This online ce course utilizes content from the textbook “The Athlete’s Shoulder” Second Edition by Kevin E. Wilk, P.T., D.P.T., Michael M. Reinold, P.T., D.P.T., A.T.C, C.S.C.S. and James R. Andrews, M.D. © 2009, published by Elsevier.
Instructional Level: Beginner to Intermediate
This continuing education course offers a multi-disciplinary, in-depth look at athletic injuries of the shoulder. Focusing on aspects including but not limited to rotator cuff injuries, labral injuries, instability, examination, diagnostic imaging, arthroscopy, total joint replacement; addressing sport specific topics in baseball, football, tennis, swimming and gymnastic injuries.
Throughout the second edition, information has been updated to reflect the current surgical and rehabilitation information for all aspects of shoulder pathology, including illustrated exercises for rehabilitation that demonstrate which exercises to show patients in order to decrease their chance of injury or increase strength following an injury. You can expect detailed information ranging from basic science of the shoulder complex, the areas of examination and assessment as well as the recognition and treatment of various pathologies, including the appropriate surgical and rehabilitation approaches for these pathologies.
To better meet your professional needs, this fully illustrated text of 847 pages has been carefully broken down by sections into 6 modules. Each module approved for 10 contact hours of post-graduate continuing education (NOTE: board approvals vary state to state, please check your states approval status in the state specific course catalog by returning to our home page and entering both your state and profession).
Each 10 contact hour module can be purchased individually or combined with one or all of the other modules from this home ceu course to create a Course Bundle. Each course is offered in two easy formats to again meet your professional needs. You can choose to have immediate access to your course by selecting the online format (PDF download) or a hard copy of the material can be rushed to your home by selecting our mail format.
Available for Athletic Trainers, Chiropractor, Occupational Therapist, Occupational Therapist Assistants, Physical Therapist, Physical Therapist Assistant
Modules In Course
Module 1: Basic Science, Examination and ArthroscopyModule Goals and Objectives Module Goals:
This course is intended to instruct the professional through a self-paced study on the Basic Science, Examination and Arthroscopy of The Athlete’s Shoulder.Professional Learning Objectives
1. Discuss the functional anatomy of the shoulder complex.
2. Differentiate between the sternoclavicular joint, acromioclavicular joint and the glenohumeral joint.
3. Demonstrate knowledge in the ligamentous structure of the acromioclavicular joint.
4. List the factors contributing to glenohumeral stability.
5. Explain the integrity of the capsule and the role it plays in stability of the joint.
6. Demonstrate knowledge in the ligamentous structure of the acromioclavicular joint.
7. Identify the musculature structure of the rotator cuff.
8. Discuss the biomechanics of the shoulder complex.
9. Differentiate between the osteokinematics and arthrokinematics of the scapulothoracic joint.
10. Discuss stability of the glenohumeral joint; differentiating between the articular surfaces and the glenoid labrum.
11. Define concavity-compression.
12. Demonstrate knowledge in the recommended sequence of capsular tests.
13. Discuss internal impingement.
14. List assessment techniques for examining the rotator cuff.
15. Explain Isometric techniques of muscle testing.
16. Discuss clinical examination and successful management of any clinical problem existing within the shoulder complex.
17. Demonstrate knowledge in impingement and rotator cuff pathology.
18. Identify assessment techniques and test useful in evaluating glenohumeral stability.
19. Discuss diagnostic imaging of the shoulder complex.
20. List the minimum three views of conventional radiographs that should be obtained after a thorough clinical examination of the shoulder.
