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15 Jan, 5 tweets, 3 min read
My chiro friend is going over "IMPINGEMENT SYNDROME" of the shoulder at school. So I pointed him to these 4 articles. Might only be a colloquial term for some, but still... Let's put "impingement" behind us. We can and should do better!

📑ncbi.nlm.nih.gov/pmc/articles/P…
📑nature.com/articles/s4159…
📑journals.humankinetics.com/view/journals/…
📑pubmed.ncbi.nlm.nih.gov/30647053/
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More from @ThomasRoth91

PhysioOVER9000 Profile picture
28 Jul 20
‼️The nail in the coffin for the "Ober test" and "Modified Ober test" for Iliotibial Band Syndrom (ITBS)‼️
@Retlouping @rwilly2003 @tomgoom @KThorborg @DerekGriffin86 @AdamMeakins
Claims:

1: The aim of the Ober test and the Modified Ober test is to assess the ITB.
2: The Ober test and Modified Ober test claims to assess ITB tightness
Let me present the coffin ⚰️
In the paper by Willett et al., 2016, they tested whether the ITB limits hip adduction during the Ober test and Modified Ober test. One would expect an INCREASE in hip adduction if the ITB was to be cut.
pubmed.ncbi.nlm.nih.gov/26755689/
Read 10 tweets
PhysioOVER9000 Profile picture
15 Jul 20
‼️‼️Sigle-leg Deadlift (SDL) is NOT better than the Nordic Hamstring Exercise (NHE) in the prevention of hamstring injuries.‼️‼️
A summation of a SINGLE article:
pubmed.ncbi.nlm.nih.gov/29143379/
@KThorborg @NicolvanDyk @arnlaugw Image
Catchy heading? Yes, it is a bit hyperbole. Now, on to the article.
As seen in the graph, the NHE out-performs the SLD, not only in overall muscle activation (y-axis), but also in every single muscle region (x-axis).
"absolute activity was substantially lower in both
muscles (ST = 72% vs 37%, BFlh = 64% vs 36%, of MVIC
on average in NHE vs SDL)." Image
Read 7 tweets
PhysioOVER9000 Profile picture
26 Apr 20
‼️The paradox of isometric strength testing‼️
Strength output is dependent on a lot of factors, one of them being at what joint angle the muscle has to work against a force.
@Retlouping @alisongrimaldi @PeterBrukner @JOSPT @NicolvanDyk @davidopar
Some muscles, we test at their "optimal" angle, whilst others we place at a less favourable angle for producing torque.
In the paper "Kinesiology of the hip - A focus on muscular action", by Neumann, Neumann has this to say about the abductor muscles: " Peak hip abduction torque occurs when the abductor muscles are nearly maximally elongated, in a position of 10 degrees of ❗️adduction❗️. Image
Read 8 tweets
PhysioOVER9000 Profile picture
21 Apr 20
The classical explanation of annulus fibrosus failure is NOT the anatomy of failure in lumbar disc herniation (LDH).
@PeteOSullivanPT @PeterBrukner @kieranosull @MaryOKeeffe007 @function2fitnes @AdamMeakins Image
Excuse my (hopefully) catching and maybe slight provocative heading. I am a physiotherapy student who wants to embark on this exploratory journey with the hopeful help of more experienced minds.
In this thread, I want to propose that the anatomy of failure is the end-plate (EP), rather than the annulus fibrosus (AF). Hopefully, this might add some clinical value and a proposed explanation as to why some patients do worse in the long-term following a disc herniation. ImageImage
Read 20 tweets

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