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Comprehensive Evaluation and Treatment of the Shoulder Complex, 5/22/2023 12:00:00 AM CDT, Digital Seminar More info »
Comprehensive Evaluation and Treatment of the Shoulder Complex, 5/22/2023 12:00:00 AM CDT, DVD More info »
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Live Webinar

Comprehensive Evaluation and Treatment of the Shoulder Complex


Speaker:
Katie DuFrene, PT, DPT, LAT
Duration:
Full Day
Format:
Audio and Video
Product Code:
LWC065248
Brochure Code:
PWZ88987
Media Type:
Live Webinar - Also available: Digital Seminar | DVD

Dates

Normal Price:      $249.99 - Now:  $49.99 - Exclusive offer when combined with this live training.

Description

A shoulder patient is rarely ‘just a shoulder.’ Differentiating between the rotator cuff, impingement, referred pain from the cervical spine, the thoracic spine, postural dysfunction and more - will even leave experienced clinicians scratching their heads.

Adding to the challenge is the often vague and diffuse symptom reports patient’s offer as they struggle to describe what they feel, other than, “it hurts.”

Successful treatment of the shoulder is just as dependent on your differential diagnosis as it is on any of your interventions.

A complicated process — simplified! You will get to the root cause of impairment faster and confidently with a comprehensive assessment to:

  • Accurately assess the rotator cuff, labrum, joint capsule and ligaments
  • Identify contributions from the AC, SC and scapulothoracic joints
  • Objectively and efficiently assess involvement of the cervical and thoracic spine
  • Live demonstrations and case studies by physical therapist & athletic trainer, Katie DuFrene, PT, DPT, LAT

Knowing is half the battle, next is what you do about it. With an emphasis on function, treatment strategies utilize multiplanar dynamic application. Covered techniques include manual therapy, active mobilization techniques, strengthening, neuromuscular re-education, PNF and more! All of which can be done with simple tools you likely already have in the clinic.

Your success and recognition as the go to shoulder specialist awaits, and at an exceptional price when you register by May 22, 2023.

Credit

Planning Committee Disclosure - No relevant relationships

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners.  For speaker disclosures, please see the faculty biography.



* Credit Note - *

NOTE: Each purchase includes CE credit for one individual (participants in full attendance will be able to print the certificate of completion after passing the online post-test (80% passing score) and completing the evaluation). Instructional methods will include PowerPoint, didactic lecture, Q&A, and others.

Continuing Education Information: Credits listed below are for full attendance at the live, interactive webinar only. This webinar is being broadcast live in real-time and must be attended live, in its entirety, in order to earn credit. You will be able to type questions to the speaker. The speaker will see the questions and address them during the presentation as time allows. Please note, your state licensing board dictates whether web-based activities are an acceptable form of continuing education. Please refer to your state rules and regulations. If your profession is not listed, please contact your licensing board to determine your continuing education requirements and check for reciprocal approval. For other credit inquiries not specified below, please contact info@pesi.com or 800-844-8260 before the event.

Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of your profession.  As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your profession's standards.

For Planning Committee disclosures, please see the statement above.  For speaker disclosures, please see the faculty biography.
 


Athletic Trainers

BOC logo

PESI, Inc. is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This program has been approved for a maximum of 6.0 hours of Category A continuing education.


Florida Occupational Therapists & Occupational Therapy Assistants

PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number #50-399. This course qualifies for 6.0 continuing education credits.

CE Broker


Occupational Therapists & Occupational Therapy Assistants

This course contains 6.0 hours of Distance learning-interactive continuing education. It was not offered for AOTA CEUs. Please retain your certificate of completion. For state licensure or other credential renewal, contact those agencies for information about your reporting responsibilities and requirements.


Physical Therapists & Physical Therapist Assistants

This activity consists of 6.0 clock hours of instruction that is applicable for physical therapists. This certificate is proof of your attendance. Please retain it in your records or use for submission as proof of completion when required.


Alaska Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 6.0 continuing education credit hours for Alaska Physical Therapists. The Board Rule 12 AAC 54.420 confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers.


