Day 1 - Shoulder
EXAM LAB: ANATOMY & BIOMECHANICS
- Postural positioning of the head and scapula
- Impingement exams:
- Neer
- Hawkins/Kennedy
- Crossover
- Ergonomic accommodations to decrease impingement.
- Surgical interventions
CLINICAL DIAGNOSIS LAB
- Correlate mechanism of injury common exams and surgical interventions for
- RTC
- Glenoid labrum
- Biceps LH
- Gleno-humeral dislocation
PAIN MANGEMENT, MEDICAL DIAGNOSES, AND SURGICAL INTERVENTION
- Comparative normal versus diagnostic imaging (X-ray, MRI)
- Shoulder Fx
- Total Shoulder replacement anatomical and reverse
- Interscalene nerve block, Exparel perioperative pain management
INJURY PREVENTION AND DEVELOPING A JOINT-SPECIFIC TREATMENT PLAN LAB
- Establish proximal scapular stability progress to distal mobility.
- Progression:
- Flexibility considerations
- Manual scapular stabilization exercises
- RTC manual exercise with scapular integration
- Dynamic distal stabilization exercises
- Home exercise with exercise bands
Day 2 – Hip & Knee
INJURY PREVENTION EXAM LAB
- Posture of the pelvis sagittal/frontal plane
- Predisposing elements that lead to injury
- Glut medius weakness
- IT band test (Ober’s)
- Hip flexor (Thomas)
- Hamstrings (SLR)
CLINICAL DIAGNOSIS LAB- HIP
- Correlate mechanism of injury
- Tissue exam
- Hip Scour
- Impingement sign
- Labral tests
CLINICAL DIAGNOSIS LAB- KNEE
- Dynamic positioning in movement
- Dynamic Valgus
- Ligament dominance
- Quad dominance
- Leg dominance
- Ankle position/ Footwear
- Correlate mechanism of injury
- Tissue exam
- Ligament Medial-Lateral
- Ligament Anterior-Posterior
- Meniscal damage
PAIN MANAGEMENT, MEDICAL DIAGNOSES, AND SURGICAL INTERVENTION
- Hip
- Comparative normal versus diagnostic imaging (X-ray, MRI)
- Acetabular labral defects
- Hip fracture
- Total Hip replacement (Approaches: Posterior, Lateral, Anterior)
- Super Path Hip
- Femoral Nerve Block
- Knee
- Comparative normal versus diagnostic imaging (X-ray, MRI)
- Meniscal Injury (Meniscectomy vs, repair)
- Osteochondral defect
- ACL repair (Hamstring vs Patellar Tendon)
- Total Knee replacement (Traditional, Subvastus, Bipolar, Unipolar, Custom fit)
- Obturator nerve block
INJURY PREVENTION AND DEVELOPING A JOINT-SPECIFIC TREATMENT PLAN LAB
- Hip - Balance weakness and flexibility
- Flexibility considerations
- Proximal closed chain stability exercises
- Hip and core exercises
- Home exercises for dynamic functional integration
- Knee - Incorporate Neuromuscular (N-M) retraining
- Flexibility considerations
- Functional closed chain exercises
- Address ligament/muscular dominance
- Sensory integration in balance progression
- N-M integration in jump mechanics
- Home exercises for dynamic functional integration
- Advanced plyometric training for the LE
