Michael Braun, MSOT, OTR/L, BCPR
Neal Covas, PT, DPT, NCS
Ryan Vickers, PT, DPT, OCS, FAAOMPT

  • Michael Braun has the following relevant financial relationships to disclose: Brooks Rehabilitation; Salary and does not have any non-financial relationships to disclose.
  • Ryan Vickers has the following relevant financial relationships to disclose: Brooks Rehabilitation; Honorarium and does not have any non-financial relationships to disclose.
  • Neal Covas has the following relevant financial relationships to disclose: Brooks Rehabilitation; Honorarium and does not have any non-financial relationships to disclose.

Course Location:
Brooks Rehabilitation Hospital – University Campus
3599 University Blvd S., Jacksonville, Florida 32216

Course Description:

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.

Course Objectives:

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.
• Connect the number of fully innervated muscles of the shoulder girdle for each cervical level to 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 show 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:
• Explain the impact of spinal cord injury, CVAs and other neurologic injuries on shoulder function.
• Apply safe handling and positioning techniques for managing patients with acute CVAs and flaccid UEs.
• Illustrate how 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.
• Explain 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.

Course Education Level: Intermediate 

Intended Audience:

The information presented in this course is clinically relevant for Physical Therapist (PT), Physical Therapist Assistant (PTA), Occupational Therapist (OT), and Occupational Therapist Assistant (COTA) designations only.

Disclaimer: Registrations from individuals with clinical designations not listed in the intended audience for this coursemay be subject to removal from the course roster without a full refund. See Brooks IHL Course Policies and Procedures for details at If you are unsure or have questions related to the intended audience, please email and we will be happy to help clarify!

Contact Hours:

This course has been approved for 13 contact hours by the following boards:
• Florida Physical Therapy Association for PT and PTA
• Florida Board of Occupational Therapy for OT and OTA

Continuing Education credit for each participant who meets the satisfactory course completion requirements (licensed in FL) will be automatically uploaded to CE Broker, which means the Florida Boards will have record of your attendance, even if you do not have your own personal CE Broker account. Course certificates will be provided at the completion of the course for those that meet the course completion requirements. Certificates will be mailed for courses that include a post-course test.


If you are a Brooks Clinician and want to pay by cost center, please fill out this registration form and return the check and form to the Brooks IHL.

Satisfactory Course Completion:

Full course attendance (including signing the attendance sheet each day), performance demonstrations and question and answer session.

Course Evaluation/Survey:

Within 48 hours of course completion, you will receive a post course survey. The IHL values your feedback and we thank you in advance for taking the survey.

Timed Agenda: 

Day 1

8:00 – 8:15 am: Introductions and Objectives

8:15 – 9:30 am: Anatomy and Biomechanics of shoulder girdle

9:30 – 9:45 am: Break

9:45 -11:30 am: Lab Assessment of UE motion and kinematics

11:30 -12:00 pm: Shoulder Pathologies/Management post Neurologic Injury

12:00 -1:00 pm: Lunch

1:00 – 2:30 pm: Shoulder Management Post Neurologic Injury – Impact & Interventions

2:30 – 2:45 pm: Break

2:45 – 4:15 pm: Lab: Neuro Shoulder Assessment & Neuro Reeducation

4:15 – 4:30 pm: Break

4:30 – 5:00 pm: Treatment Lab (continued)

Day 2

8:00 – 8:45 am: Case Studies

8:45 – 9:45 am: Shoulder Management post Spinal Cord Injury: Impact and   Considerations

9:45 – 10:00 am: Break

10:00 – 11:45 am: Discipline specific assessment/intervention lab – OT/PT Breakout

11:45 – 12:00 pm: Resources, Wrap-up, Questions