21. Identify the most commonly torn ligament in the shoulder joint.
22. Demonstrate knowledge in the normal arthroscopic anatomy of the shoulder.
23. Identify a common anatomic variant of the anterior labrum.
24. Explain the function and the location of the rotator interval.
25. Discuss operative shoulder arthroscopy.
26. Demonstrate knowledge in primary compressive cuff disease and secondary compressive cuff disease.
27. List proposed mechanisms for rotator cuff tears in overhead throwing athletes.
28. Identify the external anatomy and palpable landmarks of the shoulder.
29. Demonstrate knowledge in the arthroscopic techniques of the shoulder.
30. Discuss and identify the most frequently used portal for shoulder arthroscopy.
Included in Module 1: Basic Science, Examination and Arthroscopy
Chapter 1: Functional Anatomy of the Shoulder Complex
Chapter 2: Clinical Biomechanics of the Shoulder Complex
Chapter 3: Standardized Shoulder Examination – Clinical and Functional Approaches
Chapter 4: Clinical Examination of the Shoulder
Chapter 5: Diagnostic Imaging of the Shoulder Complex
Chapter 6: Normal Arthroscopy of the Shoulder
Chapter 7: Operative Arthroscopy of the Shoulder
Chapter 8: Arthroscopic Techniques of the Shoulder
Module Goals and Objectives Module Goals:
This course is intended to instruct the professional through a self-paced study on Pathology and Surgery of the Rotator Cuff in The Athlete’s Shoulder.Professional Learning Objectives
1. Discuss tensile failure of the rotator cuff.
2. Explain forces and muscle activity of the shoulder.
3. Demonstrate knowledge of pathogenesis of tensile failure due to intrinsic and extrinsic factors.
4. Demonstrate knowledge in diagnosis and assessment of rotator cuff injuries.
5. List treatment options for the throwing athlete suspected of having an isolated partial-thickness, rotator cuff tear.
6. Demonstrate knowledge in subacromial impingement.
7. Discuss the development and function of the acromion as well as the normal anatomy.
8. Identify key components associated with a physical examination of a patient with impingement.
9. List risk factors that may lead to impingement.
10. Discuss internal impingement.
11. Demonstrate knowledge in surgical intervention for internal impingement and the appropriateness of operative management.
12. Discuss partial articular supraspinatus tendon avulsions (PASTA) lesions of the rotator cuff.
13. List the imaging modalities that should be implemented in the assessment of PASTA lesions.
14. Differentiate between nonoperative treatment of PASTA lesions and operative treatment.
15. Demonstrate knowledge in calcific tendinitis.
16. Identify the imaging modality of choice when assessing a patient suspected to have calcific tendinitis.
17. List advanced technology useful in assessing and treating calcific tendinitis
18.Discuss open repair and management of a rotator cuff tear in an athlete.
19. Differentiate between the open repair of the rotator cuff and the mini-open rotator cuff repair.
20. Explain the advantages of the mini-open rotator cuff repair over the open repair.
21. List the goals of rotator cuff repair.
22. Demonstrate knowledge in arthroscopic rotator cuff repair.
23. Discuss surgical indications and contraindications for arthroscopic rotator cuff repair.
24. Identify the preferred position for all arthroscopic procedures with primarily subacromial pathology.
25. Demonstrate knowledge in the determination of tear configuration and repair during the arthroscopic procedure.
26. Discuss anterior instability of the shoulder.
27. Identify the most common surgical finding in patients with anterior instability.
28.Differentiate between anterior and posterior instability of the shoulder.
29. Define reverse Bankart lesion.
30. Identify the athlete and patient presentation of posterior shoulder instability.
31. Define multidirectional instability.
List treatment options for multidirectional instability.
Included in Module 2: Pathology and Surgery of the Rotator Cuff
Chapter 9: Tensile Failure of the Rotator Cuff
Chapter 10: Subacromial Impingement
Chapter 11: Internal Impingement
Chapter 12: Partial Articular Supraspinatus Tendon Avulsion
Chapter 13: Calcific Tendonitis
Chapter 14: Open Repair of the Rotator Cuff
Chapter 15: Mini-Open Rotator Cuff Repair
Chapter 16: Arthroscopic Rotator Cuff
Chapter 17: Anterior Instability of the Shoulder
Chapter 18: Posterior Shoulder Instability
Chapter 19: Multidirectional Instability of the Shoulder
Module 3: Dislocation, Soft Tissue Injuries, Acromioclavicular Joint and Brachial Plexus InjuriesModule Goals and Objectives Module Goals:
This course is intended to instruct the professional through a self-paced study in Dislocation, Soft Tissue Injuries, Acromioclavicular Joint and Brachial Plexus Injuries of The Athlete’s Shoulder.Professional Learning Objectives
