A comprehensive rehabilitation program for posterior instability of the shoulder. Balster S. Jull G. (1997) Upper trapezius muscle activity during the brachial plexus tension test in asymptomatic subjects. N1 - Includes bibliographical references. The relevant structures are listed below. ... Level 1 Shoulder. Lyn Watson: Shoulder course Peter Malliaris: Tendinopathy rehabiltation Unite Health Management: Strength and Conditioning for Health Professionals ... 2 years outpatient hospital experience UK including speciality chronic pain & shoulder instability teams 2 years gym-based experience Kuwait, establishing physiotherapy department within the gym Pizzari T, Hoy G, Warby S, Watson L, Sadi J, Balster S. (2017) A comprehensive rehabilitation program for posterior instability of the shoulder. Zika, M. S, Watson L, Pizzari T, Hill S, Wickham J. British Journal of Sports Medicine 41:167-173, http://bjsm.bmj.com/content/41/3/167.abstract. Watson L, Warby S, Balster S, Lenssen R, Pizzari T. (2016) The treatment of multidirectional instability of the shoulder with a rehabilitation program: Part 2. Warby S, Pizzari T, Ford J, Hahne A, Watson L. (2014) The effect of exercise-based management for multidirectional instability of the glenohumeral joint: a systematic review. Dr. Lyn Watson is a clinical Manipulative and Sports Physiotherapist who has been working exclusively in the diagnosis, assessment and rehabilitation of shoulder injuries for the past 25 years. Warby S, Watson L, Ford J, Hahne A, Pizzari T. (2016) Multidirectional instability of the glenohumeral joint: Aetiology, classification, assessment and management. Vol.2, p219-222. (2008) Altered muscle activation patterns in multidirectional shoulder instability during dynamic abduction. A… Warby S, Ford J, Hahne A, Watson L, Balster S, Lenssen R, Pizzari T. (2016) The effect of exercise based management on multidirectional instability of the glenohumeral joint: A pilot randomised controlled trial protocol. She is the specialist shoulder physiotherapy consultant to a variety of national … Lyn Watson, Simon Balster, Sarah Ann Warby, Jackie Sadi, Greg Hoy, Tania Pizzari; Published in issue: April 2017. p182-192. Warby S, Pizzari T, Ford J, Hahne A, Watson L. (2014) The effect of exercise-based management for multidirectional instability of the glenohumeral joint: a systematic review. for multidirectional instability (MDI) of the shoulder is a rehabilitation program.1–3 This paper is the second part of a two-part series that outlines a rehabilitation program for MDI. Lyn Watson is the Chief Physiotherapist, consultant at Melbourne Orthopaedic Group and ... Lyn has also conducted extensive clinical research into the Frozen Shoulder, Glenohumeral Joint Instability, Thoracic Outlet Syndrome, Scapula Mechanics and Assessment and clinical Introduction The most commonly recommended treatment for multidirectional instability (MDI) of the shoulder is exercise. Dr Lyn Watson is a clinical manipulative and sports physiotherapist who has been working exclusively in the management of shoulder injuries for the past 25 years. Australia Conference of Science and Medicine in Sport . The most commonly recommended initial treatment for multidirectional instability is a rehabilitation program. Shoulder Lectures / Workshops . (2016) Evidence-based conservative rehabilitation for posterior glenohumeral instability: A systematic review, Physical Therapy in Sports, http://www.physicaltherapyinsport.com/article/S1466-853X(16)30034-7/abstract. Despite this recommendation, there is limited evidence to support the effectiveness of exercise. Lyn Watson Simon Balster Sarah Ann Warby Jackie Sadi. She is the specialist shoulder physiotherapy consultant to a variety of national … APA. Lyn Watson's 20 research works with 281 citations and 14,692 reads, including: Posterior Shoulder Instability Classification, Assessment, and Management: An International Delphi Study The ligamentous and muscle structures around the glenohumeral joint, under non-pathological conditions, create a balanced net joint reaction force. Kinsella R, Cowan S, Watson, Pizzari T. (2017) A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. 