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Digital Seminar

A Total Approach for Treating Neck & Scapular Disorders

Sue DuPont, MS, MBA, PT, ATC
6 Hours
Audio and Video
May 15, 2013
Product Code:
Media Type:
Digital Seminar


Injuries in the neck and shoulder region affect over 1/3 of the adult population, and they can be very disabling and costly to the patient. X-ray findings often do not correlate with symptoms, yet these patients continue to have pain. Also, impairments in the scapula-thoracic and lumbar regions have been shown to affect the alignment and biomechanics of the cervical spine.

Whether the cause is from a traumatic injury, or from the chronic effects of age, posture, and wear-and-tear, many of these patients suffer with significant pain and disability. Muscle imbalances and altered length-tension relationships of soft tissues make it increasingly more difficult to effectively treat these patients. Passive treatment approaches simply are not effective.

This recording will explore the latest techniques for assessing and treating neck and shoulder girdle pain and dysfunction. Current treatment-based classification systems for neck patients will be presented, as well as today’s best-practices for objectively determining the underlying causes of dysfunction and applying effective treatment strategies.



NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing and passing the on-line post-test evaluation). 

Continuing Education Information:  Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self-study is 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 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.  

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.

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 self-study continuing education credits.

CE Broker

California Physical Therapists & Physical Therapist Assistants

PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Texas Physical Therapists & Physical Therapist Assistants

This activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. 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.

Physical Therapists & Physical Therapist Assistants

This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

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 self-study course qualifies for 6.0 CE credit hours.

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 self-study course qualifies for 7.2 contact hours.

Other Professions

This self-study activity qualifies for 6.0 continuing education clock hours 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.



Sue DuPont, MS, MBA, PT, ATC's Profile

Sue DuPont, MS, MBA, PT, ATC Related seminars and products

Sue DuPont, MS, MBA, PT, ATC, is an expert in the field of orthopedics and sports medicine, with over 30 years of experience treating patients and athletes of all ages and activity levels. She holds multiple degrees including a B.S. in Exercise Science/Athletic Training, an M.S. in Biology specializing in Biomechanics, a post-baccalaureate degree in Physical Therapy, and an MBA in Healthcare Management. Ms. DuPont was on the Medical Staff at the 1996 Summer Olympic Games and awarded a 1-year fellowship at the U.S. Olympic Training Center. She has worked with various professional and elite athletes, from WTA pro tennis to World Cup Figure Skating. While working with the U.S.O.C. Biomechanics Division, Ms. DuPont researched and developed a Clinical Plyometrics protocol and presented the findings at the APTA National Conference.

Ms. DuPont has taught courses specifically for seniors on healthy aging and wellness. She is a veteran ACE Certified Fitness Instructor, teaching Pilates, kickboxing, and many other fitness courses for over 20 years. Ms. DuPont has performed extensive research on the spine, aging, balance, and fitness. In her clinical practice, she utilizes advanced clinical techniques in manual therapy, taping/strapping, active stabilization, and soft tissue release to improve functional movement patterns. Currently, Ms. DuPont teaches continuing education courses nationwide. When home in Florida, she treats patients/clients for physical therapy and wellness and sits on the Advisory Board for Southwest Florida University's PTA program.


Speaker Disclosures:

Financial: Sue Dupont has employment relationships with Joint Implant Surgeons, South Best Home Care, and Doctor's Choice Home Care. She receives a speaking honorarium and recording royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.

Non-financial: Sue Dupont is a member of the American Physical Therapy Association (APTA) and the National Athletic Trainers Association (NATA).

Additional Info

Access for Self-Study (Non-Interactive) Access never expires for this product.

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Target Audience

  • Physical Therapists
  • Physical Therapist Assistants
  • Occupational Assistants
  • Certified Occupational Therapy Assistants
  • Certified Athletic Trainers
  • Massage Therapists
  • Physiatrists
  • Physicians
  • Physical Medicine and Rehabilitation Specialists


  1. Review current classification systems for neck patients
  2. Differentiate diagnoses for hyper- and hypo-mobility conditions in cervical-scapula-thoracic regions
  3. Gain a better understanding of common surgical and non-surgical interventions and indications/contraindications for rehabilitation
  4. Review the clinical application of modalities and demonstrate manual therapy techniques to improve function and relieve pain
  5. Identify specific stabilization and mobilization exercise progressions for improved outcomes
  6. Apply PNF and Pilates principles to retain movement



  • Why we need to understand the neck and shoulder girdle better
  • Review of current biomechanical theories and research on cervical spine
    • Using Classification Systems and Functional Index findings to guide treatment planning
    • Causes of neck pain and disability—biomechanical and neurological changes

Common Hyper- and Hypo-Mobility Diagnoses Therapists Treat in the Cervical and Scapular-Thoracic Region

  • Whiplash, Herniated Nucleus Pulposus (HNP), spondylosis, radiculopathy, scoliosis
  • Hypo-mobility diagnoses—stenosis, kyphosis, facet joint dysfunction, Degenerative Disk Disease (DDD)

How Do We Stabilize?

  • Review of relevant functional anatomy of the cervical-scapulo-thoracic region
  • Discuss biomechanical model of the Cervical Motion Segment and effects of instability
  • Effects of posture and aging on tissue structure and motor control

Lab 1: Palpation AND Posture Assessment

  • Bony structures and gross muscle testing
  • Posture observations and documentation of scoliosis and scapular winging
  • Special tests—Jull’s Test for Cranio-cervical stability, Standing Arm Elevation, Axial compression, vertebral artery, Spurling’s test, and Scapular Balancing Index

Common Surgical and Non-Surgical Treatments

  • Laminectomy, discectomy, cervical fusion, disc replacement
  • Pain management strategies—spinal injections, trigger point injections, Botox, and acupuncture
  • Clinical Modalities—iontophoresis, manual vs. mechanical traction

Lab 2: Hands-On Treatment Techniques

  • Mobility testing and TMJ screening
  • Soft Tissue Mobilization—passive release, muscle energy release, and tissue unwinding
  • Demonstration of advanced mobilization techniques—MET and Mobilization with movement

Neuromuscular Re-Education: Clinical Applications AND Treatments

  • Pressure biofeedback for deep neck flexors and scapular stability exercises
  • Specialized taping techniques using kinesio-taping and McConnell taping strategies

Stabilization for Neck AND Scapula

  • Critical links and 3 Postural Zones
  • Weak links in the Stability Chain
  • Progression of Exercise Programs

Lab 3: Stabilization AND Scapular Mobility Exercises

  • Deep neck flexor training and Cervical “clock” exercises
  • Connecting the postural zones
  • Mobilization exercises for Scapular-thoracic region
  • Building scapula-thoracic postural control
  • Advanced exercise techniques—gliding discs, yoga, PNF, and dynamic reaction training


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