Podcast Episode 16: K.I.S.S. Simplifying The Shoulder with Adam Meakins
ฝัง
- เผยแพร่เมื่อ 5 ก.พ. 2025
- Why must we overcomplicate things? In this episode, we welcome Physiotherapist and strength and conditioning specialist, Adam Meakins, onto the show to discuss management of shoulder injuries (and other topics) in a simple, practical way.
Adam's blog:
thesports.physio/
To learn more about the ClinicalAthlete Community:
www.clinicalat...
One of your 6 listeners here to say keep up the good work!!
This deserves more views. I found it to be super helpful as a PT student. Thank you!
great and honest discussion
9 mins in, and I already love this guy! Preach!
Glad it's helpful!
Greetings from Croatia ! Great content
Simply awesome listening!
where can I access the webinar spoke of in this video.
Great video greetings from indonesia, when you discus this thing in my country we only use passive treatment
The manual therapy is not only doing mobilisation and massage,we use that for short term solution,I think there is a lot of evidence for that,I agree it's not strong evidence.But there is evidence and we will always combine our manual technical with exercise and active therapy.This combination served the patient a lot in the clinic
There's nothing superior about exercise. He's just wrong lmao
If only Cavalier was in on this talk too! All three an inspiration to me. Thanks guys
Quinn what is the app that you use with your patients as a visual?
Essential Anatomy
I searched Jo Gibson on youtube and this was the second result that popped up!?
Can anybody find the paper Adam is referencing @29:46? Would really love to take a look at it and my research efforts have been futile!
Here you go! www.ncbi.nlm.nih.gov/pubmed/18555732/
How long do you think it will take academia and PT schools to catch up to this line of thought?
May take a while, but it's all moving in the right direction!
This is an interesting conversation. I want to preface this with the fact that I've always been hugely skeptical of PT(i.e. ultrasound, taping) and alternative modalities (dry needling, acupuncture etc.), but have tried to maintain an open mind despite this.
One question to Adam or Quinn, have either of you ever worked with someone who incorporates manual therapy in their physical therapy practice? I currently go to a trainer who uses acupuncture and dry needling, but he doesn't use these techniques as a cure all or a crutch. He's very much clear that progressive loading and squats, deadlifts etc. are key to hopefully get me to my goal. It does seem to make a difference once followed up with exercise, especially with chronic painful tissues, and yes I've tried just exercise many times and the manual intervention does seem to help loosen things up before doing the exercises. I've had much less success with foam rolling or massage in attempting to do the same. As a patient/client, I find it confusing that there is so much disagreement about manual therapy and it confuses me as to who/what approach to trust in. It would be nice to see everyone drop the criticism and just go head to head. Keep track of your results, how well your hypotheses and treatment plans pan out and share this information honestly with each other. It would do a great service to us all if we can just get some data and outcomes here, and cooperation among the different camps(for lack of a better term).
Hi John! There is a lot of research comparing manual therapy to exercise on Google Scholar and Pubmed. That data is likely more reliable than clinicians citing their experience, as that can have bias.
@@ClinicalAthlete Hello there, apologies for the late reply and thank you for yours! Yes that's understood, I've seen comparative studies of sham acupuncture and real acupuncture and I'm aware that a lot of the favorable studies tend to come from China. But let's take ART(Active Release Technique) and general massage for example. It's quite difficult to do a randomized, double blind, controlled study on something like massage or Active Release Technique because how do you do 'sham' ART or massage? It seems like these are things that practitioners just use in the clinic and if they see a favorable change in movement or pain, then they continue using them. They know that there won't be any real evidence base for these any time soon, yet should they just abandon these approaches altogether then? I've had plenty of experiences in PT/rehab where I'm coming in in pain and no matter what kind of mobilization or warm up I do, most of the time the pain doesn't dial down to an acceptable level for me to exercise. On the contrary, exercise sometimes makes the pain worse in those instances(and I'm talking moderate stuff like a body weight squat to parallel). Then I get some dry needling and I'm feeling better. I'm a huge skeptic, placebo likely does not work on me. I've had bad acupuncture and good acupuncture where I can actually see an immediate difference in my pain and range of motion. So I guess what I'm saying is, if you haven't actually gone to a clinic where a highly regarded clinician uses these approaches, maybe try to get them on the podcast and invite Adam Meakins back as well and have a dialogue. Or better yet, a real life treatment example captured on camera with all you guys in on the setting. That would be pretty awesome!
@@johnb1399 Thank you for the reply, we'll certainly keep this in mind! Also, check out Episode 6 of the podcast!
@@ClinicalAthlete Will do! Keep up the good work, really enjoy your content and the world is a better place with you guys in it!