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Management of the Painful Shoulder
Following Spinal Cord Injury Course Schedule
Kim Ratner, PT
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Day 1:Saturday
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7:00
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Registration
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| 8:00 |
Anatomy and Biomechanics:
Integrating the neurologic and orthopedic perspectives
BI & SCI: what are the unique characteristics of the shoulder complex
in patients with primary neurologic insult?
The role of the cervical and thoracic spine
Tone and Spasticity
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| 9:00 |
Posture Evaluation:
What position should you assess in?
Scapula and humeral head position
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| 9:30 |
Movement Analysis:movement initiation, scapulo-humeral rhythm, compensation, substitution, eccentric control
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10:15
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Break
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| 10:30 |
Lab #1 (Movement Analysis: movement initiation, scapulo-humeral rhythm,
compensation, substitution, eccentric control)
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| 11:30 |
Range of Motion and Strength Assessment: Position of assessment, testing motion vs. muscle
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| 12:30 |
Lunch
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| 1:00 |
Orthopedic special testing – contribution to a differential diagnosis
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| 1:30 |
Lab#2 (Orthopedic special testing – contribution to a differential diagnosis)
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| 2:30 |
Break
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| 2:45 |
Joint Play, Soft Tissue Mobility and Neural Tension Testing
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| 3:45 |
Lab #3 (Joint Play, Soft Tissue Mobility and Neural Tension Testing)
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| 4:45 |
Pulling It All Together – full Evaluation
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| 5:30 |
Questions
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Day 2: Sunday
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| 8:00- 8:15 |
Video Case Studies - Assessing Function & Relationship to Pain
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| 8:15 - 9:15 |
Lab #4
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| 9:15 - 10:00 |
Treatment: Positioning considerations, managing the inflammatory response; supplemental therapies
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| 10:00- 10:15 |
Break
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| 10:15 - 11:00 |
Taping and biofeedback
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| 11:00-11:30 |
Lab #5 (Taping Kinsio vs. McConell)Joint, soft tissue, and neural mobilizaton techniques
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| 11:30-12:30 |
Lab #6 (Joint, soft tissue, and neural mobilizaton techniques)
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| 12:30-1:30 |
Lunch
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| 1:30 - 2:00 |
Balanced shoulder strengthening: Considerations for power, speed and endurance; closed vs. open chain activities; plyometrics
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| 2:00-2:30 |
Strategies for the busy clinic: Individual, group or independent sessions; incorporating function; quick screening
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| 2:30-4:30 |
Lab #7 - Site Specific Patient Examples & extended lab
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| 4:30 |
Questions and wrap up |
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