself a riot, my friend. Add to that a heat index of 123 Fahrenheit and the thing becomes not so much a war as an unbearable nuisance, with a lot of screaming and fainting and throwing up and very little progress in terms of one side triumphing over the other. I also didn't mention that this was about the time that I started conversing with Jake seriously on the subject. "This will be over sooner rather than later," I said. "Sooner or later," I said, "they'll run out of Bobo Schmuley. Then what will you do?" He ignored me the first few times I brought it up. Then it started getting to him. He'd rub at his little frozen blue nose and then the teeth and the fists would clench and the eyes would widen and he'd start to tremble all over. I have to admit I found it amusing. He knew it. It made him angrier. But he kept on. I couldn't understand why. It's not like he'd ever have a complete Bobo Schmuley. No one would. There was only one, and they were going to run out of him soon. Sure, there were counterfeits out there, but they were easy to spot. Easy for Jake, that is, and anyone else who was serious about collecting. Here's what happened. A day or so later, Jake came in and started rummaging through the kitchen chest freezer, torso deep. "That's not sanitary," I called to him. He ignored me. His legs flailed around, flopping sort of, like a fish or that Sloppy Epileptic toy that people were all up in a tizzy about a couple of years ago. It's technic, stupid hectic, Mucho apoplectic Sloppy Epileptic! Whooooooo? Sloppy Epileptic! Batteries not included. So I got up. "You do realize you're making an unholy irritant of yourself." And that's when I saw he had a screwdriver in his hand and was chipping away at the rime on the inside of the chest. His mouth was open and his teeth were clenched and he was breathing in gusts and tears and there was spit flying onto the fishstick boxes. "Fuck you, Miles," he said, chipping with his syllables. "Fucking. Unit. In the. Sub. Cooler is. Fucked. Fuck. Fuck you." And it didn’t take a brain surgeon to understand, because he kept his parts in the sub-cooler and there was going to be Holy Hell on Earth if they spoiled. I looked through the sub-cooler window and saw a thin fog forming in splashes across it. The real problem was that we spent most of our daylight hours in the sub-cooler. To hell with his parts. To hell with Bobo Schmuley. Of course I didn't say this. Jake stabbed a coil or something because all of a sudden the room was flooded with this hammy smell of leaking coolant gas. "Now you done it! Now you went and messed up our cooler and messed up our whole apartment with that stink!" He dropped the screwdriver into the chest and used both of his chunky hands to gather up the shards of ice he'd managed to free, cursing the whole way because the cold was stinging his fingers. He ran into the sub-cooler and I watched him through the window. He stood before the bowl, looking panicked. Then he dropped the ice pieces next to his bowl of parts and then took off his shirt, laid it next to the bowl, and carefully placed his collection of parts onto it. Then he gathered up the ice and dumped it hastily into the bowl and carefully lifted the shirt and put it on top of the ice. This endearing combination look of satisfaction and triumph and relief came over his face, and he wiped his hands on his pants, then looked around as if there was another shirt in there somewhere. Then he came out. "That was absolutely poetic," I said. He pointed at the room, his mouth a rictus. He looked through the window, I guess to make sure he was pointing in the right direction, then looked back at me. "The fucking unit." "I know," I said. "And now take a whiff." He did so. "What's that?" "Coolant. And you're coming with me to go buy another chest. And you're gonna go halfsies on it." "What about the sub-cooler?" he said, defeated. "I might be able to fix it. But get your shoes on." And so we went out to the community car stop and there was this argument in process. Two sourheads were screaming at a young woman with a daisy graft on her chin. Daisychins were, in those days, by and large, crazy about parts, and this one probably made an excited comment about an upcoming release, incurring the wrath of the sourheads. Jake took her side, and I had to take his. And now it was three against two. Two sourheads, that is, which is like arguing with four regular people, each of whom speak a different language. They said that Bobo Schmuley probably wasn't a real guy anyway. And they said that Bobo Schmuley's best parts were all taken and all that was left were grubs and inferior arteries and so forth. And anyway, they said, get a life. And besides, they said, agents of the everclear are everywhere. Their go-to slogan. I agreed with them silently. One of the sourheads lunged forth to bite Jake's face. I swatted at him. Probably not the best idea, as now we'd drawn a crowd. And as luck would have it, a community car rolled by and scrolled another message about Coming soon! Bobo Schmuley's Liver! Bid or Be Smashed! And someone shouted that there was absolutely no way there was a liver up for grabs. Jake and the daisychin were red in the face. Redder, that is. We were all red in the face. And we were all sweating profusely out there. Community car stops have no coolers. I put my hands on Jake's shoulders in an attempt to reel him in. His muscles were ropey and tense. "Miles," he screamed at me. That's all he said. Then he turned to the sourheads. "Goddammit, go back to Wildwood!" Wildwood was a low-income suburb in those days. The phrase "Go back to Wildwood" was a terrible insult back then. There was this eerie, momentary calm, the kind that is usually needed once class