1. Demonstrate knowledge in the management of the first time shoulder dislocation in an athlete.
2. Discuss the passive and active mechanisms involved in the overall stability of the glenohumeral joint.
3. Differentiate between traumatic bone lesions, humeral head lesions and glenoid bone lesions.
4. Demonstrate knowledge in glenoid rim fractures and avulsion fractures.
5. Explain postoperative care for surgical intervention of shoulder dislocation
6. Discuss the diagnosis of Bankart lesions.
7. Differentiate between arthroscopic treatment of Bankart lesions and open approaches.
8. List patient-specific factors that play a critical role in patient counseling of Bankart lesions.
9. Explain the six phase rehabilitation program following Bankart lesion repair and anterior stabilization.
10. Demonstrate knowledge in superior labral anterior-posterior (SLAP) lesions of the shoulder.
11. Identify the role that lesion type plays in the treatment options for SLAP lesions.
12. Discuss postoperative care and rehabilitation following SLAP lesion repair.
13. Define bursitis.
14. Explain snapping scapula syndrome.
15. List the proposed mechanisms thought to cause adhesive capsulitis syndrome.
16. Discuss treatment options for adhesive capsulitis syndrome.
17. Discuss injuries that occur at the acromioclavicular joint.
18. Identify symptoms most commonly seen in injuries to the acromioclavicular joint.
19. Demonstrate knowledge in shoulder arthroplasty in the athletic shoulder.
20. Discuss athletes at risk for degenerative glenohumeral osteoarthritis.
21. Demonstrate knowledge of neurovascular compression syndromes of the shoulder and identify the clinical presentations of each.
22. List the goals in treatment of Paget-Schroetter syndrome.
23. Discuss brachial plexus injuries.
24. Explain pack palsy.
25. Demonstrate knowledge in the treatment of suprascapular nerve entrapment.
26. Discuss cervicogenic shoulder pain.
Included in Module 3: Dislocation, Soft Tissue Injuries, Acromioclavicular Joint and Brachial Plexus Injuries
Chapter 20: Management of the First-Time Shoulder Dislocation in the Athlete
Chapter 21: Bankart Lesions: Diagnosis and Treatment with Arthroscopic and Open Approaches
Chapter 22: Superior Labral Anterior-Posterior Lesions of the Shoulder
Chapter 23: Soft Tissue Injuries of the Shoulder
Chapter 24: Adhesive Capsulitis of the Shoulder
Chapter 25: Acromioclavicular Joint Injuries
Chapter 26: Shoulder Arthroplasty in the Athletic Shoulder
Chapter 27: Neurovascular Compression Syndromes of the Shoulder
Chapter 28: Brachial Plexus Injuries
Chapter 29: Suprascapular Nerve Entrapment
Chapter 30: Cervicogenic Shoulder Pain
Module 4: Sport Specific InjuriesModule Goals and Objectives Module Goals:
This course is intended to instruct the professional through a self-paced study in Sport Specific Injuries of The Athlete’s Shoulder.Professional Learning Objectives
- Demonstrate knowledge in the biomechanics of the shoulder for a baseball player and the problems as well as the rehabilitation techniques associated with them.
- Discuss the biomechanics of a normal baseball pitch.
- Explain the usefulness of flat ground throwing.
- Define electromyography (EMG) and discuss it’s roll in upper extremity sports.
- Differentiate between the wind-up phase, stride phase and arm-cocking phase of the baseball pitch.
- Recognize the phases of muscle activity in an overhead baseball pitch.
- Explain how injuries to the throwing shoulder occur.
- Recognize the syndromes that are caused by shoulder injuries, such as thoracic outlet syndrome, suprascapular nerve entrapment and scapula disorders.
- Differentiate between the primary rotator cuff injuries and secondary rotator cuff lesions in baseball.
- Demonstrate knowledge in the diagnosis of overuse tendonitis.
- Identify the symptoms associated with subacromial impingement.
- Demonstrate knowledge in rotator cuff pathologies.
