A targeted Pilates program for low back pain

During my recent trip to Melbourne I had the pleasure of observing Dr Lynn Bardin in the SPINE Pilates class. I thought it was a great time to reflect on what I have learnt this year about the Pilates method, discuss a few ways that my thinking and teaching has changed, and discuss how Lynn Bardin tailors a Pilates program to be specific and effective for the management of low back pain.  

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Shoulder Symptom Modification Procedure - picking the right shoulders to treat

This week we take a look at one more approach to assessing shoulders, the Shoulder Symptom Modification Procedure. It was developed by internationally acclaimed Physiotherapist Dr Jeremy Lewis and it links beautifully with the previous shoulder blogs, providing a more holistic assessment for the painful shoulder. The SSMP helps identify those suitable for conservative treatment and directs our initial rehabilitation approach. 

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Scapula rehabilitation - which exercise to choose?

This blog compares different approaches for scapula rehabilitation. It has been interesting reading about the research which explores which exercises promote certain muscles around the scapula. This blog also introduces a contrasting approach, which focussing on retraining upward rotation rather than isolated muscle strengthening. While the focus has been on scapula dyskinesis relating to shoulder impingement, the principles in this blog are generalisable to some extent to many shoulder problems. 

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The role of the scapula in Shoulder Impingement Syndrome: part 2

Part 2 of the shoulder impingement series is an entire blog dedicated to looking at the finer detail of normal functioning of the scapula and then applying this knowledge to scapula assessment and diagnosis of scapula dyskinesis. Before we can move onto rehabilitation pathways, you first need to try decipher what we see. 

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Physical Therapy in California - the requalification process

Thinking about moving to the States to practice Physiotherapy? The system is complicated and it takes a long time to meet all the requirements for an American Physical Therapy licence. Unfortunately for me, I have struggled to navigate my way through it all. I wanted to share this journey with you and all the information I've gathered along the way in the hope that others will be more successful in the future. 

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The role of the Scapula in Shoulder Impingement Syndrome: Part 1

Shoulder impingement has been described and researched for many years and some of the original work was described by Neer in the early 1980’s. As our understanding of impingement has expanded we have come to realise that there are many types of shoulder impingement i.e internal and external, and primary and secondary. For some the word can be daunting and if not clearly specified, it can leave the clinician and patient without knowledge of what structure is at fault, where it is occurring and why. This is the first of three blogs looking at shoulder impingement, the role of the scapula, and different approaches to the treatment of scapula dyskinesis in shoulder impingement syndrome. 

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