Spelade

  • Hvad i alverden har kunstig intelligens dog med fodbold at gøre? Lige nu måske slet ikke noget, men om få år kan situationen være ændret fuldstændig.

    Data spiller nemlig en større og større rolle omkring fodboldkampe. I denne podcast stiller vi skarpt på brugen af kunstig intelligens i fodbold. Hvordan kan begreber som Kunstig intelligens, Machine Learning og Deep Learning påvirke den måde vi i dag fungerer som trænere? Kan kunstig intelligens afløse fodboldtræneren eller har træneren en særlig viden, der ikke kan erstattes?

  • Lyt med, når speciallæge i ortopædkirurgi, Søren Kaalund, fortæller om sener og sham-operation!

    Søren Kaalund, Søren Kjær, Michael Rathleff og Ulrich Fredberg udgivet et nyt studie i Scandinavian Journal of Sportsmedicine "Tendoscopic peritendon shaving of midportion Achilles tendinopathy: A randomized, placebo-controlled study". Studiets hovedpointer er opsummeret og videreformidlet på dansk i denne måneds udgave af Dansk Sportsmedicin. Vi har derfor studiets førsteforfatter med på telefonen til en snak om achillessenetendinopati, studiedesign, hvordan man laver en placebo-operation og ikke mindst fremtidige måder, hvorved vi kan forfine achillessenekirurgien!

    Skopisk release af den kroniske non-insertions akillessenetendinopati af Søren Kaalund, Søren G. Kjær, Michael Rathleff og Ulrich Fredberg

    Link til relevante artikler, vi refererer til i podcasten:

    Tendoscopic peritendon shaving of midportion Achilles tendinopathy: A randomized, placebo-controlled study, af Søren Kaalund et al, Scandinavian Journal of Sportsmedicine, 2022: https://pubmed.ncbi.nlm.nih.gov/34694643/

    Exercise and education versus saline injections for knee osteoarthritis: a randomised controlled equivalence trial, af Elisabeth Bandak et al, Annals of Rheumatic Diseases BMJ, 2021

    THE VICTORIAN INSTITUTE OF SPORTS ASSESSMENT – ACHILLES QUESTIONNAIRE (VISA-A) – A RELIABLE TOOL FOR MEASURING ACHILLES TENDINOPATHY, af Jonas Vestergaard et al, International Journal of Sports Physical Therapy, 2012

    THE MINIMUM CLINICALLY IMPORTANT DIFFERENCE ON THE VISA‐A AND LEFS FOR PATIENTS WITH INSERTIONAL ACHILLES TENDINOPATHY, af Joshua McCormack et al, International Journal of Sports Physical Therapy, 2015

  • Strength training can be used in your treatment and rehab programs to improve your patients strength, load capacity, function & pain, so they can get back into work and the activities they enjoy. In your athletic patients, strength training can be used to help restore power and speed, which are vital for sporting performance.

    Would you like to include more strength training in your treatment, but aren’t completely sure about the most effective ways to build strength? Which exercises can you use? How many sets and reps should your patients perform? Will 3 sets of 10 reps build strength effectively? What is power training, when should you focus on improving power, and how can you incorporate power training?

    In this podcast with David Joyce - Sports Physiotherapist, S&C expert and co-author of High performance training for sports, and Sports injury prevention and rehabilitation, you will discover:

    How to use strength training with your patients The most effective ways to help your patients develop strength Set and rep ranges for strength improvements Recent developments in S&C What is power & power training, and how does this compare to strength? When should your patients work on improving power vs strength How to improve power using different areas on the force/velocity curve Power development using bodyweight and barbell exercises Calf strengthening How to incorporate velocity/explosiveness training When are higher reps useful? Does endurance training with higher reps carryover to improved running or cycling When your patients are performing deadlifts or squats, what elements should you monitor? Do biomechanics in a deadlift or squat matter? What rest periods should be used to help develop strength, while maintaining an efficient training routine What is strength training vs conditioning? How can patients perform conditioning for improved fitness? Should conditioning be incorporated into strength training sessions for maximum improvements in strength? Should exercises and sets be performed to temporary muscular failure (when the bar is unable to be lifted for another repetition)? Resources to help improve your strength & conditioning

    Dr Claire Minshull also presented two online courses for Clinical Edge members to further develop your strength & conditioning skills and confidence. You can get access to these online courses with your free trial membership.

