Subacromial Pain Syndrome: Expert Solutions with Lori Michener – FPF Show Episode 127

By dpope2020

April 6, 2024

dan pope, fitness pain free, impingement syndrome, physical therapy, physiotherapy, physiotutors, rotator cuff, rotator cuff exercises, Shoulder, shoulder exercises, shoulder impingement, shoulder impingement exercises, shoulder impingement syndrome, Shoulder Pain, shoulder pain exercises, shoulder pain relief exercises, shoulder pain treatment, subacromial pain, subacromial pain syndrome, subacromial pain syndrome exercises, subacromial pain syndrome treatment

Subacromial Pain Syndrome: Expert Solutions with Lori Michener - FPF Show Episode 127

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In today's video we go over Subacromial Pain Syndrome: Expert Solutions with Lori Michener -  FPF Show Episode 127: 

  • 0:00 Introduction
  • 0:47 Lori Michener's impressive background and story
  • 7:16 How do you define Subacromial Pain Syndrome?
  • 8:02 Is subacromial impingement still relevant?
  • 9:30 If this is not an issue with the acromion, what should we call it?
  • 11:11 Is impingement still occuring but not under the acromion?
  • 15:00 Should we stop using the term "subacromial pain"?
  • 17:59 Should we stop telling patients they have shoulder impingement?
  • 19:42 What are the best special tests to diagnose subacromial pain or rotator cuff related pain?
  • 29:29 Does posture matter for shoulder pain treatment?
  • 31:24 What are the best starting exercises for subacromial pain syndrome?  
  • 31:50 Is there a best type of exercise? (Eccentric vs Concentric vs High Loads vs Moderate Loads)
  • 33:42 Are scapular exercises just rotator cuff exercises and are they relevant?
  • 35:00 Closed chain vs. Open chain exercises
  • 36:39 What's most optimal dosage of exercise? (Exercise selection, sets, reps, frequencies, duration)
  • 38:32 How come some people take longer to get better then others?
  • 39:54 Fear avoidance increases symptom duration and how to address it
  • 41:24 How much pain is acceptable for patients to push through during physical therapy exercise?
  • 47:30 Is patient education the only thing patients need for subacromial pain? [Surprising results]
  • 49:59 At what point should patients start feeling better after starting treatment?
  • 51:59 At what point in time do most patients feel like they're ready to stop physical therapy?
  • 52:34 Do patients feel "better" or do they have a complete symptoms resolution at the end of treatment
  • 53:54 Outcome measures to help physical therapists determine when they're finished with physical therapy (PASS)
  • 58:21 One of the most important questions to ask patients after laying out a plan of care
  • 1:00:52 How to choose the best manual therapy treatments in studies
  • 1:03:09 Do manual therapies cause biomechanical changes in joints?
  • 1:05:44 Should patients receive manual therapies for subacromial pain?

Lori for president!

- Dan Pope DPT,OCS,CSCS

Show Notes / Relevant Articles:

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Thank you!

Dan Pope DPT, OCS, CSCS

References: