loader from loading.io

Ep. 059 | The Shoulder Blade Shuffle: Separating Fact from Fiction in Scapula Dyskinesia | Filip Struyf

Physiotutors Podcast

Release Date: 12/02/2023

Tingling, Weakness & Pain? Let’s Talk Cervical Radiculopathy with Dr. Erik Thoomes show art Tingling, Weakness & Pain? Let’s Talk Cervical Radiculopathy with Dr. Erik Thoomes

Physiotutors Podcast

In Episode 74 of the Physiotutors podcast, host Kai is joined by Dr. Erik Thoomes, an expert in musculoskeletal conditions, particularly cervical radiculopathy. Dr. Thoomes provides an in-depth discussion on cervical radiculopathy, distinguishing it from nonspecific neck pain. He explains that cervical radiculopathy involves radiating arm pain due to nerve root irritation or compression, often caused by disc herniation or spondylotic changes, contrasting it with lumbar radiculopathy. The episode emphasizes the importance of thorough patient history in diagnosis and suggests a cluster of tests...

info_outline
Beyond the Bench: A Pro Sports Physio’s Journey with Philip Andersson show art Beyond the Bench: A Pro Sports Physio’s Journey with Philip Andersson

Physiotutors Podcast

Description In episode 73 of the Physiotutors podcast, we talk to Philipp Andersson, a seasoned physical therapist and strength and conditioning coach who heads the medical department for IFK Värnamo in Sweden's top football league. Philipp shares insights into his unconventional journey into sports physiotherapy, starting with a passion for working in professional sports, leading to volunteering opportunities that paved his way into elite sports teams. Despite lacking initial connections, his determination and strategic volunteer work helped him secure his current role. Philipp discusses the...

info_outline
Exploring the Cosmos of Low Back Pain: From Astronauts to Everyday Life with Daniel Belavy show art Exploring the Cosmos of Low Back Pain: From Astronauts to Everyday Life with Daniel Belavy

Physiotutors Podcast

In Episode 72 of the Physiotutors podcast, we interview Dr. Daniel Belavy, a professor with a prolific research background in muscle, bone, and joint health, specifically focusing on low back pain. The discussion explores various aspects of back pain research, including disk herniations in astronauts, the role of mechanical loading in disk health, and the challenges of classifying non-specific low back pain. Dr. Belavy shares insights from his studies on physical exposure and spine postures, contextual effects in treatment, and exercise training for back pain. He emphasizes the importance of...

info_outline
EP. 071: Nerves Under Pressure - A Deep Dive into Entrapment Neuropathies with Annina Schmid show art EP. 071: Nerves Under Pressure - A Deep Dive into Entrapment Neuropathies with Annina Schmid

Physiotutors Podcast

In this episode of the PhysioTutors podcast, Dr. Annina Schmid, a specialist in musculoskeletal physiotherapy and a professor of pain neurosciences at Oxford University, discusses entrapment neuropathies, focusing on conditions like carpal tunnel syndrome and cubital tunnel syndrome. She explains that these conditions occur when nerves are compressed or irritated as they pass through narrow anatomical spaces, leading to symptoms such as pain, tingling, numbness, and sometimes motor changes like weakness. The conversation covers common types of entrapment neuropathies, diagnostic challenges,...

info_outline
EP. 070: From Resistance to Commitment - Achieving Behavior Change in Therapy with Serena Simmons show art EP. 070: From Resistance to Commitment - Achieving Behavior Change in Therapy with Serena Simmons

Physiotutors Podcast

In this episode of the Physiotutors podcast, Kai interviews Serena Simmons, a seasoned psychologist with over 30 years of experience, about behavioral change and patient buy-in in healthcare. Serena highlights the challenges that healthcare providers face due to the lack of psychological training in their initial education, which often leaves them unequipped to effectively promote behavioral change in patients. She emphasizes the importance of understanding both the practitioner's and the patient's psychology to foster meaningful interactions and facilitate change. Serena discusses the...

info_outline
EP. 069: Seeing the Unseen - Diagnostic MSK Ultrasound with Niek Vink show art EP. 069: Seeing the Unseen - Diagnostic MSK Ultrasound with Niek Vink

Physiotutors Podcast

In this episode of the Physiotutors podcast, Kai interviews Niek Vink, a physiotherapist and manager at the National Training Center for Ultrasound (NT-E) in Utrecht, Netherlands. They discuss the role and benefits of ultrasound in physiotherapy. Niek explains the basics of ultrasound imaging, comparing it to other imaging techniques like MRI and X-ray. He emphasizes that while ultrasound offers high spatial resolution and is useful for assessing soft tissues, it cannot see inside bones. The conversation also highlights the importance of dynamic scanning and sono-palpation in physiotherapy, as...

