Shoulder Symptom Modification Procedure
Original Editor - Naomi O'Reilly
Top Contributors - Rachael Lowe, Naomi O'Reilly, Kim Jackson, George Prudden, Simisola Ajeyalemi, Rucha Gadgil, Tony Lowe and Robin Tacchetti
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]:
- Techniques to reduce the thoracic kyphosis
- Scapular positioning techniques
- Humeral head positioning procedures
- 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]
- 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. http://bjsm.bmj.com/content/44/13/918
- 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]
References[edit | edit source]
- ↑ 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
- ↑ 2.0 2.1 Eleanor Richardson & Jeremy Lewis, The Shoulder Symptom Modification Procedure (SSMP) , https://www.shoulderdoc.co.uk/article/1478
- ↑ PhysioTutors. Shoulder Symptom Modification Procedure. Available from: https://youtu.be/sYTW7u6ZoCI[last accessed 30/11/17]
- ↑ Strength Physio. Shoulder Symptom Modification Procedure. Available from: https://youtu.be/z7ZjuUCXLNM[last accessed 30/10/17]