warfare is invoked, so that everyone can consider where they stand. The sourheads pulled out these homemade whizzers that sparked when they switched them on, and that spat sparks intermittently all over the place. And I said, "Now, hold it." And I put up a hand. That's when someone blindsided one of the sourheads with a fist in the ear. I heard a whizzer amp up and the subsequent shaky squeal from its target. The car stop suddenly looked like it looks when a cyclone hits a grain silo. It looked exactly like that. I managed to pull Jake out of that mess. We didn’t talk at all for the rest of our errand. We got the chest and scheduled a Special Courier delivery and went halfsies on the price. I had to spot Jake his half because he went and bought a new stoneware bowl for his parts. I should probably say here, though I probably don't need to, that I hated how Jake just threw the parts into a stoneware bowl without bothering to display them. What good is it if you don't display your collection to its best advantage? But that's the way it was with parts, I found out. Most people who collected them just threw them into a bowl. I couldn't fix the element in the sub-cooler. Which meant that it would be a good week we'd have to spend in the heat. Jake was especially sheepish about it when he asked me if we could please keep his parts in the new chest freezer. I couldn't say no. The last thing I needed was to have him blowing hairs off my head about his parts going warm. For lack of a better thing to do, and a little out of curiosity, I went to help him transfer them from their little stoneware home in the ever-warming sub-cooler to the new freezer. Jake was ecstatic beyond measure to be doing this. He proudly exhibited his parts, holding them regally as he marched them from room to room. I thought they were rather pathetic, particularly for their unremarkability. Nowhere was there an ear or a tongue or a tooth. Nothing really any average person could name save for the sole finger, which was truly his most prized possession among a bleak and withered assortment of muscles, tendons, and odd, jigsaw cuts of membrane. And here's what had happened. In the altercation at the comcar stop the day before, one of the sourheads had dropped an air cap. I saw it gleaming on the ground there like a little bullet and I snatched it up. I'd always wanted to try Sour Air, and anyway it was just one cap. And when we were done transferring the parts and Jake was brushing his hands together for a job well done, I went into my cube and got out the cap and huffed it. Good and deep. Sour Air is elegantly poor, like cheap aftershave. And when I came back into the room, I saw Jake standing there with the freezer open, smiling down on his parts like a proud papa. "You're never going to have the whole person," I said. The Sour Air was making me itch all over on the inside. "And anyway you keep ruining our days with those things." I was not at my most eloquent, but I honestly don't think anyone could be so in my situation. Jake bit his upper lip and breathed through his nose and then he turned his back to me. Then he shook a little and whipped around in a frenzy. "You prove to me they aren't him!" I had said nothing about them not being Bobo Schmuley. And I told him so. "Fuck you, Miles," he said, fully composed. "I always figured you for a detractor." The drug was a wonderful thing, for it evened me out where I needed it. "Let's talk this over in the sub-cooler," I said calmly. "It's warming up, but it's a lot better than standing out here." He was cowering beneath me. I said, "Jake, it's a beautiful day outside." He said something about me not knowing what I was talking about. I found I was okay with that. "Jake, you are parts obsessed, and it has to stop." I had blood on my hand. Under my nails. And then what happened was I was waking up someplace else. I was in the sub-cooler, and it was dark, and I was lying down, and Jake was sitting next to me and cradling his wrist and weeping silently. I won't go through the whole scenario, only that Jake told me through his tears that I'd been screaming nonsense when I grabbed his wrist and tore it open with my nails, and I said the most awful things to him and about his parts. His sobs got heavier. "I... felt like... I was... dying... inside... when you... did... that..." I sat up. My head screamed in pain and there was a dull buzzing or ringing inside there somewhere, fading as if attached to a dream. I caressed the back of his neck and he shriveled up and then let go all at once, sobbing miserably. I think I was crying too. I don't remember. It was a terrible day that ended in a terrible night. I woke up the next morning and Jake was still asleep, curled up like a dog next to me. We were both drenched in sweat. The browser wall lit up with a silent message that said Jake had won another auction. A five-inch sliver of Bobo Schmuley's right shoulder blade would be arriving soon. I had a tough time deciding whether to wake him or let him sleep, trying to think which would be worse. I came to the conclusion that letting him sleep through it would be worse, but I didn't want to wake him. I didn't want to have to get excited about parts. I was through pretending. The next day was when the bad stuff happened. Jake's new part arrived. The Special Courier was a snarling thing that stunk of Sour Air and chicken scat. Special Couriers get bad press so often it's hard not to join in sometimes. I gave the parcel to Jake. He kept his head down when he grabbed it from me, and he took it into his cube in the sub-cooler. About an hour later he emerged with this dour look on his face. He pointed behind him. "Scapula," he said. Then he slunk back into his cube. A