info_outline
EP. 068: The Athletic Shoulder - Overcoming Instability for Peak Performance with Edel Fanning show art EP. 068: The Athletic Shoulder - Overcoming Instability for Peak Performance with Edel Fanning

Physiotutors Podcast

In this episode of the Physiotutors podcast, host Kai speaks with Edel Fanning, a lead upper limb physiotherapist from Ireland, about various shoulder pathologies in athletes and effective rehabilitation strategies. Edel discusses common shoulder injuries in different sports, such as dislocations in contact sports like rugby and rotator cuff issues in overhead sports like swimming and tennis. She emphasizes the importance of considering the kinetic chain in rehabilitation, focusing on both local shoulder control and the role of other body parts to optimize recovery and performance. Edel also...

info_outline
EP. 067: Step by Step - The Ultimate Guide to Ankle Sprains with Jente Wagemans show art EP. 067: Step by Step - The Ultimate Guide to Ankle Sprains with Jente Wagemans

Physiotutors Podcast

Summary In this podcast episode, we talk with Jente Wachemans, a physiotherapist and researcher specializing in ankle sprains and chronic instability. We discuss the nature of lateral ankle sprains, differentiating them from other types of ankle injuries, and touch on chronic ankle instability, a condition that remains somewhat ambiguous and under-researched. Jente emphasizes that while ankle sprains are common, particularly in sports, the transition to chronic instability isn't always straightforward and requires more prospective data for a clearer understanding. We also explore the...

info_outline
EP. 66: Empowering Movement - Integrating S&C into Physiotherapy with Claire Minshull show art EP. 66: Empowering Movement - Integrating S&C into Physiotherapy with Claire Minshull

Physiotutors Podcast

In this podcast, Dr. Claire Minshull shares her insights on teaching strength and conditioning to physiotherapists, emphasizing the practical application of academic knowledge. She discusses common mistakes in S&C practices, the importance of muscular strength in rehabilitation, and the significance of individualized exercise prescription for optimal outcomes. Claire also explores topics like measuring strength, rate of force development, and emerging technologies in strength training, underlining the need for patient-centered approaches and effective rehabilitation strategies. Guest Dr....

info_outline
EP. 065: More than Meds - Exploring Physiotherapy for Migraine Management with Kerstin Luedtke show art EP. 065: More than Meds - Exploring Physiotherapy for Migraine Management with Kerstin Luedtke

Physiotutors Podcast

In this podcast episode, Dr. Kerstin Luedtkee discusses the topic of migraine headaches, providing insights into the definition, classification, and pathophysiological theories behind migraines. She explains the criteria for diagnosing migraine headaches, including the presence of associated symptoms such as nausea and sensitivity to light or sound. Dr. Luedtkee delves into the role of the hypothalamus as a key structure in triggering migraine attacks and highlights the importance of understanding the central nervous system changes that occur in individuals with migraines. Moreover, she...

info_outline
 
More Episodes

In this podcast, we explore scapular dyskinesis, the abnormal movement of the shoulder blade. We discuss related terms like scapular misalignment and sick scapula, questioning the practicality of assessing it through visual observation. We highlight that identifying it as normal or abnormal may not guide treatment decisions or pinpoint the cause of shoulder pain. We also address its prevalence in athletes and non-athletes and suggest using various tests to assess scapular dyskinesis. Intriguingly, we'll reveal a surprising connection between scapular dyskinesis and an unexpected aspect of training, which might change the way you think about shoulder issues. So, join us for the full episode to uncover this fascinating insight.

 

Guest

Filip Struyf is a sportsphysiotherapist and professor at the Department of Rehabilitation Sciences and Physiotherapy at the University of Antwerp, Belgium. According to Expertscape, he is the #1 shoulder researcher world-wide. He teaches shoulder courses nationally and internationally and has created an online course together with us called “Rotator Cuff Related Shoulder Pain: Separating Facts from Fiction”.

 

Content

00:00 Intro

01:15 The "correct" definition

 04:05 What is "normal"

12:05 Prevalence

14:21 Is it a functional adaptation?

16:46 Scapula Dyskinesia as a risk factor?

26:09 How do we assess it?

28:51 How reliable or valid is assessment?

32:39 Can we improve scapula movement?

39:09 What's up with focussing on the lower trapezius?

42:26 What about Rhomboid Pain?

46:21 Is there a place for scapula mobilization techniques?

49:42 Filip's closing thoughts

52:15 Outro

Bonus Material

To view and download the bonus content such as transcripts of this episode become a Physiotutors Member.

All episodes and bonus content can be found here

 

Follow our Podcast on:

Spotify | Apple Podcasts