Biomechanics of the Shoulder
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Why take this course?
This intermediate level online continuing education course is applicable for Physical Therapists, Physical Therapist Assistants, Occupational Therapists, and Athletic Trainers. This is an intermediate Level Occupational Therapy Process: evaluation, intervention. This course provides a comprehensive approach to the examination and treatment of the shoulder complex. With more than 37 years of clinical and research experience, Mark Albert delivers the most up-to-date, evidence-based information on how to become proficient in your approach to the dysfunction of the shoulder.
Mark emphasizes the importance of understanding the mechanisms involved within the biomechanics of the shoulder. He begins with a thorough description and demonstration of the normal mechanics of the shoulder and explains how a comprehensive understanding of normal motion enables you to identify faulty patterns and dysfunction. He describes the four important concepts used when performing a biomechanical examination and provides key elements for critical thinking in the development of your approach to the evaluation and treatment the shoulder.
Details about this Online Continuing Education Course
Mark then moves to the rotator cuff, providing a thorough description of the spectrum of injuries that can occur, ranging from micro-trauma to full thickness tears and repairs. The course progresses through the demonstration of the evaluation sequence, presenting all the key evaluative tests, manual therapies and mobilization assessment tools to perform a comprehensive exam. A number of specific diagnoses are covered, including rotator cuff dysfunction/injury, thoracic outlet, impingement, instability, bicipital tendonitis, subscapular neuritis, AC joint dysfunction and a variety of problems associated with muscular dysfunction. A biomechanical perspective is attributed to each dysfunction to ascertain the underlying cause. For example, Mark discusses the concept of impingement, which is a biomechanical presentation of many different diagnoses.
Next, Mark focuses his instruction on the overhead biomechanics of sports injuries, including throwing problems that commonly occur.
Throughout the examination and treatment presentations, Mark frequently refers to specific evidence-based research, which not only enhances the efficacy of his approach, but also encourages you to develop critical thinking skills. This course follows a philosophy that recognizes the importance of motion and the power of exercise to treat and restore physical deficits of the shoulder.
This course concludes with demonstration and explanation of progressive treatment approaches for the variety of diagnoses discussed.
By having an understanding of the biomechanics of the shoulder, mechanisms of injury, evidence-based research and clinical reasoning skills, you will be confident in implementing your comprehensive approach to managing shoulder dysfunction.
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- CE Hours: 12.0 hrs
- Delivered: Online
- Instant Online Access, Color 152 Page PDF Manual for Download, 365 days of access, Mobile Ready
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Highlights of this Online Continuing Education Course
ObjectivesUpon successful completion of this course the participant will be able to
- Understand the normal biomechanics of the shoulder.
- Identify the correct motion within the plane of the scapula when assessing and treating the shoulder.
- Identify abnormal biomechanics of the shoulder and how dysfunction disrupts function at varying stages of motion.
- List the 17 muscles of the shoulder.
- Describe the importance of the profile method of assessment and the role of evidence-based information. In addition be able to identify when the evidence based information can be a barrier to progressive thought and treatments.
- Describe the process of critical decision making and how to improve this process when examining a shoulder to determine appropriate tests and treatment progression.
- Describe the Cyriax screening approach with modifications.
- Perform a thorough differential diagnosis examination of the shoulder to include an appropriate subjective examination, Cyriax screening methods , mobility testing and a thorough manual examination.
- Perform appropriate tests to rule out thoracic outlet syndrome, impingement.
- Describe the important components and function of the rotator cuff.
- Perform phased treatment progression techniques for the serratus anterior, subscapularis, latissimus dorsi.
- Understand the different phases involved with throwing and mechanics at each phase.
- Perform special tests and clearly understand findings for the Apprehension Test, Biceps Load Test, O’Brien Test, Neer Test, Kennedy Hawkins Test, Air Test, Aim Test, Sulcus Test, Labral ERS Test.
- Incorporate myofascial trigger point treatments into rehabilitation programs.
- Develop a progressive treatment approach for the rotator cuff at varying stages of dysfunction/Injury.
- Analyze available multi-modal exercise approaches for a comprehensive rehab program.
- Develop a perspective of current evidence-based practice and techniques for shoulder/scapular dysfunction.
Learn from an Expert - Mark Albert, M.Ed, PT, ATC, LAT
Mark Albert, M.Ed, PT, ATC, LAT I will bring forth 37 years of evidence based clinical knowledge in two days. We have work to do!