minute or two later, I heard him call. "Come in here, Miles. It's highly probable that I don't know what I'm talking about." Grudgingly I went, knowing full well it would come to no good end. Jake was holding up two identical pieces of bone. "It can't be a dupe," he said. "They're the same," I said. "A scapula is – what do you call it? What do you call something that's different when it's either left or right?" He shifted his gaze from one part to the other. "Well, that does it then," I said, and I left him there. The heat was unbearable. The sub-cooler regulator part was due to arrive in six days. We bought a couple of ice dollies to sleep with. That helped a little. Sometime the next afternoon, I realized Jake had not spoken to me for the past twelve hours. I guess you don't pay any attention to certain things you'd rather not admit to, or maybe there is a superstitious wrinkle in all of us that makes us afraid to notice something for fear that it may not actually be there. Whatever the case, I was grateful for Jake's silence. I could keep to myself and read, and sniff Sour Air – I neglected to mention that I ordered a case of caps the day after my first experience with the stuff. It came later on in the day. The package had been tampered with and the case was three caps short. It's no secret that Special Couriers palm a couple here, a couple there. I filed a euthanization request against the Special Courier that delivered the parcel. Back then, you still had to submit euthanization requests in person. I was lucky that I didn't have to wait long on line. I'd heard horror stories. I should hear back in four weeks to schedule my secondary assessment exam. By then I probably won't be interested anymore. I looked up and there was Jake holding a piece of ice to his lip, tears streaming down his doughboy face. The air made me not care about Jake so much. It even gave me a strange confidence about the future—and I know why it is that sourheads are often regarded as psychics. But then I saw him standing there with a bag of stuff packed. And I looked and the new stoneware bowl was gone. I didn't want to look in the new freezer, but I did. He watched me look and he didn't say anything. I brought him into the sub-cooler and told him to sit. "Jake, this is all about parts, isn't it? Parts caused all this. And now parts are gonna end it. I'll collect them with you, and we'll start new, OK? We'll make it like nothing ever happened, and your wrist and your lip'll get better and there'll be parts for everyone, right? Bobo Schmuley forever, and all that?" He breathed through his nose. It looked as though acquiescence was trying to escape in a sneeze. "Mm-mm, no. No." "Come on, Jake. Be a man." "No. You don’t get it. Because underneath it all, you don't believe. And you hit me." I went to take his head but he shrunk away. "I'm sorry I tore your wrist and hit you in the face, Jake." He didn't respond to that, and it made me more ashamed to look at him. I was thinking maybe the air caps were a bad idea to begin with, as it amplified every emotion. So I decided never again with those blasted things. "I'm moving out, Miles." "Don't do that," I said, huffing another cap. "No, I can't stay. You hate me enough to want to do some serious damage like this." Here he fingered the medi-skin patch on his wrist. There was a buzz of hate and fear inside me. "Who's going to take care of you?" "Don't worry about me," he said. "I won't be hurt anymore by you, and that's all that matters right now. All's I know is I can’t stay here." Here he started to cry. His chin was on his chest. I told him the sub-cooler part was coming soon. "You can abuse me all you want, but don't tell me my parts aren't from the real man." I know I shook my head to this. Jake rubbed his eyes with the collar of his dingey shirt. "I've been doing a lot of mulling over this the past twenty-four. Miles, if you're gonna get along in life, you have to understand something..." He took a couple of long, clear breaths with no sob-sucking in between. "You can't tell me, or anyone for that matter, that their parts don't belong to anyone. Because if there isn't a name attached, it's just parts. Y'understand? Without a name, we're all just parts. Do you understand?" I needed some more air, and even while I squirmed, he even had the audacity to put his hand on my arm. "Do you understand, Miles?" I thought about it for a moment. "Then I'll kill you," I said, "and sell your parts under the name Bobo Schmuley." It was a terrible thing to say. I wish I hadn't said it. Jake left. He hasn't been back. I hadn't known he was capable of this. I'm scared he's gonna be hurt out there. I'm afraid he'll get killed. And I'm afraid to find out if he does. And I don't ever want to hear about parts. END “Parts” is copyright Paul Lorello, 2017. This recording is a Creative Commons Attribution-NonCommercial-NoDerivatives license which means you can share it with anyone you’d like, but please don’t change or sell it. Our theme is “Aurora Borealis” by Bird Creek, available through the Google Audio Library. You can support GlitterShip by checking out our Patreon at patreon.com/keffy, subscribing to our feed, or by leaving reviews on iTunes. Thanks for listening, and I’ll be back soon with a reprint of “The Subtler Art” by Cat Rambo. [Music plays out]
On this episode of the #AskMikeReinold show we talk about scapular compensation patterns, starting a cash-based PT practice, and our favorite soft tissue techniques. To view more episodes, subscribe, and ask your questions, go to https://mikereinold.com/askmikereinold. #AskMikeReinold Episode … Read more > The post Scapula Compensation, Cash Based PT, and Soft Tissue Techniques appeared first on Mike Reinold.
