Non-Operative Shoulder Rehabilitation: Current Approaches in the Evaluation and Treatment of the Painful Shoulder – Frank Layman

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Specific diagnosis within the realm of shoulder pain can be problematic. It is unrealistic for a single test to make a pathognomonic diagnosis, but there are clinical tests with varying levels of sensitivity and specificity that, when clustered together, can aid the clinician in determining proper pathology. The clinician must decide between various manual techniques, exercises, modalities and adjunctive treatment techniques.

In this exciting, interactive, recording you will practice multiple specialized tests and determine how to cluster them to improve accuracy of diagnosis. You will have the opportunity to practice various mobilization and stabilization techniques to address limitations in range of motion and pain. With hands-on labs and case studiesparticipants will be educated on current concepts in adjunctive treatment techniques, including ergonomic adaptations, which can be immediately incorporated into practice.

1. Analyze specialized tests to identify the pathomechanics of shoulder pain with hands on lab
2. Demonstrate scapula assessment to aid in diagnosis of shoulder pain and identify muscular imbalance
3. Review common shoulder diagnosis, current concepts in treatment techniques and case study presentations
4. Apply current concepts in manual techniques for the treatment of the painful shoulder
5. Analyze therapeutic exercises and home exercise plans to treat the painful shoulder
6. View adjunctive treatment techniques and modalities for patients with non-operative shoulder conditions

REVIEW OF ANATOMY AND PHYSIOLOGY OF THE UPPER EXTREMITY

• Scapula and humerus bony landmarks
• Labrum, bursa and ligaments of the shoulder joint
• Muscular involvement

CURRENT CONCEPTS IN EVALUATION

• Cervical screen
• Myotome screen
• Sensory screen
• Impingement cluster
• SLAP tear cluster
• Instability cluster
• Biceps tendon tests
• Upper limb tension tests

SCAPULA ASSESSMENT AND LAB

• Static scapula assessment and interpretation
• Scapula dyskinesia assessment and interpretation

COMMON DIAGNOSIS AND CASE STUDIES

• Rotator cuff impingement/tendonitis
• Rotator cuff tear (partial-full thickness)
• SLAP tear
• Frozen shoulder syndrome
• Shoulder instability
• Snapping scapula syndrome

MANUAL TECHNIQUES AND LAB

• Scapula mobilization techniques
• Glenohumeral joint mobilization techniques
• Handling positions for passive range of motion and manual stretch

CURRENT CONCEPTS IN THERAPEUTIC EXERCISES

• Active range of motion exercises
• Passive range of motion exercises
• Manual stretch
• Strengthening with elastic vs. weights
• Weight bearing exercises
• Proprioceptive and neuromuscular exercises
• Return to sport and/or heavy gym activity

CURRENT CONCEPTS IN ADJUNCTIVE TREATMENT TECHNIQUES AND MODALITIES

• Thermal modalities
• Electrical modalities
• Ergonomics

PULLING IT ALL TOGETHER