Melbourne Level 1 Shoulder Course

Description

The Lyn Watson Level 1 Shoulder Physio Course offer Physiotherapists the opportunity to gain extensive clinical and research insights into the Assessment, Diagnosis, Treatment & Rehabilitation of the Shoulder and Shoulder Girdle.  The course will be presented by Dr Lyn Watson, Simon Balster, Dr Sarah Warby and the team from Melbourne Shoulder Group.

Lyn, Simon & Sarah are all full time shoulder physiotherapy clinicians, researchers and course presenters. The group has been teaching physiotherapists through-out Australia and around the world for the last 25 years. Over the past 15 years approximately 4500 Physiotherapists in 8 counties have completed this course. Some twice:

• because they enjoyed it so much,
• it’s constantly updated to the latest information and issues faced by clinicians.. 

Our aim is to give you information and techniques that will have immediate clinical application:

• Understand the relevant functional anatomy, biomechanics and patho-mechanics that contributes to the clinical presentation of your patients
• A logical and structured plan to your assessment of the shoulder and shoulder girdle,
• The skills to develop a working diagnosis while considering differential diagnoses,
• A framework to decide whether to treat, investigate, refer or any combination
• A structure to tailor a rehabilitation programme to any patient
• The skill to monitor your progress, adjust your working diagnosis & treatment to get the best results for your patients

During the course Lyn discusses relevant and real patient presentations that she has seen over her 30 years of Shoulder Physiotherapy experience. The course is constantly updated and based on current research to provide “cutting edge” information, her new treatment techniques as well as evidence based best practices for therapists to use it their clinic.

Lyn’s Level 1 Shoulder Course teaches Physiotherapists:

Background, Real Patients & Clinical Decisions

• The relevant anatomy, biomechanics and pathomechanics that correlates to the clinical presentation of your patients. Lyn uses real patient examples.
• Her unique, logical and structured assessment of the shoulder and shoulder girdle which assists in the clinical decision making process of your next patients:
  • Diagnosis
  • The stage of the pathology and whether its amenable to physiotherapy
  • Which Assessment tools to use to understand the patients problem
  • The primary problem and the secondary symptoms
  • When Physiotherapy, Investigation, Intervention or Referral is indicated
  • Rehabilitation programme development, progression and evolution
  • Re-assessment

The Scapula

• 3D Assessment of the scapula both at rest, through motion and during other shoulder assessment tests (like muscle/R.Cuff strength testing)
• A detailed discussion on when the scapula is relevant to the patients presentation or an adaptation to their problem
• Techniques for manually correcting aberrant scapula position and dyskinesia through ROM
• Tailoring the correction of the scapula position at rest, through motion and during other assessment testing
• A discussion of this clinical decision making process for patients with instability, stiffness, impingement, Rotator Cuff tears and SLAP lesions

 The Humeral Head

• Techniques to assess the position, translation and dynamic control of the humeral head on the glenoid in normal and specific shoulder pathologies
• A detailed discussion of the impact the scapula, the capsuloligamentous structures, the labrum and rotator cuff have on maintaining the centralisation and control of the humeral head.
• Techniques for correcting aberrant humeral head translation and the clinical decision making process used to determine its impact on the patients presentation and other assessment findings (SLAP tests, Impingement tests, ULTTests, Scapula dyskinesia, R.Cuff tests, etc)
• A demonstration and discussion on the Special Orthopedic Tests for assessment of shoulder rotator cuff, instability, impingement and SLAP tears with reference to the literature, clinical use and interpretation

Instability

• A detailed discussion of the different categories of shoulder instability from traumatic uni-directional to traumatic hypermobile through to multidirectional instability:
  • The different categories
  • Typical presentation and assessment findings
  • Different management plans for each category with reference to investigations used, rehabilitation and surgery
  • Outcomes published and evidence based practice
  • Practice of techniques used to full assess instability of the shoulder and determine the different contributions from the scapula, labrum, capsuloligamentous structures and rotator cuff/deltoid muscular control.

Stiffness & Rotator Cuff Pathology

• A detailed discussion of the different categories of shoulder stiffness from frozen shoulders to post-operative stiffness through to stiffness secondary to R.Cuff pathology, impingement or OA:
  • The different categories
  • Typical presentation and assessment findings
  • Different management plans for each category with reference to investigations used, rehabilitation and surgery
  • Outcomes published and evidence based practice
• Practice of techniques used to full assess stiffness of the shoulder and for the management and treatment of stiffness
  • Mobilisation and hands-on treatments
  • Management of inflammation
  • A discussion on the use of Hydrodilatation injections
  • A discussion on the post-operative stiff shoulder

Rehabilitation

• Lyn’s Principles of Shoulder Rehabilitation that guide the development of a tailored rehabilitation programme for any shoulder pathology
• Specific discussion of:
  • The risks associated with yoga, gym strengthening, cross-fit and kettlebell programmes
  • How to integrate your rehabilitation into a high-end strength & conditioning or sporting specific programme
• A detailed discussion and demonstration of a typical structured rehabilitation programme that integrates:
  • Scapula stabilisation
  • Rotator Cuff recruitment and strengthening
  • Training the R.Cuff to achieve dynamic stabilisation of the humeral head
  • Deltoid strengthening
  • Progression of strengthening:
    • from arm by their side through Abduction to overhead and into horizontal flexion
    • short lever to longer lever
    • slow controlled contentric to faster to eccentric
• Two unique taping techniques for the scapula and the humeral head

Throughout the course there is constant referral regarding what is and is not substantiated by research.

This course provides the foundation for the Level 2 Course and is a required prerequisite.

Course Registration also includes;

Level 1 Course Manual

Tea, Coffee, Morning Tea & Lunch on both days

Contact: Simon Balster: Courses@LWShoulderPhysio.com