Document Type

Program

Publication Date

2019

Publication Source

Neurology in Orthopedics: Academy of Orthopaedic Physical Therapy Independent Study Course

Abstract

Conservative treatment of the shoulder is often the treatment of choice in many shoulder pathologies. With the lifetime prevalence of shoulder pain as high as 66%, it is important to accurately assess the shoulder complex and design effective treatments to return individuals to full function. Understanding the role of the neuromuscular system in pathology and recovery is essential to accurate assessment and effective treatment. Assessing the shoulder complex includes evaluation of the quality of movement. The presence of scapular dyskinesis in conjunction with other abnormal objective findings will guide the focus of intervention. Interventions should focus on proper scapular and glenohumeral muscle recruitment along with causal inhibiting factors such as pain, muscle imbalances, and regional dysfunction. Controlled scapuloglenohumeral motion through the entire arc of motion and functional exercise are also critical interventions. This monograph will describe the role of the neuromuscular system in shoulder injury and recovery using evidence-based strategies with clinical application.

Document Version

Postprint

Comments

This work is part of the Academy of Orthopaedic Physical Therapy Independent Study Course’s 6-part series titled Neurology in Orthopaedics (29.2).

Access to the authors' accepted manuscript is not permitted; to purchase access to the course, use the link provided.

Publisher

Academy of Orthopaedic Physical Therapy and the American Physical Therapy Association

Keywords

shoulder pain, neuromuscular control, conservative treatment

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