Upper Quarter Course
This course has been completely updated for 2010 – 2011. This now fulfills the Upper Quarter requirement for the Sports Therapy Certification.
Current Concepts in the Management of Upper and Lower Quarter Pathology in Orthopaedics’ and Sports Medicine
Physical Therapy Continuing Education Course Description:
This two-day, in-depth, evidenced-based PT con ed course will examine and present the best available evidence as well as state of the art information regarding the evaluation and treatment of selected upper and lower quarter pathologies. Advances in assessment and treatment techniques, emerging research evidence, and expanding methods to collect outcome data make it imperative that the clinician remains informed in order to provide successful, cost effective care. The goal of this symposium is to provide clinicians with the most current information and tools available in order to develop, implement, document, and defend the need for evidenced based rehabilitation programs. Through lecture presentations, demonstrations, and focused laboratory sessions, the participant will have an opportunity to expand and update their knowledge and leave with tools to develop appropriate programs that will enhance success in day-to-day practice in a wide variety of settings.
Experienced clinicians and new graduates alike will leave this seminar with new information that can be used immediately in the clinic.
COURSE OBJECTIVES:
After completing this workshop, the participant should be able to:
1. Describe the relevant clinical anatomy and biomechanics of the upper quarter, hip, and knee.
2. Relate upper quarter, hip and knee pathomechanics to injury mechanisms and subsequent design of comprehensive functional rehabilitation.
3. Perform special tests and synthesize examination findings for upper and lower quarter pathology.
4. Evaluate, examination findings using clinical reasoning skills to develop successful therapeutic intervention programs for common upper and lower quarter pathologies.
5. Describe and apply principles of healing as it relates to conservative and post-operative rehabilitation.
6. Develop effective and efficient rehabilitation programs for conservative and postoperative management based on best available evidence.
7. Describe common surgical procedures at the shoulder, elbow, hip, and knee.
8. Utilize postoperative protocols as a guide to rehabilitate a variety of surgical procedures for the shoulder, elbow, hip, and knee.
9. Describe a functional exercise progression and functional testing criteria in order to determine readiness for return to ADL’s, work or sports.
10. Understand current clinical and scientific evidence to choose and utilize appropriate, valid, and reliable outcome evaluation measures.
DAY ONE
7:30 – 8:00
Course Registration
8:00 – 12:00 – Morning Session
Introduction
The Base of the UE Kinetic Chain: The Role of the Scapula in Treatment of the Shoulder Complex
• Evidence-based Exercise Prescription: How to activate the scapular musculature and increase the endurance and strength of the rotator cuff (Lecture/demonstration/lab)
• Rotator Cuff Pathology: From Impingement to Repair
• Evaluation of Impingement and Rotator Cuff Function (Lecture/demonstration/lab)
• Non-operative options and post-operative rehab following rotator cuff surgery
Shoulder Instability
• Anatomy and pathomechanics of the glenohumeral joint related to instability
• Classifying the instability: Unidirectional (TUBS) vs. Multidirectional (AMBRI)
• Special tests for the identification of instability (Demonstration/lab)
• Anterior Shoulder Instability: Diagnosis and clinical decision making
• Non-operative treatment strategies for acute, 1st time dislocation
• Review of the surgical procedures for anterior, posterior and multidirectional instability
12:00 – 1:00 – LUNCH
1:00 – 5:30 – Afternoon Session
Shoulder Instability Cont.
• Management of the postoperative stabilization procedure: Post-operative protocols
• Superior Labrum Anterior to Posterior (SLAP) Lesions: Evaluation, special testing, and rehabilitation following surgical repair (Demonstration/Lab)
Adhesive Capsulitis
• Stiffness vs. Adhesive Capsulitis: Is it really frozen?
• What is the best approach to restore motion?
• Joint Mobilization/ Manual therapy options (Demonstration/Lab)
Total Shoulder Arthroplasty
• When all else fails: Managing Total Shoulder Arthroplasty
• Traditional vs Reverse TSA: Review of the surgical procedures
• Postoperative guidelines for TSA and Reverse TSA
Elbow Wrist Hand
• Managing major elbow, wrist, and hand pathologies in the sports and general orthopedic populations. (Lecture/demonstration/lab)
DAY TWO
8:00 – 12:00 – Morning Session
Intra-articular Hip Pathology
• Managing intra-articular hip pathology: Arthroscopic interventions & post-operative management considerations
Reactive Neuromuscular Training
• Reactive Neuromuscular Training Integration of functional exercise to correct movement dysfunction (Demonstration / Lab)
Anterior Cruciate Ligament Injury
• Mechanisms of Injury
• Biomechanics of non-contact injuries
• Natural history of ACL injury and reconstruction
• Conservative management – who can cope? Why are women more susceptible to injury? Unique considerations for the female athlete.
• Highlights of postoperative rehabilitation
• ACL injury prevention programs: Evidence Based Program Design
• Cardio vascular stimulation
12:00 – 1:00 – LUNCH
1:00 – 5:30 – Afternoon Session
Patello-femoral Pain Syndrome
• Current perspective of pathomechanics: Tissue homeostasis and the Envelope of Function
• Relevant PF anatomy and biomechanics
• Evaluation of PFPS: Influence of abnormal lower extremity mechanics on the PF joint PF joint examination. Where should you look for dysfunction?
• Program Design for Proximal Neuromuscular stability and strength training.
• Bracing & exercise: Functional exercise training to achieve success
Meniscal Injuries
• Rehabilitation after Meniscal Repair
• The current state of Meniscal Transplantation
Articular Cartilage Disorders, Osteoarthritis and Total Knee Arthroplasty
• Articular Cartilage Disorders: Definition, Surgical Options, and Postoperative Rehabilitation
• Osteoarthritis
• Conservative management and patient education
• Total Knee Arthroplasty: “It’s not just for Old People any more!”
• Review of the surgical options and managing the complicated TKA