Arizona Physical Therapists & Physical Therapist Assistants

CE credit is available. The Arizona State Board of Physical Therapy recognizes continuing competence activities that have been approved by any state PT association or national medical/health care association (e.g., AOTA, ASHA). This activity consists of 6.0 clock hours of instruction applicable for physical therapists.


California Physical Therapists & Physical Therapist Assistants

California Physical Therapists

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This course will qualify for 6.0 continuing competency hours.


Delaware Physical Therapists & Physical Therapist Assistants

The Delaware Examining Board of Physical Therapists and Athletic Trainers accepts CEUs approved by a national governing body (e.g., APTA, BOC) or a fellow state licensing board during the current licensing period. This activity consists of 6.0 clock hours of instruction applicable for physical therapists.


Illinois Physical Therapists & Physical Therapist Assistants

PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This course qualifies for 6.0 CE Credit Hours.


Indiana Physical Therapists & Physical Therapist Assistants

This course has been approved by the Indiana Chapter of the APTA for 6.0 hours. Approval #: 006987887C2345. Expires 05/21/2024.


Kentucky Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 6.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category I continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. Participants must attend at least three (3) contact hours to receive Category I credit. Participants who complete less than three (3) contact hours will receive Category II credit.


Maryland Physical Therapists & Physical Therapist Assistants

This course has been approved by the Maryland State Board of Physical Therapy Examiners for 0.6 CEUs.


Michigan Physical Therapists & Physical Therapist Assistants

CE credit is available. This activity consists of 6.0 continuing education credit hours for Michigan Physical Therapists. Regulation R. 338.7163 states the Michigan Board of Physical Therapy accepts continuing education if it is approved by another state board of physical therapy. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


New York Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This course qualifies for 7.2 contact hours. 


North Carolina Physical Therapists & Physical Therapist Assistants

PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.


Ohio Physical Therapists & Physical Therapist Assistants

This course has been approved by the Ohio Physical Therapy Association for 6.0 hours.


Pennsylvania Physical Therapists and Assistants

The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.


Tennessee Physical Therapists & Physical Therapist Assistants

CE credit is available. This activity consists of 6.0 continuing education credit hours for Tennessee Physical Therapists. Rule 1150-01-.12(5)(d) states the Tennessee Board of Physical Therapy accepts continuing education if it is approved by another state board of physical therapy. PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy continuing education. 


Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider  and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. Instructional Level: . This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.


Utah Physical Therapists & Physical Therapist Assistants

This course is designed to meet the Utah DOPL Rule R156-24b-303b.2.c.iv - A commercial continuing education provider providing a course related to the practice of physical therapy. Please retain a copy of the advertising brochure and your certificate of completion to provide to your board should this be requested of you. This activity consists of 6.0 clock hours of continuing education instruction.


Vermont Physical Therapists & Physical Therapist Assistants

CE credit is available. This course consists of 6.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Virginia Physical Therapists & Physical Therapy Assistants

CE credit is available. This course consists of 6.0 continued competency credit hours for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (1)(c) states that type 1 continued competency credits can be earned by attending courses that are directly related to the clinical practice of physical therapy and have been approved by local, state, or federal government agencies. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.


Other Professions

This activity qualifies for 360 continuing education minutes as required by many national, state and local licensing boards and professional organizations. Save your activity advertisement and certificate of completion, and contact your own board or organization for specific requirements. 



Handouts/Brochure

Speaker

Katie DuFrene, PT, DPT, LAT's Profile

Katie DuFrene, PT, DPT, LAT Related seminars and products


Katie DuFrene, PT, DPT, LAT, studied kinesiology during her undergraduate and began personal training and coaching for fitness, gymnastics, cheerleading and dance. She then went on to earn a master’s in athletic training and a clinical doctorate in physical therapy.

Katie has worked with collegiate and professional athletes of all sports (although there is a special place in her heart for gymnasts). She has worked with a variety of orthopedic conditions from post-operative treatments, to sprains and strains, to concussions. She holds certifications in functional movements screen/selective functional movement assessments, kinesiotaping and instrument assisted soft tissue manipulation. She also enjoys pediatric practice including managing development delays. She has been a lead volunteer for the Special Olympics of Frederick’s Young Athletes Program.

