70 page course booklet included
Tutor: Mr Tony Wilson BSc MSc Grad Dip Phys MCSP MSOM DipInjTher
Day one
09.00 Introduction - A sorry tale of past sins
Significance of problem; past mistakes and muddled thinking; the responsibility and importance of physiotherapy
09.30 Anatomy of the shoulder complex
Update on present anatomical knowledge; function of specific ligamentous restraints; obligate humeral translations; intra-articular pressure; the glenoid labrum; scapular resting position
10.00 Biomechanics of the Shoulder Complex
Scapular-humeral movement ratio; force couple of the scapula; acromioclavicular and sternoclavicular contributions; thoracic contribution; scapula 'setting' - the evidence
10.45 Coffee
11.00 Pathobiomechanics of Shoulder Complex
Disturbed scapular rhythm; muscles imbalanced ? - the evidence; mobilizers and stabilizers; imbalance patterns; relationship between impingement and instability
11.30 Instability syndrome
Anatomical reasons and mistaken assumptions; TUBS - AMBRI; anterior/posterior/inferior; aetiology; history; examination; special tests; diagnosis
12.45 Lunch
01.30 Impingement syndrome
Classification; traditional versus current thinking (diagnosis, nature and site of lesion, nature of impingement); history; examination; special tests; diagnosis; limitations of examination procedures and possible diagnoses
02.30 To Treat or Not to Treat? - Clinical reasoning in the shoulder complex
Schematic structure; primary impingement; secondary impingement; primary degeneration/inflammation; what to treat; when to refer
03.15 Tea
03.30 Labral lesions, Neuropathies and Others
SLAP lesions; labral tests; suprascapular, accessory and serratus anterior neuropathies; computer graphics
04.10 The Shoulder at Work - Throwing for beginners
Analysis of movement/throwing; patient scenarios
05.00 Finish
Day two of course