Shoulder Certification Series

Every year about 795,000 people in the United States have a stroke. Stroke survivors may present with several clinical manifestations including hemiplegia, neglect, vision problems, spasticity, etc. One of the most common consequences of a stroke is development of hemiplegic shoulder pain (HSP) with a reported incidence of 30%-65%. The pathogenesis of shoulder pain after a stroke is multifactorial and stems from neurogenic as well as mechanical factors, which often coexist together. HSP prolongs recovery and hospital stay, worsens arm function, and reduces Quality of Life (QOL) leading to increased post stroke morbidity.

Rehabilitation plays a key role in management of patientswith HSP. In this 2-hour course, we will first understand normal shoulder mechanics and the pathophysiology of development of HSP (includes subluxation, complex regional pain syndrome, tendinitis, capsulitis, rotator cuff muscle tears). Then we will discuss standardized outcomes to assess HSP both at impairment level but also as activity/ participationlevel. Finally, we will list treatments used to address HSP in a variety of settings and discuss the current literature supporting these treatments. A case study will be used to enhance learning and understanding of this topic.

• Review the mechanics of the normal and hemiplegic shoulder complex
• Identify assessment tools used to evaluate and assess hemiplegic shoulder pain and upper extremity function
• Preventative measures across different health care settings to manage hemiplegic shoulder pain
• Easy to use evidence-based treatmentstrategies to address hemiplegic shoulder pain and improve function in patients with stroke

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. Withchanges 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 approaches 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. Dr. Earley will take you step-by-step through the pathoanatomy of the shoulder and the assessment ofdysfunction around the scapulothoracic and gleno-humeral joints utilizing case studies of shoulder problems. Current evidence-based interventions are presented and analyzed for a variety of diagnoses. Participants will return to their practice with more tools to evaluate, assess and treat difficult shoulder problems in less time and with less expense to the patient.

• Conservative rehab approaches which restore optimal shoulder biomechanics and pain-free motion
• Incorporation of Evidence-Based Practice (EBP) into treatment plans
• 4 vital exercise programs and approaches for impingement, tissue lesions, tears, and capsular restrictions
• Rehabilitation for the various phases of shoulderimpingement syndrome, rotator cuff, adhesive capsulitis, bicipital tendonitis, AC joint sprains, labral injuries, andthoracic outlet syndrome
• "Bottom up" and "top down" recovery strategies to manage shoulder and upper quadrant dysfunction
• Cuff and capsular tissue elongation strategies for theposterior, inferior, and anterior shoulder complex
• Interactive labs and case studies of shoulder problemsand dysfunction

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 webinar will present how to analyze scapular dysfunction focusing onanatomical 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. These techniques will be presented in a way that will allow you toimmediately incorporate these concepts into your practice.

• Immediately improve your client's functional shoulder outcomes using practical treatment techniques
• Practical assessment and re-assessmentstrategies to treat common syndromes of the shoulder

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

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