2015; 6: 927– 934. Misra S, Watson L, Taylor NF, Green RA, Hairodin Z (2011) Testing procedures for SLAP lesions of the shoulder involving contraction and torsion of biceps long head and glenohumeral glides. AU - Watson, Lyn. In a single-group study design, 43 participants (16 male, 27 female; mean age, 19.8 years, standard deviation, 4.9 years) diagnosed with MDI undertook a 12-week exercise program. Warby S, Ford J, Hahne A, Watson L, Balster S, Lenssen R, Pizzari T. (2016) The effect of exercise based management on multidirectional instability of the glenohumeral joint: A pilot randomised controlled trial protocol. (2016) Evidence-based conservative rehabilitation for posterior glenohumeral instability: A systematic review. Shoulder & Elbow: 1758573216652087. http://journals.sagepub.com/doi/abs/10.1177/1758573216652087, McIntyre K, Bélanger A, Dhir J, Somerville L, Watson L, Willis M, Sadi J. In phase 2 of the study, clinical shoulder experts (physical therapists, orthopaedic surgeons, sports medicine physicians, and researchers) participated in a 3-round e-Delphi survey. The American Journal of Sports Medicine Vol 46(1): 87 – 97, Kinsella R, Cowan S, Watson, Pizzari T. (2017) A comparison of isometric, isotonic concentric and isotonic eccentric exercises in the physiotherapy management of subacromial pain syndrome/rotator cuff tendinopathy: study protocol for a pilot randomised controlled trial. Bleichert S, Renaud G, MacDermid J, Watson L, Faber K, Lenssen R, Saulnier M, Phillips P, Evans T, Sadi J. Despite this recommendation, there is limited evidence to support the effectiveness of exercise. https://healthpages.wiki/wiki/Mr_Michael_Zemek_(Physiotherapist) http://dx.doi.org/10.1016/j.jht.2017.05.007. Extra Questionnaires & Resources Accessed by logging into website account. Zika, M. S, Watson L, Pizzari T, Hill S, Wickham J. The term ‘shoulder instability’ is used to refer to the inability to maintain the humeral head in the glenoid fossa. By Lyn Watson, Simon Balster, Sarah Ann Warby, et al., Published on 01/01/17. instability of the shoulder with a rehabilitation programme: Part 2 Lyn Watson1,2, Sarah Warby1,2, Simon Balster1, Ross Lenssen1,2 and Tania Pizzari2 Abstract Background: The most commonly recommended initial treatment for multidirectional instability is a rehabilitation program. Authors. Watson L, Story I, Dalziel R, Hoy G, Shimmin A, Woods D. (2005) A new clinical outcome measure of glenohumeral joint instability: The MISS questionnaire. Y1 - 2014/2. [1] The ligamentous and muscle structures around the glenohumeral joint, under non-pathological conditions, create a balanced net joint reaction force. Lyn Watson. Watson L, Pizzari T, Balster S. (2009) Thoracic outlet syndrome part 1: Clinical Manifestations, differentiation and treatment pathways. Wickham J, Pizzari T, Stansfeld K, Burnside A, Watson, L. (2009) Quantifying ‘normal’ shoulder muscle activity during abduction. Jake Rowe on LinkedIn Test differences before and after rehabilitation were evaluated with dependent t tests and single-group effect size calculations (standardized mean difference [SMD]) to provide a measure of the magnitude of the difference. https://doi.org/10.1016/j.jse.2017.07.002. Manual Therapy 3(2):144-149, http://www.manualtherapyjournal.com/article/S1356-689X(97)90294-0/abstract, Watson L, Dalziel R. (1996) Conservative Treatment of Thoracic Outlet Syndrome by Scapula Strengthening Techniques. 