Sue DuPont – A Total Approach for Treating Neck & Scapular Disorders

It doesn’t matter if the cause is traumatic injury or the long-term effects of ageing, posture, and wear–Many of these patients are in severe pain or disabled.

 Sue DuPont – A Total Approach for Treating Neck & Scapular Disorders

Over 1/3 of adults are affected by injuries to their neck or shoulder region. These injuries can be extremely costly and disabling. X-Ray findings are often not correlated with symptoms but these patients still experience pain. Defects in the scapula may also cause pain.-It has been demonstrated that the alignment and biomechanics for the cervical spine can be affected by the position of the lumbar and thoracic region.

It doesn’t matter if the cause is traumatic injury or the long-term effects of ageing, posture, and wear–Many of these patients are in severe pain or disabled because of their tears. Muscle imbalances, altered length-It is becoming increasingly difficult to treat these patients effectively due to the tension relationships between soft tissues. Passive treatments are simply not effective.

This recording will explore the latest techniques for Assessing and treating shoulder and neck pains and dysfunction. Current treatment-Systeme de classification based for neck patients will be presented, as well as today’s best-Pragmatism for Effective treatment strategies are applied to dysfunction by objectively identifying the underlying causes.

1. Check out the current classification systems for neck patients
2. Differentiate diagnoses for Hyper- and hypo-Mobility conditions in cervical-Capula-Thoracic and abdominal regions
3. Get a better understanding about common surgical and non-surgical procedures-surgical interventions and indications/contraindications for Rehabilitation
4. Demonstrate manual therapy techniques to increase function and alleviate pain by reviewing the clinical application of these modalities.
5. Identify the specific stabilization or mobilization exercises you need to do. for Improved outcomes
6. To retain your movement, use the principles of Pilates and PNF

Introduction

• Understanding the neck and shouldergirdle is important
• Review of the current biomechanical theories and research regarding cervical spine
  • Treatment planning can be guided by Functional Index and Classification Systems findings
  • Causes of neck pain and disability—biomechanical and neurological changes

Common Hyper- and hypo-Mobility Diagnosis Therapists Treat in Cervical and Scapular-Thoracic Region

• Whiplash, Herniated Nucleus Pulposus, Spondylosis (HNP), Radiculopathy, Scoliosis
• Hypo-mobility diagnoses—stenosis, kyphosis, facet joint dysfunction, Degenerative Disk Disease (DDD)

How can we stabilize?

• Review of relevant anatomy of the cervical.-Capulo-Thoracic region
• Discuss biomechanical model and consequences of instability in the Cervical Motion Segment.
• Motor control and tissue structure: effects of ageing and posture

Lab 1: Assessment of Posture AND Palpation

• Gross muscle testing and bony structures
• Documentation of scoliosis, scapular winging and posture observations
• Special tests—Jull’s Test for Cranio-cervical stability, Standing Arm Elevation, Axial compression, vertebral artery, Spurling’s test, and Scapular Balancing Index

Common Non-surgical and Surgical-Surgical Treatments

• Laminectomy, discectomy and cervical fusion. Displacement
• Pain management strategies—spinal injections, trigger point injections, Botox, and acupuncture
• Clinical Modalities—iontophoresis, manual vs. mechanical traction

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Lab 2: Hands-On Treatment Techniques

• Mobility screening and TMJ screening
• Soft Tissue Mobilization—passive release, muscle energy release, and tissue unwinding
• Demonstration of advanced mobilization techniques—MET and Mobilization with movement

Neuromuscular Re-Education: Clinical Applications and Treatments

• Biofeedback for pressure for Deep neck flexors, scapular stability and exercises for scapular stability
• Techniques for specialized taping using kinesio-Taping and McConnell tapping strategies

Stabilization for Neck AND Scapula

• Critical links and the 3 Postural Zones
• Weak links in Stability Chain
• Progression of exercise programs

Lab 3: Stabilization AND Scapular Mobility Exercises

• Cervical and deep neck flexor training “clock” exercises
• Connecting the postural areas
• Mobilization exercises for Scapular-Thoracic region
• Building a scapula-Thoracic postural control
• Advanced exercise techniques—gliding discs, yoga, PNF, and dynamic reaction training