Upper Extremity: Manual Therapy Evaluation and Treatment

Course Description:

The course will focus on an enhancement of clinical reasoning for common clinical syndromes of the upper extremity and to improve efficiency of selecting the appropriate treatment. The focus will be on pragmatic examination skills to both clarify the present diagnosis while also providing a viable treatment option. Clinical reasoning discussion will consist of SINSS formation, test/re-test concepts, and hypothesis generation. The course will also go into further details regarding clinical syndromes and effective techniques to address common functional asterisks. Curriculum will also consist of integrative bridging between passive and active treatment approach and the rationale for applying an appropriate load to an anatomical structure. Clinical discussion will also consist of carryover to a home exercise program and exercises that will mimic the applied manual therapy techniques. Course Pre-work will prepare the class with a review of clinical reasoning concepts, case study, and an update on current concepts/research to the upper extremity. 


Day 1:

8:00-10:00Review of Maitland Concepts

Lab Component:  postural examination, cervical examination/clearance testing

10:00-12:00Examination of 1st-2nd rib complex, shoulder examination, and joint accessory mobility testing

1:00-3:00   Common clinical syndromes and review of manual therapy techniques

3:00-5:00   Continuation of manual therapy techniques to common clinical syndromes, review of clinical PEARLS

Day 2:

8:00-10:00 PNF exercises to the shoulder complex

10:00-12:00Elbow examination

1:00-3:00Review of anatomical mapping of forearm and wrist, elbow manual therapy techniques

3:00-500 Elbow/wrist manual therapy techniques, integrative exercise, and final Q/A discussion

Course Goals and Objectives:

(1) Develop a conceptual framework for treating UE disorders

(2) Discuss the genuinely common clinical syndromes, the rapid recognition of them and the applicable progression to exercise as treatment.

(3) Pragmatic approach of applying PT generated forces to noted asterisk to help clarify diagnosis and possible treatment options

(4) Review of anatomical mapping and improving palpation skills

(5) Understanding PNF concepts to the shoulder complex and knowing the appropriate time for application

(6) Enhance motor skills and the application of joint/soft tissue mobilizations

(7) Understanding the application of therapeutic exercises and providing novel ways to challenge both shoulder and elbow complex