Clinical reasoning to inform the choice of exercises for patients with shoulder dysfunction – evidence and application
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Exercise is the mainstay of conservative treatment for shoulder dysfunction. However, evidence to support the efficacy of specific exercises for different categories of shoulder dysfunction is limited leaving clinicians with the dilemma of how to choose effective, efficient exercises for their patients with shoulder dysfunction.
Karen Ginn will explore a rationale, evidence-based approach to determining and progressing patient-specific therapeutic shoulder exercises. The validity and reliability of clinical evidence gained from the patient’s diagnosis, radiographic and physical examination findings will be explored to evaluate their role in informing an evidence-based clinical reasoning process to select appropriate therapeutic exercises. Recent evidence on the function of shoulder muscles, particularly the stabiliser function of the rotator cuff and axioscapular muscles, will also be presented.
Finally a case study of a patient with shoulder pain is presented to illustrate this evidence-based clinical reasoning approach to the selection and progression of a patient-specific exercise programme.
Karen Ginn
Professor Ginn is a musculoskeletal anatomist in the Discipline of Anatomy & Histology, Sydney Medical School, University of Sydney. She teaches functional, applied anatomy to various health professional groups and is a musculoskeletal physiotherapist in part time private practice.
She is involved in research related to the assessment and treatment of shoulder dysfunction including: Clinical trials investigating the efficacy of conservative and surgical treatment for shoulder dysfunction; electromyographic (EMG) studies investigating shoulder muscle activation patterns in normal subjects and patients with shoulder dysfunction; EMG studies evaluating shoulder exercises; studies evaluating the validity and reliability of components of the physical examination of the shoulder; experimental shoulder pain studies; investigations into shoulder stiffness and cortical changes associated with shoulder pain; and programs designed to prevent the development of shoulder pain in the elderly & various at risk professional groups.
She has approximately 50 publications in peer-reviewed journals and is currently a member of the Board of the International Congress of Shoulder and Elbow Therapists.
Karen Ginn is also speaking at the symposium 'Evidence-based clinical reasoning for exercises in rotator cuff related disorders'.