Shoulder Certificate Series

Shoulder injuries are a common issue in geriatric patients presenting to rehabilitation. Specific shoulder dysfunctions are more often encountered in the older patient requiring specific knowledge for successful rehab management. This course will present the current evidence on proximal humerus fractures, rotator cuff tears, and reverse shoulder arthroplasty.It will specifically cover pathophysiology, etiology of injuries,and the effects on ADLs/IADLs in the geriatric patient. Content also covered will include reviews of current evidence in the rehab management of these patients and ideas for the clinical application.

• Immediately improve your clinical understanding of rehab management strategies for commonly encountered geriatric shoulder dysfunctions.
• Clinically applicable strategies that you can implement to improve the treatment of patients with proximal humerusfractures, rotator cuff tears and post reverse shoulder arthroplasty.

With the CDC reporting more than 13 million Americans seeking medical treatment annually, shoulder dysfunction is one of the most pervasive orthopedic conditions attended to by clinicians. However, due to the complex nature of the joint and surrounding soft tissue, treating the pain and disability of upper quadrant musculoskeletal disorders presents a challenge to even the most experienced therapists. With changes in health care and third party reimbursement, therapists must be proactive and adequately trained in the provision of services related to the rotator cuff, impingement syndrome, idiopathic adhesive capsulitis, and other less common impairments. In the era of evidence-based treatment and client-centered care, treatment protocols and good clinical reasoning skills must be employed to treat these conditions effectively and efficiently.

The purpose of this hands-on workshop is to assist the clinician, therapist and trainer in the advancement of their expertise in evaluating and treating frequently seen shoulder conditions. Mr. Earley will take you step-by-step through the pathoanatomy of the shoulder and the assessment ofdysfunction around the scapulo-thoracic and gleno-humeral joints utilizing case studies of recurring, complex shoulderproblems. Current evidence-based interventions arepresented and analyzed for a variety of diagnoses. You will return to your practice with more tools to evaluate, assess and treat difficult shoulder problems in less time and with less expense to the patient.

• Rehab protocols which restore optimal shoulder biomechanics and pain-free motion
• Comprehensive 150 page seminar manual with highlydetailed graphics
• Incorporation of Evidence Based Practice (EBP) into your treatment plan
• 3 vital exercise programs for impingement, lesions and tears
• Phases of rehabilitation for Shoulder Impingement Syndrome, Rotator Cuff, Adhesive Capsulitis, Bicipital Tendinitis, Clavicular Fractures, and other upper quadrant disorders
• "Bottom up" and "top down" recovery strategies to manage shoulder dysfunction
• Soft tissue elongation strategies for the posterior and anterior upper quadrant
• Case studies and analysis of recurring, complex shoulder problems

The shoulder is a complex body region that is also the most mobile joint in the body. When treating the shoulder, clinicians must choose between mobility, stability, and flexibility interventions along with making sure to properlydose them. This course will discuss the evidence-based rehabilitation stages of treating the shoulder to help cliniciansbest use their time. Participants will review the evidence behind the mobility treatment, EMG studies, and strength andconditioning principles we use to help them best treat theirpatients. At the end of the course, participants will have improved treatment progression skills they can use the next day in the clinic.

• Improve stability, mobility, and flexibility through different stages of shoulder rehabilitation
• Review the evidence behind mobility treatments, EMG studies, and strength and conditioning principles
• Rehabilitation techniques including more in-depthreview and practice of proper dosage for most common injuries/dysfunctions

Shoulder impairments are a major cause of musculoskeletal disability in the United States. Shoulder disease can include rotator cuff impairment, subacromial pain syndrome, adhesive capsulitis, shoulder instability, intra- articular shoulder impairments, as well as the regional interdependence of the shoulder. Chronic shoulder pain has been estimated to affect approximately 8% of all American adults. Rotator cuff pathology is the leading cause of shoulder-related disability.

Treatment of subacromial pain syndrome of the shoulder has changed significantly in recent years. The term impingement of the rotator cuff is not sufficient to cover the pathology. There is no convincing evidence that surgical treatment for SAPS is more effective than conservative management. This course provides specific information for current evidence-based diagnosis, management, and treatment of shoulder girdle impairments, within a primary musculoskeletal presentation with emphasis on evaluation, manual therapy, and corrective therapeutic exercise to improve patient outcomes.

• Hands-on instruction in manual therapy techniques and exercise interventions
• Techniques for a quick restoration of function to the shoulder girdle which may challenge current concepts of shoulder impairment management
• Solutions for primary shoulder subacromial pain syndrome (formally shoulder impingement), rotator cuff impairment, shoulder instability, adhesive capsulitis, intra- articular shoulder impairments and the regional interdependence of the shoulder

The prevalence of shoulder pain in the general population is estimated as being between 15 and 20%. Itis the second most common reason for individuals with musculoskeletal seeking treatment from general medical practitioners. Clinicians are faced with the challenge of performing a timely, comprehensive examination that provides the necessary information for the development of a clear plan of care for patients and clients. Once the examination is complete, clinicians must choose the best evidence-based interventions.

This course will assist clinicians with prioritizingexamination tests and measures by presenting recent diagnosis related research for the shoulder complex. A case-based clinical reasoning approach will provide participants with the ability to clearly communicate findings with patients and colleagues. Clinicianswith all levels of experience and expertise will be able to effectively categorize patients with shoulderdysfunction into clear treatment-based categories to facilitate effective treatment.

• Provide a 15-minute systematic examination that includes differential diagnosis for the shoulder complex
• Rapid examination processes for assigning patients to effective treatment-based categories
• Acquire the most reliable and relevant clinical information with minimal tests and measures and special tests
• Valid systematic approaches to interpreting complex clinical problems
• Communication tools to effectively collaborate with all treatment team members, including referral sources

The lifetime prevalence of shoulder pain is approximately 67% with data suggesting these numbers continue to increase. Furthermore, data demonstrates a 50% patient recovery rate over 12-18 months with about half of patients experiencing recurrence within a year.This course will present how to analyze scapular dysfunction focusing on anatomical considerations to optimize patient outcomes. These include, but are not limited to, the contributions of muscle-length relationships and motor control in shoulder impairments. This course will outline how to analyze scapular impairments and provide corrective exercises through kinematics. These techniques will be presented in a way that will allow you toimmediately incorporate these concepts into your practice. Participants will engage in hands-on strategies in scapular alignment, muscle-length tests/identification, and exercise instruction.

• Immediately improve your client's functional shoulder outcomes using practical treatment techniques
• Confidently perform an assessment and re-assessment to treat syndromes of the shoulder girdle with your next client
• Hands-on labs with demonstration andpractice of a proper scapular analysis and exerciseinstruction