14.45 - 15.45 SESSION 4 | Management Jo Gibson | AC-joint injuries in the Sporting Shoulder; Best value exercises! He currently tutors on Lyn Watson's Level 1 Shoulder courses in Sydney. The effects of a conservative rehabilitation program for multidirectional instability of the shoulder Author links open overlay panel Lyn Watson DPhysio a b c Simon Balster BPhysio(Hons) a c Ross Lenssen BHSc a b c Greg Hoy FRACS c Tania Pizzari PhD b Watson L, Dalziel R, Story I. Vol.2, p219-222, Exercise & Rehabilitation of the Shoulder (Website). Level 2 Shoulder. There are discrepancies in the definition and classification of this condition, which can make diagnosis and treatment selection challenging. If the integrity of any of these structures is disrupted it can lead to atraumatic or traumatic instability. (2008) Altered muscle activation patterns in multidirectional shoulder instability during dynamic abduction. Watson L, Warby S, Balster S, Lenssen R, Pizzari T. (2016) The treatment of multidirectional instability of the shoulder with a rehabilitation program: Part 2. Lyn Watson . Pilot and Feasibility Studies Vol3:45, https://doi.org/10.1186/s40814-017-0190-3. Although there is evidence to support the effect of conservative management on this condition, the published literature provides little information on the exercise parameters of such programs. Asian Shoulder Association, ed. Lyn Watson 1 2. Sarah has been working with Lyn Watson and the Melbourne Shoulder Group since 2012 and has a keen interest in treating all types of shoulder problems, with a particular expertise in the treatment of shoulder instability. Sarah has been working with Lyn Watson and the Melbourne Shoulder Group since 2012 and has a keen interest in treating all types of shoulder problems, with a particular expertise in the treatment of shoulder instability. Australia Conference of Science and Medicine in Sport. Primary outcome measures were the Melbourne Instability Shoulder Score, Western Ontario Shoulder Instability Index, and Oxford Shoulder Instability Score. Clinical Biomechanics 29(2): 201-205. https://www.researchgate.net/54629c1a0cf2cb7e9da6527e.pdf, Wickham J, Pizzari T, Balster S, Ganderton C, Watson L. (2014) The variable roles of the upper and lower subscapularis during shoulder motion. This literature overview provides clinicians with insight into scapular kinematics in unimpaired shoulders and shoulders with impingement syndrome and instability. Journal of Science and Medicine in Sport 12, Supplement 1: S4. Practical approach to dislocations. The hypothesis was that the Watson MDI program would produce clinically and statistically superior outcomes over the Rockwood Instability program. Its complex nature has until recently been poorly understood. If the person experiences a “moment in time” involved with their shoulder pain, it will often be the result of shoulder instability or a muscle tear. Int J Case Rep Images 5(7):524-530. Dr. Chintan Desai, Shoulder Surgeon, Mumbai is presenting Multidirectional Shoulder Instability. Pizzari, T. Wickham, J. Watson, L. Zika, M. Hill, S. (2009) Altered muscle activation patterns in multidirectional shoulder instability during dynamic abduction. All measures were taken at baseline and repeated at the conclusion of the program. Watson L, Dalziel R. (1996) Conservative Treatment of Thoracic Outlet Syndrome by Scapula Strengthening Techniques. Despite this, the evidence for efficacy of treatment is limited, and until recently, guidance for clinicians on conservative rehabilitation programs has been inadequate. U DESIGN: Delphi. Allan Skirving. (2008) Altered muscle activation patterns in multidirectional shoulder instability during dynamic abduction. Watson L, Balster S, Finch C and Dalziel R. (2005) Measurement of Scapula Upward Rotation: A Reliable Clinical Procedure. Warby S, Watson L, Ford J, Hahne A, Pizzari T. (2016) Multidirectional instability of the glenohumeral joint: Aetiology, classification, assessment and management. PY - 2014/2. Jake has conducted lots of lectures and workshops on the shoulder. The identified improvement in functional status, shoulder muscle strength, and scapular positioning after rehabilitation allows greater confidence in the value of conservative management of MDI and informs further research by way of clinical trials in the area. (2000) Frozen Shoulder: a 12-month clinical outcome trial. 