Posts Tagged ‘optimal shoulder performance’

First, let me say that this idea is totally stolen – I’m not ashamed to admit it. I heard about it from Mike Reinold and Eric Cressey at the Optimal Shoulder Performance course and thought it was an outstanding tip.

This tip will enhance your ability to accurately measure ROM in all joints when using a goniometer.

Simply go to the local hardware store and get yourself a bubble level. (If you are unable to find a single bubble, get a cheap plastic level and take it apart to expose the individual bubble levels). While you are at the hardware store, get yourself some glue. Take the bubble(s) and glue it on your goniometer as shown and you are ready to roll. (Make sure that you put it on the opposite side of the moving arm).

Now, with your newly rigged goniometer, you use the level to determine your measurement baseline. So instead of trying to eyeball whether the goniometer is properly lined up, use the level to make that determination. Once you are level, get your measurement and you are all set.

The great thing is, by using level to determine your starting point – you will always be accurately comparing apples to apples because you are using the same starting point. You no longer have to guess – level never changes and will give you an accurate measurement every time.

This tip will help you to eliminate measurement error and greatly improve your measurement accuracy.

Anyone currently use this set-up? What are your thoughts?


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Any time you attend a conference, you are going to learn some things and unfortunately you are simply going to be unable to retain all of the nuggets shared. So while you do pick up some new skills, there will be some valuable pieces of information that get missed.

So with that being said, the other day I received my DVD copy of the Optimal Shoulder Performance course I attended in November. While watching it, I experienced one of those “I completely missed that” moments. It involved proper execution of the sulcus sign.

For those unfamiliar with this test, here is a video showing execution of the test:

One of the keys when doing this test is head position. In this video, the patient is looking straight ahead – and this is the correct position. Mike Reinold did a nice of job of demonstrating and explaining what can happen if the patient is looking toward the shoulder being tested.

People get curious and want to see what in the world is going on with their shoulder. We, even as the ever educating professional, may even want to show them what is or is not going on with their shoulder and encourage them to look at the shoulder as we do the test.

While this sounds innocent enough, as Mike explains, turning the head causes the upper trap and additional muscles around the shoulder to tighten and tense up. As a result, when you perform the sulcus sign on the patient with the head turned toward the tested shoulder, you most likely will get a negative result. The tightening of the muscles causes motion to be reduced and the real result of the test is possibly altered. Therefore, you could end up with a false negative test while proper execution of the test may actually reveal a positive finding.

Make sure the patient is looking straight ahead as shown in the video. As a result, the shoulder musculature will be relaxed and a true test result will be generated.

One of many great tips on the DVD I figured I’d share. So remember – tell the patient to look straight ahead and relax – you’ll get a much more accurate test result.

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I ordered my copy of Optimal Shoulder Performance yesterday. I attended the course in November and look forward to reviewing the material and relearning some of the great information that may have passed me by initially.

One comment about this product and other multimedia presentations in regards to Athletic Trainers and CEUs that most people in our profession have a poor handle on.

Most ATCs are misinformed about what educational materials they can actually utilize in order to acquire their CEUs. They simply think that if an educational course does not have CEUs assigned to it or is offered by a non-approved provider, that they can’t get CEUs for it. So they pass the opportunity by and miss out on a potentially great learning experience.

Unfortunately, this is incorrect. Educational materials such as DVDs or seminars sponsored by non-approved providers can count toward your CEU total under Category D. Each ATC can acquire 20 CEUs in this category every three years.

I wrote a detailed post on this subject previously and you can also check out the BOC guidebook for Continuing Education here.

So don’t disregard those Category D opportunities.

And make sure you order a copy of the Optimal Shoulder Performance DVD as well – you won’t be disappointed.

Take care and have an awesome Easter!!!

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