Evidence-Based Strength Training: Scapulothoracic Musculature, Part 2

Scapulothoracic Muscles and Pain As I mentioned in Part 1, weakness or poor neuromuscular control of the periscapular muscles has been implicated in subacromial impingement1,2, lateral epicondylalgia3-5, cervicogenic headache6, and neck pain7,8. Specifically, insidious onset of neck pain and whiplash associated disorder (WAD) have been linked with a significant delay in and shorter duration of…

Evidence-Based Strength Training: Scapulothoracic Musculature, Part 1

In the next installment of the Evidence-Based Strength Training Series for MedBridge Education, we are going to take a look at the often-neglected scapulothoracic musculature... Typically when considering the management of painful upper quarter conditions, local exercise and manual therapy interventions are employed judiciously. However, when utilizing a proper movement assessment or regional interdependence philosophy, impairments…

Differential Diagnosis: Superior Labral Anterior-Posterior (SLAP) Lesions

The following is another article written for the online, video-based physical therapy continuing education company MedBridge… Amongst overhead throwing athletes, there are several injuries that typically come to mind, and at the top of that list is the Superior Labral Anterior to Posterior (SLAP) Lesion. While this is not an overly common injury for the general population,…

When Can I Play Again? Return to Sports Testing for the Upper Extremity.

The following is another article written for the online, video-based physical therapy continuing education company MedBridge… A lot has been written and researched with regards to return to sport criteria and testing for injuries of the lower extremity, and more specifically following anterior cruciate ligament reconstruction (ACL-R), however little attention has been given to injuries of the…

NMES, The Missing Link.

The following is another article written for the online, video-based physical therapy continuing education company MedBridge Education... Following any type of surgery, significant weakness of the primary and secondary musculature is common. For example, quadriceps weakness has been documented during the immediate post-operative phase following surgery (Snyder-Mackler et al), as well as years following rehabilitation (Rosenberg et…

Evidence-Based Strength Training: Rotator Cuff

This will be the first in a series of monthly posts that I will be contributing to MedBridge Education, who is an online continuing education resource for physical and occupation therapists... According to Sipes et al, 30% of athletes suffer a shoulder injury during their career. Of those injuries, subacromial impingement syndrome and rotator cuff…