Foundation Exercises for the Treatment of the Shoulder
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Why take this course?
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.
Details about this Online Continuing Education Course
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: Online
- Instant 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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Learn from the Expert George Davies DPT, MEd, PT, SCS, ATC, LAT, CSCS, FAPTA, PES
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:
Top Ten Foundation Exercises for the Treatment of the Shoulder
Learn the Top Ten Exercises for Rehabilitation of the Shoulder
- Upper trapezius (UT) (Top of scapula)
- Lower trapezius (LT)(Bottom of scapula)
- Protraction plus (Serratus Anterior)(SA)(Front of scapula)
- Retraction Row (Middle Trapezius) (Rhomboids)(Back of scapula)
- Flexion of GH joint (Anterior Deltoid, Coracobrachialis) (Front of GH joint)
- ER and then Horizontal Extension of GH joint (Infraspinatus, teres minor, posterior deltoid) (Back of GH joint)
- Rotator Cuff Internal Rotation (Subscapularis) (Front of RTC)(30/30/30 position)(30° of abduction, 30° to scaption, 30° of a diagonal movement pattern)
- Rotator Cuff External Rotation (Infraspinatus, teres minor) (Back of RTC)(30/30/30 position)(30° of abduction, 30° to scaption, 30° of a diagonal movement pattern)
- TAS-Biceps Curls (Front of arm)
- Triceps Extensions (Back of arm)
Learn to Integrate Advanced Exercises into your Shoulder Treatment Rehab Progarms
Detailed Instruction on each exercise
- Plyometrics - Chest Press Exercises
- Push Ups and Clap Pushups
- Plyometric Drops - Prone Position for ER muscles
- Open Kinetic Chain (OKC) Rhythmic Stabilizations ? Neutral position
- Closed Kinetic Chain (CKC) - Unstable surface
- CKC - Rhythmic Stabilization - Stable surface
- OKC - Rhythmic Stabilization - Provocative Position
- CKC - Rhythmic Stabilization - Unstable surface
Expert Manual Therapy for the Shoulder Complex
- Caudal glide - Explination - Clinical Pearls - Progession Time Frames
- Posterior Glide - Neutral position with progression to IR - Clinical Pearls - Progession Time Frames
- Anterior Medial Glide - Clinical Pearls - Progession Time Frames
- Physiological Mobilizations - ER - Clinical Pearls - Progession Time Frames
- Physiological Mobilizations - IR - Clinical Pearls - Progession Time Frames
- Modified Sleeper Stretch (Izumi Stretch) - Clinical Pearls - Progession Time Frames
Master the Evaluation Tests for the Shoulder
- Instructions on the tests for the shoulder with patient sitting
- Instructions on the tests for the shoulder with patient supine
- Detailed instruction on each test
Course Test - Evaluate your knowledge
- Use the Healthclick proprietary online education system which provides the online student with:
- Worldwide access to high definition video, anatomical animations and images, and written information
- The highest quality film in the industry, you can see the difference!
- Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
- Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
- Evaluate your knowledge with the course test on any device.
- Print your state course certificate for CE credit.
- Take the online test as many times as need in order to achieve a 70 % or greater score.