Your Hands-On Guide to Restoring Shoulder FunctionBecause 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 one-day course 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.” Additionally, attendees will examine rotator cuff injuries that occur at different points in the human lifespan, as well as recommended treatment for each population. Why certain injuries are more common with particular age groups, such as instability in teenagers and degenerative joint disease in aging patients, will be examined as well. Course participants will explore protocols for pathology of the shoulder with “hands-on” lab sessions so they can return to their rehabilitation settings with applicable concepts and skills. 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.

Course DirectorTERRY TRUNDLE, PTA, ATC, LAT, has over 37 years of experience in clinical practice and offers educational programs on functional rehabilitation, focusing on the upper and lower kinetic chain. He owns and directs the Athletic Rehab Institute and Sports Medicine in Atlanta, and he is a consultant for Benchmark Physical Therapy and Kennesaw State University. In addition, he serves as the Chair of the Advisory Board for the Cross Country Education‘s annual Rehab Summit.

Mr. Trundle graduated from the Medical College of Georgia and University of Tennessee at Chattanooga, and he is active in the American Physical Therapy Association (APTA) and the National Athletic Trainers Association. He was one of the first recipients of the Recognition of Advanced Proficiency Award for the Physical Therapist Assistant in Musculoskeletal Physical Therapy by the APTA, and he was recognized by the Medical College of Georgia as one of its Fab 40 Alumni. His research has been featured in numerous publications, including the Journal of Athletic Training, Journal of Sports Rehabilitation, and Medicine and Science in Sports and Exercise. He also authored “Chapter 21: Orthopedic Management of the Shoulder” in Fundamental Orthopedic Management for the Physical Therapist Assistant by Gary A. Shankman and Robert C. Manske. Mr. Trundle is the co-producer of a 4-part video series on knee and shoulder exercises and passive micro-mobility of the upper and lower kinetic chains. For more information on his seminars, or to purchase the series, visit www.CrossCountryEducation.com.

Dynamic speaker! Easily kept my interest. A lot of valuable information presented; it was easily followed and able to be used upon return to the clinic.

Tara Brenner, PTHarrisburg, PA

Rotator Cuff Dysfunction

Functional Recovery from Impingement & Surgery

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Expanded labs, covering screening & manual mobility for scapulothoracic articulation & the glenohumeral joint NEW!

ON-DEMAND/DVD This On-Demand/DVD product is a recorded version of our 6 hour seminar. This product can be purchased from our website at www.CrossCountryEducation.com

Recommended For- Physical Therapists- Occupational Therapists- Physical Therapist Assistants- Occupational Therapy Assistants- Athletic Trainers- Certified Strength and Conditioning Specialists - Exercise Physiologists - Rehab Managers- Physicians- Physiatrists

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-THORACICARTICULATION

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 & ITS REHABILITATION TO INSTABILITY • Why secondary impingement 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 DOYOU 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

COURSE CONTENT

What You Will Learn- Define functionality of the shoulder- Discuss the true function of the rotator cuff as the protection of most shoulder pathology- Examine why scapula stabilization is the core of the rotator cuff- Assess the importance of positional recruitment for open and closed kinetic chain exercises based on evidence-based practice- Demonstrate the latest elastic band exercises- Expand your hands-on mobility skills

w w w . C r o s s C o u n t r y E d u c a t i o n . c o m

Any opinions, findings, recommendations, or conclusions expressed by the author(s) or speaker(s) do not necessarily reflect the views of Cross Country Education. Cross Country Education reserves the right to substitute a qualified instructor due to unforeseen circumstances.

Occupational Therapists, Occupational Therapy Assistants: Cross Country Education is an AOTA Approved Provider of continuing education. This course is offered for .6 AOTA CEUs. The assignment of AOTA CEUs does not imply endorsement of specific course content, products, or clinical procedures by AOTA. AOTA Educational level Introductory, Category 1: Domain of OT, 2: Occupational Therapy Process.Florida: Cross Country Education is an approved provider #50-466 with the Florida Department of Health Board of Occupational Therapy Practice. This course is approved for 6 contact hours for Occupational Therapist and Occupational Therapy Assistants.

