The shoulder is a complex joint in well-bodied individuals. With the addition of a central nervous system injury/disorder, the
shoulder becomes a very challenging area to examine, evaluate and treat effectively. The focus of this two-day course is to
provide therapists and therapist assistants the advanced clinical knowledge on the management of the neurologic shoulder.
At the end of this course the participants will be able to…
PTs and OTs:
• Demonstrate and describe the requirements for optimal shoulder girdle alignment, stability and mobility.
• Identify the number of fully innervated muscles of the shoulder girdle for each cervical level and its impact on shoulder girdle alignment, stability and mobility.
• Demonstrate the components of examination and evaluation of the shoulder girdle for mobility, alignment and stability.
• Demonstrate and describe treatment interventions for preparing the neurologic shoulder for function.
• Demonstrate assessment techniques for physical capability with function through activity analysis, and treatment progression.
PTAs and COTAs:
• Describe the impact of spinal cord injury, CVAs and other neurologic injuries on shoulder function.
• Demonstrate understanding of safe handling and positioning techniques for managing patients with acute CVAs and flaccid UEs.
• Teach patients to perform scapular strengthening exercises utilizing isometric holds, eccentrics and concentric training.
• Demonstrate understanding for use of skateboards, arm/shoulder slings, and Mobile Arm Supports for interventions and UE strengthening.
• Describe benefits of a Constrained Induced Movement Therapy (CIMT) program for appropriate hemiplegic patients.
• Demonstrate and perform shoulder stretching and strengthening exercises for the patient with SCI for prevention of injury.