Rehabilitation of Non-Surgical Rotator Cuff Disorders
Rotator cuff disorders are one of the most common orthopedic conditions to impact the baby boom generation. In addition, shoulder pain and rotator cuff injuries are an epidemic among CrossFit Athletes, especially for the aging athlete. The successful management of patients with rotator cuff disorders requires a meticulous approach as these conditions can be resistant to treatment. This evidence-based discusses the classification, pathophysiology, risk factors, prognosis, evaluation, treatment and self-management strategies for patients with rotator cuff disorders. Numerous video-based manual techniques, including glenohumeral joint mobilizations, thoracic mobilizations and soft tissue mobilizations are presented. An EMG-based rehabilitation protocol is presented with the goal of providing the clinician with a hierarchy of corrective exercises based on muscle activation levels. Videos of scapula neuromuscular control exercises and rotator cuff are presented with an emphasis on techniques which optimize selective muscle activation. Several clinical examples and case studies are provided to reinforce learning concepts. Strategies for prioritization of goals and clinical decision-making strategies will be discussed against the background of the best available evidence and extensive clinical experience. Self-management techniques will be identified to compliment rehabilitation interventions.
- Identify 3 risk factors for developing rotator cuff tendonosis
- Identify one evidence - based test cluster for diagnosing a rotator cuff tear.
- Identify two indications/goals for performing posterior glenohumeral joint mobilizations.
- Identify two criteria for phase I rehabilitation exercises for rotator cuff disorders
- 8:00 – Functional Anatomy
- 8:05 – Classification
- 8:10 – Pathophysiology/ risk factors of rotator cuff disorders
- 8:15 – Clinical evaluation of rotator cuff disorders
- 8:30 – Clinical evaluation of scapula dyskinesis
- 8:40 – Intervention/ Rehabilitation for rotator cuff disorders
- 9:30 – Q/A Session and Conclusion
- Dr. Robert McCabe, MS, DPT, OCS
Dr McCabe is a clinician, researcher, and educator with 25 years of clinical experience in orthopedic and sports physical therapy. He is currently the director of human performance at the Gabreski Air National Guard Base in Westhampton, NY. His role at Gabreski includes overseeing injury prevention, performance and rehabilitation services for all military personnel. He has extensive experience in the treatment of patients with orthopedic and sports-related conditions. including recreational, elite and professional athletes. He previously worked at NYU Langone Medical Center and the Andrews Institute, where he worked under Dr. James Andrews. Bob received his transitional doctorate degree in physical therapy from Arcadia University, a master’s degree in physical therapy from Long Island University and a master’s degree in Ergonomics and Biomechanics from New York University. He obtained his bachelor’s degree in health science from Cortland University. Bob is an NSCA certified strength and conditioning specialist (C.S.C.S) and an APTA Board Certified Orthopedic Clinical Specialist (O.C.S). He is certified in the Functional Movement Screen (F.M.S) and the Selective Functional Movement Screes (S.F.M.A) and is completing his certification in manual therapy through Evidence in Motion. He has advance training and coursework in Graston instrument-assisted soft tissue mobilizations, EXOS performance training system, Active Release Therapy and the McKenzie Method to Mechanical Diagnosis and Therapy (MDT). Bob has published several research studies in peer-reviewed journals and has presented at national conferences.
Contact Hours: 1.5