Shoulder Dysfunction: A Common-Sense Approach to Examination and Treatment

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Working with clients that have shoulder dysfunction can be challenging.  This course provides a practical evidence-informed pathway that uses special testing for the purpose of guiding treatment decisions.  Included are the concepts of assessing and treating motion deficits based on scapular and glenohumeral motor control, soft tissue restrictions, neural mobility restrictions, and thoracic spine stiffness.

This hybrid course includes independent study components (recorded lectures and demonstrations) which are completed prior to the on-site training, allowing the in-person sessions to be heavily lab-based.

Covered motion-based interventions consist of:

  • taping
  • neural mobilization
  • instrument assisted soft tissue mobilization (IASTM)
  • negative pressure soft tissue mobilization (NPSTM) or cupping
  • corrective exercises

Please dress to allow access to your entire upper quarter to enhance the learning process.

Pre-Requisite:

Exposure to IASTM in the clinic or through an introductory course is recommended.

Requirements:

You will be required to:

  • wear a halter top or tank top for lab sessions.
  • wear comfortable clothing over lab attire, so you are not cold during lecture sessions.
  • Bring a yoga mat for your personal use during lab sessions.

Accessing Pre-Course:
Upon completion of online registration, you will be emailed a course receipt. This is NOT a course confirmation. Once the required minimum number of participants have registered, you will receive an email confirmation along with details on how to access your online independent-study Pre-Course .

It is recommended that you wait for written course confirmation prior to booking non-refundable travel or lodging. If you have not received course confirmation 14 days prior to your start date of your live session, please contact Rehab Education, LLC to check on status of your registration.

 

SELF STUDY PRE-COURSE:  These recordings must be viewed prior to attending the live, in-person portion of the course.

Introduction power point

  • Shoulder anatomy and biomechanics
  • Concavity compression
  • Total Arc of motion
  • Scapular kinematics
  • Movement dysfunction (possible sources of motion loss)
    • Joint components
    • Motor deficits
    • Neural mobility deficits
  • Screening Techniques
    • Rotator Cuff Competency
    • Total Arc of Motion
    • Scapular motion
    • Neural Mobility

By the end of this course, participants will:

  • Implement screening techniques to significantly increase examination efficiency
  • Incorporate deficit-specific interventions to target motion dysfunction identified during examination
  • Develop robust multi-faceted treatment programs for shoulder dysfunction that are motion-based
  • Apply and document findings for neural mobility testing of the UE using the neural mobility grading scale (0-5/5) for biasing the brachial plexus
  • Identify neural-based motion restriction via mobility testing and palpation
  • Integrate NPSTM, IASTM, and taping treatments to enhance outcomes and carry-over

This course consists of an online component and a live component. The online component is a 2-hour independent study pre-course consisting of recorded presentation of key concepts; this must be completed prior to attending the live component. The live component consists of 10 hours of live classroom presentation and lab sessions.

INDEPENDENT-STUDY PRE-COURSE:  These recordings must be viewed prior to attending the live, in-person portion of the course.

2.0 hours

  • Introduction
  • Shoulder anatomy and biomechanics
  • Concavity compression
  • Total Arc of motion
  • Scapular kinematics
  • Movement dysfunction (possible sources of motion loss)
    • Joint components
    • Motor deficits
    • Neural mobility deficits
  • Screening Techniques
    • Rotator Cuff Competency
    • Total Arc of Motion
    • Scapular motion
    • Neural Mobility

LIVE IN-PERSON, HANDS-ON SESSION: (All recordings must be viewed prior to start of this portion of the course)

0.5 hour               Recap of pre-course

SCREENING TECHNIQUES LAB

0.33 hour            Active movement Screen

0.33 hour            Rotator Cuff Competency Screen

0.33 hour            Total Arc of Motion Screen

0.25 hour            Scapula Screen

0.75 hour            Neural Mobility Screen

INTERVENTIONS

Advanced Manual Interventions

1.75 hours           Taping

      • Rotator Cuff stabilization kinesiology tape
      • Scapular stabilization non-elastic taping
      • Brachial plexus median nerve bias
        • Lift at pectoralis minor
        • Lift at pronator teres
      • Brachial plexus radial nerve bias
        • Lift at Arcade of Frohse

