SHOULDER REHABILITATION: WHAT IS NEW FROM A SCIENTIFIC AND CLINICAL POINT OF VIEW? ADVANCED COURSE - LEVEL 2
ANN COOLS, PT, PhD
COURSE GOALS AND CONTENT
In the area of shoulder rehabilitation, scientific knowledge and insights in the clinical application of research data have been evolving the past few years in an enormous extent. The purpose of this advanced shoulder rehabilitation course is to provide additional theoretical insights, clinical reasoning processes and practical skills in the rehabilitation of the shoulder, bringing an update as well as an extension of the existing knowledge, covered in the level 1 course. In particular the aims are twofold: first goal is to discuss and practice into detail the role of the scapula in shoulder pain assessment and rehabilitation. Additionally, some specific pathologies are discussed, that were not thoroughly covered in the level 1 course. This advanced course is science based, but also offers multiple hands-on opportunities, with a thorough clinical examination as a basis for therapeutic decision making processes. This course is a level 2 course, based on the level 1 course, registration is only possible for participants who followed the level 1 course.
It is recommended that participants are advised to bring a hand-held dynamometer to the course in case they have one. The presenter provides the necessary equipment for demonstration. DAY 1: EXAMINATION AND REHABILITATION OF SCAPULAR DYSKINESIS
9-10.30h: ADVANCED BIOMECHANICS OF THE SCAPULA: Coupled movements, the role of the SC joint, function of the “postural” muscles versus the “dynamic movers and stabilizers”, update literature of scapular dyskinesis in relation to shoulder pathology
10.30-11h: Break
11-12.30h: ADVANCED CLINICAL EXAMINATION Observation of scapular dysfunction, objective measurements of scapular inclination and strength, normative data for scapular flexibility and strength variables, decision making based on the “symptom improvement test-model”, and on the different types of scapular dyskinesis
12.30-13.30h: break
13.30-15h: ADVANCED SCAPULAR REHABILITATION
Treatment skills based on the 3 types of scapular dyskinesis, taping techniques to correct scapular position, taping for hypertone upper trapezius, infraspinatus, stretching and soft tissue techniques for pect minor
15-15.30: break
15.30-17h: continued DAY 2: CAPITA SELECTA: ADVANCED INSIGHTS AND PRACTICAL SKILLS IN SELECTED SHOULDER PATHOLOGIES (1/2 day sportspecific, 1/2 day non-sportspecific)
9-10.30: SLAP LESIONS AND BICEPS RELATED PATHOLOGY
Science based rehabilitation protocol and guidelines for postoperative rehabilitation (exercise progression, excentric training, plyometric drills)
10.30-11h: break
11-12.30: HIGH PERFORMANCE TRAINING IN THE OVERHEAD ATHLETE AND RETURN-TO-SPORT DECISIONS specific high level exercises for gymnasts, collision sports, high impact sports, and science based return to play criteria, including objective measurements of glenohumeral ROM and strength
12.30-13.30h: break
13.30-15h: MULTIDIRECTIONAL INSTABILITY
Progressive conservative treatment of the patient with atraumatic (unvoluntary and voluntary) multidirectional instability – closed and open chain exercise approach, taping techniques
15.15.30h: break
15.30-17h: ROTATOR CUFF TEARS Conservative management of partial and full thickness (irreparable) rotator cuff tears and guidelines for postoperative rehabilitation (exercises, taping, return to activity advices)