Session 20 – Shoulder Instability with Jo Gibson

Aug 02, 2015
CH Admin

Physio Matters Logo

The Physio Matters Podcast

Putting big mouths and big ideas behind microphones.
The Physio Matters Podcast is a feature of Chews Health’s third core value ‘We Educate’.

Episodes will feature expert, honest advice, delivered directly to listeners at no cost.

The Physio Matters Podcast content hopes to be clinical gold delivered direct.
Musculoskeletal and Sports Medicine information for those working in physiotherapy, sports therapy, sports rehabilitation, medicine and all divisions of the healthcare industry.

|Subscribe on iTunes|

Session 20 – Shoulder Instability with Jo Gibson

Session 20 features an interview with shoulder specialist Jo Gibson in which Jack and Jo discuss all things shoulder instability from the simple to the complex. Jo has worked within the British Shoulder and Elbow Surgery committee for many years and in this podcast, she shares her experiences of integrated working that will best benefit patients struggling with a notoriously tricky MSK dysfunction.
Sharpen your hearing at the end of the episode for details on a special podcast listener discount code for Heather Watson’s new Health and Work Matters course including a special chance for a massive 50% off for a competition winner!

Twitter: @TPMPodcast @Chews_Health @ShoulderGeek1

Podcast Timeline:

0:00-8:25           Intro

– Listener figures and Survey

– Welcome Jo Gibson

8:25-11:25         Clinical Definition of Shoulder Instability

– Spectrum

– Endless Classification Systems

– Lack of Consensus

11:25-28:10       Stanmore Triangle

– Type 1-3 presentations

– Type “The difficult one”

– Patient Story

– Very early re-dislocation in “patterning patients”

28:10-32:20       Parallels with CRPS in type 3s?

– 2 point discrimination

32:20-37:25       Makeshift 3 presentation case study

37:25-42:00       Surgeon beliefs around surgery

– Is it changing?

– Room for improvement

– Clinical reasoning is better on surgery role

– Rehabcentricity

42:00-49:00         Humeral centering or brute strength?

– Presetting Function

– Timing Issue with proprioceptive deficit

49:00-52:15        Optimising muscle recruitment

– Changing sensory input

52:15-1:00:20      Key differences in first timers and recurrent dislocations

– age boundaries

– central changes after recurrent dislocations

– scan every under 25 traumatic dislocator?

– If to scan, when to scan

1:00:20-1:03:35      What does Type 3 rehab look like?

– Based on symptomatic improvement tests

– Automatic movements

– Weight Bearing

1:03:35-1:09:25      Can we use any other adjuncts?

– Taping

– Must not be a crutch

– Thorax

1:09:25-1:11:50      Jo’s Plugs

1:11:50-1:13:40      Outro

– Listener feedback survey

– Heather Watsons discount code!

– Jack’s undercover bonus discount!

– Cheesy finish

Previous episodes:

Session 1 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 1

Session 2 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 2

Session 3 – The Rugby Shoulder with Dr Ian Horsley

Session 4 – Know Pain: Metaphoric Expression with Mike Stewart – Part 1

Session 5 – Know Pain: Metaphoric Expression with Mike Stewart – Part 2

Session 6 – Achilles Tendons with Seth O’Neill

Session 7 – Critical Thinking, Twitter & Manual Therapy Myths with Adam Meakins

Session 8 – Haemodynamics with Alan Taylor

Session 9 – Psychological Interventions in Physiotherapy with Dr Richard Bennett

Session 10 – Exercise Promotion with Ann Gates

Session 11 – Treating Tendons with Seth O’Neill

Session 12 – The big Kinesiology Tape Debate – ‘To KT, or not to KT’ with Paul Coker and Paul Westwood

Session 13 – A Year in Podcasts with The Physio Matters Podcast Team

Session 14 – The Unstable Concept of Core Stability with Ben Smith

Session 15 – Does Work Matter with Heather Watson

Session 16 – Biomechanics and Pain: The Ongoing Dilemma with Greg Lehman

Session 17 – Building & maintaining an award winning MSK service with Paula Deacon

Session 18 – The myth of ‘over-pronation’ with Ian Griffiths

Session 19 – Managing Runners with Matt Phillips and Tom Goom