THE UPPER QUARTER - Function, dysfunction, assessment & treatment
The Upper Quarter is an integrated physiological system both anatomically & biomechanically. For this reason, assessment & management of upper quarter pain & dysfunction should respect various co-relationships for best outcomes.
On this course you will learn to:
- Understand the biomechanics and clinical anatomy of the glenohumeral, scapulo-thoracic, scapulo-humeral and cervico-thoracic regions in a unique, clinically applicable manner.
- Recognise abnormal scapular and glenohumeral positional changes and its effect on the presenting pathology.
- Understand & identify the causative factors in various upper quarter syndromes.
- Predict risk for future injury of the upper quarter.
- Assess the upper quarter in detail. This assessment is unique, providing maximum information with minimum tests. A novel assessment form is provided for immediate use in your treatment rooms.
- Use clinical reasoning to identify source of symptoms and the appropriate management.
- Learn to reason where you should start with management: with glenohumeral or scapular or cervical dysfunction. Which is the chicken & which is the egg?
- Correctly teach your patient selected stabilisation strategies (to improve motor control & neutral zone control) of the craniovertebral, scapula and glenohumeral joints from the initial acute phase (in neutral) to full return to their pre-injury level.
- Pre-habilitate injury risk factors to prevent injury, minimise costs and allow the professional athlete to be less hampered by persistent injury.
- Correctly employ Myofascial release techniques to connective tissues with restricted extensibility, such as Levator scapulae, Pectoralis minor, Infraspinatus and Teres minor.
- Progress rehabilitation in functionally ideal positions for optimal return to the patients’ pre-injury level.
The information provided in this course is up to date (2020) with all current research considered of merit included and referenced. Many of the testing procedures are validated. Participants are taught to clinically reason research articles, testing procedures, and hypothesise potentially implicated structures to reason best management for each individual. This course is suited for the therapist involved in the treatment of patients with acute, unresolved or persistent pain or dysfunction of Upper quarter origin. Skills taught on this course can be applied equally to the sporty (recreational & elite) as well as the inactive patient, from young children to the elderly. A revision of the anatomy of the shoulder girdle (glenohumeral, scapulo-thoracic& scapulo-humeral) and cervical spine is essential for all participants prior to attending this course.