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1. Identify the etiology of common shoulder complex pathologies and identify possible anatomic and other etiologic factors.
2. Review which special tests should be used to identify complex shoulder pathologies and be able to apply these tests effectively.
3. Perform accurate differential diagnosis to determine which shoulder pathology is in place. 
4. Determine which patients are appropriate candidates for conservative or should be referred for assessment as surgical candidates.
5. Utilize effective mobilization techniques for a variety of shoulder conditions.
6. Devise an appropriate treatment plan and enable effective patient intervention based on clinical findings.

ROTATOR CUFF TEARS

• Surgical restoration of normal and altered anatomy
• Cluster tests
  • Modified empty can test
• Conservative management to prevent further injury
• Post-operative management

SHOULDER IMPINGEMENT SYNDROME

• Anatomic and functional contributors
• Cluster tests
  • Hawkins-Kennedy; Neer’s test
  • Conservative management based on etiologic factors
  • Post-operative management
  • Respect the deltoid as the worst offender

ANTERIOR GLENOHUMERAL INSTABILITY

• Anatomic restraints
• Etiologic factors
• Cluster tests
  • Apprehension test
  • Jobe relocation
  • Release test
  • Anterior drawer
  • Push-pull
• Surgical procedures
  • Bristow
  • Latarjet
  • Putti-Platt
• Rehabilitative management

SLAP LESIONS

• Classification of lesions
• Special tests
  • Biceps load II
  • Anterior slide tests for early detection
  • Surgical management and rehabilitation based on lesion type

ADHESIVE CAPSULITIS

• Stages based on symptoms
• Etiologic factors
• Effects of conservative versus invasive intervention
• Conservative management based on stage of disorder
  • Scauplo-thoracic mobilizations
  • Anterior/Posterior/Inferior glenohumeral mobilizations

THORACIC OUTLET COMPRESSION SYNDROME

• Anatomic locations of potential compromise
• Etiologic factors in each anatomic location
• Intervention based on location of compromise and etiologic contributors
• Assessment tests
  • Adson’s
  • Military bracing
  • Hyperabduction
• Surgical procedures
  • Cervical rib excision
  • Scalenectomy

SHOULDER ARTHROPLASTIES

• Rehab strategies for:
  • Hemi-arthroplasty
  • Total shoulder arthroplasty
  • Reverse total shoulder arthroplasty

SPECIAL TESTS AND MOBILIZATIONS

• Hands-On Lab
• Interpret tests quickly to recognize problem
• Glenohumeral and scapulothoracic mobilizations
• Tips and new techniques

Michael T. Gross, PhD, PT, FAPTA, has 37 years of experience as a licensed physical therapist, specializing in the areas of biomechanics and orthopaedic assessment and treatment. He is a professor in the PhD program in human movement science and the DPT program in physical therapy at the University of North Carolina at Chapel Hill, where he has taught for 30 years. In addition to his academic responsibilities, he is also active in the faculty’s clinical practice, seeing patients two days per week.

Dr. Gross has 70 refereed journal publications in such journals as the Journal of Orthopaedic and Sports Physical Therapy, Physical Therapy, and the Journal of Manual and Manipulative Therapy. He is a reviewer for the Journal of Orthopaedic and Sports Physical Therapy and several other journals. Dr. Gross was elected as a Catherine Worthingham Fellow of the American Physical Therapy Association, and has been presented a Teaching Excellence Award from the University of North Carolina School of Medicine as well as the Margaret L. Moore Award for Outstanding New Academic Faculty by the American Physical Therapy Association. He has given well over 300 regional, national, and international presentations and continues to maintain an active clinical practice. Dr. Gross’ experience helps make him a very knowledgeable and skilled instructor.

Speaker Disclosures:

Financial: Michael Gross is a Professor, Division of Physical Therapy, at the University of North Carolina - Chapel Hill. He receives a speaking honorarium from PESI, Inc.

Nonfinancial: Michael Gross has no relevant nonfinancial relationship to disclose.

Save time and $10 off the price of other submission methods – purchase & take the CE test online for $19.99 USD per participant. Additional processing fees apply for other submission methods (i.e. mail, fax, etc.). Please contact our Customer Service at 1-800-844-8260 for more details.

Listed below are the continuing education credit(s) currently available for this non-interactive self-study package. Please note, your state licensing board dictates whether self study is an acceptable form of continuing education. Please refer to your state rules and regulations.

Certificates of Successful Completion are available for email, download and/or printing from your online account immediately following the successful completion of the post-test/evaluation.

**Materials that are included in this course may include interventions and modalities that are beyond the authorized practice of mental health professionals. As a licensed professional, you are responsible for reviewing the scope of practice, including activities that are defined in law as beyond the boundaries of practice in accordance with and in compliance with your professions standards.

All members of the PESI, Inc. planning committee have provided disclosures of financial relationships with ineligible organizations and any relevant non-financial relationships prior to planning content for this activity. None of the committee members had relevant financial relationships with ineligible companies or other potentially biasing relationships to disclose to learners. For speaker disclosures, please see the faculty biography.

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Nurses/Nurse Practitioners/Clinical Nurse Specialists - Credit Expired: 7/22/2023
No CE available for this board.