    CLICK HERE to get access to these online courses on strength & conditioning for youths and adolescents with Dr Jon Oliver with your free trial membership

    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 S&C online courses with Dr Claire Minshull - available with a free trial S&C for youths and adolescents online course with Dr Jon Oliver Improve your confidence and clinical reasoning with a free trial Clinical Edge membership David Joyce on Twitter Let David know what you liked about this podcast on Twitter Review the podcast on iTunes Join live Q&A podcasts on Facebook Infographics by Clinical Edge
  • The sternoclavicular joint (SCJ) can cause pain locally, or refer into the neck and shoulder. With a relatively high incidence of serious and potentially life-threatening pathology at the SCJ, it’s important to diagnose the source of SCJ pain. In this (Facebook live/video/podcast) with Jo Gibson (Clinical Specialist Physiotherapist), you’ll discover:

    How to identify and diagnose the SCJ as the source of pain. Where does the SCJ commonly refer pain to? What pathologies cause SCJ pain What activities & movements commonly reproduce pain in the SCJ? Who develops SCJ pain? Which differential diagnosis (DDx) are important to identify, including localised osteoarthritis (OA) rheumatoid arthritis septic arthritis atraumatic subluxation seronegative spondyloarthropathies gout, pseudogout SC hyperostosis condensing osteitis Friedrich’s disease/avascular necrosis condensing arthritis Friedrich’s disease and ‘SAPHO’ (Synovitis Acne Pustulosis Hyperostosis Osteitis) syndrome How does DDx impact prognosis? What role does imaging have with the SCJ? SCJ Imaging - MRI vs CT vs Xray. If pain refers down to the anterior chest, what other structures may be involved? Tietze syndrome at the costochondral junction. Costochondritis - who develops it, is there a mechanism of injury? Red flags you need to be aware of around the SCJ Case study of an SCJ patient where a potentially life-threatening illness was identified. Other red flags - infection, HIV, septic arthritis, diabetes, ankylosing spondylitis, gout. What investigations are important for SCJ pain patients? What are realistic expectations for prognosis and resolution of SCJ symptoms? How can you rehab patients with SCJ pain? Costochondral joint pain. Rehab following clavicular ORIF When is arthroscopic release suitable in frozen shoulder patients Podcast handout Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Shoulder: Steps to Success online course with Jo Gibson

    Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

    Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson 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 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
  • Shoulder surgery in athletes is common following dislocation. Accelerated post-op shoulder stabilisation rehab protocols include early mobilisation to reduce movement, proprioceptive and strength deficits. This has allowed earlier return to play (RTP), however athletes often still have significant proprioceptive and strength deficits up to 2 years post surgery. Despite getting back to play, athletes may struggle to get back to performance.

    Following surgery, contact athletes such as rugby players, throwing athletes and young players have additional RTP challenges. Redislocation risks in contact sports such as rugby are high, leading to poor outcomes. Younger athletes are not skeletally mature, and with early RTP following stabilisation surgery may have higher failure rates. How can you identify and address these challenges?

    Which tests and features in a patients history help you determine whether a patient is suitable for an early RTP? In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you’ll explore:

    Which shoulder tests are most valuable with your patients? How has emerging evidence challenged our previous approach to RTP testing? What are the risks associated with early RTP following shoulder surgery? How can you help identify athletes at risk of redislocation? Which psychosocial factors impact RTP? How does fear of reinjury and levels of anxiety about their shoulder affects RTP? How does your patient’s sport of choice affects dislocation risks? How is RTP impacted by patients age? How do daily stressors impact RTP and predict outcomes? Which psychosocial factors impact RTP? What is the biggest factor in whether an athlete gets back to play? Which questions are key to ask your patients? Which questionnaires can you use with your post-op shoulder patients? Which tests and combinations of tests have been validated and are evidence-based? How can you assess range of movement (ROM)? How can you measure patients strength? How is rate of force development (RFD) affected following shoulder injury? How can you assess RFD? How does fatigue impact strength testing eg testing at the start of training compared to the after training? How does the kinetic chain impact RTP testing for throwers? How can you assess shoulder endurance? How can you test if your swimmers are ready for RTP? What role does manual therapy have in shoulder rehab? Podcast handout Free webinar “5 common mistakes therapists make with shoulder pain, and what to do about them” with Jo Gibson

