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Exploring the Essential Features of “Shoulder Concepts to Promote Active Aging: A Joint-by-Joint Approach to Differential Diagnosis, Pain Management and Treatment – Katie DuFrene, Terry Rzepkowski & Trent Brown”
With aging comes structural and functional changes to the shoulder complex. Decreased sensation, stiffness, pain, weakness, and edema to name a few.
To make it more challenging… these gradual changes are tough to describe. Making it difficult to collect a thorough history and review of symptoms to pinpoint the root cause.
And when your go-to assessment and treatment approaches are not quite working, your patients are frustrated… feeling dejected, still in pain during activities they enjoy, and seeking surgical consults.
But don’t worry… With new developments in shoulder differential diagnosis and treatment, becoming the shoulder specialist to help your aging patients back to pain-free participation in the activities they love is easier than ever.
Best part is it doesn’t stop there… If your patient does require surgery, this comprehensive training will have you readily equipped with updated practices for new surgical options, so YOU can design the most effective rehab program!
From the Pickleball court to picking up precious grandbabies. Register today and discover strategies to help your patients stay active while aging.
It’s shoulder rehab – made simple! Unwind the complexities of the shoulder through a joint by joint approach that combines the best differential diagnostic methods, treatment interventions, and surgical options in the field today.
With evaluation strategies to get to the root cause of impairment faster for the…
- AC Joint dysfunction
- SC Joint dysfunction
- GH Joint dysfunction
- Scapulothoracic Joint dysfunction
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PLUS – Current best approaches for assessment and treatment of…
- Instability
- Impingement
- Rotator Cuff Pathologies
- Labral Tears
- Biceps Tendonitis
- Cervical Radiculopathy
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When you’re working with the shoulder complex, sometimes progress can feel like just that… complex. But, with this step-by-step guide from three leading authorities on shoulder rehabilitation, you are guaranteed to gain confidence working with any shoulder injury or impairment.
Comprehensive Evaluation of the Shoulder Complex
EXPLORING MECHANISMS OF SHOULDER IMPAIRMENT:
→ Insidious and Acute
→ Commonly compromised structures
→ Understating the biomechanics
→ Identifying root causes for impingement
TAKE YOUR EVALUATION TO THE NEXT LEVEL:
→ Assessment strategies for the:Glenohumeral Joint
- Acromioclavicular Joint
- Sternoclavicular Joint
- Scapulothoracic Joint
- Thoracic Spine
- Cervical Spine
- Scapular region
NEW APPROACHES FOR AROM SCREENING:
→ Learn movement screens for:
- Cervical spine
- Shoulder positions
- Multisegmental flexion, extension, and rotation
PROVEN CLINICAL OUTCOME ASSESMENTS AND TESTS:
→ Maximize functional outcomes with standardized assessments such as…Constant Score
- ASES Shoulder Score
- DASH Outcome Measure
- Simple Shoulder Test
- UCLA Shoulder Score
An Evidence-Based Approach to Treatment of Shoulder Disorders
CLINICAL PROCEDURES TO TARGET COMPROMISED STRUCTURES:
→ Targeted interventions for…
- Rotator Cuff disorders
- Labral Pathology
- GJ joint instability
→ Interpreting data and establishing goals
STACKING MULTIPLE TREATMENT METHODS:
→ Integrating concepts to improve treatment outcomes…
- IASTM
- Cupping
- Soft tissue mobs (STM)
- TPR
- Joint mobs
- PNF techniques
- Self-Assisted Interventions
- Neuromuscular Re-education
REINFORCING STRENGTH TRAINING AND CONDITIONING:
→ Priority sequencing of muscle groups
→ Scapular Stabilization
- Lower trap, serratus
- Lower trap progression
- Dynamic planks
- Mid Trap/Rhomboids
→ Neuromuscular Re-education
- Dynamic exercises utilizing a multitude of tools
→ Rotator Cuff Strengthening
- Isometric strengthening
- Resistance band training
- Concentric/eccentric concepts
- Proprioceptive Neuromuscular Facilitation (PNF) techniques and AROM
→ Custom exercises and manual therapy progressions
Total Shoulder Arthroplasty: Improve Outcomes Through Functional Interventions
THE LATEST STANDARDS FOR SURGICAL PROCEDURES:
→ Explore components and minimally invasive options for:
- Standard TSA surgical repair
- Reverse TSA surgical repair
- Subscapularis & deltoid sparing procedures
- Sub acromial decompression
- Bankart repair
- Proximal shoulder fractures
STRATEGIES TO MAXIMIZE RECOVERY AND FUNCTION:
→ Construct evidence-based treatment interventions to:
- Acquire true measures of post-TSA success
- Reduce functional neglect using standardized assessments
- Restore proper proprioception of the shoulder joint
- Redefine best-practice TSA protocols – what actually works
OPTIMIZING PAIN MANAGEMENT:
→ Peri-operative approaches
→ Interscalene blocks – How are they performed and why?
→ Safer alternatives to narcotic pain prescription to expedite discharge outcomes
BONUS
Bonus 1
Functional Movement Techniques for Golf Rehabilitation & Performance
Meghan Helwig, PT, DPT
Bonus 2
You are more than a Geriatric Therapist! How to think Bigger
Kara Welke, OTD, OTR/L, CLT, CAPS, SHSS
Susan Doyle, PhD, OTR/L, CAPS, SHSS
Bonus 3
Manual Therapy to Release the Frozen Shoulder
Theresa Schmidt, PT, DPT, MS, OCS, LMT, CEAS
MEET YOUR SHOULDER REHAB EXPERTS:
Katie DuFrene, PT, DPT, LAT, studied kinesiology during her undergraduate and began personal training and coaching for fitness, gymnastics, cheerleading and dance. She then went on to earn a master’s in athletic training and a clinical doctorate in physical therapy.
Katie has worked with collegiate and professional athletes of all sports (although there is a special place in her heart for gymnasts). She has worked with a variety of orthopedic conditions from post-operative treatments, to sprains and strains, to concussions.
Terry L. Rzepkowski, DPT, MS, BS, is a Doctor of Physical Therapy with specialization in Orthopedic Physical Therapy. Throughout his 37-year career, he has specialized in Orthopedics, specifically: Musculoskeletal out-patient rehab as an independent private practitioner, Total Joint Replacement Surgery, and Sports Medicine. A professor in the Health Science department at Nova Southeastern University, Terry provides instruction in Anatomy, Biomechanics, Kinesiology, and Neuro anatomy.
Terry has extensive knowledge in relating the complexities of the Orthopedic joint replacement patient. He has spoken professionally on shoulder, knee, and hip injuries with advances in orthopedic management.
Trent Brown, MOT, OTR/L, BCG, ATP, CFPS, is a practicing therapist in Utah and is one of 36 credential holders of a board certification in gerontology (BCG) from the AOTA. Mr. Brown also holds a certification as an assistive technology professional (ATP) from RESNA. He is employed by the Utah Department of Health (UDOH) to develop, implement, and operate healthcare quality improvement programs and has authored multiple laws to legislate improved patient care.
Mr. Brown has over 15 years of clinical experience in skilled nursing, transitional care, acute, and home health. He is a master clinician and lecturer on a myriad of topics including joint arthroplasty, core strengthening, documentation, aging, functional mobility, ethics, and fall reduction.
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