Rotator Cuff Dysfunction -Functional Recovery from Impingement & Surgery – Terry Trundle

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Rotator Cuff Dysfunction -Functional Recovery from Impingement & Surgery by Terry Trundle,
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Terry Trundle
5 Hours 40 Minutes
Audio and Video
Jun 12, 2015


Because of the complex design of the rotator cuff, it is susceptible to injury. These injuries can be due to overuse in sports activities or it can occur from repetitive motions. Whatever the cause, weakness, stiffness, and pain often ensue. Secondary impingement is also another difficulty clinicians face when treating the functionality of the shoulder, with this condition being one of the most often misunderstood and difficult to assess. Because the shoulder plays a sizable role in arm functioning, proper rehabilitation of this joint is essential to return the patient to a healthy state.

Further complicating the issue is reimbursement and providers that only allot a limited number of visits to complete rehabilitation. Clinicians must be knowledgeable about not only “tried and true” techniques, but must also stay abreast of current research, new products available, and developments within their field. Clinicians who fail to do this can be increasing their patient’s recuperation time and missing important treatment goals.

This recording will demonstrate how to be more innovative in your treatment planning, examine functional approaches to rehabilitation of the kinetic chains, and illustrate the benefits of incorporating evidenced-based approaches into your “bag of treatment tools.” Examine rotator cuff injuries that occur at different points in the human lifespan, as well as recommended treatment for each population.

Learn why certain injuries are more common with particular age groups, such as instability in teenagers and degenerative joint disease in aging patients. Clinicians will come away excited about trying new, practical techniques that produce results and, in turn, their orthopedic rehab patients will demonstrate a more positive attitude about their recovery.



Shoulder “The Open Kinetic Chain Challenge”

  • What questions should we be asking about “today’s shoulder”
  • Missing link in treating the geriatric shoulder
  • Components of functionality
  • Phases of rehabilitation based on recent evidence-based applications
  • Concepts of the three P’s (Pivotors, Protectors, and Positioners)
  • Role of scapula-thoracic stabilization for retraction, repositioning, and protraction preparation

Lab #1: Manual Mobility for the Scapula-Thoracic Articulation

  • Glenohumeral primary impingement
    • Vital three-motion patterns
    • Decompression of the painful shoulder
    • Manual preparation glides for the glenohumeral joint
    • Updates on capsule mobility
    • Positional recruitment based on the therapeutic value of intervention
    • Non-operative and operative treatment of primary impingement
    • Development of the “healthy cuff” with the vital five home exercise programs

Lab #2: Manual Mobility for the Glenohumeral Joint

  • Operative repairs for the rotator cuff lesions, including the geriatric considerations
    • Defining delayed intervention and its role in treatment guidelines
    • Scapula control for core stabilization
    • How to address shoulder “hike” dysfunction
    • Concepts of the “Geriatric Big Three” exercises
    • Benefits of closed kinetic chain stabilization
    • Outcome studies
  • Secondary impingement and its rehabilitation to instability 
    • Why secondary impingent is so difficult to access
    • Subjective assessment outweighs objective findings
    • Protective exercise guidelines for labrum, SLAP lesions, and capsule instability

Lab #3: Screening of the Painful Shoulder – How Do You Define Shoulder Function?

  • History of the problem
  • Subjective level of pain
  • Location of pain
  • Clinical screening with special testing
  • Discussion of the three components of referral  
  • Case presentations


Terry Trundle, ATC, LAT, PTA Related seminars and products: 9

Terry Trundle, ATC, LAT, PTA, has over 38 years of experience in clinical practice and offers educational programs on functional rehabilitation focusing on the upper and lower kinetic chain. He practices in the Atlanta area where he is the Owner and Director of the Athletic Rehab Institute and Sports Medicine. In addition, he serves as a rehab consultant for Benchmark Physical Therapy and as Chair of the Advisory Board for the annual Rehab Summit.

Mr. Trundle’s research has been featured in numerous journals and publications, and he has received awards and recognitions by the American Physical Therapy Association and Medical College of Georgia as a leader in the field. Most recently, he authored a chapter on orthopedic management of the shoulder in Fundamental Orthopedic Management for the Physical Therapist Assistant. He is the co-producer of a four-part video series that includes exercises on the knee and shoulder and passive micro-mobility of the upper and lower kinetic chains.

Speaker Disclosures:

Financial: Terry Trundle is owner of Athletic Rehab Institute and Sports Medicine. He receives a speaking honorarium from PESI, Inc.

Non-financial: Terry Trundle is a member of the American Physical Therapy Association; and the National Athletic Trainers Association.

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