    Register now for the free webinar "5 common mistakes therapists make with shoulder pain, and what to do about them" with Jo Gibson (Upper Limb Specialist Physio)

    Frozen and stiff shoulder assessment & treatment with Jo Gibson

    Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder

    Shoulder: Steps to Success online course with Jo Gibson

    Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

    Links associated with this episode: Improve your assessment and treatment of frozen and stiff shoulders now with Jo Gibson’s online course at clinicaledge.co/frozenshoulder Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson 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 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:

    Download the podcast handout to receive the articles associated with this podcast.

    Ashworth B, Cohen DD. Force awakens: a new hope for athletic shoulder strength testing.

    Ashworth B, Hogben P, Singh N, Tulloch L, Cohen DD. The Athletic Shoulder (ASH) test: reliability of a novel upper body isometric strength test in elite rugby players. BMJ open sport & exercise medicine. 2018 Jul 1;4(1):e000365.

    Cools AM, Vanderstukken F, Vereecken F, Duprez M, Heyman K, Goethals N, Johansson F. Eccentric and isometric shoulder rotator cuff strength testing using a hand-held dynamometer: reference values for overhead athletes. Knee Surgery, Sports Traumatology, Arthroscopy. 2016 Dec 1;24(12):3838-47.

    Forsdyke D, Gledhill A, Ardern C. Psychological readiness to return to sport: three key elements to help the practitioner decide whether the athlete is REALLY ready?.

    Olds M, Coulter C, Marant D, Uhl T. Reliability of a shoulder arm return to sport test battery. Physical Therapy in Sport. 2019 Sep 1;39:16-22.

    Glazer DD. Development and preliminary validation of the Injury-Psychological Readiness to Return to Sport (I-PRRS) scale. Journal of athletic training. 2009 Mar;44(2):185-9.

    Gerometta A, Klouche S, Herman S, Lefevre N, Bohu Y. The Shoulder Instability-Return to Sport after Injury (SIRSI): a valid and reproducible scale to quantify psychological readiness to return to sport after traumatic shoulder instability. Knee surgery, sports traumatology, arthroscopy. 2018 Jan 1;26(1):203-11.

    Keller RA, De Giacomo AF, Neumann JA, Limpisvasti O, Tibone JE. Glenohumeral internal rotation deficit and risk of upper extremity injury in overhead athletes: a meta-analysis and systematic review. Sports health. 2018 Mar;10(2):125-32.

    Mine K, Nakayama T, Milanese S, Grimmer K. Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: a systematic review of randomized controlled trials. Journal of sport rehabilitation. 2017 Jul 1;26(4):294-305.

    Olds M, Coulter C, Marant D, Uhl T. Reliability of a shoulder arm return to sport test battery. Physical Therapy in Sport. 2019 Sep 1;39:16-22.

    Tjong VK, Devitt BM, Murnaghan ML, Ogilvie-Harris DJ, Theodoropoulos JS. A qualitative investigation of return to sport after arthroscopic Bankart repair: beyond stability. The American journal of sports medicine. 2015 Aug;43(8):2005-11.

  • When you love running or any other sport or activity, having to take time off with an injury is really frustrating. Your patients with an injury limiting their running will feel frustrated and be keen to keep running or get back to running as quickly as possible. We can make a huge difference in helping them return to running, but how do we do it?

    It would be pretty simple if we could hand all of our running injury patients a standard return to running table with a list of set running distances, and send them on their way to just follow the program. The trouble is, it doesn’t work that way in real life.

