Course #3  Rehabilitation Management of Shoulder for a Busy Clinician
Presented by
Raghu Chovvath
(an experienced international speaker and clinician in Manual Therapy) 

The prevalence of shoulder pain and discomfort range from 7% to 27% with a lifetime prevalence of 67%.  These statistics indicate that a lot of our population would be much more productive and comfortable in their lifestyles If they did not have this debilitating condition. The role of physical therapist in the management of these disorders has become an inevitable one and all practicing clinicians will encounter these patients in a daily basis. Evolving research in this field has made the assessment and treatment of this condition challenging with doubts being cast on age-old assumptions of test and measures and more importantly indicating the ever-increasing role of conservative management with decreasing role of surgical intervention. This course will serve to refresh and streamline the understanding of this joint in its normal state and the possible dysfunctions leading to the discomfort and disability. It will present the clinician with a quick and effective method of assessment and management in this region using evidence based methodology for the ever-shrinking time availability in a clinical setting. This course should provide a new to a medium level practitioner knowledge that he would be able to apply in his patients immediately enhancing outcomes. He/she would also be introduced to the concepts of surgical interventions in this region and the role of physical therapy post op. The course will be presented with audiovisual aids and 3D modeling which would enhance the learning and allow the clinician to be able to make clinical decision fast. He will also learn the easy ways to identify all the components of dimensions of “Biopsychosocial” aspects of dysfunctions in this complex joint and its vicinity to maximize results.

Upon successful completion of this course, Participants should be able to:
-  Describe the anatomy and physiology of the Shoulder complex.
- Understand the concepts of Force couple around this region and its implications.
-The complex nature muscle activation for normal functional mobility in this Joint complex.
- Evidence for the importance of physical therapy in the management of disorders around this joint complex.
- Will can identify Psychosocial elements present with these disorders.
- A simple screening assessment to understand the difference between Intra articular versus extra articular involvement.
- Easily screen for impingement in a simple algorithmic method.
- Role of rotator cuff and scapula in dysfunction.
- Understand and explain scapular dyskinesis.
- Understand and explain Glenohumeral internal rotation deficit disorder (GIRD)
- Understand shoulder instabilities.
- Will learn to perform evidence based tests for this joint complex.
- Will have contemporary understanding and management principles of adhesive capsulitis.
- Can treat shoulder in a functional based approach to enhance function rather than treat diagnosis.
- Will have knowledge of evidence based exercises in relation to MVIC for each muscle and the method to select the appropriate one based on severity and irritability. (Closed/open Kinetic chain and endurance)
- Will have basic knowledge of manual therapy applicable for these conditions.
- Have introduction to the various surgical procedures around this Joint.
DAY ONE                           
7:30 AM        Registration
8:00 AM        Evidence for physical therapy in shoulder
8:30 AM        Anatomy of the shoulder joint complex
9:30 AM        Normal activation patterns of musculature
around shoulder
10:00 AM      Break
10:15 AM      Identifying psychosocial issues around
shoulder problems
10:30 AM      Initial screen rule out adjacent joint
involvement IRRST / Cervical Radiculopathy 
11:30 AM      Adhesive Capsulitis
12:00 Noon   Lunch (on your own)
1.00 PM        Strategies in management of adhesive
1:30 PM        Manual techniques and Exercises –     
Adhesive capsulitis  
2:30 PM        Impingement - Introduction
3:00 PM        Screening for Impingement - Explained       
3:30 PM        Break
3:45 PM        Demonstration and Practice of test
 for Impingement
5:00 PM        Adjuncts in management of Impingement

5:30 PM        Adjourn
7:30               Treatment strategies for impingement
8:30 AM        Instabilities - Explained
9:00 AM       Evidence based exercise prescription with
 demonstration and practice.
10:30 AM      Break
10:45 AM       Case Examples     
11:45 AM     Lunch (on your own)
12:30 PM     Surgical management
1:30 PM     Principles of management – Post operative
2:00 PM     Questions and Answers      
2:30 PM     Adjourn
MPTA approved 14 Contact Hours Course
Upon completion of this course, all participants will be given a certificate of
participation for 14.0 contact hours


2019 course schedule coming soon.
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