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Case Study Integration: Shoulder – Impingement Syndrome
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Instructors
Vicente Mauri
PT ScD OCS FAAOMPT
Vicente is an owner of Advanced Physical Therapy in Anchorage, AK. Graduated from Universidad de Chile, where he received a Bachelor of Science in Physical Therapy. He was certified by the International Academy of Orthopedic Medicine (IAOM) in USA in 2005. In 2014, Vicente earned his terminal professional degree, Doctor of Science in Physical Therapy, from Texas Tech University Health Science Center (TTU-HSC). Former Co-Director of the IAOM-LA, and current Content Manager for the IAOM-US, he continues to deliver courses and lectures related to orthopedic manual therapy and differential diagnosis around the world. Vicente has co-authored book chapters, peer-reviewed documents, numerous international conference platforms and poster presentations. Early in 2021, he became a Fellow in the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT), while continuing to develop research through a mentoring program at TTU-HSC. He practices physical therapy in Anchorage, Alaska with clinics in Fairbanks, the Mat-Su Valley, and the Kenai Peninsula, in Alaska.
Jean-Michel Brismée
PT ScD OCS FAAOMPT
Jean-Michel graduated in 1985 from the Catholic University of Louvain, Belgium. In 2000 Jean-Michel completed his IAOM-US certification in Diagnostics and Orthopaedic Manual Therapy. He completed a MS in Sports Medicine – Exercise Physiology from Texas Tech University. In 2003, Jean-Michel completed his ScD in Physical Therapy from TTUHSC. He is a Professor of the Doctor of Science (ScD) Program in Physical Therapy at TTUHSC. He is the director of the IAOM-US Fellowship Program, Editor-in-Chief of the Journal of Manual and Manipulative Therapy, and practices at University Medical Center in an outpatient orthopedic clinic in Lubbock, Texas. He is full time faculty in the Doctor of Science in Rehabilitation Sciences program at Texas Tech University in Lubbock Texas. Dr. Brismée has authored and co-authored research articles, book chapters, numerous international conference platform and poster presentations.
Haley Main
DPT OCS COMT GTS
Haley earned her Bachelor of Natural and Applied Sciences while excelling as an Academic All-American Cross-Country Athlete. She went on to get her Doctor of Physical Therapy at Harding University in Searcy, AR. Haley certified in Orthopedic Manual Therapist in the spine and extremities through the IAOM-US and is a Graston Technique Specialist (GTS). She has been faculty with the IAOM-US since 2018 and has been instrumental in developing online lectures for the IAOM NEXT series as well as teaching IAOM-US Hybrid courses throughout the United States. She is a full-time clinician and Director of Clinical Education at Searcy Physical Therapy in Arkansas.
Phillip S. Sizer Jr.
PT PhD OCS FAAOMPT
Phil graduated in 1985 from the University of Texas, Medical Branch in Galveston TX. He received a MEd in exercise science from TTU in 1993. He earned his PhD with a motor control emphasis from Texas Tech University in 2002. For decades, Dr. Sizer served as a Senior Clinician in an orthopedic clinic, Program Director of the Doctor of Science Program in Physical Therapy, as well as the Director of the Clinical Musculoskeletal Research Laboratory, at TTUHSC. He is currently an Endowed Professor in Pain Science, TTUHSC President’s University Distinguished Professor, and the Associate Dean for Research for the School of Health Professions, as well as Senior Faculty in the ScD (PT), PhD (Rehabilitation Sciences) and Medical Pain Fellowship Programs at TTUHSC
Description
14.6 Contact hours/ 1.46 CEU’s – Online Course This online self-paced course provides the learner with keys and steps to solve a complex case of shoulder impingement syndrome with rotator cuff tendinitis in the aging patient. The case examines advanced concepts in anatomy and pathology specific to the history, clinical diagnosis, and potential differential diagnoses. Extensive instruction offers insight into a comprehensive plan of care that includes soft tissue and joint mobilization, dry needling, and sensorimotor control. Special topics include 1) evidence plus in conservative management of the shoulder, 2) considerations and recommendations for the aging patient in a multifocal approach, and 3) ) biopsychosocial approach to communication for building rapport, compliance, and optimal outcomes. Target Group: PT, PTA, OT, OTA, ATC Educational Level: Intermediate
Course outline PDFObjectives
- Analyze patient history, based on pathoanatomy and biomechanics of the shoulder and shoulder girdle to formulate a working hypothesis of pathology prior to initiating the clinical examination.
- Establish a sound clinical diagnosis for physical therapy by thorough interpretation of clinical examination findings.
- Select specific clinical tests that are the most informative for confirming diagnosis, causal factor(s), and perpetuator(s) in a patient with shoulder and arm pain.
- Create a comprehensive plan of care that includes all the following: soft tissue and joint specific manual therapy, dry needling, and appropriate sensorimotor control strategies focused on lower extremity control of motion and load.
- Prioritize selective functional testing that supports the specific exercise program prescribed for a patient with loss of optimal function in the upper quarter.
- Practice evidence-based psychosocial approaches, to engage and promote the patient-clinician relationship that leads to building rapport, optimal compliance, and better functional and clinical outcomes.
- Examine a patient condition and the contributions of a history of previous high level sports participation to a current state of relative inactivity outside of the workplace, along with declining self-care strategies related to sleep, stress management and nutrition.
- Apply a multifocal approach to healing by recommending strategies for optimal sleep, hydration, nutrition, and creating a sense of well-being.
CEU Approval Notice: It is the learner's responsibility to confirm that this course meets the continuing education requirements of their state licensing board or professional association. Pre-approvals listed reflect the organizations that have reviewed and approved this activity; approval in your specific jurisdiction is not guaranteed.