Shoulder Online Bundle

You will receive access to six online courses, equalling 15.62 Contact Hours.

Introduction to Shoulder Dysfunctions – 3 Contact Hours – Improve your clinical confidence with the shoulder by viewing four different online lectures taught by Dr. Ann Porretto-Loehrke PT, DPT, CHT, COMT, CMTPT, which aim to increase the understanding of the pathoanatomy of most common glenohumeral musculoskeletal conditions such as adhesive capsulitis, glenohumeral impingement and instability.

Diagnosis and Management of the Shoulder and Shoulder Girdle – 8 Contact Hours – This online course takes an in-depth look at primary and secondary pathoanatomy, biomechanics, basic and specific clinical examination and interpretation, management suggestions and specific approaches to diagnose and treat shoulder and shoulder girdle related disorders.

Rapid ID of Shoulder Pain Generators – 0.82 Contact Hours – This short course is packed with information related to patient history and clinical presentation that guides the examiner to a precise clinical working diagnosis of the three most seen musculoskeletal disorders in the shoulder region: impingement syndrome where bursitis is differentiated from rotator cuff tendinopathy, adhesive capsulitis where traumatic is differentiated from idiopathic frozen shoulder, and rotator cuff tears. Each pathology is linked with suggested management strategies that match precise treatment to the specific problem.

Shoulder Arthroplasty: Rehab Considerations for both Anatomic and Reverse Total Shoulders – 1 Contact Hour – Dr. Porretto-Loehrke, an expert in the diagnosis and management of musculoskeletal dysfunctions of the Hand and Upper Extremity, describes detailed differences between anatomic and reverse total shoulder functionality and rehab goals. She also shares her clinical experience on common pitfalls and restrictions commonly seen in the recovery phases.

Upper Quadrant Neural Testing and Management – 1.3 Contact Hours – Dr. Brismee discusses the neural testing and management for the upper quadrant using research-based guidelines for neural tensioning and sliding techniques. He also shares his expertise on how to apply the evidence into the clinical practice to treat patients with spinal potential discogenic, dural, or nerve root-related conditions, patients with suspected peripheral neural compression/tension conditions, and patients with suspected sensitization in chronic stages.

Proximal Screening of the Upper Extremity – 1.5 Contact Hours – This course will review the anatomy of the cervical spine to understand the potential pain generators in this region that can refer symptoms to the distal upper extremity. Testing of the cervical spine to differentiate between a cervical radiculopathy from a disc issue will be covered. An overview of thoracic outlet syndrome and techniques for screening this region will also be provided.

Introduction to Shoulder Dysfunctions

• Describe the relevant anatomy of the shoulder and how dysfunction can contribute to adhesive capsulitis, shoulder impingement, and instability.
• Classify the 2 types of adhesive capsulitis and verbalize which type responds more favorably to manual techniques.
• Explain the difference in clinical presentation between external impingement (subacromial pain syndrome) and internal impingement.
• Differentiate between the types of shoulder instability and the one that responds best to conservative management.
• Examine common occupational performance deficits and client barriers to functional activities with the various shoulder conditions.

Diagnosis and Management of the Shoulder and Shoulder Girdle

• Given a case study of one of the most common musculoskeletal pathologies of the shoulder joint and shoulder girdle complex with consequent clinical dysfunctions, the learner will independently integrate the anatomic, physiologic and biomechanical findings into a differential diagnosis report.
• Accurately identify at least one common clinical dysfunction of the shoulder region in 3 different patient scenarios.
• Identify 3 effective treatment interventions for acute, recurrent and chronic shoulder region dysfunctions and related pathologies.
• Design a treatment plan for a patient with acute dysfunction of the shoulder.
• Design a treatment plan for a patient with recurrent or chronic shoulder dysfunctions.

Rapid ID of Shoulder Pain Generators

• Accurately identify at least one common clinical dysfunction of the shoulder region.
• Perform an examination protocol to identify common dysfunctions in shoulder region.
• Identify 3 effective treatment approaches to restore functional recovery in common shoulder dysfunctions.
• Confidently perform and/or recommend a precise treatment plan for a patient with shoulder impingement.
• Confidently perform and/or recommend a precise treatment plan for a patient with frozen shoulder.

Shoulder Arthroplasty: Rehab Considerations for both Anatomic and Reverse Total Shoulders

• Differentiate between the 2 types of procedures: total (or anatomic) shoulder arthroplasty (TSA) and reverse total shoulder arthroplasty (rTSA).
• Summarize rehabilitation goals for each procedure.
• Integrate healing process concepts in the early stage of rehabilitation (0-6 weeks)
• Integrate healing process concepts in the late stage of rehabilitation (6+ weeks)
• Identify expected clinical outcomes after each specific surgery
• Describe common pitfalls and lifetime restrictions for patients with shoulder arthroplasty

Upper Quadrant Neural Testing and Management

• Identify three upper quadrant neural testing techniques to improve the diagnostic process.
• Design three treatment approaches based on neural mobilization principles for peripheral nerve entrapment dysfunctions.

Proximal Screening of the Upper Extremity

• Describe the research supporting the existence of double crush
• Explain the difference in clinical presentation between cervical radiculopathy versus a cervical disc.
• Perform a cervical spine screen with evaluation of sensation, strength, and reflexes to determine potential dermatomal and myotomal involvement.
• Verbalize the anatomy of the thoracic outlet region and be able to describe the three main areas of brachial plexus involvement.
• Identify the two types of thoracic outlet syndrome(TOS) clinical presentations: compressors and releasers.
• Perform a proximal screening to rule out disputed neurogenic TOS.

• Financial: The instructor(s) receive an honorarium for presenting this course.
• Non-financial: The instructor(s) have no relevant non-financial relationships to disclose.
• Partial credit is not available. For online courses, passing module assessments and completing the course evaluation is required to earn continuing education credit. For live courses, attendance is confirmed by signing the attendance sheet at the course; ensure name and professional license number are accurate, and initial both morning and afternoon attendance.