My comprehensive experience and perspective stems from participation in a very rich variety of sports, clinical, research-based and educational settings for over the past 37 years. I am an internationally recognized author on subject matter relating to orthopedics and sports therapy. My approach is to blend the essential biomechanics with focused manual techniques for immediate clinical application and results.
Plane of the Scapula
- Patterns of motion
- Difficulty moving in the plane of the scapula
- Plane of the scapula and correlation to isokinetic strength
- Manual marker for plane of the scapula
- Concept of posture to plain of the scapula
Biomechanics of the Shoulder
- Biomechanics of elevation
- Postural assessment
- Biomechanics of the optimal shoulder
- Biomechanical dysfunction
- Phases of elevation
- Rotator cuff action during phase two elevation
- Humeral head motion
- Axis of motion
- Understanding phase three elevation and a common misunderstanding of the biomechanics
Rotator Cuff Dysfunction
- What exactly is the rotator cuff?
- Subscapularis function
- Balanced strength
Method of Assessment and the Evidence Based Approach
- A profile and method of assessment
- Role of evidence and how it applies to our practice in the clinic
- Critical decision making-differential diagnosis
- Discussion on the evolution of evidence based articles and how to apply the evidence into clinical practice
- Barriers to using evidence in the clinic
- Clinical prediction guidelines
- The responsibility of the clinician and the role of keeping informed on the current evidence
- Medical education and our role
- Philadelphia Panel
Components of an Evaluation Sequence
- Make a difference
- Establish a good provider-patient trust relationship
- Listen to the patient
Getting What you Need from the Subjective Exam
- How to get a good subjective history
- Pain pattern history
- Pain map
- Chief complaint
- Questionnaire (sample provided)
The Physical Exam: Objective and Measurement Period-Overview and Screening
- Finding specific deficits
- Cyriax Screen-modified
- Thoracic outlet
- Roos Test
- Measure mobility
- Looking at the four motions of movement
- Manual test sequence
- Special tests
- Aim Test
- Testing the capsule
- Patient provocation for tendon stretches
- Test for true bursitis
- Ventral fault
Treatment Techniques: Scapular-Manual Therapy, Stretching
- Treatment to enhance synergy
- Four part sequence scapular exercises to strengthen the serratus anterior
- Manual therapy technique to stretch upper trapezius
- Home program sequence
- Trigger point release
- Subscapularis flexibility
- Latissimus dorsi
Treatment: Exercises and the Evidence for Rotator Cuff
- Mid stage exercise for the post rotator cuff injury or post surgery
- Intermediate stage
- Evidence-based support for treatment approaches
- Seventeen exercises from easy to advanced
- Centinela core exercise and progression
Treatment: Throwing Mechanics
- Phases of throwing
- Injury potential
- Throwing aspect of acceleration
- Speed of movement
Examination: Instability and Bicep Series of Testing
- Special tests: which ones do you utilize?
- Bicep Load and series of bicep testing
- O’Brien Compression
Examination: Dynamics of Impingement Passive Categories and Active Test
- Tests with good psychometric value with sensitivity and specificity considerations
- Passive and active type categories
- SLAP lesion
- ERST test
- Mid-stages of suprascapular neuritis
Treatment Techniques for: AC, Stiff Shoulder and Early Care
- Type three/grade three injury
- Stiff shoulder-idiopathic or injury?
- Manual techniques
- Manual technique for inferior/anterior capsule
- Stretch position for optimal results
- Elomotus ® Medical Education Imagery
Rotator Cuff Tears: Description and Treatment Progression
- Stages of a tear-size of the tear
- Symptoms of a tear
- Physiological process of a tear
- Healing of a tear
- Musculoskeletal factors involved in micro-trauma
- The Deltoid-considerations for optimal results
- Recovery time
- Rehab progression
- Rehab progression flow chart (included)
- Important rehab guidelines
Impingement Syndrome Description and Treatment Progression
- Variety of diagnoses
- Subacromial decompression
- Ventral fault
- Musculoskeletal imbalance
- Rehab progression
17 Muscles of the Shoulder and Some Great Simple Exercises
- Anatomical review
- Elomotus ® Medical Education Imagery
Course Test - Evaluate your knowledge
- Use the Healthclick proprietary online education system which provides the online student with:
- Worldwide access to high definition video, anatomical animations and images, and written information
- The highest quality film in the industry, you can see the difference!
- Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
- Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
- Evaluate your knowledge with the course test on any device.
- Print your state course certificate for CE credit.
- Take the online test as many times as need in order to achieve a 70 % or greater score.