Evidence Based Evaluation, Diagnosis and Post-Arthroscopic and Non-Surgical Rehabilitation of the Shoulder
Course Details
Shoulder pathology is prevalent in both athletic and non-athletic individuals. Shoulder pain is among the most common form of musculoskeletal pain. The point prevalence of shoulder pain varies from 7 to 26% in the general population, increasing with age. Without proper care, individuals with shoulder pain have shown to be subject to persistent pain over time.
There has been a recent focus on proper classification of shoulder pathologies in attempts of focusing treatment. The complexity of proper classification requires understanding of various shoulder pathologies, examination procedures, imaging examination, etc. Additionally, it requires proper understanding and relevance of diagnostic accuracy.
Treatments have been variably described across the current literature. More recently, there have been newly published practice guidelines, consensus papers and sytematic review/meta-analyses on various shoulder pathologies relative to examination and treatment.
In this course you will learn a detailed, systematic, evidence-based examination process to differentially diagnose shoulder pathology. You will learn evidence-based methods of screening other potential regions of pain generation (e.g. cervical spine), as well as screening for serious pathology. You will also learn various assessment methods to differentially diagnose intra- from extra-articular pathology; as well as specific pathology differentiation.
In this course you will also learn about the most common shoulder arthroscopy surgical procedures and general post-operative considerations. The rehabilitation aspects of this course detail progression principles, monitoring of patient response to an intervention (biologically, psychologically and socially). Additionally, this course covers multiple primary exercises and progressions/regressions for the pathologies discussed in the examination.
This course utilizes a great deal of demonstration of the various assessments and movements, including activity and sport-related movements. The clinical utility of these assessments and exercises is also presented in a manner that is easily understood and usable the next day in the clinic.
- Identify the primary components of the proposed examination approach.
- Identify the components of subjective symptom structure of SINS (Maitland)
- Identify the primary reported subjective complaints for various shoulder pathologies.
- Identify ideal characteristics of a screening test to help rule out serious pathology.
- Identify the best tests for ruling out shoulder fracture, bony instability.
DAY 1
8:00-8:10: Introduction to Course
8:10-8:45: Subjective Examination
8:45-9:15: Red Flag Examination
9:15-10:00: Rule Out Cervical & Thoracic Spine
10:00-10:15: Break
10:15-12:00: Examination
- Subjective reports
- Patient Reported Outcome Measures
- Screening & Triage
- Special Testing (Pathology relevance)
12:00-1:00: Lunch
1:00-3:30: Clinical Assessment
- Motion Assessment
- Muscle Performance & Functional Performance Assessment
3:30-3:45: Break
3:45-5:45: Assessment of Contextual Factors
- Case Introduction and lab assessments
- Day 1 Review
DAY 2
8:00-8:30: Review of Cases
- Lab Re-assessments
8:30-9:30: Surgical Procedures
9:30-10:00: Rehabilitation Principles
- EPIC Return Principles
10:00-10:15: Break
10:15-12:00: Rehabilitation
- Non-Surgical Rehab
- Guiding Principles of Rehab
- Exercise Considerations of Various Exercises Based on Exam Findings