Course goals and content
Course dates: Wednesday 20th - Thursday 21st November 2024
The goal of this 2-day shoulder course is to update knowledge and practical skills with respect to shoulder rehabilitation, debating the most common shoulder disorders like rotator cuff disorders, traumatic and atraumatic instability, shoulder stiffness, the involvement of the scapula, sport-specific shoulder pain etc.
The theoretical background is updated based on recent literature and immediately applied into the practice. New insights as well as points of debate are presented and discussed in an interactive manner. We perform clinical examination based on evidence based practice principles, including scientific evidence and clinical expertise. Several approaches of clinical examination are critically discussed. During the rehabilitation part of this course, general clinical reasoning principles, as well as specific therapeutic indications are discussed and put into practice during interactive workshops, in which all demonstrated and discussed exercises and additional modalities are performed and experienced.
This 2- day course consists of theoretical background sessions (30%), critical interactive discussions (20%) and practical sessions (50%). The target public is physiotherapists with a special interest for shoulder rehabilitation. Novice as well as experienced physiotherapists have the opportunity to update their knowledge and skills. General insights in shoulder anatomy, biomechanics, including pathomechanical injury mechanisms, are assumed to be acquired.
Goals and competences to achieve
After completion of this course, the participant will have reached the following competences:
- The participant has updated insights in the most common disorders of the shoulder girdle, including rotator cuff tendinopathy, rotator cuff tears, traumatic, atraumatic and acquired shoulder instability, scapular dyskinesis, the sporting shoulder and throwing related shoulder pain
- The participant can apply clinical reasoning principles and algorithms for the functional clinical examination of the shoulder girdle
- The participant can apply clinical reasoning principles and algorithms for the treatment of the most common shoulder pathologies
- The participant can conceptualize, organize, perform, critically reflect, and remediate a progressive treatment program for the patient with shoulder pain
- The participant performs all skills and exercises, comprised in the course, during the practical sessions of the course
- The participant can critically discuss examination and treatment principles with the course teacher and his peers during the interactive sessions
- The participant can integrate recent scientific knowledge (provided by scientific papers) into the clinical reasoning process of shoulder examination and rehabilitation
Ann Cools (PT, PhD) is a physiotherapist, working as an associate professor at the Department of Rehabilitation Sciences and Physiotherapy at the Ghent University, Belgium. Her topic of research and teaching expertise, is shoulder rehabilitation in general, and sport specific approach and scapular involvement in particular. Besides her academic work, she runs a shoulder clinic in a private practice.
She finished her PhD in 2003, debating scapular involvement in sports related shoulder pain in the overhead athlete, and she has published numerous papers in peer-reviewed international journals, wrote contributions and chapters in several international recognized books, and gives courses on a national and international level. She was head of the Physical Therapy Education at the Ghent University 2008-2016, and was founding member and president of the European Society of Shoulder and Elbow Rehabilitation (EUSSER) 2008-2012. Since 2016, she is also affiliated as senior researcher to the Department of Physiotherapy of the Bispebjerg Hospital and the Department of Sports Medicine, University of Copenhagen, Denmark.
She is currently a member of the Board of the International Congress of Shoulder and Elbow Therapists, organizing the 3-annual world congress for shoulder and elbow therapists, and is founding board member of the Flemish Shoulder Network.
Wednesday 20th November, 2024
Time |
Session |
Notes |
9-10.30am |
Theory part 1 |
Critical discussion with respect to the traditional labelling of shoulder pain into “impingement”, moving towards a more function-based classification, update scientific literature and critical papers. Update with respect to rotator cuff dysfunction, including tendinopathy, degenerative RC tears, and muscular imbalance.
Shoulder instability: differential diagnosis and approach for the 3 most common types of instability: traumatic dislocation, overload functional instability in the overhead athlete, atraumatic multidirectional instability based on generalized hyperlaxity. |
10.30-11am |
Break |
|
11-12.30pm |
Theory part 2 |
Biceps related pathology: disorders of the long head of the biceps and SLAP lesions as biceps related labral pathology.
Glenohumeral ROM deficits in the overhead athlete and its relation to overuse shoulder pain.
