Shoulder “The Open Kinetic Chain Challenge”
- What questions should we be asking about “today’s shoulder”
- Missing link in treating the geriatric shoulder
- Components of functionality
- Phases of rehabilitation based on recent evidence-based applications
- Concepts of the three P’s (Pivotors, Protectors, and Positioners)
- Role of scapula-thoracic stabilization for retraction, repositioning, and protraction preparation
Lab #1: Manual Mobility for the Scapula-Thoracic Articulation
- Glenohumeral primary impingement
- Vital three-motion patterns
- Decompression of the painful shoulder
- Manual preparation glides for the glenohumeral joint
- Updates on capsule mobility
- Positional recruitment based on the therapeutic value of intervention
- Non-operative and operative treatment of primary impingement
- Development of the “healthy cuff” with the vital five home exercise programs
Lab #2: Manual Mobility for the Glenohumeral Joint
- Operative repairs for the rotator cuff lesions, including the geriatric considerations
- Defining delayed intervention and its role in treatment guidelines
- Scapula control for core stabilization
- How to address shoulder “hike” dysfunction
- Concepts of the “Geriatric Big Three” exercises
- Benefits of closed kinetic chain stabilization
- Outcome studies
- Secondary impingement and its rehabilitation to instability
- Why secondary impingent is so difficult to access
- Subjective assessment outweighs objective findings
- Protective exercise guidelines for labrum, SLAP lesions, and capsule instability
Lab #3: Screening of the Painful Shoulder - How Do You Define Shoulder Function?
- History of the problem
- Subjective level of pain
- Location of pain
- Clinical screening with special testing
- Discussion of the three components of referral
- Case presentations