    Each of your patients will have different goals, and respond differently to rehab and increases in running, depending on their injury, irritability of their symptoms, their load tolerance, and a lot of factors. Since recipe-based approaches won’t work for a lot of patients, how can you tailor your rehab and guide your running injury patients through their return to running?

    In this podcast with Tom Goom, we’re going to help you return your patients to running as quickly as possible, know which factors you need to address in your rehab, and how to tailor your rehab to each of your patients. You will explore how to:

    Test whether your patient is ready to run Find your patients ‘run tolerance’ Incorporate your athlete’s goals into their rehab Use their pathology to guide return to running eg stress fractures or plantar fasciopathy Use irritability to guide your load progression Vary your treatment depending on the stage of their competitive season Address strength, range of movement, control, muscle mass, power and plyometric impairments in their rehab program Choose the number of exercises you use Balance risk and reward to meet patients goals Four key steps to return your patient to running Use impact tests when assessing whether your patient is ready to run Plan training structure and progression Monitor return to running Identify acceptable pain levels while increasing running

    We will take you through four real patient case study examples so you can apply the podcast in your clinical practice, including:

    Achilles tendon pain Medial tibial stress syndrome (MTSS)/Shin splints Calf pain High risk tibial stress fracture Free running injury assessment & treatment video series available now Links associated with this episode: Download and subscribe to the podcast on iTunes Twitter - @tomgoom Let David Pope know what you liked about this podcast on Twitter Review the podcast on iTunes Like the podcast on Facebook Infographics by Clinical Edge Other episodes of interest: Physio Edge 084 Running injury treatment - tendinopathy, MTSS, total hip replacement & high BMI patients. Q&A with Tom Goom Physio Edge 083 Running gait retraining, strengthening, glutes & ITB syndrome. Q&A with Tom Goom Physio Edge 082 Achilles tendinopathy treatment - the latest research with Dr Seth O'Neill Physio Edge 076 Footwear advice for running injuries with Tom Goom Physio Edge 075 Tendinopathy, imaging and diagnosis with Dr Sean Docking Physio Edge 068 Lower limb tendinopathy loading, running and rehab with Dr Peter Malliaras Physio Edge 042 Treatment of Plantaris & Achilles Tendinopathy with Dr Seth O'Neill Physio Edge 041 Plantaris Involvement In Achilles Tendinopathy With Dr Christoph Spang
  • When your patient has heel pain with their first few steps in the morning, after sitting for a while or at the start of a run, a diagnosis of plantar heel pain (PHP) or plantar fasciopathy might jump straight to the top of your list. How will you treat your patients with PHP? How long will it take? How can you explain PHP, the rehab and recovery to your patients?

    In this podcast with Henrik Riel (Physiotherapist, researcher and PhD candidate at Aalborg University) we take a deep dive into PHP, and how you can treat it, including:

    How to describe plantar heel pain to your patients How to explain to your patient why they developed PHP, recovery timeframes and rehab Plantar fasciitis, plantar fasciopathy, plantar heel pain? What's the most appropriate terminology? Differential diagnosis for PHP including Neuropathic pain Fat pad irritation, contusion or atrophy Calcaneal stress fracture Other diagnoses How to systematically perform an objective assessment and diagnose PHP Assessment tests to identify factors contributing to your patients pain Whether your patients require imaging How long PHP takes to recover What factors affect your patients prognosis and recovery times How to differentiate your treatment for active or sedentary patients Whether your patients can continue to run with PHP Factors that may hinder the recovery of your sedentary patients, and how to address these Whether your patients should include stretching in their rehab Types of strengthening to include in your rehab - isometric, isotonic or otherwise How many sets and reps should your patients perform of their strengthening exercises Whether orthotics are useful Corticosteroid injections - do they help or increase the risk of plantar fascia rupture? Links associated with this episode:

    Download and subscribe to the podcast on iTunes

    Download the podcast now using my favourite podcast app - Overcast

    Listen to the podcast on Spotify

    Improve your confidence and plantar fasciopathy results with a free trial Clinical Edge membership, and get access to the 3 part webinar series on PHP with Henrik Riel

    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

    Twitter - @Henrik_Riel

    Research Gate - Henrik Riel

    Articles associated with this episode:

    Alshami et al. 2008. A review of plantar heel pain of neural origin: differential diagnosis and management.

