LEVEL 2 ADVANCED SHOULDER COURSELEVEL 2 ADVANCED SHOULDER COURSELEVEL 2 ADVANCED SHOULDER COURSELEVEL 2 ADVANCED SHOULDER COURSE Lyn WatsonLyn WatsonLyn WatsonLyn Watson

B.App.Sci. Phty., Grad.Dip.Manip.,M.P.A.A., Sports Physio. Lyn Watson of Melbourne, Australia is a Clinical Manipulative Physical Therapist and titled Sports Physiotherapist. She is Clinical Specialist at LifeCare Prahran Sports Medicine Centre and Melbourne Orthopaedic Group. Lyn has conducted clinical research into taping techniques, the frozen shoulder, hydrodilatation, thoracic outlet syndrome, glenohumeral joint instability, scapula biomechanics and clinical outcome measures. Lyn has published papers in the Journal of Shoulder and Elbow Surgery and British Journal of Sports Medicine on the Frozen Shoulder, Thoracic Outlet Syndrome, scapular biomechanics and glenohumeral joint instability outcome measures. Since 1992 Lyn has conducted shoulder workshops throughout Australia, Canada, Asia, USA and the United Kingdom. Ms Watson also lectures on the Masters Manipulative Therapy and Sports programmes for both Melbourne and Latrobe Universities. For the last 16 years Lyn has worked exclusively in the area of the shoulder and is the clinical specialist in an elite surgical team. Lyn has developed extensive clinical experience in the diagnosis, assessment and rehabilitation of shoulder injuries and is a specialist consultant to the Australian Cricket Team. She has treated a wide range of elite athletes including Olympic swimmers, water polo players, tennis player and paddlers but also specializes in more common shoulder conditions such as rotator cuff pathologies and the stiff shoulder. Lyn has also conducted research into the long term clinical outcome of many surgical and conservative management strategies that are commonly employed. She has developed a unique, logical and progressive approach to assessment and rehabilitation techniques. Both the Level 1 and Level 2 courses have been fully accredited by the Australian Physiotherapy Association.

Introduction and Course Philosophy A unique 2-day practical course for physiotherapists with considerable experience in the management of shoulder patients. There will be the opportunity for the experienced therapist to observe “actual” patient assessment an diagnosis and joint in an interactive discussion about clinical management strategies. This course encourages therapists to openly discuss the “problem” areas of patient management, look at difficulties encountered in clinical practice with progression of rehabilitation, realistic clinical outcomes and time frames and problem pathologies such as partial rotator cuff tears, thoracic outlet syndrome, hypermobile patients and complex impingement syndromes. Substantial time is also committed to scapula mechanics assessment and rehabilitation strategies. Four “live” patient assessment sessions will provide a clinically beneficial practical session to deal with the realistic issues faced by all shoulder therapists.

Course Aims • To develop towards expertise in the assessment and management of

shoulder problems. • To fine tune and enter into discussion of establishing evidence-based best

practice with regard to shoulder pathologies. • To provide a framework for discussion and interactive development of clinical

skills for the higher level of therapist by providing a ‘hands on’ experience with “real” patient demonstrations.

Learning Outcomes On completion of the 2-day course the participant will be able to:

1. Examine detailed scapula mechanics dysfunctions and to be able to select appropriate corrective strategies.

2. Differentiate shoulder and glenohumeral joint contributions to common clinical assessment tests and findings.

3. Be able to specifically tailor scapula strengthening programmes to specific pathologies and be able to progress appropriately.

4. Recognize problems encountered with shoulder rehabilitation programmes and be able to try alternative strategies that may facilitate better progression of rotator cuff, deltoid and scapula muscles.

