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An Introduction to Subacromial Sensitivity - Treatment & Management

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An Introduction to Subacromial Sensitivity - Treatment & Management

An Introduction to Subacromial Sensitivity - Treatment & Management

This course includes
56:41 of Course Material (View)
Patient Exercises (View)
Lifetime access after purchase
Certificate of completion
This course was recorded in September 2021


Welcome to Embodia’s Orthopaedic Course on "Subacromial Shoulder Sensitivity - Management & Treatment," created by Bahram Jam, physiotherapist and founder of the Advanced Physical Therapy Education Institute (APTEI). 

This course presents a new approach to understanding shoulder pain conditions and their management. Bahram Jam will debunk old misconceptions and will delve into evidence-informed practices for improved patient outcomes.


A Brief History Of Shoulder Conditions:

When a patient presents with shoulder pain, they are often diagnosed as having:

  • Rotator cuff impingement syndrome
  • Subacromial impingement syndrome
  • Rotator cuff tear
  • Subacromial bursitis

But, are any of these terms accurate?

If impingement was really the cause of pain, then surgically 'opening up' the space should naturally resolve the condition.

In 1983, Dr. Charles Neer, the developer of acromioplasty described impingement as "the compression of the bursal side of the rotator cuff beneath the anterior acromion."

The Neer test became really popular in the 80s!

It's at that time when the diagnosis of rotator cuff impingement was popularized. In the 80s and 90s, the surgery became the primary treatment for the hypothesized condition.

Physiotherapy was thought of as something to do post-op but a waste of time when someone presented with "real impingement." After all, how could any physiotherapy treatment increase the space underneath the acromion?


Where We Are Now 

Fast forward to 2020 and it turns out that we were mostly inaccurate.

After decades of placebo-controlled studies, the latest systematic review found "there was high certainty evidence of no additional benefit of subacromial decompression surgery over placebo surgery in reducing pain at 1 year following surgery" (Lähdeoja et al 2020).

For decades surgeons believed that their approach to shoulder pain was effective and that physio was simply placebo… the evidence tells us otherwise! Funny how the tables have turned. 

Bahram Jam, PT, D.SC.PT, M.PHTY, B.SC.PT, FCAMT, has designed a brand new online course for this new line of thinking 'Shoulder Sensitivity & Adhesive Capsulitis'.

If you are interested in learning more about this new approach, you can join us for a free 60-minute introductory session 


Learning Objectives

In this online course with Bahram Jam, you will learn:

  1. That the words used to “diagnose” your patients' shoulder pain may be of a greater predictor of recovery than the actual diagnosis, and how we can address this
  2. Three reliable and validated tests for diagnosing subacromial sensitivity (SAS)
  3. Clinical tests for determining the ideal movement/exercise for someone with SAS; all within 5 minutes
The instructors
Bahram Jam (he/him)

Bahram is a physiotherapist and founder of the Advanced Physical Therapy Education Institute (APTEI). He's taught 1000+ continuing education courses to healthcare professionals across Canada & internationally.

He has instructed over one thousand post-graduate orthopaedic and pain science courses and has been a guest presenter at several physiotherapy and medical conferences across Canada and internationally.

His primary clinical approach is to identify relevant functional impairments and determine the best self-management strategy to maximize patient independence.

Course Material included in this course
  • An Introduction to Subacromial Sensitivity
  • Welcome
  • Introduction
  • Impingement vs Sensitivity
  • First Question Break
  • Identifying SAS
  • Second Question Break
  • Finding a Directional Preference
  • Closing Questions
  • Shoulder Sensitivity MCQ
  • What's Next?
  • Please give your feedback
Patient Exercises included in this course
  • Shoulder External Rotation: Band around Shoulder
  • Shoulder External Rotation: Elbows by Side
  • Shoulder External Rotation: Elevation with Band
  • Single Arm Clock Reaches with Band
  • Single Arm Clock Reaches

This course is free for Embodia Members. You can learn more about the membership options available by visiting the Embodia membership pricing page.

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