The Functional Foot

Course Description

The Functional Shoulder course is designed to help you, the rehabilitation professional, develop a greater understanding of the complexity of the shoulder while gaining confidence in effectively treating shoulder pathology.  The Functional Shoulder is a lecture and lab course providing an evidence based guide to hands-on lab instruction that will readily improve your clinical practice.  The Functional Shoulder will transform your current approach to shoulder dysfunction to include the entire kinetic chain resulting in greater treatment outcomes.

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Certified Occupational Therapy Assistants

Objectives

1.  Review the normal anatomy and kinesiology of the shoulder complex.

2. Recognize postural deviations from normal which contribute to known shoulder pathologies.

3. Correctly assess passive constraints to movement in the shoulder and shoulder girdle.

4. Assess the integrity/strength of the dynamic stabilizers of the glenohumeral and scapulothoracic regions.
 
5. Effectively mobilize the glenohumeral joint and instruct the client on methods of self mobilization to restore both accessory
and physiological range of motion.
 
6. Develop strategies for visual, tactile and verbal cues to maximize the efficiency of shoulder rehabilitation.

7. Discuss current research related to selection and progression of scapular stabilization and rotator cuff exercise.

8. Progress a client through a comprehensive rehabilitation program taking advantage of gains in strength, mobility, etc.

9. Design an effective home exercise program to complement treatment provided in the office and insure progression toward discharge.

Course Schedule

Day 1 (8 contact hours)

 

7:30 – 8:00

  • Registration
  • Light Breakfast Provided

8:00 - 9:00

  • Anatomical and Biomechanical Considerations of the Shoulder
  • Pathology and Postural Considerations of the Shoulder

9:00 – 10:15 Lab:  Posture and Motion Analysis

  • Resting Alignment of Scapula, Humerus, Cervical Thoracic and Lumbar Regions
  • Phases of Shoulder Elevation
  • Scapular Control
  • Single Leg Stance and Squat Control

Break 10:15 - 10:30

10:30 - 11:15 Lab:  ROM Assessment

  • Pure Glenohumeral Flexion
  • Scapular Mobility
  • Accessory Motion of the Humerus
  • Rotational Arc
  • Muscle Length:  Latissimus, Pectoralis Major and Minor

11:15 – 12:00 Lab:  Strength Assessment

  • MMT and Functional Strength Assessment of the Scapular Stabilizers
  • Strength and Integrity Assessment of the Rotator Cuff

Lunch 12:00 – 1:00 On your own

1:00 - 2:00  Lecture and Lab:  Special Tests of the Shoulder

  • Tests of Contractile Pathology
  • Tests of Structural Integrity

2:00 – 3:00 Lab:  Management of the Acute Shoulder

  • Taping
  • Patient Controlled PROM Techniques

Break 3:00 - 3:15

  • Snacks provided

3:15 – 4:15 Lab:  Exercise for the Acute or Post-operative Patient

  • Closed Chain Rotator Cuff Exercise
  • Lumbopelvic and Lower Extremity Strength and Endurance

4:15 – 5:00 Lab:  Considerations for the Scapula

  • Scapular Stabilization and Scapulohumeral Dissociation

5:00 – 5:30

  • Questions / Wrap-up of Day 1


DAY 2 (6 contact hours)

 

8:00 – 8:30  

  • Questions and Review of Day One
  • Light Breakfast Provided

8:30 – 9:15 Lab:  Progression of Scapular Stabilization for the Middle Phase of Rehabilitation

9:15 – 10:15 Lab:  Assessment of Core

  • Dynamic / Functional Assessment of Core Recruitment
  • Core Stabilization Considerations in Shoulder Rehabilitation
  • When to Sit and When to Stand

Break 10:15 – 10:30

10:30 – 11:15 Lab:  Joint Mobilization

  • Self Stretching and Mobilization for the Client

11:15 – 12:00 Lab:  Rotator Cuff Progression

Lunch 12:00 – 1:00 On your own

1:00 – 1:30  

  • ​Tools Available to the Client for Self Management
  • Intelliskin® Posture Shirt

1:30 – 2:00  

  • What To Do with the Persistently Painful Shoulder?

2:00 – 3:00 Lab:  Patient Education Regarding Exercise Progression at Home or Gym

3:00 - 3:30

  • Pulling It All Together
  • Q & A
  • Wrap-up and Course Evaluation