Physical Therapy of the Shoulder: Module 4

Course Goals:      

This course is intended to instruct the student through self-paced study on treatment approaches to the shoulder including: manual therapy techniques, muscle length testing and electomyographic data for manual strength testing and myofascial treatment, and to instruct the student in surgical considerations for shoulder instability, rotator cuff repairs, shoulder girdle fractures and total shoulder replacements.

 Student Objectives:

At the end of this course the student will be able to: 

1. Identify 6 terms used when discussing manual therapy
2. Identify 4 examples of protective shoulder injuries
3. Identify 6 phases of rehabilitation for patients with protective shoulder injuries
4. Identify 4 examples of nonprotective shoulder injuries
5. Identify 3 phases of rehabilitation for patients with nonprotective shoulder injuries
6. Identify the primary role of joint mobilization
7. Identify 4 principles of joint mobilization techniques
8. Identify 11 glenohumeral joint mobilization techniques
9. Identify 4 sternoclavicular and acromioclavicular mobilization techniques
10. Identify 11 soft tissue mobilization and scapulothoracic release techniques
11. Identify 5 treatment hand techniques when performing soft tissue mobilization
12. Identify factors that can create a change in the optimal muscle length of a muscle
13. Identify 6 axioscapular muscles and muscle length testing considerations
14. Identify 2 axiohumeral muscles and muscle length testing considerations
15. Identify 5 scapulohumeral muscles and muscle length testing considerations
16. Identify 14 shoulder strengthening exercises
17. Identify the difference between joint manipulation and myofascial treatment
18. Identify 3 types of connective tissue and identify examples of each type
19. Identify 4 components of connective tissue
20. Identify the effects of immobilization and mobilization on connective tissue
21. Identify the difference between postural and phasic muscles
22. Identify 4 ways a manual therapist can protect their hands
23. Identify 10 myofascial techniques for the shoulder
24. Identify the method of injury in a Bankart lesion, SLAP lesion, rotator interval, inferior capsular shift and thermal capsulorraphy
25. Identify the surgical repair of a Bankart lesion, SLAP lesion, rotator interval, inferior capsular shift and thermal capsulorraphy
26. Identify the 4 different types of SLAP lesions
27. Identify the components of the rotator interval
28. Identify the “gold standard” for multidirectional instability of the shoulder
29. Identify the most common muscle involved in rotator cuff tears
30. Identify the most common cause of rotator cuff tears in young, athletic patients
31. Identify 7 causes of rotator cuff tears
32. Identify the most common operative treatments for rotator cuff repairs
33. Identify indications for an open technique rotator cuff repair
34. Identify 3 factors affecting the degree of patient satisfaction with a rotator cuff repair
35. Identify 3 stages of fracture healing
36. Identify 4 effects of immobilization on soft tissue
37. Identify the methods of injury for clavicle fractures, scapula fractures, humerus fractures, fracture-dislocations and epiphyseal fractures
38. Identify rehabilitation considerations for clavicle fractures, scapula fractures, humerus fractures, fracture-dislocations and epiphyseal fractures
39. Identify the most common epiphyseal fracture injury
40. Identify 7 common indications for a total shoulder arthroplasty
41. Identify 4 goals for postoperative rehabilitation following a total shoulder arthroplasty
42. Identify 3 categories of rehabilitation following shoulder arthroplasty
43. Identify components of a postoperative rehabilitation program for a total shoulder arthroplasty