Functional Anatomy of Trapezius Muscle

Intro: Trapezius muscle pain is one of the most common musculoskeletal problems. Patients often complain of acute or chronic neck-shoulder pain. Trapezius muscle pain is often characterized by pain, stiffness and tightness of upper fibres of Trapezius muscle, neck and sometimes around the shoulder joint. Tension headache is another common […]

Supraspinatus Strengthening; Empty Can vs Full Can Exercise. II

Read part I of this post here: Shoulder rehab exercises – Full can exercise With many studies reporting limitations with the empty can exercise, several studies have recommended the full can exercise as an effective alternative. Empty can exercise is emerging as the least choice in shoulder rehab exercises mainly […]

Supraspinatus strengthening; Empty Can vs Full Can exercise.

Introduction The rotator cuff muscles group consists of Supraspinatus, Infraspinatus, Teres minor, and the Subscapularis muscles. The primary function of the rotator cuff is to keep the head of the humerus depressed and centered into the glenoid fossa permitting a single center of rotation while allowing efficient abduction or forward elevation […]

Supraspinatus: Anatomy and Biomechanics

Supraspinatus (SSP) is one of the four rotator cuff muscles. It originates in the supraspinatus fossa, superior portion of the scapula (shoulder blade), just above the spine of the scapula. It passes laterally underneath the acromion process to insert in the superior facet and superior ½ of middle facet of […]

Is Thoracic Spinal Manipulation effective for treating subacromial impingement shoulder pain?

Subacromial impingement syndrome Shoulder pain is one of the most common musculoskeletal disorders seen by physical therapists with many potential contributing factors and researched treatment methods. Among various causes of shoulder pain or pathologies studied, subacromial impingement syndrome (SIS) is the most frequently reported. It is difficult to differentiate SIS […]

Evidence Based Physiotherapy Approach for Frozen Shoulder. Post III

Read previous posts here: Post I Post II  B) Second phase: adhesive, frozen, stiffness or transitional stage During this stage, there will be no worsening of pain but will be a significant progressive loss of ROM in a capsular pattern. Thus, the treatment protocol is more aggressive. Joint mobilization and […]

Evidence Based Physiotherapy Approach for Frozen Shoulder. Post II

Read Post I here:  Evidence-based physiotherapy approach for frozen shoulder. Post I   Therapist should be able to customize the rehabilitation program based on each individual symptoms and clinical stage of the frozen shoulder A) Initial Phase; acute, freezing or painful stage Since this is a painful stage any activities […]

Evidence Based Physiotherapy Approach for Frozen Shoulder. Post I

Frozen shoulder is a debilitating condition with a painful and significantly restricted range of motions of the shoulder joint. Clinically known as adhesive capsulitis, frozen shoulder can lead to disability generally lasting anywhere from 1 – 24 months (Page et al 2010). However, many patients may never fully recover from […]

Clinical Presentation of Adhesive Capsulitis

The shoulder joint is one of the most mobile joints with an extraordinary range of motion (ROM). Adhesive capsulitis is a benign, self-limiting musculoskeletal condition that has a disabling capability. Adhesive capsulitis, commonly known as frozen shoulder causes pain and restriction of ROM of ≥ 25% in at least two […]

Rotator cuff injuries: clinical relevance of measurement of ROM

 Introduction Rotator cuff (RC) is a dynamic stabilizer of the glenohumeral joint. Repetitive micro or macro-trauma placed on these structures can cause various degrees of injuries or tears. Rotator cuff injuries are common in overhead throwing and contact athletes. Up to 7000 to 8000 deg/s of humeral angular velocities can be seen […]