- Discuss shoulder instability and the classification system to evaluate athletes presenting with anterior shoulder pain.
- Explain thrower’s exostosis.
- Recognize neurovascular syndromes observed in the throwing athletes.
- Discuss shoulder injuries observed in football athletes.
- Identify glenohumeral joint injuries, differentiating between anterior and posterior instability.
- Identify shoulder injuries assessed in tennis.
- Discuss the analysis of the shoulder joint in tennis-specific movements.
- Demonstrate knowledge in the evaluation and rehabilitation of the swimmers shoulder.
- Explain the diagnosis and treatment for swimmers shoulder.
- List possible causes for shoulder pain associated with swimming.
- Identify the signs and symptoms of swimmer’s shoulder.
- Discuss the pathomechanics of the swim stroke.
- Demonstrate knowledge in the conditioning, training and rehabilitation for the golfer’s shoulder.
- Discuss the five phases of rehabilitation for the injured gymnast’s shoulder.
- Demonstrate knowledge in the assessment and rehabilitation of the pediatric shoulder.
- Identify the safety recommendations for adolescent baseball pitchers.
- Differentiate between the static and dynamic constraints that allow great mobility without sacrificing stability in the shoulder joint.
- Discuss the occurrence as well as likely causes of shoulder in the female athlete.
Included in Module 4: Sport Specific Injuries
Chapter 31: Biomechanics of the Shoulder during Sports
Chapter 32: Electromyographic Activity during Upper Extremity Sports
Chapter 33: Shoulder Injuries in Baseball
Chapter 34: Shoulder Injuries in Football
Chapter 35: Shoulder Injuries in Tennis
Chapter 36: The Shoulder in Swimming
Chapter 37: Conditioning, Training, and Rehabilitation for the Golfer’s Shoulder
Chapter 38: The Artistic Gymnast’s Shoulder
Chapter 39: Pediatric Shoulder Injuries
Chapter 40: Female Shoulder Injuries
Module 5: Nonoperative Treatment, Adolescent/Female Athletes and Neuromuscular ControlModule Goals and Objectives Module Goals:
This course is intended to instruct the professional through a self-paced study in Nonoperative Treatment, Adolescent/Female Athletes and Neuromuscular Control of The Athlete’s Shoulder.Professional Learning Objectives
- Discuss the nonoperative treatment for shoulder impingement.
- Recognize the causes of shoulder impingements.
- Identify both structural and functional causes of impingement.
- List the four stages of rehabilitation for shoulder impingement.
- Demonstrate knowledge in the nonoperative rehabilitation for traumatic and congenital glenohumeral instability.
- List the seven key factors that should be considered when designing a rehabilitation program for a patient with an unstable shoulder.
- Identify the rehabilitation guidelines for traumatic shoulder instability.
- Discuss strength and condition training for the preadolescent and adolescent athlete.
- Recognized the efficacy of strength training in adolescents.
- Differentiate between preadolescent and adolescent athletes.
- Discuss injuries and rehabilitation of the overhead female athlete’s shoulder.
- Demonstrate knowledge in injury patterns of the female athlete.
- Define laxity.
- Explain rotator cuff strengthening of the female athlete.
- List and explain the soreness rules.
- Discuss the biomechanical considerations in shoulder rehabilitation exercises.
- Identify the importance of the full can exercise as it relates to the supraspinatus.
- Differentiate between open- and closed-chain rehabilitation for the shoulder complex.
- Recognize the biomechanics and function of the rotator cuff.
- Discuss the infraspinatus and its level of activity relating to shoulder exercises.
- Identify neuromuscular control exercises for shoulder instability.
- Define static instability.
- Define torque.
- Identify the ideal position of glenohumeral stability.
- Identify basic procedures that promote the effective use of proprioceptive neuromuscular facilitation during rehabilitation.
- Discuss the purpose of rhythmic initiation.
- Define proprioception.
- Differentiate between sensation of force and kinesthesia.
- Identify the three functional areas of the cerebellum and the association of each with muscle control.
- Discuss sensorimotor alterations associated with shoulder injury.