    Chimutengwende-Gordon et al. 2010. Magnetic resonance imaging in plantar heel pain.

    Dakin et al. 2018. Chronic inflammation is a feature of Achilles tendinopathy and rupture.

    David et al. 2017. Injected corticosteroids for treating plantar heel pain in adults.

    Digiovanni et al. 2006. Plantar fascia-specific stretching exercise improves outcomes in patients with chronic plantar fasciitis. A prospective clinical trial with two-year follow-up.

    Hansen et al. 2018. Long-Term Prognosis of Plantar Fasciitis: A 5- to 15-Year Follow-up Study of 174 Patients With Ultrasound Examination.

    Lemont et al. 2003. Plantar fasciitis: a degenerative process (fasciosis) without inflammation.

    Rathleff et al. 2015. High-load strength training improves outcome in patients with plantar fasciitis: A randomized controlled trial with 12-month follow-up.

    Riel et al. 2017. Is ‘plantar heel pain’ a more appropriate term than ‘plantar fasciitis’? Time to move on.

    Riel et al. 2018. The effect of isometric exercise on pain in individuals with plantar fasciopathy: A randomized crossover trial.

    Riel et al. 2019. Self-dosed and pre-determined progressive heavy-slow resistance training have similar effects in people with plantar fasciopathy: a randomised trial.

    Other Episodes of Interest:

    PE 062 - How to treat plantar fasciopathy in runners with Tom Goom

    PE 061 - How to assess and diagnose plantar fasciopathy in runners with Tom Goom

    PE 060 - Plantar fasciopathy in runners with Tom Goom

    PE 038 - Plantar fasciopathy loading programs with Michael Rathleff

    PE 012 - Plantar Fascia, Achilles Tendinopathy And Nerve Entrapments With Russell Wright

  • Patients with thoracic outlet syndrome (TOS) may have undiagnosed pain and symptoms into their shoulder, arm, hand, scapula, head, face, upper back, axilla, chest and anterior clavicle.

    With a number of potential sources of pain in these areas, TOS patients commonly have a delayed or incorrect diagnosis, followed by unnecessary and unsuccessful surgery. Further complicating matters, imaging and nerve conduction studies are often clear or inconclusive. Studies show that on average, patients with TOS have an average of 5 years of symptoms and see 6 doctors before receiving an accurate diagnosis.

    What tests and questionnaires will help guide your diagnosis and intervention? When are patients suitable for Physiotherapy and conservative management? When should you refer on for a surgical opinion?

    In this podcast with Jo Gibson (Clinical Physiotherapy Specialist), you will discover:

    What is Thoracic outlet syndrome (TOS)? Commonly reported symptoms of TOS Three different types of TOS The most common type of TOS with around 80% of all TOS patients Why imaging and investigations are often clear, and don’t match up with symptoms 3 key causes of TOS The relationship between TOS and hypermobility syndrome Criteria for diagnosis in the latest TOS diagnostic consensus statement Differential diagnosis (DDx) - Cervical NR compression, and peripheral nerve entrapment Common subjective findings that guide you towards a diagnosis of TOS A questionnaire you can use to assist cervicobrachial diagnosis What information is gained from imaging, including MRI and MR Neurography & nerve conduction studies What are the limitations of imaging? What is the difference between small nerve fibre and large nerve fibres, and how this impacts diagnosis QST - Quantitative sensory testing - Pin prick (Neurotip) and Thermal testing - warm and cold Simple QST test using a coin Objective testing What tests do you need to perform in patients with suspected TOS? What is the elevated stress test (EST)? What information does an upper limb tension test (ULTT) provide? Does a negative ULTT test exclude TOS? How are nerve blocks used? What is the best way to perform a nerve block? How effective are nerve blocks in assisting diagnosis? Who should we refer on for early medical or surgical management? When should you get an early surgical opinion? Which patients are likely to benefit from conservative management? Podcast handout Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Shoulder: Steps to Success online course with Jo Gibson

    Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

    Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson 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 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 Thoracic outlet syndrome centre of excellence Articles associated with this episode:

    Download the podcast handout to receive the articles 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.

