The purpose of this online educational film and course material is to provide therapeutic exercises guidelines for developing rehabilitation programs for patients with various shoulder pathologies. Foundational exercises are described first to work each link in the kinematic chain in an isolated manner to build the “foundation” to progress to the advanced functional specificity exercises. After a solid foundation is established by working each link in the kinematic chain (muscle groups in the shoulder complex); then examples of advanced exercises are illustrated to be incorporated with different patients at selected times in their rehabilitation programs. Selected manual therapy techniques are also demonstrated that can be used with patients’ who have selective hypomobilities. Finally an algorithm based examination for the special tests of the shoulder is also demonstrated as an efficient method to perform the tests in a minimal time.
This online film and educational material will provide an overview of some of the evidence-based exercises that we use as the foundation for treating patients with shoulder-related problems. One of the approaches we take is to start with the foundation. In other words, what we’re going to do is look at each of the components of the shoulder complex and work on the specific muscles that influence each link in the kinematic chain.
As an example, we’ll start off with four exercises that focus on the scapulothoracic area. We’ll work the top muscles, the bottom, the front, and the back of the scapula using some of the electromyography-based exercises that have been demonstrated to recruit the most EMG for the most muscle groups. Following that, we’ll focus on exercises for the glenohumeral joint. We’re going to take the same approach, working each link in the kinematic chain. We want to work on the top, the bottom, the front, and the back. This is based on previously published research, which is in the references, showing that these exercises are the best exercises to recruit the muscles that help with dynamic stabilization of the glenohumeral joint.
Then, as we move out, we of course need to work on the primary muscles that stabilize the shoulder, which are the rotator cuff muscles. We’re going to be talking about internal-external rotation in different positions. Then, finally, if a muscle crosses a joint, it has to influence the joint. Therefore, we’re also going to work on the biceps and the triceps. There are exercises that are called TAS, for “total arm-strengthening” as well.
These top 10 exercises work each link in the kinematic chain, and there is evidence to show that they’re some of the best exercises to recruit the relevant muscles. In addition, we actually have evidence now to show that these top 10 exercises are effective not only in strengthening the muscles, but in improving functional outcomes as measured in different ways, such as closed-chain tests, open kinetic-chain tests, throwing tests, etc. Furthermore, we’ve recently completed research that demonstrates that these exercises are effective in patients who have rotator cuff impingements and shoulder pain. Using these top 10 exercises helps reduce pain and increase functional activities as measured with a DASH (Disabilities of the Arm, Shoulder, and Hand) score. These exercises also improve the results of isokinetic testing in a seated shot-put power type of test.
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CE Hours: 5.0 hrs Delivered: OnlineInstant Online Access to Course Material for 365 days, Videos, Online Test, PDF Manual Download and Printable Course Certificate with State Specific CEU approval
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DR. GEORGE J. DAVIES is a clinician, educator, speaker, researcher, author, editor and consultant. He is an internationally known speaker who has presented hundreds of conferences throughout the world on sports medicine, sports physical therapy, athletic training, shoulder, knee, open and closed kinetic chain topics, orthopaedics, rehabilitation and Isokinetics. George began in this great profession of sports medicine almost 50 years ago when he started as a student, assistant and head athletic trainer. He has been involved in the clinical practice of sports physical therapy/athletic training, since 1965. He still maintains an active clinical practice at Coastal Therapy in Savannah, GA and Gundersen Lutheran Sports Medicine, LaCrosse, WI. He has been actively involved in the sports coverage as an athletic trainer/sports physical therapist at a variety of sporting events: 1980 Winter Olympics, Lake Placid, NY, 1986 Pan American Games, Indianapolis, IN, 2002 Salt Lake City Winter Olympics, volunteer trainer at the USOTC, Lake Placid, NY, 2003, a member of the USA Medical Staff for the 2005 Summer World University Games in Izmir, Turkey, Paralympic Games in Beijing, China, 2008, and was invited by the IOC to present educational workshops for clinicians from around the world at the London Olympic Games, 2012.
He has a passion for teaching and has been an educator for over 40 years in colleges and universities. For the past 38 years, he has been involved in teaching in physical therapy programs. He is presently a Professor of Physical Therapy at Armstrong Atlantic State University, Savannah, GA since 2004. He was also honored as a Professor-Emeritus of Physical Therapy at the University of Wisconsin-LaCrosse following 30 years of teaching.
He has been involved in many research projects that have been presented at numerous national and international conferences and published in various journals. He has participated in hundreds of scientific conferences and workshops throughout the world in the last 35 years, published over 200 articles and research abstracts in various periodicals, written several books and has contributed chapters to over 40 books.
George was the original co-founder and co-editor of The Journal of Orthopaedic and Sports Physical Therapy for 10 years.
Upon completion of this course the participants should be able to:
Learn the Top Ten Exercises for Rehabilitation of the Shoulder
Detailed Instruction on each exercise