2017 Jan;9(1):46-53. doi: 10.1177/1758573216652087. Copyright © 2012 ShoulderPhysio. Warby S, Pizzari T, Ford J, Hahne A, Watson L. (2016) Exercise-based management versus surgery for multidirectional instability of the glenohumeral joint: a systematic review. Frietag J, Lenssen R, Slimmon D, Balster S. (2014) The effect of platelet-rich plasma injections in the non-surgical treatment of a partial rotator cuff tear. It is a difficult condition to treat. All measures were taken at baseline and repeated at the conclusion of the program. Authors Lyn Watson 1 2 , Sarah Warby 1 2 , Simon Balster 1 , Ross Lenssen 1 2 , … Lyn Watson. British Medical Journal Open 6(e013083). The term ‘shoulder instability’ is used to refer to the inability to maintain the humeral head in the glenoid fossa. Bleichert S, Renaud G, MacDermid J, Watson L, Faber K, Lenssen R, Saulnier M, Phillips P, Evans T, Sadi J. Article. Watson L, Warby S, Balster S, Lenssen R, Pizzari T. (2016) The treatment of multidirectional instability of the shoulder with a rehabilitation program: Part 1. Dr Lyn Watson is a clinical manipulative and sports physiotherapist who has been working exclusively in the management of shoulder injuries for the past 25 years. Manual Therapy 15(4):305-314, http://www.manualtherapyjournal.com/article/S1356-689X(10)00038-X/abstract, Watson L, Pizzari T, Balster S. (2009) Thoracic outlet syndrome part 1: Clinical Manifestations, differentiation and treatment pathways. and Posterior instability of the shoulder: a systematic review and meta-analysis of clinical outcomes. All strength measures significantly improved, with large differences identified (SMDs, 0.69-2.08). It is a less understood condition and … Secondary outcomes were strength and scapular position. Secondary outcomes were strength and scapular position. Lyn Watson, Sarah Warby, Simon Balster, Ross Lenssen, and Tania Pizzari. Shoulder instability is a phenomenon, which has a variety of clinical presentations. Pizzari, T, Wickham J, Balster S, Ganderton C, Watson L. (2014) Modifying a shrug exercise can facilitate the upward rotator muscles of the scapula. She lives in Melbourne, Australia where she is the Clinical Shoulder Physiotherapy The aim of this paper is to describe a pilot randomised controlled trial comparing the effectiveness of 2 exercise programmes on outcomes of participants with MDI. Document Type. She lives in Melbourne, Australia where she is the Clinical Shoulder Physiotherapy Specialist at Melbourne Shoulder Group and Melbourne Orthopaedic Group. Scapular upward rotation improved significantly in the early ranges of abduction (0°-60°), with moderate to large effects (SMDs, 0.54-0.95). He enjoys sharing his knowledge and is always happy to visit work places, sporting clubs or gyms to talk about shoulder injury prevention and management. Multidirectional instability of the shoulder is a type of glenohumeral joint shoulder instability. N2 - Background: Scapular dyskinesis, characterised by drooping scapulae and reduced upward rotation, has been implicated in the presentation of a number of shoulder disorders. Journal of Hand Therapy Vol 30(182-192). Large effects were found between pre- and postrehabilitation scores on all functional instability questionnaires, with the Western Ontario Shoulder Instability Index demonstrating the largest effect (SMD, –3.04). Hamilton Island. Pizzari T, Hoy G, Warby S, Watson L, Sadi J, Balster S. (2017) A comprehensive rehabilitation program for posterior instability of the shoulder. All rights reserved. Copyright © 2021 Elsevier B.V. or its licensors or contributors. Pizzari, T, Ganderton