    Jordan SE, Ahn SS, Gelabert HA. Differentiation of thoracic outlet syndrome from treatment-resistant cervical brachial pain syndromes: development and utilization of a questionnaire, clinical examination and ultrasound evaluation. Pain Physician. 2007 May;10(3):441-52.

    Kenny RA, Traynor GB, Withington D, Keegan DJ. Thoracic outlet syndrome: a useful exercise treatment option. American journal of surgery. 1993 Feb 1;165:282-.

    Ridehalgh C, Sandy-Hindmarch OP, Schmid AB. Validity of clinical small–fiber sensory testing to detect small–nerve fiber degeneration. journal of orthopaedic & sports physical therapy. 2018 Oct;48(10):767-74.

    Zhu GC, Böttger K, Slater H, Cook C, Farrell SF, Hailey L, Tampin B, Schmid AB. Concurrent validity of a low‐cost and time‐efficient clinical sensory test battery to evaluate somatosensory dysfunction. European Journal of Pain. 2019 Nov;23(10):1826-38.

  • Patients with shoulder pain, rotator cuff tears and nerve injuries can often be seen shrugging their shoulder while they lift their arm, appearing to overuse their upper fibres of trapezius. Surface EMG research has shown increased activity in UFT in shoulder pain and whiplash patients. To add to this, patients get sore upper traps, and can be adamant that they need regular massage of their upper fibres of trapezius (UFT).

    We seem to have plenty of evidence that we need to decrease UFT muscle activity, and help this by providing exercises to target the middle and lower traps.

    Is this really the case? Are the upper traps really a bad guy, or a victim caught in the spotlight? Do we need to decrease upper traps muscle activity to help our patients shoulder or neck pain? Or perhaps counter-intuitively, do we need to strengthen upper traps and help them to work together with the surrounding muscles?

    In this podcast, Jo Gibson (Clinical Specialist Physio) explores the evidence around the upper fibres of trapezius, and implications on your clinical practice. You’ll discover:

    What are the myths around upper traps? Are upper fibres of trapezius a bad guy or a victim? Why do upper traps sometimes seem to be overactive? Should we aim to increase the activity in middle and lower traps? What information does surface EMG really provide? Can taping of the scapula change recruitment of the trapezius? Should we strengthen UFT? Why is initial activation of the UFT important in shoulder elevation movements? Why should patients with rotator cuff tears or stiff & painful shoulders use upper traps more with their movements? How can we incorporate UFT strengthening into our shoulder strengthening? What exercises can we use to strengthen UFT without increasing activity in levator scapulae? Why is UFT strengthening important in ACJ injury rehab? In gym goers, what scapula setting errors are commonly used? How do nerve injuries that affect the upper traps impact movement? Do trigger points or soreness indicate that our patients need massage or exercises to decrease UFT activity?

    Download this episode now to improve your treatment of shoulder and neck pain.

    Podcast handout Free video series “Frozen shoulder assessment & treatment” with Jo Gibson Shoulder: Steps to Success online course with Jo Gibson

    Improve your assessment and treatment of shoulder pain with the Shoulder: Steps to Success online course with Jo Gibson, now available for enrolment at clinicaledge.co/shouldersuccess

    Links associated with this episode: Get your access to the free video series “Frozen shoulder assessment & treatment” with Jo Gibson Improve your shoulder assessment & treatment with the Shoulder: Steps to Success online course with Jo Gibson 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 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:

    Download the podcast handout to receive the articles associated with this podcast.

    Lee JH, Cynn HS, Choi WJ, Jeong HJ, Yoon TL. Various shrug exercises can change scapular kinematics and scapular rotator muscle activities in subjects with scapular downward rotation syndrome. Human movement science. 2016 Feb 1;45:119-29.

    Pizzari T, Wickham J, Balster S, Ganderton C, Watson L. Modifying a shrug exercise can facilitate the upward rotator muscles of the scapula. Clinical Biomechanics. 2014 Feb 1;29(2):201-5.