result of pain inhibition and not as a result of structural pathology, (Bronx et al 1997).
course yesterday by Dr Jeremy Lewis.Things I learnt:Common tests cannot diagnose R cuff problems as they all put pressure on the subacromial bursae causing pain. There is no way to differentiate between different muscles. Pec minor Nike Red Tracksuit Bottoms
length test is not diagnostically specific, no need to use it.There is not one "normal" posture and there is no correlation to shoulder pain.Energy for shoulder mvt comes from the trunk and lower limbs (54%) so shoulder rehab should include general fitness, abs, glutes, hams and core. (Kibler 1995). Lower limb control is important, ie SLS.Acromioplasty is not a good option for R cuff problems as it removes the bursae. This ends in increased r cuff tears. Also the cause of r cuff problems is not the acromion or a "Spur" it is more likely irritation of a bursae by oedema of Nike Sb Jogger Sweatpants the r cuff (not inflammation) due to overuse.Imaging: there should be a 9 10mm subacromial space on X ray. MRI and U/S; pts can have a tear and/or labral abnormalities but no symptoms. 40 60yrs = 28% have a r cuff tear. >60 yrs = 50% have a tear. WHY? "suspension bridge", the rotator cuff has a cable which holds the muscles onto the head of humerus.Perceived weakness during testing may be better explained as occuring as a Nike T Shirts For Boys