It does look like a serious arm! I do get a little bit of ceiling shake with mine, but since it is just the wife and I it isn't much of an issue. If I had 5 kids running around above me, it might be a different story.
I think with a drop ceiling you just mount a long arm to whatever is solid above(floor, or joist) and come through a hole in your ceiling panel.
The only problem with a big screen like that is it makes it very difficult to watch tv anywhere else. I go visit my dad and don't want to watch any movies on his skimpy 55" LCD! I'm totally spoiled now.
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