On this episode of the #AskMikeReinold show we talk about scapular exercises in kids, instrument assisted soft tissue mobilization (IASTM), and overactive upper trapezius. To view more episodes, subscribe, and ask your questions, go to https://mikereinold.com/askmikereinold. #AskMikeReinold Episode 18: … Read more > The post Scapula Exercises, IASTM, and Overactive Traps appeared first on Mike Reinold.
Shoulder pain patients often have poor scapula control. Is their shoulder pain caused by poor scapula control, or is their scapula dysfunction caused by shoulder pain? When your patients present with shoulder pain, should your focus be on scapula control, glenohumeral control, or treatment of the neck and thorax? In this podcast, David Pope talks to Ann Cools, a Physiotherapist and Head of Education for Rehabilitation Sciences and Physiotherapy at Ghent University in Belgium, and is also the founding member and president (2010–2012) of EUSSER - European Society of Shoulder and Elbow Rehabilitation. We discuss in detail assessment of the scapula, the role of the scapula in shoulder pain and how to retrain unruly scapulae. Other topics covered in this podcast include: Research by Ann Cools What we currently know from the research about the role, movement and control of the scapula Scapula dyskinesis - what is it Static vs dynamic assessment of the scapula Altering muscle balance and timing with specific exercises How altering scapula mechanics effects muscle balance around the shoulder Important parts of the subjective history Scapula vs glenohumeral joint How subjective will guide your objective assessment and treatment Red flags around the shoulder, nerve pathology and frozen shoulder Frozen shoulder imaging Nerve injuries - symptoms, objective examination and treatment Assessment of the scapula, Type 1 scapula dyskinesis Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula) Testing GHJ IR Clinical Edge and online education on the shoulder Stretching and shoulder joint mobilisation Palpation, stretching and manual therapy for pec minor Type 2 scapula dysfunction Handheld dynamometry - serratus Handheld dynamometry - middle and lower traps Pain when strength testing Type 3 scapula dysfunction Dynamic assessment of the scapula To retract and depress the scapula or not? Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis Special tests around the shoulder Laxity tests for the GH joint Posterior GHJ laxity Anterior GHJ laxity Explanations of scapula dysfunction to your patients Information on Ann Cools EUSSER Timeline: 0:30 Research by Ann Cools 4:20 What we currently know from the research about the scapula 6:30 Scapula dyskinesis - what is it 8:30 Static vs dynamic assessment of the scapula 11:45 Altering muscle balance and timing with specific exercises 13:15 How altering scapula mechanics effects muscle balance around the shoulder 14:10 Important parts of the subjective history 16:20 Scapula vs glenohumeral joint 18:20 How subjective will guide your objective assessment and treatment 18:55 Red flags around the shoulder, nerve pathology and frozen shoulder 21:15 Frozen shoulder imaging 21:45 Nerve injuries - symptoms, objective examination and treatment 30:30 Assessment of the scapula, Type 1 scapula dyskinesis 35:00 Differentiating contributors to Type 1 scapula dyskinesis (anteriorly rotated scapula) 36:10 Testing GHJ IR 42:00 Clinical Edge 44:00 Stretching and shoulder joint mobilisation 51:45 Palpation, stretching and manual therapy for pec minor 55:40 Type 2 scapula dysfunction 59:20 Handheld dynamometry - serratus 1:00:51 Handheld dynamometry - middle and lower traps 1:03:54 Pain when strength testing 1:04:50 Type 3 scapula dysfunction 1:10:03 Dynamic assessment of the scapula 1:15:00 To retract and depress the scapula or not? 1:16:23 