5. Recognize the limitations that pathology may impose on realistic shoulder rehabilitation programmes.

6. Demonstrate scapula and glenohumeral joint taping techniques. 7. Teach the assessment, diagnosis and treatment of thoracic outlet syndrome. 8. Assist in the development of clinical problem solving strategies by demonstration of

assessment of 4 patients. 9. Review and update conservative and surgical management strategies for glenohumeral

joint instability and SLAP lesions. 10. Review shoulder clinical outcome measurements and discuss appropriate selection for

specific patent populations. 11. Assist in assessment and management strategies for more complicated rotator cuff

pathologies. 12. Be aware of conservative and surgical management strategies available for the stiff

shoulder. 13. To facilitate integration of theoretical knowledge into the clinical setting. 14. Be aware of “common pitfalls” in the treatment of shoulder pathologies.

Teaching and Learning Methods • Interactive lectures/discussion • Case scenarios • Practical classes • Rehabilitation and taping demonstrations • Video demonstration • Case scenarios and Group problem solving sessions

Learning Resources for Students Comprehensive referenced workbook. Copies of referenced material can be provided by tutor where available. CD can be purchased illustrating practical aspects of examination treatment and rehabilitation techniques.

Publications

� Watson L, Dalziel R, Story I (2000) “Frozen Shoulder: a 12-month clinical outcome trial” Journal of Shoulder and Elbow Surgery (pp16-22)

� Watson L, Dalziel R ((1996- Edited Allan Skirving) “Conservative Treatment of

Thoracic Outlet Syndrome by Scapula Strengthening Techniques” Shoulder Surgery The Asian Perspective. Vol.2 Asian Shoulder Association (pp219-222)

� The MISS Questionnaire – A New Clinical Outcome Measure for Glenohumeral

Joint Instability (in press) Journal of Shoulder and Elbow Surgery.

� Thoracic Outlet Syndrome – Clinical Case Presentations (in press)

� Green SG, Buchbinder R, Forbes A, Bellamy N, Benger D, Bills C, Bosworth C, Nitschtke, Watson L, Wilson A “ A standardized protocol for measurement of range of movement of the shoulder using the Plurimeter-V inclinometer and assessment of its intrarater and interrater reliability” Arthritis Care and Research, 1998. 11:p.43-52.

� Watson L, Bialocerkowski A, Pollington H, Dalziel R, Hoy G. “Validity of the MISS

Questionnaire – a 2-year outcome study” (in press) Journal of Shoulder and Elbow Surgery.

� “Measurement Of Scapula Upward Rotation: A Reliable Clinical Procedure" (in

press) British Journal of Sport Medicine.

� Watson L, Bialocerkowski A, Dalziel R, Balster S. “Hydrodilatation (Distension Arthrography; A Long Term Clinical Outcome Series)” (in press) Journal of Shoulder and Elbow Surgery.

Level 2 / Advanced Shoulder Course - Lyn Watson Outline Day 1 Interactive Lecture/Demonstration 9.00 am - 10.30 am Advanced scapulohumeral assessment techniques. Objective measurement techniques for scapula. Research findings

Video presentation of scapula asymmetry 10.30 am - 11.00 am Morning tea & Questions Practical Session 11.00 am - 12.45 pm Scapulohumeral Assessment continues

Progression of Shoulder strengthening – detailed discussion of how to structure progression of shoulder recruitment and strengthening techniques.

12.45 pm - 1.30 pm Lunch Patient Demonstration 1.30 pm - 2.30 pm Patient 1 Patient Demonstration 2.30 pm - 3.30 pm Patient 2 3.30 pm - 3.45 pm Afternoon Tea Interactive Lecture/Demonstration 3.45 pm - 4.30 pm Thoracic Outlet Syndrome Taping techniques Day 2 Interactive Lecture/Demonstration 9.00 am - 10.30 am Instability Update/SLAP lesions Outcome measurements 10.30 am - 11.00 am Morning Tea & Questions Patient Demonstration 11.00 am - 12.00 pm Patient 3 Patient Demonstration 12.00 – 1.00 pm Patient 4 1.00 pm – 1.45 pm Lunch Interactive Lecture 1.45 pm – 2.45 pm Rotator cuff -partial tears -subscapularis tears -sub-coracoid impingement -surgical success & failure Practical Interactive Session 2.45pm – 3.30 pm Patient Problem solving session