The Complete and Advanced Upper Quadrant
This course encompasses the differential diagnosis, assessment and management of the cervical spine and shoulder. It aims to integrate research evidence with best clinical practice and is designed to improve participants' ability to differentially diagnose contributing mechanisms and impairments in patients presenting with pain in the upper quadrant, with consideration of cervical, neural and shoulder structures. A broader range of clinical examination techniques and advanced clinical reasoning and management options will be covered.
Participants can expect to:
• Improve their skills and competence in the assessment of the cervical spine with emphasis on the assessment of pain from cervical musculoskeletal (articular and motor) structures
• Improve their skills and differential diagnosis for the assessment of upper limb neurological conduction deficit and mechanosensitivity in the patient with neurally mediated pain
• Improve their ability to accurately establish whether the shoulder primarily contributes to a patient's presentation, including consideration of the sources of pain within the gleno-humeral joint, subacromial space and acromioclavicular joint, rotator cuff control and scapular dyskinesia.
• Discuss and integrate the principles of contemporary pain management for upper quadrant disorders
Complex cases are used to illustrate the clinical reasoning processed that determine whether the primary pain contribution is cervical, shoulder or neuromeningeal in origin.
- Improve knowledge of differentiation of common upper quadrant disorders including cervical, neurological and common shoulder conditions.
- Improve knowledge and skills in the differentiation of radiculopathy from peripheral nerve conditions
- Improve knowledge and understanding of a good routine examination of the shoulder including active, passive and structured focused palpation.
- Improve knowledge and skills in the assessment of neuropathic pain and mechano-sensitivity.
- Improve knowledge and skills in the assessment and management of people with upper quadrant disorders presenting with sensory hyper sensitivity.
- Improve knowledge and skills in the assessment of the axio- scapula and cervical flexor and extensor muscle systems for upper quadrant disorders.
- Improve knowledge and skills in the assessment of shoulder muscle function, scapula and rotator cuff.
- Improve clinical reasoning and ability to construct an appropriate management plan for a complex neurological condition.
- Improve knowledge in the assessment and management of low risk and more complex/ high risk patients.
- Improve clinical reasoning skills in the assessment, classification and applying a targeted management approach to someone with an upper quadrant disorder.
- Improve the understanding of prioritizing, managing and gaining compliance of dynamic control of the shoulder complex.
- Improve skills and competence in the basic assessment of the cervical spine with emphasis on pain for cervical articular structures.
- This course is only available to qualified and AHPRA registered physiotherapists.