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Sub acromial pain sydrome - Coggle Diagram
Sub acromial pain sydrome
OVERVIEW
shoulder injuries common as humeral head is 2x size of glenoid
huge ROM at expense of stability
Glenohumeral + acromio-calvicular+ sterno-calvicular+ scapula + thorax make up shoulder region
imaging can not show clinical presentation AND orthopedic tests are not senstive for a specfic structural issue
importance placed on history taking, obersvation and palpation first
Red flags at start of assessment
BENEFITS
improved understanding of the rotator cuff system and the latest research findings
I will utilise the current step approach to shoulder pain as this part is very transferrable
improved service provision,especially in the more active population
FACTS
follow steps
unstable shoulder? history of dislocations, popping,.
stiff shoulder? most common 45-60yrs
Rotator Cuff pain- SAPS
traumatic
insideous
4.Acromio-clavicular jt
no impingement present
if weakness in RC muscles- will allow for a superior movement of the head of humerus, contributing to irritation in the subacromial space.
contributing factors 1.long head of biceps in anterior shoulder pain
factor 2. scapular dykinesis- altered upward rotation of scapula due to inflammatory process or pain.
factor 3. Tight posterior shoulder muscles moves contant humeral head with glenoid superior and posterior.
in assessment: focus on presenting symptoms, not finding pathology
added to normal assessment is symptoms modification approach
OPPORTUNITIES
integration of current knowledge gain in the paediatric population of the RC structure with increased knowledge on loading, symptoms and the importance of history taking
being able to educate clients and other therapist on latest findings
useful for paediatric clients with poor posture with normal to low tone
DIFFICULTIES
further course on the symptoms modification approach as a little bit of information does make for a quality intervention
currently, in the paediatric population, more common are hypermobility issues with shoulder instability.
less opportunity to practise this new information
in the elderly population, the use of symptom modification could be more difficult
FEELINGS
a lot has changed with the tests not being specific and emphasis on presenting symptoms, not pathologies. Feeling slightly out of my depth
I do like this approach as it mirrors the rehabilitation approach
apart from the systems modification approach, I was already less reliant on the tests and more on patient`s history and observation.