In Ep.195 of the Sports Therapy Association podcast, esteemed Professor Ian Horsley, Athlete Health Lead Physio for Upper Limb in UK Sports Institute, unpacks the world of shoulder assessments.

The first in a two-part series, this episode delves into the nuances of the shoulder, from an overview of its complex nature to a discussion on the perceived complexity, intrinsic stability, and neuromuscular control related to the shoulder joint. In addition, the episode probes into the contrasting aspects of qualitative and quantitative assessments, revealing priceless insights for therapists and sports professionals.

The conversation shifts to shed light on high-level athletic performance, emphasizing the importance of experiencing beautiful, effortless movement. Reiterating on the significance of proprioception or joint position sense, this episode challenges the quantitative-heavy traditional approach. Tools like contralateral mirroring and proprioceptive analysis deepen our understanding of shoulder health and the multi-layered aspects of shoulder rehabilitation. Using specific shoulder tests, listeners will be given an insider's view on identifying potential shoulder issues. In addition, the importance of task assessment, testing in real-world activities is emphasized.

The kinetic chain takes center stage as listeners are led into a better understanding of repetitive injuries and how defects in the kinetic chain contribute to it. Taking into account the need for meaningful assessments along different tasks and settings, highlights the importance of movement-based training over focusing solely on muscle groups.

Listeners are also guided through an intimate exploration of shoulder rehabilitation. The discussion covers how personalized approach to rehab provides better results than generic methods, and underutilized techniques such as vestibular rehabilitation are considered. Professor Horsley shares valuable insights on symptoms, improving movement quality, and enhancing joint mobility. News of upcoming webinars and courses with Professor Ian Horsley are also shared for those looking to expand their understanding of shoulder rehabilitation.

About Professor Ian Horsley

• Current Athlete Health Lead Physio for Upper Limb in UK Sports Institute
• Clinical Director at Back in Action Ltd
• Professor at Salford University
• Physiotherapist for England Rugby Union for 14 years including 6 years working with the Elite Playing squad
• Concluded PhD in 2013 examining issues around shoulder injuries in professional rugby
• Has published several articles in peer reviewed journals contributed chapters to several books on sports injury management.
• Part of the HQ medical team for Team England at the 2010 and 2014 Commonwealth Games
• Member of the Team GB HQ medical team at the 2012 and 2016 Olympic Games
• Was consultant Physiotherapist to England Football.

Our sincere thanks to Professor Ian Horsley for giving up his time to be a guest on the show!

Useful Links

• Professor Ian Horsley on Twitter: @Back_in_Action
  
• Professor Ian Horsley on Instagram: @backinactionphysio
  
• Professor Ian Horsley on Facebook: @backinactionrehabilitation
• Website: https://www.backinactionltd.co.uk/

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