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Effective Examination of the Shoulder Complex: New Advances

Joe Mullins, MEd, LAT, ATC, ACI
6 Hours 06 Minutes
Dec 12, 2014
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Examining the Shoulder

The shoulder has tremendous mobility across four joint structures. This increased mobility can compromise the stability of the scapula humeral complex. Rehabilitation of the shoulder requires a delicate balance between improving soft tissue mobility and neuromuscular control. However, elimination of a patient's pain does not mean a long-term successful outcome. A good, sound orthopedic screening examines the patient as a "whole" versus as a "joint" or "tissue" diagnosis and will allow the clinician the ability to address present and potential predisposing factors. Many professionals are lacking in these skills or frustrated with the constraints in place due to managed care. Today's managed care environment often frustrates the clinician by not being able to successfully rehabilitate the shoulder. "Managed care" has a different meaning for the patient, payer and provider. Examination and treatment of the shoulder is challenging to the clinician and made even more difficult when working in a managed care environment. Clinicians often find it difficult to properly heal the patient's injury while also accelerating the treatment process.

This exciting, interactive, recording is designed to inspire attendees to understand first "what is inside the box, before you can think outside of it." Advanced critical thinking skills are vital in today's limited visits and high co-payment atmosphere. The clinician who can properly examine the shoulder by first breaking down the subjective and objective portion of the exam, and then specifically identify what is really important to rehabilitate, will be the clinician who succeeds in meeting the needs of all the players in managed care: patient, provider, and payer. This recording will take you step-by-step, utilizing case studies of very common, complex shoulder problems. You will gain tools to evaluate, assess and treat difficult shoulder problems in less time and with less expense to the patient.


* Credit Note - ****

Save time and money off other submission methods – purchase & take the CE test online for $19.99. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.  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 completion.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. 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 6.1 self-study continuing education credits.

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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 7.3 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.



Joe Mullins, MEd, LAT, ATC, ACI's Profile

Joe Mullins, MEd, LAT, ATC, ACI Related seminars and products

JOE MULLINS, MEd, LAT, ATC, ACI, is a licensed athletic trainer with over 20 years of experience in clinical and academic settings. Currently, he is the founder and director of Athletic Training and Conditioning, Inc., a rehabilitation consulting company that specializes in baseball pitching, performance, and treatment of the overhead athlete. Mr. Mullins specializes in functional orthopedic evaluations, movement analysis, and program design based upon regional interdependence. Due to his many years of treating the orthopedic shoulder and his ability to maximize shoulder performance, Mr. Mullins is sought after by professional and amateur athletes and the physically active to assist in their recovery of function. Additionally, he holds a management position at Randolph Hospital, overseeing athletic training outreach services. Mr. Mullins has taught courses in the Masters Athletic Training Program and the Department of Kinesiology at the University of North Carolina at Greensboro. His early career included providing rehabilitative and musculoskeletal care for NASCAR drivers and crews through Motor Racing Outreach and working as the Head Athletic Trainer for Mount Olive College in Mount Olive, NC.

Mr. Mullins received his Bachelor of Science degree in Exercise and Sports Science from UNC Greensboro and went on to earn his Master of Education in Athletic Training from the University of Virginia. He is licensed as an athletic trainer in the state of North Carolina, is certified through the National Athletic Trainers Association, and is an Approved Clinical Instructor through the Commission on Accreditation of Athletic Training Education. Mr. Mullins is a member of the National Athletic Trainers Association, the North Carolina Athletic Trainers Association, and the Mid Atlantic Athletic Trainers Association.


Speaker Disclosures:

Financial: Joseph Mullins is the founder and director of Athletic Training and Conditioning, Inc. He receives a speaking honorarium from PESI, Inc.

Non-financial: Joseph Mullins is a member of the National Athletic Trainers Association, the North Carolina Athletic Trainers Association, and the Mid Atlantic Athletic Trainers Association.

Additional Info

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

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Target Audience

  • Physical Therapists
  • Athletic Trainers
  • Physical Therapist Assistants
  • Occupational Therapists
  • Personal Trainers
  • Certified Strength and Conditioning Specialists
  • Certified Occupational Therapy Assistants
  • Exercise Physiologists


  1. Use interactive documentation tools and therapeutic treatment parameters to objectively measure and motivate the patient through the rehab process
  2. Identify how to effectively position patients to maximize the benefits of therapeutic exercises, procedures, and modalities
  3. Identify creative therapeutic exercises and techniques that consider all functional planes of movement
  4. Incorporate the evidenced-based kinetic link model into the elevation of a patient's arm overhead for ADLs, industry and sports
  5. Distinguish between the characteristics of rotator cuff syndrome in a 20 year old and a 70 year old patient
  6. Demonstrate how to examine the shoulder and interpret exam findings to guide and direct intervention



  • How we were taught in school vs. how the scapula humeral complex really works with orthopedic patients (i.e. how the legs drive the trunk and the trunk drives the scapular—the kinetic link)
  • How to put the fun into the fundamentals
  • Interactive drawings of the biomechanics
    • learn how centering the humeral head in the glenoid fossa is the key to maximizing range of motion and function
  • Research-based information on compliance
  • Research-based information on how to develop vital listening skills
  • Examine the importance of communication skill


  • Faulty scapulohumeral rhythm/scapular dyskinesis
    • video analysis
    • demonstrations
  • Core stability/training—for all patient populations
    • Video analysis
    • Lab demonstrations
  • Hypo-mobile pathology
  • Manual therapy
    • Videos
    • Hands-on demonstrations
    • How to get the hand behind the back vs. the towel or pulley exercise
    • How to treat the shoulder that has plateaued in range of motion
  • Labral pathology
    • Interactive anatomical drawings
    • Special tests to rehab
  • Rotator Cuff Syndrome
    • Slassification system
    • Discuss the difference between the 20-year-old vs. the 70-year-old
  • Osteoarthritis: medical management for all patient populations
  • Joint replacement: Current and new advances
  • Glenohumeral instabilities
  • Scapular dysfunction—interactive drawings and patient analysis
  • Posterior shoulder tightness
    • Demonstrations of assessment
    • Treatment options


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