 

Speaker Disclosures:
Financial: Katie DuFrene has an employment relationship with the Centers for Advanced Orthopaedics. She receives a speaking honorarium from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Katie DuFrene has no relevant non-financial relationships.

 

 


Additional Info

Webcast Schedule

Please note: There will be a 60-minute lunch and two 15-minute breaks; one in the morning and one in the afternoon. Lunch and break times will be announced by the speaker and at their discretion. A more detailed schedule is available upon request.


Access Period for Live Webcast

For live CE credit, you must watch the live webcast in its entirety at its scheduled time and complete the CE quiz and evaluation within one week. You will have access for 90 days after the program for review.


Questions?

Visit our FAQ page at www.pesi.com/faq or contact us at www.pesi.com/info


Objectives

  1. Investigate anatomy of the shoulder and its surrounding regions.
  2. Develop a logical and practical assessment of the shoulder, cervical and thoracic spine (including assessment of posture, mobility, strength and palpation).
  3. Propose and clarify the many differential diagnoses that can present as shoulder pain.
  4. Investigate a wide range of treatment techniques to address impairments identified in a shoulder assessment.
  5. Assess barriers/factors that limit progress in shoulder function as it relates to ADLs and occupational tasks.
  6. Apply the assessments and interventions discussed in this seminar to a series of interactive case scenarios.

Outline

Assessment of the Shoulder, Thoracic Spine, Scapula
  • Posture
    • Upper Crossed Syndrome
      • FHP, rounded shoulders, increased thoracic kyphosis
  • Contributing causes
  • Functional Impact
    • Impaired scapular movement pattern
    • Posterior/anterior: muscular tone
  • Joints
    • GH joint
    • SC and AC joints
    • Scapulothoracic joint
  • Key muscle of the shoulder complex
  • Ligaments, joint capsule, labrum
  • AROM Screen of shoulder, c-spine and t-spine
    • FMS/SFMA Movement Screen
      • Cervical spine
      • Shoulder positions 1 and 2
      • Multisegmental flexion/extension
      • Multisegmental rotation
  • Strength Assessment
  • Palpation
    • Tenderness, tone, joint mobility
    • Scapular glides, thoracic PA glides
Differential Diagnosis
  • Instability
  • Impingement
    • Subacromial vs GH
  • Rotator Cuff Pathology
    • Referral patterns, weakness
  • Labral Tear
    • Catching, peel back mechanism
  • Biceps tendonitis
  • Cervical radiculopathy
  • Red flags- when to refer
Treatment – Mobilization
  • IASTM, cupping, STM, TPR
  • Joint mobilization
    • Scapula, GH, thoracic/1st rib, AC & SC joint
  • Capsular stretch
  • Active Treatment Strategies
    • Foam roll, tennis ball
  • Thoracic mobility
    • Seated thoracic ext
    • Physio ball
    • Prone chin tuck
  • Self-Stretch/Home Program
    • Pecs, lats, subscap, posterior capsule
Treatment - Strengthening
  • Scapular Stability
    • Lower trap, serratus
      • Lower trap progression
      • Dynamic planks
    • Mid Trap/Rhomboids
  • Neuromuscular Re-education
    • Dynamic use of physio ball, medicine ball, foam, planking
  • Rotator Cuff Strengthening
    • Isometric strengthening
    • Resistance band
    • Concentric/eccentric strengthening
    • PNF, AROM
Critical Thinking – Bringing it all Together
  • Limited overhead shoulder flexion:
    • What posture may be causing this?
    • What shoulder extensors could be limiting it?
    • What shoulder elevators may be weak/inhibited?
    • What scapulothoracic mechanics are needed?
  • Limited overhead shoulder abduction:
    • What posture may be causing this?
    • What shoulder adductors could be limiting it?
    • What shoulder elevators may be weak/inhibited?
    • What scapulothoracic mechanics are needed?
  • Limited shoulder ER / Limited IR:
    • What posture may be causing this?
    • What muscles could be limiting it?
    • What muscles may be weak/inhibited?
    • What scapulothoracic mechanics are needed?

Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Athletic Trainers
  • Strength and Conditioning Specialists
  • Other Rehab and Healthcare Professionals

Reviews

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