Athletic Shoulder: Dr Margie Olds - Managing Recurrent Shoulder Instability
Nov 12, 2024
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Dr. Margie Olds, a leading physiotherapist with international experience, shares her expertise on shoulder instability management. She discusses predicting recurrent instability and highlights innovative assessment tools. The conversation dives into the balance of conservative versus surgical treatments, exploring kinesophobia's impact on recovery. Additionally, Margie emphasizes the significance of tailored rehabilitation approaches and the critical role of muscle control in athletes' return to sport. Her insights provide a roadmap for effective shoulder care.
Dr. Margie Olds emphasizes the importance of risk assessment tools to predict recurrent shoulder instability in athletes and improve treatment decisions.
Understanding the psychosocial impact of kinesiophobia is crucial for enhancing recovery among patients with shoulder injuries, as it affects rehabilitation outcomes.
Advancements in functional testing methodologies are necessary to create sport-specific protocols that accurately assess shoulder stability and improve athlete recovery.
Deep dives
Dr. Margie Olds' Background in Shoulder Physiology
Dr. Margie Olds is a distinguished shoulder physiotherapist with extensive international experience, having worked in New Zealand, the US, and the UK. Her career in elite sports began when she served as the lead physiotherapist for British Canoeing, culminating in her participation in the 2004 Athens Olympic Games. Throughout her professional journey, she has developed a keen interest in shoulder stability issues, obtaining a master's degree focused on shoulder stiffness and later completing a PhD investigating shoulder instability. Her ongoing research aims to enhance rehabilitation practices and findings related to shoulder injuries, driving change in management strategies for athletes and patients alike.
Assessing Shoulder Instability and Surgical Decisions
In her research, Dr. Olds focuses on first-time traumatic anterior shoulder dislocations and how to make informed decisions regarding conservative versus surgical treatments. Her work identifies specific risk factors that can help predict recurrent instability, such as age, immobilization duration, and the presence of certain lesions. By publishing findings on these risk factors, she has advocated for a more nuanced understanding of treatment approaches in the physiotherapy community, emphasizing the importance of assessing individual patient conditions. Ultimately, her goal is to refine clinical guidelines, enabling healthcare providers to offer optimal management for patients experiencing shoulder instability.
Psychosocial Factors and Patient Confidence
Dr. Olds underscores the significance of psychosocial factors, particularly kinesiophobia, in the recovery process for patients dealing with shoulder injuries. By recognizing the impact of fear and anxiety on rehabilitation outcomes, clinicians can better address patients' emotional and psychological needs in addition to their physical requirements. She has developed tools to help assess fear and confidence levels, allowing healthcare professionals to tailor interventions that support patients emotionally. The integration of these factors is essential in fostering a holistic approach to treatment, ultimately aiming to improve patients' overall readiness to return to sport.
Research and Functional Testing Innovation
A significant aspect of Dr. Olds' work involves advancing functional testing methodologies for shoulder injuries. She collaborates with researchers to develop and validate new tests that assess dynamic stability and strength endurance in various shoulder positions. By focusing on sport-specific demands, she aims to create more reliable testing protocols that can effectively inform rehabilitation strategies. This innovative approach ensures that clinicians can accurately gauge progress and adjust treatment accordingly, leading to enhanced recovery outcomes for athletes with shoulder instability.
Future Directions in Shoulder Rehabilitation
Dr. Olds envisions a future where shoulder rehabilitation emphasizes a comprehensive understanding of individual patient needs while integrating evidence-based practices. Her dedication to furthering shoulder injury management reflects her aim of reducing unnecessary surgeries by promoting non-operative treatment options as viable alternatives. She is actively engaged in ongoing research to refine predictive tools and enhance recovery protocols, striving to lead advancements in the care of shoulder instability. By continuing to connect practitioners with research insights, she hopes to foster an environment where clinicians can make informed decisions that benefit their patients.
Episode 161: In this episode of the Athletic Shoulder podcast, Ben Ashworth interviews Dr Margie Olds, a leading physiotherapist specialising in shoulder instability. Margie has extensive international experience, she has worked as a physiotherapist in New Zealand, the USA, and the UK and she was the lead therapist for British Canoeing and attended the Athens Olympic Games in 2004.
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Topics discussed
Predicting recurrent shoulder instability
Shoulder instability risk assessment tools.
Conservative vs. surgical management for first-time traumatic anterior shoulder dislocations.
The significance of kinesophobia during athlete recovery.
VALD: makers of the Nordbord, Forceframe, ForeDecks and HumanTrak. VALD Performance systems are built with the high-performance practitioner in mind, translating traditionally lab-based technologies into engaging, quick, easy-to-use tools for daily testing, monitoring and training.
Hytro: The world’s leading Blood Flow Restriction (BFR) wearable, designed to accelerate recovery and maximise athletic potential using Hytro BFR for Professional Sport.
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