87 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; intra-articular pressure; the cuff – individual tendons or a single unit?; the bursa; the labrum; scapular resting position – is normal the same as average, functional the same as optimal?
10.00 Biomechanics of the Shoulder Complex
Scapular-humeral movement ratio; force couple of the scapula; acromioclavicular, sternoclavicular and thoracic contributions; scapula 'setting' – imperative or irrelevant? - the evidence
10.45 Coffee
11.00 Pathobiomechanics of Shoulder Complex
Disturbed scapular rhythm; can muscles be imbalanced? can a scapula be unstable? - the evidence; mobilizers and stabilizers; 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 – the failure of consensus over evidence; history; examination; special tests; diagnosis; limitations of examination procedures, including imaging and arthroscopy, and possible diagnoses
02.40 To Treat or Not to Treat? - Clinical reasoning in the shoulder complex
Schematic structure; what to treat, when to refer; how to decide if treatment will be useful or useless; if everybody does it, is it necessarily right?
03.45 Tea
04.00 The Shoulder at Work - Throwing for beginners
Analysis of movement/throwing; patient scenarios
04.45 Finish
Day two of course