Course

Shoulder Tendinopathy, Impingement, Instability & Scapular Rehabilitation: What’s New From a Scientific & Clinical Point of View?

Teacher Ann Cools
Dates 26-27 June 2020
Max participants 35
Location Rome, Italy
Certificate / Credits Yes / Yes (16 ECM)
Type of course Theoretical & Practical
Course features
Research & Evidence Based
Theoretical foundation
Hands-on/practical sessions
2 days of high quality learning content
Course in English with translation in Italian
Medical Doctors, Physical Therapists, medicine & physiotherapy students and professionals equivalent to PT’s can register for this course
Teacher
PT, PhD
Ann Cools is a physiotherapist, working as an associate professor at the Department of Rehabilitation Sciences and Physiotherapy at the Ghent University,...
Course program
  • 9:00AM-10:30AM

    THEORY PART 1:
    From impingement symptoms towards the underlying pathology and impairments: critical discussion with respect to “impingement”, update scientific literature and critical papers. Discussion regarding rotator cuff dysfunction, tendinopathy, degenerative RC tears, and muscular imbalance. Shoulder instability: differential diagnosis and approach for the 3 most common types of instability: traumatic dislocation, overload functional instability in the overhead athlete, atraumatic multidirectional instability based on generalized hyperlaxity. Biceps related pathology: disorders of the long head of the biceps and SLAP lesions as biceps related labral pathology.

  • 10:30AM-11:00AM

    Break

  • 11:00AM-12:30PM

    THEORY PART 2
    Glenohumeral ROM deficits in the overhead athlete and its relation to overuse shoulder pain. the role of the scapula in shoulder pain, biomechanical and clinical perspectives. The theoretical session ends with a critical interactive discussion on the possible causes of shoulder pain, including central sensitization, kinetic chain disorders and psychosocial factors.

  • 12:30PM-01:30PM

    Lunch break

  • 01:30PM-03:00PM

    CLINICAL EXAMINATION PART 1
    Clinical reasoning in the assessment of the patient, using science-based clinical reasoning algorithms. Symptom provocation and reduction tests, traditional orthopedic tests, including critical discussion with respect to the interpretation. Case-based interpretation of clinical examination during interactive practical session.

  • 03:00PM-03:30PM

    Break

  • 03:30PM-05:00PM

    CLINICAL EXAMINATION PART 2
    Continued. At the end of this session, participants are able to share their personal experience and expertise in a peer-learning moment.

  • 9:00AM-10:30AM

    REHABILITATION PART 1: ROTATOR CUFF
    Scientific background for the conservative treatment of rotator cuff tendinopathy and muscular imbalances, scientific rationale for exercise choice, practical session.

  • 10:30AM-11:00AM

    Break

  • 11:00AM-12:30PM

    REHABILITATION PART 2: SHOULDER INSTABILITY
    Specific exercises for shoulder instability, exercises for local neuromuscular control, closed chain exercises in progression (algorithm + practice), differential approach based on instability-type, scientific rationale for kinetic chain exercises, sports-specific approach including throwing exercises, exercises for swimmers, practical session.

  • 12:30PM-01:30PM

    Lunch break

  • 01:30PM-03:00PM

    REHABILITATION PART 3: MOBILISATION TECHNIQUES
    Angular stretching and non-angular joint mobilization techniques, home stretching program, mobilization with movement techniques for the shoulder with posterior shoulder stiffness. Principles of mobilization techniques applied to frozen shoulder contracture. Practical session.

  • 03:00PM-03:30PM

    Break

  • 03:30PM-05:00PM

    REHABILITATION PART 4: SCAPULAR REHABILITATION
    Clinical reasoning algorithm for scapular rehab, specific exercise selection for muscular imbalance and progression, scientific rationale for exercise selection, soft tissue techniques for pectoralis minor treatment

GENERAL COURSE GOALS AND CONTENT

The goal of this 2-day shoulder course is to update knowledge and practical skills with respect to shoulder rehabilitation, debating the most common shoulder disorders like rotator cuff disease, traumatic and atraumatic instability, shoulder stiffness, the involvement of the scapula, sports-specific shoulder pain etc. The theoretical background is updated based on recent literature and immediately applied into the practice. New insights as well as points of debate are presented and discussed in an interactive manner. We perform clinical examination based on evidence-based practice principles, including scientific evidence and clinical expertise. Several approaches of clinical examination are critically discussed. During the rehabilitation part of this course, general clinical reasoning principles, as well as specific therapeutic indications are discussed and put into practice during interactive workshops, in which all demonstrated and discussed exercises and additional modalities are performed and experienced.

This 2- day course consists of theoretical background sessions (30%), critical interactive discussions (20%) and practical sessions (50%). The target public is physiotherapists with a special interest for shoulder rehabilitation. Novice as well as experienced physiotherapists have the opportunity to update their knowledge and skills. General insights in shoulder anatomy, biomechanics, including pathomechanical injury mechanisms, are assumed to be acquired.

GOALS AND COMPETENCES TO ACHIEVE

After completion of this course, the participant will have reached the following competences:

  • The participant has updated insights in the most common disorders of the shoulder girdle, including rotator cuff tendinopathy, rotator cuff tears, traumatic, atraumatic and acquired shoulder instability, , scapular dyskinesis, the sporting shoulder and throwing related shoulder pain.
  • The participant can apply clinical reasoning principles and algorithms for the functional clinical examination of the shoulder girdle
  • The participant can apply clinical reasoning principles and algorithms for the treatment of the most common shoulder pathologies
  • The participant can conceptualize, organize, perform, critically reflect, and remediate a progressive treatment program for the patient with shoulder pain
  • The participant performs all skills and exercises, comprised in the course, during the practical sessions of the course
  • The participant can critically discuss examination and treatment principles with the course teacher and his peers during the interactive sessions.
  • The participant can integrate recent scientific knowledge (provided by scientific papers) into the clinical reasoning process of shoulder examination and rehabilitation

COURSE PREPARATION

  1. The participant has to update his knowledge on basic anatomy and kinesiology of the shoulder girdle, and on the kinematics of the throwing shoulder (phases of throwing, joint positions and possible threats to injury, muscle activity patterns). Additionally, the participant needs to have basic knowledge on the most common shoulder disorders, namely rotator cuff tendinopathy, degenerative tears, instability, biceps pathology, SLAP lesions, frozen shoulder, scapular disorders.
  2. It is advised that the forwarded literature (scientific papers) is read prior to the start of the course. The papers will be used during the course in a clinically relevant application, while critically interpreted.
  3. The participant should critically reflect on his/her own clinical reasoning for shoulder examination and rehabilitation.

Registration fee

REGISTRATION for the course:

  • Registration fee (early booking)* € 435,00 + VAT 22% - until May 4th 2020
  • Registration fee €495,00 + VAT 22% - starting from May 5th 2020
  • -10% for members of our partners

*The aforementioned promo cannot be combined with the other ongoing discounts such as:
"10% discount fee for members of PARTNERS’ organizations”

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