AOCPMR 2022 Mid-Year Meeting-Anatomy/Physiology of the Shoulder

Video Transcription

Video Summary

Dr. Alexander Zank, a board-certified physician specializing in physical medicine and sports medicine, addressed a group on shoulder anatomy and the implications for wheelchair users. He emphasized the challenges of diagnosing shoulder pathology due to the complexities involved in physical examinations and the varying effectiveness of different maneuvers. Dr. Zank covered anatomical details, including the musculoskeletal structure and innervation of the shoulder, and highlighted the importance of understanding these elements to guide clinical assessments effectively. He discussed the prevalence of shoulder injuries, especially among wheelchair users, due to the repeated stress from activities like propulsion and pressure reliefs. Dr. Zank emphasized the need for ergonomic wheelchairs and the benefits of power assist devices to reduce shoulder strain. The talk also covered how different propulsion techniques can minimize shoulder wear, and the importance of personalized wheelchair setup to enhance mobility and independence while protecting shoulder health. Dr. Zank concluded with recommendations for integrating physical exam knowledge to avoid pitfalls and improve shoulder function evaluation. The session included a Q&A where inquiries about insurance coverage of wheelchair modifications and the effectiveness of nerve stimulation for pain relief were addressed.

Keywords

shoulder anatomy

wheelchair users

shoulder pathology

ergonomic wheelchairs

power assist devices

propulsion techniques

shoulder injuries

musculoskeletal structure

nerve stimulation