Shoulder Symptom Modification Procedure (SSMP) by Jeremy Lewis 1:17:50 Special tests around the shoulder 1:20:35 Laxity tests for the GH joint 1:23:00 Posterior GHJ laxity 1:24:30 Anterior GHJ laxity 1:26:20 Explanations of scapula dysfunction to your patients 1:31:00 Information on Ann Cools 1:32:20 EUSSER 1:33:00 Wrap up Links of Interest Anne Cools on Linked In Ann Cools’ Research Ann Cools at Ghent University Ann on Twitter Clinical Edge Show your love for the Physio Edge podcast with a review on iTunes Tags: shoulder, scapula, Ann Cools, physio, physioedge, podcast, shoulder pain, scapula dysfunction, EUSSER, glenohumeral joint, dynamic assessment, static assessment, nerve, red flags, subjective, diagnosis, strength testing, objective examination
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 15/19
Die Nemalin-Myopathie (NM) und die Einschlusskörpermyopathie mit M. Paget und frontotemporaler Demenz (IBMPFD) sind zwei hereditäre Myopathien mit pathologischen Proteinaggregaten und Gegenstand der Untersuchungen, die in dieser Arbeit behandelt werden. Ziel dieser Arbeit ist die Erweiterung des Genotyp-Phänotyp-Spektrums der NM und der IBMPFD. Die NM gehört zu den kongenitalen Myopathien mit Strukturbesonderheiten und ist deren häufigster Vertreter. Der klinische Phänotyp ist sehr variabel v. a. bzgl. der Schwere der Erkrankung. Muskelbioptisch finden sich sarkoplasmatische „nemaline rods“. Der Vererbungsmodus ist ebenfalls sehr variabel: Die Erkrankung weist sowohl einen dominanten sowie einen rezessiven Vererbungsmodus auf; in vielen Fällen finden sich aber auch de novo Mutationen. Mutationen im ACTA1-Gen sind unter anderem für die Entstehung der NM verantwortlich. Das ACTA1-Gen kodiert das skelettmuskuläre Strukturprotein α-Aktin, das den Hauptbestandteil der Aktinfilamente bildet und unerlässlich für die Muskelkontraktion ist. Bislang wurden 177 krankheitsverursachende ACTA1 Mutationen beschrieben. Die IBMPFD ist eine seltene, autosomal dominante, degenerative progrediente Erkrankung mit der Symptomtrias Einschlusskörpermyopathie, Morbus Paget und vorzeitig einsetzender frontotemporaler Demenz. Muskelbioptisch findet sich eine vakuoläre Myopathie mit VCP-, TPD-43-, Ubiquitin-positiven und tubulofilamentösen Einschlüssen. Nur 12% der Patienten weisen das volle Spektrum der Erkrankung auf, wobei die Myopathie das häufigste Symptom ist. Mutationen im VCP-Gen sind für die Entstehung dieser Erkrankung verantwortlich. Das VCP-Gen kodiert das VCP-Protein, eine AAA-ATPase, die als molekulares Chaperon beim Proteinabbau über das Ubiquitin-Proteasom-System arbeitet und an einer Vielzahl von Zellfunktionen beteiligt ist. Bislang wurden bei der IBMPFD neunzehn krankheitsverursachende VCP-Mutationen beschrieben. Im Rahmen dieser Arbeit wurden 23 klinisch ausführlich charakterisierte Patienten auf Mutationen im ACTA1-Gen untersucht. Bei einem neugeborenen Patienten mit einem schweren klinischen Phänotyp einer Nemaline-Myopathie und mit muskelbioptischem Nachweis einer Störung der myofibrillären Organisation und Nemalin-Rods wurde eine Doppelmutation E74D und H75Y im Exon 3 nachgewiesen, eine außergewöhnliche monoallelische de novo Mutation zweier benachbarter Aminosäurepositionen. Der ungewöhnliche Genotyp ist mit dem Schweregrad des klinischen Phänotyps des Patienten vereinbar. Auf Grund eines möglichen Keimbahnmosaiks wurde auch Pränataldiagnostik durchgeführt. IBMPFD-Patienten können zu Beginn der Erkrankung einen Phänotyp aufweisen, der einer Schultergürteldystrophie ähnelt. 