Great video! The full assessment run-through of the shoulder was incredibly informative. I appreciate the thoroughness and clarity of the explanations. Keep up the excellent work!
Thanks for all your videos!! They are great!! In this video you add the text that you can also clear the shoulder. Do you have a video where you clear the shoulder? I would like to know what you would do and in what order :)
great vid, the only downside of this is, is If you don't know why you are doing these different moves or what muscles their activating/testing, makes it harder to cement this knowledge and connect the threads. Like " oh external rotation of the shoulder tests the infraspinatus. which you'd want to test if you were examining say a frozen shoulder"
Hi! You are absolutely right.... thats why at the beginning of the video we highlight that this video is simply to help you get the order of your assessment, and that we have much more detail in our other videos. So for example, we have videos such as "Shoulder Resisted tests" and "Shoulder Active Range of Movement" testing on our channel which goes through AAAAAAALL the detail you are looking for!
Great video for me preparing an assessment for shoulder problems and neck problems. Thank you. I think it is important to assess thoroughly even though the time is limited. Cheers.
I think you should add detail explanations on what every movement for. For example : when you raise up your pation's arm then it feels pain or on ceritain location, you have to explain what it is all about. So then like me who know nothing about physio Will get advantage from your videos. Thanks for your video anyway
Hi Denny! I hope you heard the introduction and summary of this video. We mention in both sections that this video is designed to show you the ORDER of the assessment, but that we have MANY MANY other videos such as Shoulder Observation, Shoulder Active ROM, Shoulder Passive Range of Movement, Shoulder Palpation and Shoulder Resisted tests which go through every detail of the assessment for you. So please do watch those videos!
64yr old female..hope i get a therapist like you.. • Closed fracture of head of right humerus with routine healing, subsequent encounter • Superior glenoid labrum lesion of right shoulder, subsequent encounter Contusion of right shoulder, subsequent encounter Fall on same level due to impact against object
This channel is so amazing and the instagram page is great too. Would it be possible to do physical assessment videos in plumlines and stickers at some stage? Keep up the great work.
Just would like some clarification. During the active ROM segment (which should be done first compared to passive) other than in written protocols, were you testing passive at the end of each...end range is usually done with passive so it was a bit confusing with him moving the patient into further ROM and then start a separate passive ROM portion...
Hi! So I’m wondering if you are thinking about overpressure? Overpressure is effectively a quick end of range check at the end of each active ROM test…. We have a video “shoulder active range of movement” if you wanted to look at this in more detail 🙏🏼
@@ClinicalPhysio I understand what overpressure is because in school we were taught that is how you are to check end range however for end range PROM for physical therapy. I am not sure if that would change but if possible, can you just state a validated source for why you would use it with active?
Is your question about whether physical therapy is required? The answer is sometimes yes, sometimes no. Unless it's a complete rupture, tendons do heal on their own. But sometimes physical therapy or at least doing some exercises is required to overcome limited range of motion, pain and decreased muscle strength due to injury and possible scar tissue.
Of course Lucy! Great question! The main reason is that it makes handling so much easier, much easier to lift into flexion or abduction with less impact of gravity or having to lift up above your own head (which you may have to do if patient sitting or standing). If you wish we have the individual shoulder videos on our playlist which breaks it all down in even more detail 😊
Hi! Hopefully you heard what we say at the beginning and end of the video where we highlight that this video is just brief to go through the order but that for more detail on every component please look at our bigger videos all on our channel!!!
Hi! The key to this video is to allow you to see the routine order that we may complete the assessment so that you learn the order… You can then check out our other individual videos e.g. shoulder Palpation or shoulder resisted tests to get more detail on how to do them
firstly why there is need to check the passive rom when active that too resisted is perfectly fine, also please add the relevance of the test along the muscle involved, it was good but could have been more informative
Hi Anirudh! The aim of the video as we said at the beginning is that it is there just to show you the order for your tests. As we say on the video, there is plenty of detail in our other videos on individual sections 😊
Each ROM has it's own benefits. With Prom when you bring the patient through the range you can get slightly more end-range than Arom and also since you are guiding them through it, you get an idea of the patients anatomical limits and also how the movement feels and how it feels at the end range (like it if stops suddenly or spasms) and maybe even a little joint play at the end too. At least that's what I'm learning in school right now, just my opinion if it helps haha
This was very rudimentary, skipped many important ROM assessments (crossarm adduction, extension, scapular motion, thoracic mobility, int/ext rotation with arm abducted), skipped provocative tests, and took a long time to perform the minimal assessment that you did.
Great video! The full assessment run-through of the shoulder was incredibly informative. I appreciate the thoroughness and clarity of the explanations. Keep up the excellent work!
Thank you very much!
Thanks for all your videos!! They are great!!
In this video you add the text that you can also clear the shoulder. Do you have a video where you clear the shoulder? I would like to know what you would do and in what order :)
great vid, the only downside of this is, is If you don't know why you are doing these different moves or what muscles their activating/testing, makes it harder to cement this knowledge and connect the threads. Like " oh external rotation of the shoulder tests the infraspinatus. which you'd want to test if you were examining say a frozen shoulder"
Hi! You are absolutely right.... thats why at the beginning of the video we highlight that this video is simply to help you get the order of your assessment, and that we have much more detail in our other videos. So for example, we have videos such as "Shoulder Resisted tests" and "Shoulder Active Range of Movement" testing on our channel which goes through AAAAAAALL the detail you are looking for!
@@ClinicalPhysio Thank you so much for aaaaaaalll detailed videos :)
@@alibugrakosker you are very welcome!
