Skráning hefst 1. ágúst 2017.
Fyrirlesari: Dr Jeremy Lewis PhD FCSP.
Professor of Musculoskeletal Research (University of Limerick, Ireland). Reader in Physiotherapy (University of Hertfordshire, UK). Consultant Physiotherapist, Independent Prescriber , Sonographer.
Central London Community Healthcare NHS Trust (www.clch.nhs.uk), London, UKCentre for Health & Human Performance (www.chhp.com), London, UK. www.LondonShoulderClinic.com
Content
What this lecture will cover:
1. Where are the symptoms coming from? / The dilemma of diagnosis
2. The problem with the shoulder - 3 million years of evolution from the African savanna to the 21st Century
3. Posture / 50 Shades of Grey / We are going to make history!
4. Management & Opportunities for the future
Abstract
Frozen shoulder is a poorly understood condition that typically involves substantial pain, movement restriction, and considerable morbidity. Although function improves overtime, full and pain free range, may not be restored in everyone. Frozen shoulder is also known as adhesive capsulitis, however the evidence for capsular adhesions is refuted and arguably, this term should be abandoned. The aim of this Masterclass is to synthesise evidence to provide a framework for assessment and management for Frozen Shoulder. Although used in the treatment of this condition, manipulation under anaesthetic has been associated with joint damage and may be no more effective than physiotherapy. Capsular release is another surgical procedure that is supported by expert opinion and published case series, but currently high quality research is not available. Recommendations that supervised neglect is preferable to physiotherapy have been based on a quasi-experimental study associated with a high risk of bias. Physiotherapists in the United Kingdom have developed dedicated care pathways that provide; assessment, referral for imaging, education, health screening, ultrasound guided corticosteroid and hydro-distension injections, embedded within physiotherapy rehabilitation. The entire pathway is provided by physiotherapists and evidence exists to support each stage of the pathway. Substantial on-going research is required to better understand; epidemiology, patho-aetiology, assessment, best management, health economics, patient satisfaction and if possible prevention.
