by Knut
Course Aim: Effectively assessing and managing shoulder pain in Physiotherapy practice requires understanding of the relevant anatomy, pathology, and motor control that underpins shoulder function. It also requires skills in designing goal-oriented, and evidence-based exercise programmes, and understanding how to engage people in exercise in a meaningful and effective way. The evidence for the management of shoulder disorders has increased exponentially in recent years. The transfer of this knowledge into practice places physiotherapy as the primary intervention for most shoulder conditions. This course aims to equip physiotherapists with the skills, knowledge and reasoning to deliver effective management for people with a range of shoulder conditions (rotator cuff tendinopathy, shoulder fractures and frozen shoulder).
Learning Outcomes
At the completion of this course, participants should be able to:
- Understand the applied anatomy and motor control of the shoulder
- Understand the evidence for mechanisms underpinning rotator cuff pathology, and frozen shoulder
- Develop evidence -based, and individually reasoned exercise programmes for the management of shoulder pain and dysfunction
- Demonstrate awareness of the evidence-based pathways of care for common shoulder disorders i.e. rotator cuff tendinopathy and tears, frozen shoulder, and shoulder fractures
| Time |
Topic |
Learning activity |
| Pre-course |
Background reading |
Self-directed reading |
| 9.00 |
Shoulder anatomy, function and assessment |
Lecture |
| 10.15 |
Ultrasound demonstration of shoulder anatomy |
Demonstration |
| 11.00 |
Coffee/tea break |
| 11.30 |
Assessment and Management of rotator cuff tendinopathy & tears |
Lecture and Case study discussion |
| 1.00 |
Lunch |
| 2.00 |
Management of rotator cuff tendinopathy & tears |
Practical |
| 3.30 |
Assessment and management of frozen shoulder and fractures |
Lecture & Discussion |
| 5.00 |
Course complete |
Fredag kl 0900 – 1500
STED: Apexklinikken , https://www.apexklinikken.no/
PRIS: NOK 2900
Om Dr Karen McCreesh
Karen is a Physiotherapist specialising in the management of musculoskeletal disorders. Her research interests lie in the areas of shoulder dysfunction, musculoskeletal disorders, ultrasound imaging, and chronic pain. In 2014, she completed her PhD in the area of mechanisms of rotator cuff tendinopathy, funded by a Research Fellowship from the Health Research Board. Karen supervises 3 PhD students in the areas of thoracic spine and shoulder pain, lower limb tendinopathy and therapeutic alliance in musculoskeletal physiotherapy. She co-ordinates a Community of Practice for Physiotherapists working with people with shoulder pain, and has developed a website to support and disseminate evidence based practice in the physiotherapy management of shoulder pain.
Publications
Dupuis F., Barrett, E., Dubé, M.O., McCreesh, K.M., Lewis, J.S., Roy, J.S. (2018 – online). Cryotherapy or gradual reloading exercises in acute presentations of rotator cuff tendinopathy: a randomised controlled trial. BMJ Open Sport & Exercise Medicine. 4 (1). http://dx.doi.org/10.1136/bmjsem-2018-000477
Littlewood, C., Bury, J., O’Shea, A., McReesh, K. & O’Sullivan, K. (2018). How should clinicians integrate the findings of The Lancet’s 2018 placebo-controlled subacromial decompression trial into clinical practice? British Journal of Sports Medicine. 52 (14): 883-884. http://dx.doi.org/10.1136/bjsports-2017-098900
McCreesh, K.M., Purtill, H., Donnelly, A.E. & Lewis, J.S. (2017). Increased supraspinatus tendon thickness following fatigue loading in rotator cuff tendinopathy: potential implications for exercise therapy. BMJ Open Sport & Exercise Medicine. 3 (1). http://dx.doi.org/10.1136/bmjsem-2017-000279
Barrett, E., Hayes, A., Kelleher, M., Conroy, C., Robinson, K., O’Sullivan, K. & McCreesh, K. (2018). Exploring patient experiences of participating in a group exercise class for the management of nonspecific shoulder pain. Physiotherapy Theory and Practice. 34 (6): 464-471. DOI: 10.1080/09593985.2017.1422208. https://doi.org/10.1080/09593985.2017.1422208
Barrett, E., Conroy, C., Corcoran, M., O’ Sullivan, K., Purtill, H., Lewis, J. & McCreesh, K. (2018). An evaluation of two types of exercise classes, containing shoulder exercises or a combination of shoulder and thoracic exercises, for the treatment of nonspecific shoulder pain: A case series. Journal of Hand Therapy. 31 (3): 301-307. https://doi.org/10.1016/j.jht.2017.10.011
