【2023.06.26-28】McConnell 上肢問題之貼紮、手療 認證研習會

09.00-09.50 Introduction & course overview

09.50-10.40 Shoulder biomechanics, anatomical variation: instability, impingement, frozen shoulder

10.40-10.50 BREAK

10.50-11.50 How is the position of the scapula, how is it moving ? 
　　　　　　How is glenohumeral joint working together with scapula ?
　　　　　　How do we modify the symptoms ?

11.50-12.30 Clinical Practice

• Physical examination of Upper Limb: multi modal assessment/treatment approach
• In order to understand where is the pain coming from, one have to assess different parts of the upper limb: crucial are besides the scapulo thoracic joint, the gleno-humeral joint and the thoracic spine

12.30-13.00 LUNCH BREAK

13.00-14.40 Clinical Practice
　　　　　　Physical examination of the upper limb continuation: unstable versus stiff ?

• Articular: Scapula joint / Gleno Humeral joint
• Static versus Dynamic movement

14.40-15.00 BREAK

15.00-17.00 Clinical Practice Physical examination of the upper limb continuation: unstable versus stiff ?

• Neural involvement, screening
• Taping the shoulder into an appropriate alignment

17.00  END OF DAY 1

09.00-10.40 Clinical Practice
　　　　　　How to treat frozen shoulder, sub acromial impingement and multidirectional instability ?

10.40-10.50 BREAK

10.50-12.30 Physical examination and treatment of the upper limb

• How to implement scapula and head of humerus ?
• Physical treatments of upper limb.
• Articular mobilisation
• Soft tissue techniques

12.30-13.00 LUNCH BREAK 

13.00-14.00 Physical examination and treatment of the upper limb

• Taping techniques

14.00-15.40 Clinical Practice - Physical treatments of the upper limb.

• Muscle function & Flexibility
• motor control re-education of Middle and Lower Trapezius and Serratus Anterior EMG lab

15.40-16.00 BREAK

16.00-17.00 Clinical Practice - Physical treatments of the upper limb.

• Review of the literature, what’s the evidence
• Lecture presentation

17.00 END OF DAY ２

09.00-09.50 Clinical Practice
           　　　Introduction elbow biomechanics

09.50-10.40 Normal foot mechanics Gait

10.40-10.50 BREAK

10.50-12.30 Physicial examination of the elbow

• Posture
• Functional tests
• Neural Screening - Median, radial, & ulnar
• Tests for other joints - thoracic spine, cervical spine, & shoulder
• Active physiological movement
• Static muscle tests (joint mid position)
• Neural tests
  • Neurodynamics - Median, radial, & ulnar
  • Nerve palpation – Median, radial, ulnar
• Passive physiological movements
  • flexion
  • extension
• (In various degrees of pronation and supination)
  • pronation
  • supination
• (In various degrees of flexion and extension)
• Combined movements
  • flexion/adduction
  • flexion/ abduction
  • extension/ adduction
  • extension/ abduction
  • (In both pronation and supination)
• Participants practical session

12.30-13.00 LUNCH BREAK

13.00-13.50 Tests for other joints - Thoracic spine, cervical spine, & shoulder
　　　　　　Muscle length - Finger extensor & flexors
　　　　　　Participants practical session

13.50-15.20 Clinical Practice

• Passive accessory movements
  • Medial glide of elbow
  • Lateral glide of elbow
  • PA on radius
  • AP on radius
  • longitudinal caudal on ulna in line with forearm
  • Distraction radio-humeral joint (In various degrees of flexion, extension, pronation and supination)
  • medial glide/tilt on olecranon
  • lateral glide/tilt on olecranon (With the elbow in approx. 90° flexion)

15.20-15.30 BREAK

15.30-16.30 Clinical Practice - Mobilisation with movement (MWM’s)
　　　　　　Physical treatment of wrist

• Wrist flexion & extension
• Wrist radial & ulnar deviation

16.30-17.00 Summary
　　　　　　Questions
　　　　　　Conclusion

17.00 END OF DAY ３