1.0 hour               NPSTM

  • Shoulder
    • Infraspinatus
    • Lower Trapezius
    • Rhomboids
    • Serratus anterior
  • Brachial plexus
    • Cords
    • Trunks
    • Deltopectoral & coracopectoral interval

1.5 hours             IASTM

      • Shoulder
        • Superficial
        • Deep
      • Brachial plexus
        • Scalenes
        • Subclavius
        • Pectoralis minor
        • Deltopectoral & coracopectoral interval
  • Neural Mobility
    • Pin/Stretch along course
      • Scalenes
      • Pectoralis minor
      • Deltopectoral & coracopectoral interval

 Exercise-based (mostly) Interventions

  • Concavity Compression
    • IR/ER Sinusoidal
    • ER Side hop
  • Scapular Stability
    • TB T’s and diagonals + integration of cervical stabilization
    • Kettle Bell arm bar protractions, crosses, circles
    • Farmer’s Carry
    • Bell up carries, 3 position
    • Blackburn’s
    • Modified Blackburn’s on Stability ball
    • Y T I & Press

0.5         Scapular Dyskinesia

    • Scapular Clocks
    • Brügger’s
    • Mirror SICK Scapula open and closed chain exercises
    • 3 m.o. press ups

0.5         Restoring Total Arc Rotation Motion (TARM)

    • Pin/Stretch
    • Mobilization With Movement Internal Rotation
    • Sleeper Stretch and Genie Stretches
    • Self-release with LAX ball

0.5         Thoracic Mobility

    • Foam rolling
    • ACJ / SCJ Mobs
    • Mid-back extension mobs
    • Upper thoracic extension mobs

Bonus videos of the exercises above will be provided to attendees for post course review

12 Contact Hours (12 clock hours)

This course content is not intended for use by any participants outside the scope of their license or regulation.

This live interactive webinar course is accepted by many professional credentialing organizations and state professional regulatory boards. Rules and regulations change frequently without notification, and apply differently to live and online courses. Please check with your state board to confirm accuracy of this list and acceptance of contact hours. Certificate of Attendance will be issued to all participants upon completion of the course and may be used for CEU verification of credits.

CE credits vary by state. Please check with your state board/certifying agency to confirm conversion of contact hours to CEUs.

Rehab Education, LLC is recognized as:

  • AOTA approved provider of OT and OTA continuing education (#6177)
  • approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy.
  • approved provider of PT and PTA continuing education by IDFPR/ Illinois Board of Physical Therapy (#216000227).
  • Physical Therapy Board of CaliforniaCA Board of Physical Therapy: The Physical Therapy Board of California recognizes Rehab Education, LLC as an approval agency to approve providers offering continuing competency courses for CA licensed PTs and PTAs. This course is approved for 12 contact hours.


  • Illinois State Board of Physical Therapy: Approved CE Sponsor by Illinois State Board of Physical Therapy, Division of Professional Regulations, Approval #216.000227. (Course must be taken prior to 09-30-2024)


  • NY State Physical Therapy Board: Rehab Education, LLC is recognized as an approved provider of PT and PTA continuing education by the NY State Education Department Board of Physical Therapy. (Course must be taken prior to 05-10-2025)


  • Oklahoma State Board of Physical Therapy: Rehab Education, LLC is an approved CE provider by the Oklahoma State Board of Medical Licensure & Supervision. Provider #BAP202310008. (Course must be taken prior to 01-31-2024)


  • States that Accept AOTA Approval / PT State Boards’ Approval Reciprocity

    The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. At the time of listing, these states currently recognize AOTA Approved Providers for OT continuing education either in regulatory language or by formal written communication to AOTA. For an up-to-date list, see the AOTA website.