C, Watson L, Balster S (2013) A novel exercise for retraining the rotator cuff muscles of the shoulder. In phase 2 of the study, clinical shoulder experts (physical therapists, orthopaedic surgeons, sports medicine physicians, and researchers) participated in a 3-round e-Delphi survey. Watson L, Bialocerkowski A, Dalziel R, Balster S, Burke F, Finch C. (2007) Hydrodilatation (Distension Arthrography); A Long Term Clinical Outcome Series. Pizzari, T. Wickham, J. Watson, L. Zika, M. Hill, S. (2009) Altered muscle activation patterns in multidirectional shoulder instability during dynamic abduction. Journal of Science and Medicine in Sport (16): e7. . The effects of a conservative rehabilitation program for multidirectional instability of the shoulder. The relevant structures are listed below. World J Orthop. Lyn Watson Dr Lyn Watson is a clinical Manipulative and Sports Physiotherapist who has been working exclusively in the diagnosis, assessment and rehabilitation of shoulder injuries for the past 25 years. (2014) The variable roles of the upper and lower subscapularis during shoulder motion. The treatment of multidirectional instability of the shoulder with a rehabilitation programme: Part 2 Show all authors. Watson L, Warby S, Balster S, Lenssen R, Pizzari T. (2016) The treatment of multidirectional instability of the shoulder with a rehabilitation program: Part 1. on multidirectional instability of the glenohumeral joint: a pilot randomised controlled trial protocol Sarah A Warby,1,2 Jon J Ford,1 Andrew J Hahne,1 Lyn Watson,1,2 Simon Balster,2,3 Ross Lenssen,1,2,3 Tania Pizzari1 To cite: Warby SA, Ford JJ, Hahne AJ, et al. British Journal of Sports Medicine Vol50: 1115-1123. http://dx.doi.org/10.1136/bjsports-2015-094970. The posterior instability program is based on the Watson MDI program,38, 44 with a larger emphasis on developing posterior muscular control and strength. The challenge of the problem shoulder. Watson L, Balster S, Finch C and Dalziel R. (2005) Measurement of Scapula Upward Rotation: A Reliable Clinical Procedure. The La Trobe University Human Ethics Committee approved this study (Approval Number 09-027). The aim of this paper is to describe a pilot randomised controlled trial comparing the effectiveness of 2 exercise programmes on … The upward rotation shrug is a more effective exercise for eliciting muscle activity of the upper and lower trapezius than the standard shrug in a normal and multi-directional instability population. Watson L, Pizzari T, Balster S. (2010) Thoracic outlet syndrome part 2: Conservative management of thoracic outlet syndrome. In patients with glenohumeral shoulder instability, a decreased scapular upward rotation and increased internal rotation is seen. Shoulder & Elbow: 1758573216652086. http://journals.sagepub.com/doi/abs/10.1177/1758573216652086. Allan Skirving. During my Masters program I had the great privilege of taking a master class with Lyn Watson, one of Australia's best Shoulder Specialist Physiotherapists. Journal of Shoulder & Elbow Surgery, 14(1):22-30, http://www.jshoulderelbow.org/article/S1058-2746(04)00141-7/abstract, Watson L, Dalziel R, Story I. Title. Journal of Shoulder and Elbow Surgery 23(1): 128-142. https://www.researchgate.net/57956c8b08aed51475dbde2f.pdf, Frietag J, Lenssen R, Slimmon D, Balster S. (2014) The effect of platelet-rich plasma injections in the non-surgical treatment of a partial rotator cuff tear. The shoulder is the most mobile joint in the body, which also makes it prone to injury. Manual Therapy 14(6):586-595, http://www.manualtherapyjournal.com/article/S1356-689X(09)00141-6/abstract. We use cookies to help provide and enhance our service and tailor content and ads. Full-Text HTML; PDF Supplemental Materials; Epub 2016 Jul 8. Watson L, Pizzari T, Balster S. (2010) Thoracic outlet syndrome part 2: Conservative management of thoracic outlet syndrome. There are many causes of