Non-Surgical Evaluation and Treatment of the Shoulder

Shoulder dysfunction is a very common occurrence and, in terms of musculoskeletal problems, is the third most common reason for patients to seek healthcare. Occupational and physical therapists are often asked to work with patients who have shoulder problems in many clinical settings. These problems are often complex, however, making them difficult to assess and treat. Shoulder dysfunction is often misdiagnosed which adds to the difficulty. An approach informed by clinical experience and available evidence will set the OT or PT up for success in the clinic.

During this course the following will be discussed:

1. Day One – Assessment: Basic shoulder anatomy review; overview of recommended assessment strategy; procedure for taking medical and occupational history; evaluation of posture, shoulder musculature and bony prominences, pain, sensation, range of motion and strength; common shoulder diagnosis presentation and performance of special tests; screening for other shoulder-related conditions; hands-on practice; and case study discussion.
2. Day Two – Intervention: Discussion of common shoulder diagnoses and appropriate treatment techniques, including manual therapy (joint mobilization, soft tissue mobilization, and others); soft tissue stretches; nerve gliding; physical agent modalities; posture training; therapeutic exercise using range of motion and strengthening; hands-on practice; and case study discussion.