Thanks as always for your clear content (here and throughout). Reviewing most of them before my MSK placement. 👍😬
Thank you so much CJ! Hope we can keep helping you!
Great video for me preparing an assessment for shoulder problems and neck problems. Thank you.
I think it is important to assess thoroughly even though the time is limited.
Cheers.
Thank you so much!
Would be nice to have him let us know what/ why he’s palpating on the shoulder when she’s supine.
My experience always is the neck vertebrae nerves restriction thank you
Thanks for sharing!
Thanks for this informative video regarding shoulder assessment
Always welcome! Thank you for watching!
I think you should add detail explanations on what every movement for.
For example : when you raise up your pation's arm then it feels pain or on ceritain location, you have to explain what it is all about. So then like me who know nothing about physio Will get advantage from your videos.
Thanks for your video anyway
Hi Denny! I hope you heard the introduction and summary of this video. We mention in both sections that this video is designed to show you the ORDER of the assessment, but that we have MANY MANY other videos such as Shoulder Observation, Shoulder Active ROM, Shoulder Passive Range of Movement, Shoulder Palpation and Shoulder Resisted tests which go through every detail of the assessment for you. So please do watch those videos!
64yr old female..hope i get a therapist like you..
• Closed fracture of head of right humerus with routine healing, subsequent encounter
• Superior glenoid labrum lesion of right
shoulder, subsequent encounter Contusion of right shoulder, subsequent encounter
Fall on same level due to impact against object
Wishing you all the very best with your recovery 🙏🏼
@@ClinicalPhysio thank you
This channel is so amazing and the instagram page is great too. Would it be possible to do physical assessment videos in plumlines and stickers at some stage? Keep up the great work.
Thank you so much Aodhán! Absolutely! More to come 😊
Great help to me, appreciate your time and effort guys! More power!
Thank you so much Maricel!
Doc may I ask, if I could ask for full body assessment to an ortho/doctor?
Thank you
LETS GET CLINICAL
😍
Plz plz can you create a tutorial for assessment of TMJ dysfunction🙏🙏
Great idea!
Just would like some clarification. During the active ROM segment (which should be done first compared to passive) other than in written protocols, were you testing passive at the end of each...end range is usually done with passive so it was a bit confusing with him moving the patient into further ROM and then start a separate passive ROM portion...
Hi! So I’m wondering if you are thinking about overpressure? Overpressure is effectively a quick end of range check at the end of each active ROM test…. We have a video “shoulder active range of movement” if you wanted to look at this in more detail 🙏🏼
@@ClinicalPhysio I understand what overpressure is because in school we were taught that is how you are to check end range however for end range PROM for physical therapy. I am not sure if that would change but if possible, can you just state a validated source for why you would use it with active?
@@digiwatchtcg7625 certainly , books such as Petty and Moore for Musculoskeletal Examination will teach overpressure with AROM
Thanks
Any time!
Can all these tendon heal automatically with time and physiotherapy. Please let me know
Is your question about whether physical therapy is required? The answer is sometimes yes, sometimes no. Unless it's a complete rupture, tendons do heal on their own. But sometimes physical therapy or at least doing some exercises is required to overcome limited range of motion, pain and decreased muscle strength due to injury and possible scar tissue.
💖 loved your videos.Keep posting 👍
Thank you so much!
Can i ask why the patient is supine for the passive ROM , thanks 😊
Of course Lucy! Great question! The main reason is that it makes handling so much easier, much easier to lift into flexion or abduction with less impact of gravity or having to lift up above your own head (which you may have to do if patient sitting or standing). If you wish we have the individual shoulder videos on our playlist which breaks it all down in even more detail 😊
@ClinicalPhysio that's great! And makes so much sense, thanks so replying ☺️
Welldone
Thank you!
What would help is if the therapist would speak to the pt. more to advise what he's trying to assess.
Hi! Hopefully you heard what we say at the beginning and end of the video where we highlight that this video is just brief to go through the order but that for more detail on every component please look at our bigger videos all on our channel!!!
We were taught not to tell the patient that you are assessing their posture, and here you are...
What about the extension?
Hi Eglis! Have a look at our "Shoulder Active Range of Movement" Video - we go into detail about why don't always test extension routinely
What do I do with this info?
Hi! The key to this video is to allow you to see the routine order that we may complete the assessment so that you learn the order… You can then check out our other individual videos e.g. shoulder Palpation or shoulder resisted tests to get more detail on how to do them
firstly why there is need to check the passive rom when active that too resisted is perfectly fine, also please add the relevance of the test along the muscle involved, it was good but could have been more informative
Hi Anirudh! The aim of the video as we said at the beginning is that it is there just to show you the order for your tests. As we say on the video, there is plenty of detail in our other videos on individual sections 😊
@@ClinicalPhysio ok sure , I'd love to explore them 😊 you're doing good work, congratulations
Each ROM has it's own benefits. With Prom when you bring the patient through the range you can get slightly more end-range than Arom and also since you are guiding them through it, you get an idea of the patients anatomical limits and also how the movement feels and how it feels at the end range (like it if stops suddenly or spasms) and maybe even a little joint play at the end too. At least that's what I'm learning in school right now, just my opinion if it helps haha
Would it be to feel for any abnormal “end feels”? Like bony or excessively spongy
i usually skip this part
This was very rudimentary, skipped many important ROM assessments (crossarm adduction, extension, scapular motion, thoracic mobility, int/ext rotation with arm abducted), skipped provocative tests, and took a long time to perform the minimal assessment that you did.
Super sir
Thank you!