shoulder pain and the focus for this blog is to focus on these - shoulder impingement syndrome. (2000) Frozen Shoulder: a 12-month clinical outcome trial. British Journal of Sports Medicine 39:599-603. http://bjsm.bmj.com/content/39/9/599.abstract?sid=6c06a28b-5ba5-4058-9b54-f7e975d64191, Watson L, Story I, Dalziel R, Hoy G, Shimmin A, Woods D. (2005) A new clinical outcome measure of glenohumeral joint instability: The MISS questionnaire. U DESIGN: Delphi. Crossref Medline Google Scholar; 8. Introduction The most commonly recommended treatment for multidirectional instability (MDI) of the shoulder is exercise. (2017) Rehabilitation of symptomatic atraumatic degenerative rotator cuff tears: A clinical commentary on assessment and management. Shoulder & Elbow 2016 9: 1, 46-53 Download Citation. Sarah has been working with Lyn Watson and the Melbourne Shoulder Group since 2012 and has a keen interest in treating all types of shoulder problems, with a particular expertise in the treatment of shoulder instability. Lyn Watson is the Chief Physiotherapist, consultant at Melbourne Orthopaedic Group and ... Lyn has also conducted extensive clinical research into the Frozen Shoulder, Glenohumeral Joint Instability, Thoracic Outlet Syndrome, Scapula Mechanics and Assessment and clinical Journal of Electromyography and Kinesiology 20: 212-222. http://www.sciencedirect.com/science/article/pii/S105064110900087X. McIntyre K, Bélanger A, Dhir J, Somerville L, Watson L, Willis M, Sadi J. Lyn Watson | Conservative Management of Multidirectional Instability; What the research tells us and how to apply it practically? . http://www.jsams.org/article/S1440-2440(13)00249-1/abstract, Misra S, Watson L, Taylor NF, Green RA, Hairodin Z (2011) Testing procedures for SLAP lesions of the shoulder involving contraction and torsion of biceps long head and glenohumeral glides. Warby S, Ford J, Hahne A, Watson L, Balster S, Lenssen R and Pizzari T. (2017) Comparison of 2 Exercise Rehabilitation Programs for Multidirectional Instability of the Glenohumeral Joint: A Randomized Controlled Trial. Dr Lyn Watson is a clinical Manipulative and Sports Physiotherapist who has been working exclusively in the diagnosis, assessment and rehabilitation of shoulder injuries for the past 25 years. SESSION I : MASTERCLASS with Dr Lyn WATSON WORKSHOP Ateliers pratiques et théorie par Dr Lyn WATSON: WORKSHOPS: ATELIERS PRATIQUES: Modérateurs : Patrice Duplan & Alexandra Roren: Multi-Directional Instability of the Shoulder: The Clinical Development and Research associated with our MDI Program and Posterior shoulder instability in the athletic population: variations in assessment, clinical outcomes, and return to sport. (2017) Rehabilitation of symptomatic atraumatic degenerative rotator cuff tears: A clinical commentary on assessment and management. DeLong JM, , Jiang K, , Bradley JP. By continuing you agree to the use of cookies. Zika, M. S, Watson L, Pizzari T, Hill S, Wickham J. Clinically, the upward rotation shrug might be useful to address scapular dyskinesis involving droop … Shoulder Surgery The Asian Perspective. Asian Shoulder Association, ed. Conservative management is commonly recommended as the first-line treatment for multidirectional instability (MDI) of the shoulder. Wickham J, Pizzari T, Stansfeld K, Burnside A, Watson, L. (2009) Quantifying ‘normal’ shoulder muscle activity during abduction. Clinical BiomechanicsVol29(8):885-891, https://doi.org/10.1016/j.clinbiomech.2014.07.003. The treatment of multidirectional instability of the shoulder with a rehabilitation programme: Part 2 Shoulder Elbow. The effects of a conservative rehabilitation program for multidirectional instability of the shoulder Author links open overlay panel Lyn Watson DPhysio a b c Simon Balster BPhysio(Hons) a c Ross Lenssen BHSc a b c Greg Hoy FRACS c Tania Pizzari PhD b
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