PPT-The Shoulder

Assessment and Management of Common S houlder P roblems in General Practice GP TRAINING JANUARY 2015 Cath Ellis Sussex MSK Partnership is brought together by Shoulder Problems Third most common musculoskeletal complaint for consulting a GP. The loose bag capsule around the shoulder joint becomes inflamed The bag then appears to tighten or shrink This tightening combined with the pain restricts the movement How common is it It is most common in people between the ages of 40 and 70 years Anterior-Posterior GH . Mobilization (High Grade). Position pt. supine with . humerus. to be mobilized at the edge of the table. PT to stabilize the pt.’s distal extremity, while placing other hand over the anterior proximal . The shoulder is an extremely complicated region of the body. Greater mobility . = . Greater Instability . Involved in a variety of overhead activities. susceptible to a number of repetitive and overused injuries . Lesson Plan: . 40a Anatomy and Kinesiology of the Shoulder Girdle. 5 minutes: Breath . of . Arrival and Attendance. 20 minutes: New Muscles: . r. otator cuff muscles, . pectoralis. minor, and . Shoulder Girdle  The shoulder complex • 4 articulations involving  The sternum  The clavicle  The ribs  The scapula and  The humerus • nec C. ontents. Shoulder complex. What is SIS. What leads to worsening of SIS. Causes of SIS. Symptoms of SIS. Hx. Dx. Physical examination. Treatment. Rehabilitation. Manual Physical therapy techniques. Assessment. Sports med 2. History. A“Type. . of pain”. . pins and needles = radiating pain from cervical pathology. sharp pain = acute inflammation. dull, aching, sense of heaviness = chronic rotator cuff. Sternoclavicular and Acromioclavicular Joints. SC Joint. Saddle-type, but functions as ball & socket. 4 ligaments. Strong, but MOBILE. ROM=60° elevation and 25-30° anterior and posterior movement. (. gleno-humeral . joint) is a common injury. Most people who suffer a simple shoulder dislocation will require a period of time resting the shoulder in a sling and then a period of rehabilitation usually with the help of physiotherapy. Most can expect to return to light clerical type work at 4 to 6 weeks but it will be 4 to 6 months before most people feel the shoulder is back to full strength for overhead work and contact sports.. Normal Anatomy. The shoulder has a lot of soft tissue within a small amount of space. Also a very mobile joint with lots of movement. These 2 components increase the changes of ‘pinching’ during movement. Sarah Rayner ESP Physiotherapist. Dr Tim Hughes GPSI. MSK Orthopaedic Services. History. Frozen shoulder. Primary GHJ osteoarthritis. Secondary GHJ osteoarthritis. ACJ osteoarthritis. SCJ osteoarthritis. . Important to remember there are various types of helmets out there so be aware of what your team has and be prepared to remove the face mask and shoulder pads accordingly. . As before, initially the first responder. Visit our rehabilitation center to schedule the same-day, morning, or late evening appointment.

Our contact number (201) 523-9590. Lesson Five. BELLWORK!. Think back to our SOAP Note practice from the first week of school:. What does each letter of SOAP stand for?. What . type . of information goes into each section of a SOAP note?.