Physical Therapy 
Education Specialists
 

Problem Solving Pathologies of the Elbow region


Instructor: Chris Sebelski, PT, DPT, OCS

CEU credit: In process

Course Description

This one and 1/2 day intermediate course provides the clinician with practical, evidence-based knowledge for evaluation and treatment of the elbow in an outpatient orthopedic setting.  The participant begins the process with understanding potential competing pathoanatomic sources of shoulder pain.  Upon determination that the source is from the musculoskeletal system, the participant will consider decision making for the cervical spine, scapulothoracic and glenohumeral regions as influences on the patient's presentation. 

Emphasis is placed on identifying the underlying cause of the symptom within the kinetic chain and developing a comprehensive evaluation and treatment approach to obtain optimal function.  Clinicians will learn screening questions for non musculoskeletal causes of shoulder pain.  Current evidence is used to guide assessment and intervention strategies presented.  Through case study examples (tendinopathy/epicondlagia/instability), this course enables the clinician to develop comprehensive individualized rehabilitation programs.  The clinicians attending this course will be able to apply this information immediately in the clinical setting.



Objectives

At the end of this session, the participant will be able to:
  1. Identify and locate the anatomical structures surrounding the elbow joint
  2. Create an appropriate hypothesis list of pathologies that may contribute to elbow pain, including local and non-local, musculoskeletal and non-musculoskeletal
  3. Generate a "classic" presentation of patients with various elbow pathologies
  4. Integrate the presentation of various pathologies with the expected impairments to create a plan of care
  5. Discuss current literature for development of prognosis, intervention strategies and plans of care for several pathologies including epicondylitis and common elbow surgeries.
  6. Demonstrate manual skills such as mobilization at the three joints of the elbow and soft tissue mobilization techniques for various impairments.
  7. Discuss the development of an exercise program that incorporates an understanding of the upper extremity kinetic chain.


Sample Course Schedule
Start Times vary depending on course location; confirmation of start times will be sent prior to course.
A sample course schedule is provided below

Day ONE (3hours)

Introduction

Clinical Reasoning:

     Non Musculoskeletal generators of the elbow pain

Case Presentation:

     Cervicogenic Elbow Pain

Lab: Test Item Cluster

Lab: Manual Interventions and exercise planning


Day TWO
8:00 - 9:00 Clinical Reasoning:

     Movement Analysis

     Consideration of the kinetic chain


9:00 - 10:00 Pathologies of the Elbow

Clinical Reasoning: Differential Diagnonsis/Evidence

Lab: Special tests and clustering


10:00 - 10:15 Break


10:15 - Noon Case Presentation: Neural pathology @ the elbow

Lab: Manual intervention and exercise planning


Noon - 1:00 Lunch (on own)


1:00 - 2:30 Case Presentation: Instability at the elbow

Lab: Manual intervention and exercise planning


2:30 - 2:45 Break


2:45 - 4:00 Case Presentation: Tendinopathy/epicondylalgia

Lab: Manual intervention and exercise planning


4:00 - 5:00 Case Presentation:

     Acute care considerations

     Post operative, post dislocation ext

     Clinical Reasoning: relating back to
     movement



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