Physical Therapists, Physical Therapist Assistants: Arkansas: This program has been submitted to the Arkansas State Board of Physical Therapy for 6 continuing education hours.California: The Physical Therapy Board of California recognizes California Education Connection as an Approval Agency to Approve Providers of Continuing Competency Courses in California for Physical Therapists and Physical Therapy Assistants. This course has been submitted for 6 CEs / Contact Hours and approval is pending.Illinois: This program has been submitted to the Illinois Physical Therapy Association for approval of 6 credit hours. This course content is not intended for use by any participants outside the scope of their license or regulation.Indiana: This meets the IN-PT approval under 844 IAC 6-8-5 Approved Organizations #9, please contact IN Board or Association if you have questions.Kansas: This program has been submitted to the Kansas Physical Therapy Association for 6 contact hours.Kentucky: This program has been submitted to the Kentucky Physical Therapy Association for approval of 6 contact hours.Maryland: This program has been submitted to the Maryland Board of Physical Therapy Examiners for pre-approval of 0.6 continuing education hours.Nevada: This program has been submitted to the NV State Board of Physical Therapy Examiners for approval of CEUs.New Jersey: This program has been submitted for 6 continuing education credits to the New Jersey State Board of Physical Therapy Examiners for Physical Therapists and Physical Therapy Assistants.New Mexico: This program has been submitted to the New Mexico Physical Therapy Board for 6 contact hours.New York: Cross Country Education is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider for physical therapy and physical therapist assistant continuing education. This seminar is awarded 7.2 contact hours.North Carolina: NCBPTE approval by virtue of approval by The New York State Education Department, Office of the Professions, State Board for Physical Therapy licensure board or state APTA chapter Approval good through 8/31/2018.Ohio: This program has been submitted for 6 CEUs to the Ohio Physical Therapy Association for Physical Therapists and Physical Therapy Assistants.Oklahoma: This program has been submitted to the Oklahoma State Board of Medical Licensure & Supervision for preapproval of 6 contact hours.Pennsylvania: Cross Country Education is seeking Direct Access approval from the Pennsylvania State Board of Physical Therapy.Tennessee: This program has been submitted to the Tennessee Physical Therapy Association for 6.0 contact hours.Texas: This course has been submitted to the Texas Board of Physical Therapy Examiners for 6 continuing competence unit(s) for PTs and PTAs.West Virginia: This program has been submitted to the West Virginia Board of Physical Therapy for 6 Continuing Education hours.

Other Professions: This educational offering qualifies for 6 continuing education hours as required by many national, state and local licensing boards and professional organizations. Save your course outline and certificate of completion, and contact your own board or organization for specific filing requirements.

All Professionals: In order to process continuing education, please bring the appropriate license/certification number to the seminar.

Certificates, Educational Offering Completion Requirements: Certificates will be awarded upon receipt of payment and successful completion of the educational offering and evaluation form.

Requirements: Please note that full attendance and the completion of a post course assessment with a score of 75% or greater is required to receive fullcredit. Variable credit will not be awarded.

Technology Requirements: On-Demand (webcast) you will need to set up a personal portal account via Cross Country Education’s website at www.crosscountryeducation.com and have access to a computer with sound device. Participants will receive the recording, course manual, post-test, evaluation including a self-reflection addendum. DVD is sent through the mail (USPS) and you will need access to a DVD player. Participants will receive Instructions Sheet, course manual, video-recording (DVD), post-test, scantron answer sheet, evaluation form including a self-reflection addendum.

ADA: If you require ADA accommodations, please contact Cross Country Education at least two weeks before the seminar date or prior to purchasing any online or distance learning products so that arrangements can be made.

CONTINUING EDUCATION CREDIT If you do not see your respective state listed, please review your rules/regulations as many states

have reciprocal agreements with other state boards/associations.

Confirmations & CancellationsConfirmations of registration are sent via email within three days of receipt in our office. Add customerservice@crosscountryeducation.com to your email address book to ensure delivery. If you have not received a confirmation, you may call our office at 800-397-0180 or 615-331-4422 to verify registration. Cancellations received at least five working days before the event are refundable less a $20 administrative charge per registrant. There is no refund for cancellations received later; however, a credit will be issued toward a future event or product order. Please note that if you register and do not attend, you are still liable for full payment. Substitutions may be made at any time. A refund or voucher will be issued to any participant who is registered to attend a seminar that is cancelled by Cross Country Education. If payment is not received 10 days prior to the seminar, the certificate may not be present at the seminar. If your payment is returned marked NSF it will be re-presented electronically and a processing fee will be charged as allowed by law.

Our GuaranteeIf you are not satisfied after participating in one of our programs, please let us know in writing within seven days and we will issue a credit voucher for you or anyone in your facility to use toward another seminar, audio, video, or online product. Returned audio and video products/materials must be received in original condition before a voucher or replacement is issued. You may contact us at Cross Country Education, P.O. Box 200, Brentwood, TN, 37024.

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by Terry Trundle

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