31 klinisch gut charakterisierte Patienten mit Paresen im Bereich des Schultergürtels, fehlender Scapula alata und fazialer Schwäche wurden auf Mutationen im VCP-Gen untersucht, bei denen im Vorfeld bereits eine Fazio-Scapulo-Humerale-Muskeldystrophie (FSHD) molekulargenetisch ausgeschlossen wurde. Bei keinem dieser Patienten wurden Mutationen in der kodierenden Sequenz des VCP-Gens identifiziert, was nahelegt, dass VCP-Mutationen wahrscheinlich keine häufige Ursache einer Schultergürteldystrophie sind. Es ist im klinischen Alltag eine Herausforderung, die seltene IBMPDF zu diagnostizieren. Wichtig ist es, bei einem passenden klinischen Bild mit einer möglichen positiven Familienanamnese hinsichtlich der bekannten Symptomtrias diese seltene Erkrankung in den differentialdiagnostischen Überlegungen nicht zu vernachlässigen. Die hereditären Myopathien sind eine Gruppe höchst heterogener Erkrankungen bezüglich ihrer Ätiologie und des klinischen Bildes. Es gelingt selbst bei hervorragender Phänotypcharakterisierung nicht immer, die molekulargenetische Diagnose zu stellen. Dies liegt daran, dass die Phänotypen einiger Myopathien sich zum Teil überlappen. Darüber hinaus können Mutationen in verschiedenen Genen ähnliche Phänotypen hervorrufen, wodurch eine exakte Genotyp-Phänotyp-Korrelation erschwert wird. Es ist daher die Erweiterung der Patientenkohorten unerlässlich, wie im Rahmen dieser Arbeit geschehen, um den Phänotyp näher zu charakterisieren, neue Gene bzw. Mutationen zu identifizieren und die zugrunde liegenden Pathomechanismen im Zusammenhang mit dem Phänotyp zu analysieren. Auf diese Weise kann ein besseres Verständnis der Erkrankungen gewonnen werden, um Strategien für potenzielle kausale Behandlungsansätze und eine verbesserte Patientenversorgung zu entwickeln
Medizinische Fakultät - Digitale Hochschulschriften der LMU - Teil 06/19
Ziel dieser Querschnittstudie war zu untersuchen, wie hoch die Lymphödemrate und die Häufigkeit der Schultermorbidität bei Brustkrebspatientinnen im eigenen Kollektiv sind, welche Ausprägung und Stärke die Beschwerden der Betroffenen zeigen und welche therapeutischen Maßnahmen angewendet wurden. Im Rahmen dieser Querschnittstudie handelt es sich um ein Kollektiv von 130 Patientinnen im Zustand nach Therapie eines primären Mammakarzinoms. Die Therapie wurde zwischen 1988 und 1999 in der Frauenklinik des Klinikums Großhadern durchgeführt. Die Frauen wurden im Rahmen der onkologischen Nachsorgesprechstunde betreut. Die Patientinnen wurden auf Lymphödem und damit verbundene spezifische Symptome untersucht. Besonderer Wert wurde auf die Lebensqualität der Betroffenen gelegt. Als weiteres wurde die Korrelation zwischen Lymphödem oder Schultermorbidität und den in der Literatur beschriebenen potentiellen Risikofaktoren untersucht. Dazu gehören: therapeutische Radikalität (erweiterte Mastektomie vs. brusterhaltende Operation), Zahl der entfernten Lymphknoten, Zahl der durchgeführten Operationen, Durchführung einer Strahlentherapie bzw. einer adjuvanten Chemo- und endokrinen Therapie, erhöhte Blutdruckwerte, Übergewicht und höheres Alter. Alle Daten wurden mit Hilfe der Statistiksoftware SPSS- 12.0 ausgewertet. Alle Frauen erhielten eine stadienadaptierte Brustkrebstherapie gemäß den zum Diagnosenzeitpunkt geltenden Kriterien. Die Operationsart wurde in 2 Gruppen unterteilt: brusterhaltende Therapie (BET) und erweiterte Mastektomie (ME). Letzterer Gruppe wurden auch die Patientinnen mit Mastektomie und Wiederaufbauplastik zugeschrieben. Keine Patientin erhielt eine Operation nach Halsted. Bei alle Frauen fand eine klassische Axilladissektion statt. Die Axilla wurde bis Level II (in einzelnen Fällen bis Level III) ausgeräumt. In unserem Patientenkollektiv erhielt niemand ein Lymphknoten -Sampling oder eine Sentinel- Lymphonodektomie. Die Patientinnencharakteristika stellen sich so dar: 43,8% der Primärtumore waren bis 2 cm groß (T1), 43,0 % der Primärtumore befanden sich im Stadium T2. Fortgeschrittene Stadien (T3 und T4) wurden in 12,5% der Fälle beobachtet. Primär metastasierte