    Alabama
    Alaska
    Arkansas
    Arizona*
    California
    Delaware
    District of Columbia
    Florida **(self-report to CE Broker)
    Georgia*
    Illinois
    Indiana
    Kentucky
    Louisiana*
    Maryland
    Massachusetts
    Michigan
    Minnesota
    Mississippi*
    Missouri
    Montana
    Nevada
    New Hampshire
    New Mexico
    New York
    North Carolina
    North Dakota
    Ohio
    Oregon
    Oklahoma
    Pennsylvania
    Rhode Island
    South Carolina*
    South Dakota
    Tennessee*
    Texas
    Vermont
    Virginia
    Wisconsin (self study courses only)

    *see CE Broker
    **FL licensees may need to self-submit courses in CE Broker

    Disclaimer: Rehab Education LLC provides this list for your convenience. At the time of listing, the following state boards accept courses by virtue of approval by other organizations. It is the responsibility of the participant registering for a course to check with their state board to confirm rules and regulations regarding acceptance of contact hours for live and online courses.


    The following PT Boards accept courses approved by other PT State boards*:

    Alaska
    Delaware
    District of Columbia
    Hawaii
    Illinois
    Indiana
    Kansas
    Kentucky
    Michigan
    Montana
    North Carolina
    North Dakota
    Oregon
    Pennsylvania
    Tennessee
    Utah
    Vermont
    Virginia
    Wyoming

    The following PT Boards accept courses approved by other APTA state associations*:

    Alaska
    Arizona
    Delaware
    District of Columbia
    Florida **(self-report to CE Broker)
    Georgia
    Kansas
    Kentucky
    Mississippi
    Missouri
    North Carolina
    North Dakota
    Rhode Island
    South Dakota
    Utah
    Vermont
    Virginia
    Wyoming

    The following PT Boards do not require pre-approval for continuing education activities as long as they are “directly related to the licensee’s practice of physical therapy” and/or meet the guidelines established by the board.

    Alabama
    Colorado
    Connecticut
    Iowa
    New Hampshire
    Washington
    Wisconsin

    HELPFUL LINKS:
    *NBCOT…National Board for Certification of Occupational Therapy (view PDU requirements)

    +HTCC… Hand Therapy Certification Commission (view recertification requirements)
    Hand Therapy Certification Commission (HTCC): This course is accepted by HTCC towards re-certification.

    State PT Boards
    State OT Boards

Sign up for our mailing list to be notified when registrations become available.

    States you are licensed in:

    Fast Facts

    Skill Level: Interm./Adanced
    Delivery Method: Live, In-person with online study as pre-requisite

    Who Should Attend:
    • Occupational Therapists
    • Occupational Therapy Assistants
    • Physical Therapists
    • Physical Therapy Assistants
    • Certified Athletic Trainers

    Pre-Requisite:

    Exposure to IASTM in the clinic or through an introductory course is recommended

    Locations:

    Online Study with Live, in class component

    More dates coming soon. Sign up on our e-mail list to be notified when new dates are available.

    Instructors:

    Mark W. Butler, PT, DPT, OCS, Cert. MDT

    is a board certified Orthopaedic clinical specialist and Mckenzie certified specialist for mechanical diagnosis and treatment of the spine. He started his own practice eighteen months after graduating from the Philadelphia College of Pharmacy and Science (now the University of Science in Philadelphia), which he sold to NovaCare in 1997.

    He is an Adjunct Assistant Professor at UMDNJ, guest lecturer at Stockton College in New Jersey, and Medical College of Virginia where he lectures on Advanced Orthopedics, Neural Mobilization, Radiology, and Evaluation and Treatment of TMJ Disorders. Mark is also a continuing education speaker on Evaluation and Treatment of Brachial Plexopathies, Neural Mobilization, the lumbar spine, and the shoulder. He was honored in 2006 with the James Tucker Excellence in Clinical Practice and Teaching Award by the APTAnj. He presented at the national conference in Hollywood of the American Society of Hand Therapists on Evaluation and Treatment of the Brachial Plexopathy Patient. His lecture series was selected as the featured topic on CD ROM to be available to the ASHT membership.

    Mark is a frequent presenter at conferences, including the APTAnj annual conference, the InNovations and Sports Medicine conferences at the Philadelphia Eagles Complex, and the Cincinnati Fracture conference. He authored the shoulder chapter in the textbook Fundamentals of Hand Therapy: Clinical Reasoning and Treatment Guidelines for Common Diagnoses of the Upper Extremity, which was published in 2014. Mark continues to manage the NovaCare Medford outpatient clinic, where the majority of his caseload is brachial plexopathy, shoulder, and spine patients.