Shoulder Symptom Modification Procedure: Difference between revisions

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== Introduction ==
== Introduction ==
SSMP is an approach to assessment of patients with rotator cuff and subacromial pathology described by Jeremy Lewis in 2009<ref>Lewis, J. S. (2009) Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment? British Journal of Sports Medicine, Vol 43, pp. 259-264</ref>. SSMP is a set of four mechanical techniques used in a sequence while the patient performs a movement that reproduces their symptoms.  The aim is to identify one or more methods that reduce their symptoms and/or increasing movement and function<ref name=":0">'''''Eleanor Richardson & Jeremy Lewis,'''''
The Shoulder Symptom Modification Procedure (SSMP)
, https://www.shoulderdoc.co.uk/article/1478
</ref>.


== Procedure ==
== Procedure ==
The SSMP techniques involve<ref name=":0" />:
# Techniques to reduce the thoracic kyphosis
# Scapular positioning techniques
# Humeral head positioning procedures
# Pain and symptom neuromodulation procedures
See the [https://www.shoulderdoc.co.uk/article/1478 SSMP summary by Eleanor Richardson & Jeremy Lewis] for more details on the details of using this approach.


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== Evidence ==
== Evidence ==
# Lewis, J. S. (2009) Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment? British Journal of Sports Medicine, Vol 43, pp. 259-264
# Lewis JS. Rotator cuff tendinopathy: a model for the continuum of pathology and related management. Br J Sports Med. 2010 Oct;44(13):918-23. <nowiki>http://bjsm.bmj.com/content/44/13/918</nowiki>
# Lewis JS, Tennent TD.  How effective are diagnostic tests for the assessment of rotator cuff disease of the shoulder? In: MacAuley D, Best TM, editors. Evidenced Based Sports Medicine. 2nd ed. London: Blackwell Publishing; 2007.


== Resources ==
== Resources ==
[https://www.shoulderdoc.co.uk/docs/SSMP-%20Jeremy%20Lewis%20V2.pdf SSMP data sheet]


== References  ==
== References  ==


<references />
<references />

Revision as of 13:17, 21 January 2018

Introduction[edit | edit source]

SSMP is an approach to assessment of patients with rotator cuff and subacromial pathology described by Jeremy Lewis in 2009[1]. SSMP is a set of four mechanical techniques used in a sequence while the patient performs a movement that reproduces their symptoms. The aim is to identify one or more methods that reduce their symptoms and/or increasing movement and function[2].

Procedure[edit | edit source]

The SSMP techniques involve[2]:

  1. Techniques to reduce the thoracic kyphosis
  2. Scapular positioning techniques
  3. Humeral head positioning procedures
  4. Pain and symptom neuromodulation procedures

See the SSMP summary by Eleanor Richardson & Jeremy Lewis for more details on the details of using this approach.

Evidence[edit | edit source]

  1. Lewis, J. S. (2009) Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment? British Journal of Sports Medicine, Vol 43, pp. 259-264
  2. Lewis JS. Rotator cuff tendinopathy: a model for the continuum of pathology and related management. Br J Sports Med. 2010 Oct;44(13):918-23. http://bjsm.bmj.com/content/44/13/918
  3. Lewis JS, Tennent TD.  How effective are diagnostic tests for the assessment of rotator cuff disease of the shoulder? In: MacAuley D, Best TM, editors. Evidenced Based Sports Medicine. 2nd ed. London: Blackwell Publishing; 2007.

Resources[edit | edit source]

SSMP data sheet

References[edit | edit source]

  1. Lewis, J. S. (2009) Rotator cuff tendinopathy/subacromial impingement syndrome: is it time for a new method of assessment? British Journal of Sports Medicine, Vol 43, pp. 259-264
  2. 2.0 2.1 Eleanor Richardson & Jeremy Lewis, The Shoulder Symptom Modification Procedure (SSMP) , https://www.shoulderdoc.co.uk/article/1478
  3. PhysioTutors. Shoulder Symptom Modification Procedure. Available from: https://youtu.be/sYTW7u6ZoCI[last accessed 30/11/17]
  4. Strength Physio. Shoulder Symptom Modification Procedure. Available from: https://youtu.be/z7ZjuUCXLNM[last accessed 30/10/17]