The role of the scapula in shoulder pain, biomechanical and clinical perspectives. The theoretical session ends with a critical interactive discussion on the possible causes of shoulder pain, including central sensitization, kinetic chain disorders and psychosocial factors. |
12.30 - 1.30pm |
Break |
|
1.30-3pm |
Clinical examination part 1 |
Clinical reasoning in the assessment of the patient, using science-based clinical reasoning algorithms. Symptom provocation and reduction tests, traditional orthopedic tests, including critical discussion with respect to the interpretation. Case-based interpretation of clinical examination during interactive practical session.
|
3-3.30pm |
Break |
|
3.30-5pm |
Clinical examination part 2 |
Continued. At the end of this session, participants are able to share their personal experience and expertise in a peer-learning moment. |
Thursday 21st November, 2024
Time |
Session |
Notes |
9-10.30am |
Rehabilitation part 1: Rotator Cuff |
Scientific background for the conservative treatment of rotator cuff tendinopathy and muscular imbalances, scientific rationale for exercise choice, practical session. |
10.30-11am |
Break |
|
11-12.30pm |
Rehabilitation part 2: Shoulder instability |
Specific exercises for shoulder instability, exercises for local neuromuscular control, closed chain exercises in progression (algorithm + practice), differential approach based on instability-type, scientific rationale for kinetic chain exercises, sport-specific approach including throwing exercises, exercises for swimmers, practical session. |
12.30-1.30pm |
Break |
|
1.30-3pm |
Rehabilitation part 3: Mobilisation techniques |
Angular stretching and non-angular joint mobilization techniques, home stretching program, mobilization with movement techniques for the shoulder with posterior shoulder stiffness. Principles of mobilization techniques applied to frozen shoulder contracture. Practical session. |
3-3.30pm |
Break |
|
3.30-5pm |
Rehabilitation part 4: Scapular rehabilitation |
Clinical reasoning algorithm for scapular rehab, specific exercise selection for muscular imbalance and progression, scientific rationale for exercise selection, soft tissue techniques for pectoralis minor treatment. |
1. The participant has to update his knowledge on basic anatomy and kinesiology of the shoulder girdle, and on the kinematics of the throwing shoulder (phases of throwing, joint positions and possible threats to injury, muscle activity patterns). Additionally, the participant needs to have basic knowledge on the most common shoulder disorders, namely rotator cuff tendinopathy, degenerative tears, instability, biceps pathology, SLAP lesions, frozen shoulder, scapular disorders.
2. It is advised that the forwarded literature (scientific papers) is read prior to the start of the course. The papers will be used during the course in a clinically relevant application, while critically interpreted.
3. The participant should critically reflect on his/her own clinical reasoning for shoulder examination and rehabilitation.
Venue address
Liverpool Hope University, Hope Park Campus, Childwall, Liverpool L16 9JD.
Registration: EDEN Building (Grid reference 8, Map of Hope Park Campus). The building is fully accessible to all visitors.
Car parking
Subject to availability at a cost of £2.00, campus maps highlight the car parks.
The main car park is located behind the main lodge on grid reference 24 (Map of Hope Park Campus).
Please don't hesitate to call the Conference Team if you have any questions or queries or require any assistance with directions.
Conference Office - 0151 291 3405.
How to find us
The conference is taking place at our Hope Park Campus, situated on Taggart Avenue, Childwall, Liverpool, close to Queens Drive (A5058) at the end of the M62.
Postcode for Satnav – Taggart Avenue, L16 9JD
By bus
To get to Hope Park from Liverpool city centre you can get either the Arriva 75 bus or the Merseytravel 86c (alight at Woolton road), this journey takes approximately 30 - 40 minutes traffic depending.
By train
Broad Green is the closest railway station to our Hope Park campus, and is situated just under a mile away. You may also wish to travel to Liverpool South Parkway, which is a short 20 minute bus ride from the campus on the 187.
By air travel
The closest airport to Hope Park is Liverpool John Lennon airport.
To travel to the university it takes approximately 20 minutes by bus from the airport. The 187 operates between Hope Park and Liverpool South Parkway the airport) every half hour during the day time Monday - Saturday. Follow this link for .
Alternatively, if you wish to go straight into the city centre there are frequent train and bus routes.
Taxis and minibuses
Liverpool has a number of taxi companies available.
Private hire taxis: |
|
ComCab |
+44 (0)151 298 1234 (card) / +44 (0)151 298 2222 (cash) |
Village Taxis |
+44 (0)151 427 7909 |
Liverpool Taxi Service |
+44 7582 35 35 35 |
Private hire minibuses: |
|
Airlink Direct |
+44 (0)151 280 0350 |
Local Minibus hire |
+44 (0)151 6650 001 |