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Module 11: The Shoulder (post) - Coggle Diagram
Module 11: The Shoulder (post)
Overview
Change my language/thought process to more updated terms; e.g. SAP.
Physiotherapy continues to have a strong evidence base as being as effective as surgical intervention.
facts
on reflection (with any viewing of imaging) I have always used this as a adjunct piece of information, rather than a diagnosis tool. Will continue to use this general approach for all my areas of practice
In future, I will be more considerate of patients comorbidities and the affect on tissue healing with MSK injuries in general (CV disease, diabetes)
Synthesising the evidence (Dunn et. al) that education level and comorbidities impact on pain, not anatomical features will ensure that I am cautious with the language I use in future
feelings
Like the flow chart principle- suits my learning style and very much helps me when trying to implement this knowledge in practice
a lot more confident to be be able to approach a complex issue with a simplified thought process to understand symptoms
Difficulties
often in practice patients place a lot of emphasis on results of scans; perhaps incorporating some work I am doing with health literacy with this particular issue may assist with better patient understanding and hence outcomes
Patients are often already resigned to requiring surgery (for many reasons) so engaging a health literacy approach and backing of strong evidence for physio to help patients to perhaps help patients overcome this thought process .
opporunities/benfefits
in future, further reducing the amount of importance placed on special tests for progression
really like the simple tip of watching body language during assessment- gives great amount of clues and easy to implement
For the aged and comorbid population I often see, utilising the Torbay conservative approach to complete tears would be very appropriate (although rare, very confident I would be able to follow this approach)
creativity
Linking this knew knowledge to other population groups that I see more commonly- such as those with lung conditions (who often have altered thorax/scapula biomechanics).