Shoulder Symptom Modification Procedure

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]

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