Physical Therapy 
Education Specialists
 

The Shoulder: Movement Dysfunctions and Associated Pathologies


Instructor: Chris Sebelski, PT, DPT, OCS

CEU Credit:
in process

Course Description

This two day intermediate course provides the clinician with practical, evidence-based knowledge for evaluation and treatment of the shoulder 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.  A screening exam will be presented to assist in determining cervicogenic shoulder pain.  Lab presentations will include identification of movement dysfunction in the scapulothoracic region with interventions for joint mobility, muscular strength and flexibility.

Current literature evidence will be used to guide the assessment and intervention strategies presented.  Through case study examples (cervicogenic shoulder pain, impingement, 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.



Course Objectives

At the end of this session, the participant will be able to:
  1. Utilize a systematic evaluation approach when performing a cervical spine screen for differentiating shoulder pathologies from cervicogenic shoulder pain.
  2. Perform an upper quadrant exam including selective tissue tension testing, cervical spine screen, shoulder ROM, scapular movement dysfunction, and glenohumeral instability.
  3. Identify normal and non-optimal shoulder kinematics.
  4. Apply analytical anatomy of the shoulder during functional tasks.
  5. Evaluate the shoulder and spine with identification of impairments and relationship to the kinetic chain.
  6. Understand the influence of arthokinematics of all joints which influence the shoulder complex.
  7. Demonstrate manual techniques including soft tissue, joint accessory and neural mobilization.
  8. Delineate a comprehensive intervention plan for common shoulder pathologies.



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 (4 Hours)


Introduction

Clinical Reasoning: Non-musculoskeletal generators of shoulder pain

Case Presentation: Cervicogenic Shoulder Pain

Lab: Test Item Cluster

Lab: Manual Interventions and exercise planning



Day TWO

8:00 - 10:00 Clinical Reasoning:

     Movement Analysis

     Lab on examining motion of the shoulder girdle



10:00 - 10:15 Break



10:30 - Noon Pathologies of the Shoulder

Clinical Reasoning:

     Differential Diagnosis/Evidence

Lab: Special Tests and clustering



Noon - 1:00 Lunch on own



1:00 - 3:00 Case Presentation: Impingement

Problem Solving Scapular Dyskinesia

Lab: Manual intervention and exercise planning



3:00 - 3:15 Break



3:13 - 5:15 Case Presentation: Adhesive Capsulitis

Lab: Manual intervention and exercise planning



Day THREE

8:00 - 10:00 Case Presentation: Instability

Lab: Kinetic Chain influences

Lab: Overhead motion



10:00 - 10:15 Break



10:15 - 11:30 Case Presentation:

     Acute care considerations

     Clinical Reasoning: relating back to movement



11: 30 - ? Q & A

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