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Digital Seminar

Rotator Cuff Dysfunction: Functional Recovery from Impingement & Surgery

Terry Trundle, ATC, LAT, PTA
5 Hours 40 Minutes
Audio and Video
Jun 12, 2015
Product Code:
Media Type:
Digital Seminar


Because of the complex design of the rotator cuff, it is susceptible to injury. These injuries can be due to overuse in sports activities or it can occur from repetitive motions. Whatever the cause, weakness, stiffness, and pain often ensue. Secondary impingement is also another difficulty clinicians face when treating the functionality of the shoulder, with this condition being one of the most often misunderstood and difficult to assess. Because the shoulder plays a sizable role in arm functioning, proper rehabilitation of this joint is essential to return the patient to a healthy state.

Further complicating the issue is reimbursement and providers that only allot a limited number of visits to complete rehabilitation. Clinicians must be knowledgeable about not only "tried and true" techniques, but must also stay abreast of current research, new products available, and developments within their field. Clinicians who fail to do this can be increasing their patient's recuperation time and missing important treatment goals.

This recording will demonstrate how to be more innovative in your treatment planning, examine functional approaches to rehabilitation of the kinetic chains, and illustrate the benefits of incorporating evidenced-based approaches into your "bag of treatment tools." Examine rotator cuff injuries that occur at different points in the human lifespan, as well as recommended treatment for each population.

Learn why certain injuries are more common with particular age groups, such as instability in teenagers and degenerative joint disease in aging patients. Clinicians will come away excited about trying new, practical techniques that produce results and, in turn, their orthopedic rehab patients will demonstrate a more positive attitude about their recovery.


* Credit Note - **

NOTE: Tuition includes one free CE Certificate (participant will be able to print the certificate of completion after completing the on-line post-test (80% passing score) and completing the 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, as well as which credit types are acceptable for continuing education hours. 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.  

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

Occupational Therapists - 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 5.6 self-study continuing education credits.

CE Broker

Physical Therapists - 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 5.5 continuing competency hours.

Physical Therapists - 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 5.5 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 Therapists & Physical Therapist Assistants

This self-study course consists of 5.5 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.

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 self-study course qualifies for 5.5 CE credit hours.

Physical Therapists - 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 6.8 contact hours.

Other Professions

This self-study activity qualifies for 5.5 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.



Terry Trundle, ATC, LAT, PTA Related seminars and products

Terry Trundle, ATC, LAT, PTA, has over 38 years of experience in clinical practice and offers educational programs on functional rehabilitation focusing on the upper and lower kinetic chain. He practices in the Atlanta area where he is the Owner and Director of the Athletic Rehab Institute and Sports Medicine. In addition, he serves as a rehab consultant for Benchmark Physical Therapy and as Chair of the Advisory Board for the annual Rehab Summit.

Mr. Trundle's research has been featured in numerous journals and publications, and he has received awards and recognitions by the American Physical Therapy Association and Medical College of Georgia as a leader in the field. Most recently, he authored a chapter on orthopedic management of the shoulder in Fundamental Orthopedic Management for the Physical Therapist Assistant. He is the co-producer of a four-part video series that includes exercises on the knee and shoulder and passive micro-mobility of the upper and lower kinetic chains.

Speaker Disclosures:

Financial: Terry Trundle is owner of Athletic Rehab Institute and Sports Medicine. He receives a speaking honorarium from PESI, Inc.

Non-financial: Terry Trundle is a member of the American Physical Therapy Association; and the National 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
  • Physical Therapist Assistants
  • Occupational Therapists
  • Occupational Therapy Assistants
  • Massage Therapists
  • Certified Athletic Trainers
  • Personal Trainers


  1. Define functionality of the shoulder
  2. Describe the true function of the rotator cuff as the protection of all shoulder pathology
  3. Identify why scapula stabilization is the core of the rotator cuff
  4. Describe when and how to use closed kinetic chain exercises for the upper extremity
  5. Assess the importance of positional recruitment for open kinetic chain exercises based on evidence-based practice
  6. Identify geriatric considerations for exercises


Shoulder “The Open Kinetic Chain Challenge”

  • What questions should we be asking about “today’s shoulder”
  • Missing link in treating the geriatric shoulder
  • Components of functionality
  • Phases of rehabilitation based on recent evidence-based applications
  • Concepts of the three P’s (Pivotors, Protectors, and Positioners)
  • Role of scapula-thoracic stabilization for retraction, repositioning, and protraction preparation

Lab #1: Manual Mobility for the Scapula-Thoracic Articulation

  • Glenohumeral primary impingement
    • Vital three-motion patterns
    • Decompression of the painful shoulder
    • Manual preparation glides for the glenohumeral joint
    • Updates on capsule mobility
    • Positional recruitment based on the therapeutic value of intervention
    • Non-operative and operative treatment of primary impingement
    • Development of the “healthy cuff” with the vital five home exercise programs

Lab #2: Manual Mobility for the Glenohumeral Joint

  • Operative repairs for the rotator cuff lesions, including the geriatric considerations
    • Defining delayed intervention and its role in treatment guidelines
    • Scapula control for core stabilization
    • How to address shoulder “hike” dysfunction
    • Concepts of the “Geriatric Big Three” exercises
    • Benefits of closed kinetic chain stabilization
    • Outcome studies
  • Secondary impingement and its rehabilitation to instability 
    • Why secondary impingent is so difficult to access
    • Subjective assessment outweighs objective findings
    • Protective exercise guidelines for labrum, SLAP lesions, and capsule instability

Lab #3: Screening of the Painful Shoulder - How Do You Define Shoulder Function?

  • History of the problem
  • Subjective level of pain
  • Location of pain
  • Clinical screening with special testing
  • Discussion of the three components of referral  
  • Case presentations


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