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Clinical SeminarTreatment of Shoulder Impingement: Targeted Intervention StrategiesPaula M. Ludewig, University of Minnesota, USAExercise programs for shoulder impingement have generally been show to have significant positive effects. However, treatment programs vary widely and are often non-specific. This clinical seminar will present examples of potential sub-categories of movement based diagnoses for persons with shoulder impingement. An overview of patient clinical and movement presentation for each category will be provided. Biomechanical implications for the rotator cuff will be identified. Capabilities of specific shoulder muscle groups to contribute to or reduce deviations will be described. Integration of the clinical and biomechanical factors to direct targeted intervention strategies for each sub-category will be illustrated with case examples. It is proposed that sub-grouping based on movement deviation categories and subsequent targeted intervention can improve overall long term outcomes for the treatment of shoulder impingement pain and dysfunction. |