Karzinome wurden aus dieser Studie ausgeschlossen. In 0,7 % der Fälle (1 Fall) konnte kein definiertes Tumorstadium (Tx) anamnestiziert werden. Die Axilla war zu 50,8 % tumorfrei. Durchschnittlich hat man in unserem Kollektiv 17,7 Lymphknoten untersucht ( min. 8 LK, max. 40 LK). Im Bezug auf die Histologie waren 85% der Fällen invasiv duktale Mammakarzinome, 10,0 % invasiv lobuläre und 5,0% andere Tumore. Eine brusterhaltende Therapie war in 61 Fällen (46,9%) möglich, eine erweiterte Mastektomie erhielten 69 Patientinnen (53,1%), davon 7,7% eine erweiterte Mastektomie mit einer Wiederaufbauplastik. Eine Strahlentherapie wurde bei 94 Patientinnen (72,4%) durchgeführt. Davon wurden 65,0% im Bereich der Restbrust, 23,4% im Bereich der Thoraxwand, 39,0% im Bereich des HSI- Feldes und 7,4% in der Axillaregion bestrahlt. Zum Zeitpunkt der Untersuchung wurden im Patientinnenkollektiv folgende Besonderheiten festgestellt: einen Schwerbehindertenausweis besaßen aufgrund des Mammakarzinoms 65,5% (94 Pat.), eine Patientin aus unserem Patientengut hatte eine Scapula alata, die seit der Operation bestand und im Verlauf keine wesentlichen Veränderungen zeigte. 59,2% (77Pat.) hatten zum Zeitpunkt der Untersuchung Schmerzen, Dysästhesien wurden in 56,2 % (73 Pat.) der Fälle beschrieben, 10,0% (13 Pat.) hatten am operierten Arm bereits eine Infektion gehabt. Schmerzmedikamente aufgrund von Beschwerden im operierten Arm nahmen 12,3 % (16 Pat.) - 66 - ein. Manuelle Lymphdrainagen wurden von 61,5 % (80 Pat.) zu unterschiedlichen Zeitpunkten gebraucht. Einen Armstrumpf trugen 16,9 % (22 Pat). 35,8 % (46 Pat.) hatten regelmäßig eine Krankengymnastik. In unserem Patientenkollektiv zeigten 25% der Betroffenen eine Umfangsdifferenz von mehr als 2cm an einem oder mehreren Messpunkten vom operierten zum nicht operierten Arm. Am häufigsten trat das Lymphödem im Bereich des Oberarmes (Messpunkt OA1 16% und Messpunkt OA2 18%) auf. Der Unterarm war deutlich weniger betroffen (UA1 13% und UA2 nur 1,5%). Ein Ödem im Bereich der Hand zeigte eine einzige Patientin, die insgesamt ein massives Lymphödem entwickelt hat. Bei der subjektiven Lymphödemeinschätzung, als Armödemneigung bezeichnet, waren nur 50% (65 Pat.) der Befragten beschwerdefrei, bei 29,2 % (38 Pat.) waren die Beschwerden leicht, bei 17,7 % (23 Pat.) mäßig und bei 3,1 % (4 Pat.) sehr ausgeprägt. Bei der Frage nach einem Thoraxwandödem gaben 80,8 % (105 Pat.) keine Beschwerden an, 13,8 % (18 Pat.) beschrieben ein leichtes und 5,4 % (7 Pat.) ein mäßiges Ödem. Im Bereich der Thoraxwand litt keine einzige Patientin subjektiv an einem schweren Lymphödem. Subjektiv stuften die Patientinnen die Beschwerden etwas ausgeprägter ein, als es die objektive Messung gezeigt hätte. Der Zeitpunkt der Entstehung des Lymphödems konnte in dieser Arbeit verfolgt werden. 47% aller Lymphödeme bestehen bereits seit der Operation, 16% bilden sich nach der Strahlentherapie, 4% nach einer Injektion in den ipsilateralen Arm und 12% im späteren Verlauf spontan. Bei der Messung einer Beweglichkeitseinschränkung wurde eine Einschränkung von mehr als 20 Grad zum Normalwert als pathologisch gewertet. Damit hatten 24,6% (32 Pat.) ein motorisches Defizit bei der Abduktion/Adduktion und 18,3% (24 Pat.) ein motorisches Defizit bei der Elevation im Schultergelenk. Da nur drei Patientinnen eine Einschränkung bei der Rotation und eine Patientin bei der Beugung im Ellenbogengelenk aufwiesen, wurde eine statistische Auswertung dieser Probleme nicht durchgeführt. Es wurde untersucht, ob Operationsart, Operationszahl, Zahl der untersuchten Lymphknoten, Tumorstadium, adjuvante Chemo- und Hormontherapie, arterielle Hypertonie und Übergewicht in unserem Kollektiv das Entstehen des Lymphödems oder von Beweglichkeitseinschränkungen begünstigt hatten. Von den überprüften Faktoren hatten nur Übergewicht und arterielle Hypertonie einen signifikanten Einfluss auf das Entstehen eines Lymphödems und Übergewicht hatte einen Einfluss auf das Entstehen von Beweglichkeitsstörungen im Schultergelenk. Dies ist in anderen Studien ebenfalls belegt [13, 52, 83]. Patientinnen mit Übergewicht haben ein höheres Risiko für die Entwicklung eines Lymphödems nach kompletter Axilladissektion. Solche Patientinnen sollten über Präventionsmaßnahmen informiert werden, sowie rechtzeitig eine entsprechende Therapie erhalten. Des weiteren zeigte sich ein Trend zu mehr Lymphödem bei Frauen mit adjuvanter Hormontherapie [13]. Es wird angenommen, dass die Anzahl der entfernten Lymphknoten eine Rolle im Lymphödemausmaß spielen kann. Hier zeigte sich überraschenderweise, dass in keinem der 5 Messpunkte die Anzahl der entfernten Lymphknoten mit der Umfangsdifferenz korrelierte. In unserem Kollektiv scheint die Zahl der entfernten Lymphknoten keine wesentliche Rolle bei der Entstehung des Lymphödems zu spielen. Da alle Frauen im untersuchten Kollektiv nach der gleichen Methode operiert wurden, die eine Dissektion des gesamten Lymph- und - 67 - Fettgewebes der Level I und II der Axilla zum Ziel hatte, kann man annehmen, dass nur das Ausmaß der zerstörten Lymphbahnen und nicht die Anzahl der darin eingeschalteten Lymphknoten die entscheidende Rolle bei der Entstehung der Armmorbidität spielt. Bei der Sentinellymphknotenmethode wird im Gegensatz dazu auf das Zerstören des lymphatischen Gewebe verzichtet. Seitdem die Halsted-Ära vorbei ist und die modifizierte radikale Mastektomie und sogar die brusterhaltende Therapie schon längst ein „Goldstandard“ in der operativen Therapie des Mammakarzinoms sind, sieht man keinen relevanten Unterschied in der Lymphödementstehungsrate zwischen radikaler und brusterhaltender Therapie mehr [18, 34]. Dies wird auch durch unser Patientenkollektiv bestätigt. Die Strahlentherapie, die als klassischer Faktor für das Entstehen des Lymphödems verantwortlich galt, spielte in unserem Patientinnenkollektiv keine signifikante Rolle (uni- und multivariate Analyse). Auch bei der subjektiven Lymphödemeinschätzung spielte die Strahlentherapie keine Rolle im Entstehen des Ödems (p nicht signifikant). In unserem Kollektiv könnte dies natürlich ein Effekt der kleinen Fallzahl sein. Möglicherweise hatte aber auch der weitgehende Verzicht auf eine Axillabestrahlung die entscheidende Bedeutung. Zur Axillabestrahlung besteht heute eine sehr strenge Indikationsstehlung (z.B. bei R2- Resektion in der Axilla oder ausgedehnterer Infiltration ins Fettgewebe), weil es die Lymphödemrate bis auf 36% erhöhen kann. In unserem Patientenkollektiv erhielten nur 7 Patientinnen eine Axillabestrahlung. Allerdings könnten auch die modernen Formen der Strahlentherapie mit homogener Dosisverteilung bis zu ca. 50,0 Gy, exakterer Planung und geringerer Belastung der Haut einen Beitrag hierzu geleistet haben. In der Literatur findet man oft Daten über die Bedeutung des Lymphödems und der Beweglichkeitsstörungen für die Lebensqualität der Betroffenen. Unsere Ergebnisse bestätigen die Literatur und zeigen wie häufig subjektive Beschwerden auftreten. Zusammenfassend zeigt diese Untersuchung die oft unterschätzte Häufigkeit von Lymphödemen, Beweglichkeitsstörungen in der Schulter und damit assoziierten Symptomen bei klassischer Behandlung eines Mammakarzinoms. Ein Ansatz, diese Probleme zu minimieren, stellt die Sentinel-Lymphknotenmethode dar. Um die Validität dieses Konzeptes zu überprüfen wäre der nächste logische Schritt die Untersuchung von Patientinnen unseres Hauses, die nach der Sentinelmethode operiert wurden, bezüglich Prevalenz und Inzidenz der Schulter- und Armmorbidität zu untersuchen.
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