California Nurses: PESI, Inc. is a provider approved by the California Board of Registered Nursing, Provider #:17118 for 6.0 self-study contact hours.

You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

Florida Nurses: PESI, Inc. is an approved provider by the Florida Board of Nursing. Provider #: FBN2858. These materials qualify for 6.0 self-study contact hours.

Iowa Nurses: PESI, Inc. is an approved provider by the Iowa Board of Nursing. Provider #: 346. Nurses successfully completing these self-study materials will earn 6.0 self-study contact hours.

Copies of the evaluation may be sent to the IBON. You will need to provide your license number to PESI. PESI must have this number on file in order for your hours to be valid.

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Occupational Therapists & Occupational Therapy Assistants
No CE available for this board.

Arizona Occupational Therapists & Occupational Therapy Assistants: CE credit is available. This self-study course consists of 6.0 continuing education clock hours for Arizona OTs and OTAs. The Arizona Board of Occupational Therapy Examiners (R4-43-203) confirms acceptance of continuing education programs relevant to occupational therapy that are approved by the American Occupational Therapy Association (AOTA).

Florida Occupational Therapists & Occupational Therapy Assistants: PESI, Inc. is an approved provider with the Florida Board of Occupational Therapy. Provider Number 50-399. This self-study course qualifies for 6.0 continuing education credits.

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Physical Therapists & Physical Therapist Assistants
This self-study course consists of 6.0 clock hours of instruction that is applicable for physical therapists. CE requirements for physical therapists vary by state/jurisdiction. Please retain the certificate of completion that you receive and use as proof of completion when required.

California Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the Physical Therapy Board of California as an approval agency to approve providers. This self-study lecture qualifies for 6.0 continuing competency hours.

Illinois Physical Therapists & Physical Therapist Assistants: PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270. This self-study course qualifies for 6.0 CE credit hours.

Kentucky Physical Therapists & Physical Therapist Assistants: CE credit is available. This self-study course consists of 6.0 continuing education credit hours for Kentucky Physical Therapists. The rule under 201 KAR 22:045, Section 2, (2)(a) states that category 1 continued competency credits can be earned from providers approved by another physical therapy licensing agency. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

New York Physical Therapists & Physical Therapist Assistants: PESI, Inc. is recognized by the New York State Education Department, State Board for Physical Therapy as an approved provider for physical therapy and physical therapy assistant continuing education. This self-study course qualifies for 7.2 contact hours.

North Carolina Physical Therapists, Physical Therapist Assistants: PESI, Inc. is an approved provider with the Illinois Division of Professional Regulation, Provider Number: 216.000270. This intermediate course is approved by the North Carolina Board of Physical Therapy Examiners by virtue of PESI Inc. approved provider status with the Illinois Division of Professional Regulation. This course qualifies for 6.0 continuing education hours.

Pennsylvania Physical Therapists and Assistants: The Pennsylvania State Board of Physical Therapy recognizes approval by all other state boards. This self-study activity consists of 6.0 clock hours of instruction that is applicable for physical therapists.

Vermont Physical Therapists & Physical Therapist Assistants: CE credit is available. This course consists of 6.0 continuing education credit hours for Vermont Physical Therapists. The Board confirms acceptance of continuing education programs that are recognized by other state physical therapy licensing boards. PESI, Inc. is a Registered Physical Therapy Continuing Education Sponsor through the State of Illinois Department of Financial and Professional Regulation, Division of Professional Regulation. License #: 216.000270.

Virginia Physical Therapists & Physical Therapy Assistants: CE credit is available. This course consists of 6.0 hours of type 2 continued competency credit for Virginia Physical Therapists and Physical Therapy Assistants. Regulation 18VAC112-20-131, Section B, (2) states that up to ten type 2 continued competency credits can be earned by completing independent study activities related to the clinical practice of physical therapy.

Texas Physical Therapists & Physical Therapist Assistants: This self-study activity is provided by the Texas Board of Physical Therapy Examiners Accredited Provider #2106032TX and meets continuing competence requirements for physical therapist and physical therapist assistant licensure renewal in Texas. This activity will provide 6.0 CCUs. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE. Full attendance is required; no partial credits will be offered for partial attendance.

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Other Professions
This self-study activity qualifies for 6.0 clock hours of instructional content as required by many national, state and local licensing boards and professional organizations. Retain your certificate of completion and contact your board or organization for specific filing requirements.

Disclaimer: **Information obtained in this course should be used within your scope of practice.
**It is your ethical responsibility to report accurate hours to your licensing board.
**All self-study participants must complete and pass (80% or better) a post-test and evaluation prior to receiving a certificate of completion. If you require a copy of the test/evaluation for CE purposes, please print at the time you take the test. Or you may call our customer service department and a copy of your test/evaluation will be emailed to you. Please allow 30-45 days.

• Physical Therapists
• Physical Therapist Assistants
• Occupational Therapists
• Occupational Therapy Assistants
• Athletic Trainers
• Strength and Conditioning Specialists
• Physician Assistants
• Nurse Practitioners
• Nurses
• Exercise Physiologists
• Massage Therapists