Included in Module 5: Nonoperative Treatment, Adolescent/Female Athletes and Neuromuscular Control
Chapter 41: Nonoperative Treatment of the Shoulder
Chapter 42: Nonoperative Rehabilitation for Traumatic and Congenital Glenohumeral Instability
Chapter 43: Strength and Conditioning for the Preadolescent and Adolescent Athlete
Chapter 44: Injuries and Rehabilitation of the Overhead Female Athlete’s Shoulder
Chapter 45: Biomechanical Considerations in Shoulder Rehabilitation Exercises
Chapter 46: Open- and Closed-Chain Rehabilitation for the Shoulder Complex
Chapter 47: Neuromuscular Control Exercises for Shoulder Instability
Chapter 48: Proprioceptive Neuromuscular Facilitation for the Shoulder
Chapter 49: Sensorimotor Contribution to Shoulder Joint Stability
Module 6: Rehabilitation Techniques, Tapping, Padding and BracingModule Goals and Objectives Module Goals:
This course is intended to instruct the professional through a self-paced study in Rehabilitation Techniques, Tapping, Padding and Bracing of The Athlete’s Shoulder.Professional Learning Objectives
- Demonstrate knowledge of the role of the scapula in rehabilitation.
- Identify the factors that can contribute to scapular dyskinesis.
- Discuss assessment of scapular dyskinesis.
- Identify the optimal patient positioning for assessment of strength of the middle trapezius.
- Define anticipatory postural adjustment.
- Demonstrate knowledge in irradiation and its role in facilitating scapula and shoulder motion.
- Identify scapular retraction exercises.
- Demonstrate knowledge in alternative techniques for the motion-restricted shoulder.
- List the most common pathologies correlating to frozen shoulder.
- Recognize mobilization positions and directions used to rehabilitate the motion restricted shoulder.
- Define eccentric muscle action, differentiating it from concentric action and isometric action.
- Discuss neurodynamic techniques at the shoulder.
- Demonstrate knowledge in the assessment and rehabilitation of peripheral neuropathic pain.
- Recognize intricate relationships among neuroanatomic structures and neurophysiologic processes and functional mechanics of nerve movement.
- Identify the anatomic considerations of the nerves of the shoulder complex.
- Explain the neurodynamic test findings of structural differentiation.
- Differentiate between the neurodynamic treatment techniques of sliders and tensioners.
- Discuss Isokinetic testing and rehabilitation of the shoulder complex.
- Discuss the terms associated with muscular performance parameters.
- List the three basic categories of Isokinetic exercise for the shoulder complex.
- Demonstrate knowledge in the appropriate technique to accomplish scapular retraction.
- Explain the relationship of Isokinetic testing to functional performance.
- Discuss plyometrics for the shoulder complex.
- Identify the factors affecting the muscle’s ability to use stored elastic energy.
- Demonstrate knowledge in the integration of core stabilization and shoulder rehabilitation.
- Discuss conditioning of the shoulder complex for specific sports.
- Explain the components necessary to design a specific program for condition the shoulder complex.
- Differentiate between the postural faults of upper cross syndrome and lower cross syndrome.
- Demonstrate knowledge in the purpose of interval sport programs for the shoulder.
Included in Module 6: Rehabilitation Techniques, Taping, Padding and Bracing
Chapter 50: The Role of the Scapular in Rehabilitation
Chapter 51: Alternative Techniques for the Motion-Restricted Shoulder
Chapter 52: The Decelerator Mechanism: Eccentric Muscular Contraction Applications of the Shoulder
Chapter 53: Neurodynamic Techniques at the Shoulder
Chapter 54: Isokinetic Testing and Rehabilitation of the Shoulder Complex
Chapter 55: Plyometrics for the Shoulder Complex
Chapter 56: Core Stabilization: Integration with Shoulder Rehabilitation
Chapter 57: Conditioning of the Shoulder Complex for Specific Sports
Chapter 58: Interval Sport Programs for the Shoulder
Chapter 59: Taping, Padding, and Bracing for the Shoulder
Chapter 60: Shoulder Outcome Measures