Current Evidence-Based Approach to Evaluation and Treatment of Shoulder Disorders - Elite Livestream

Rehab Strategies and Interventions for Successful Treatment of the Shoulder Complex

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Current Evidence-Based Evaluation and Treatment of Shoulder Disorders

Rehab Strategies and Interventions for Successful Treatment of the Shoulder Complex


Instructor: Terry Rzepkowski, DPT, MS, BS

Course Length: 5 hours | Tuition: $199 or FREE for Elite Passport Members (learn more)


This is a livestream, interactive course.  The instructor will teach in real time.  You will have the opportunity to ask and answer questions.

HIGHLIGHTS

  • Innovative hands-on techniques to improve mobility of the scapula-shoulder complex
  • The Latest Evidence-Based Special Tests to for SLAP tears, posterior impingement, micro-instability and RC pathology
  • Post-Surgical Protocol discussion and implementation
  • Combining the proper exercise prescription with effective manual therapy techniques

COURSE DESCRIPTION

One of the most daunting tasks facing rehab professionals is the in-depth understanding of the shoulder complex and how the intricate anatomy and biomechanics play into the post-surgical and non-surgical rehab process. With the countries aging population, there continues to be a significant rise in patients requiring care for a wide range of shoulder pathologies ranging from tendonitis to total shoulder replacements. Understanding anatomy, biomechanics and mechanisms of injury is critical to the success of the clinician interpreting special test data correctly and ultimately performing appropriate treatment to the individual.

This integral seminar will involve anatomical, kinesiological and functional considerations of the shoulder complex along with the vast importance of proximal scapular stabilization forces relating to the rotator cuff. A strong emphasis on mechanism of injury, presentation and hands-on clinical testing will tie in directly with an in-depth discussion on anatomy, physiology and surgical interventions for Rotator Cuff Disorders, Labral Pathology, Gleno-Humeral Instability and Total Shoulder Replacements. Clinicians will leave this seminar with the appropriate tools and current rehabilitation interventions and timelines for the shoulder complex ranging from acute to sub-acute and post-subacute.

COURSE OBJECTIVES

  • Examine the role of scapular force couples in scapulo-humeral rhythm required for normal shoulder movement.
  • Describe the role of the rotator cuff muscles in reducing shear forces and stabilizing the head of the Humerus in the glenoid fossa during normal movement.
  • Discuss the various mechanisms of shoulder injury both insidious and acute with the structures compromised.
  • Demonstrate clinical procedures (tests) for targeting compromised shoulder structures.
  • Examine the relationship of surgical procedures for the rotator cuff, labral tears, anterior gleno-humeral instability, total shoulder and reverse total shoulder arthroplasty to the rehabilitative process.
  • Develop and implement conservative physical therapy interventions, progression, and rationale in management of common shoulder impairments.

COURSE OUTLINE

I. REVIEW OF SHOULDER ANATOMY/BIOMECHANICS 

  1. A new perspective on current research
  2. Kinesiology of Scapulo-Humeral Rhythm
  3. Biomechanics of the Rotator Cuff

II. COMMON SHOULDER MECHANISM OF INJURY 

  1. Rotator Cuff
  2. Labral Pathologies
  3. Traumatic Injuries
  4. Chronic Overuse Injuries

III. SPECIAL TESTS

  1. Special Tests of the Shoulder
    1. Rotator Cuff: Impingement and RTC Pathology
    2. Labral tear: Differentiating SLAP vs. Bankhart Lesions
    3. Instability: Apprehension and Sulcus sign
    4. Arthritis: Differentiating adhesive capsulitis from advanced degenerative changes

IV. SURGICAL INTERVENTIONS & POST-OP MANAGEMENT 

  1. New techniques vs. standard techniques
  2. Rotator Cuff
  3. Labral Tears
  4. Anterior Glenohumeral Instability
  5. Total and Reverse Total Arthroplasty

V. CONSERVATIVE MANAGEMENT 

  1. Interventions
  2. ROM and Exercise Progressions
  3. Rationale