Dynamic Movement Strategies for the Shoulders, Arms & Hands
Understanding Relationships & Functionalizing Exercise
While a step in the right direction, recent research suggests that gleno-humeral health isn't the sole responsibility of the rotator cuff strength and that there's more effective treatment options for tennis elbow than the familiar stretching of the wrist extensors. The upper extremity system is an integrated whole that includes thoracic bias and shoulder girdle muscle imbalances, with contributions all the way down to the pelvis/hips. This course blends existing upper extremity stabilization principles with emerging Regional Interdependence realities to advance our understanding and treatment options for upper extremity issues, while advocating for a more patient-centered and individualized approach to corrective exercise. We will be moving beyond origin and insertion thinking by utilizing integrative movement principles that see the arms as an extension of the torso, rather than moving relative to a stabilized torso (or scapula). Facilitating proximal power, balance & mobility with distal control, this course explores the various relationships of the upper extremity system; the mistakes people make that create repetitive strain injuries as well as compensations made in response to injury. The movement sequences are built around functional contexts of reaching, grasping, manipulating, pushing and pulling. This helps our patients with both skills acquisition (strength, coordination and flexibility) and proprioceptive self-awareness training. The Dynamic and Static Integration principles are well defined and contrasted in a relaxed and thought-provoking environment. Come experience this fun and interactive approach to studying movement that introduces ways of making the exercises we prescribe more informative, more functional and much more effective!
(CEUs) & State Approvals
This course has been approved in Texas, New Mexico & Idaho. This course is automatically recognized in Washington, Oregon, Kansas, Missouri & the NBCOT for 16 hours as it has been approved by other peer reviewed, state boards & associations. Please check our website or call if you have any questions regarding state approval. Certificates of attendance with the number of course hours will be given to each participant at the completion of the course.
By the completion of this course, the participant will be able to:
Recognize regional relationships; hypermobility/hypomobility pairs both locally and globally; semi-predictable hip muscle/pelvic antagonist imbalances and how they affect thoracic and scapular organization; orientation of the hand and the ability to differentiate GH ER and forearm IR; scapular posterior tilt and GH IR.
Distinguish Static Integration and Dynamic Integration exercise by characteristics; cardinal plane vs multi-planar movement; arms/head move from a statically stable trunk vs with a dynamically moving trunk; pelvic influences from waist and hip muscles.
- Pinpoint long-term habitual movement and postural mistakes and correlate to specific shoulder, elbow, wrist and hand traumatic and repetitive stress injuries; GH bursitis/tendonosis/impingements/instabilities, frozen shoulder, tennis/golfer's elbow, forearm myofascial syndromes, carpal tunnel, various
UE fractures, DeQ and more.
- Utilize teaching techniques that make exercise more "informational"; reciprocating movements, use of constraints, change of venue, goldilocks principle and link to functional context.
- Specify your exercise prescription to optimize motor control; individualizing your exercise approach thru analysis of Global and Differentiated movement patterns and muscle synergist coordination locally, regionally and globally.
About the Instructor, Gordon Browne PT, GCFP
Gordon Browne is a Physical Therapist with 25+ years of clinical experience in outpatient orthopedics and manual therapy. With a lifelong passion for movement, he has modified and medically
articulated the clinical use of various integrated movement systems; the Feldenkrais Method®, Yoga, Pilates and Tai Chi. Lecturer for 15+ years and author of two books; "A Manual Therapist's
Guide to Movement" and "Outsmarting Low Back Pain" (Movement Matters 2005).
Shoulders, Arms & Hands Course Outline
Lab sessions include experiential movement, partner observations, facilitation techniques, modifications & discussion of clinical relevance.
7:45-8:00 - Registration and Snacks
8:00-9:30 - Introduction to Integrated Movement Principles
9:45-12:00 - Lab I: Scapulo-Thoracic Relationships I
- Dynamic vs. Static Scapular Stabilization
- Facilitating a Mobile, Integrated & Balanced Base for the Arms
- Scapular Posterior Tilt & Thoracic Extension Diagonals
1:00-3:20 - Lab II: Scapulo-Thoracic Relationships II
- De-Coupling the Serratus from Abdominals & Anterior Intercostals
- Reciprocating Differentiated Movements: Re-calibrating Neutral
- Orienting the Glenoid: Scapular Integration vs Scapular Stabilization
3:35-5:30 - Lab III: Humero-Scapular Relationships
- Gleno-Humeral Internal & External Rotation Patterns
- Controlling Impingements/Instabilities & Training the Rotator Cuff
- Mobilizing & Stabilizing the Shoulder: Closed Kinetic Chain Activities
8:00-9:45 - Lab IV: Humero-Elbow Relationships
- Differentiating Humeral & Elbow/Forearm Rotation
- Elbow Flexion/Extension & Pronation/Supination Patterns
10:30-12:30 - Lab V: Elbow-Wrist-Hand Relationships
- Control, Fine Tuning & Delicacy: Softening the Hand & Forearm
- Balancing & Integrating Wrist Flexors/Extensors
- Jellyfish Hands & Ladies Hands
1:30-3:30 - Lab VI: Reaching, Grasping & Manipulating
- The Grand Coalition of the Arm
- Wrist/Finger Differentiations & Wrist Diagonals
3:45-5:30 - Lab VII Continued: Reaching, Grasping & Manipulating
- Putting it All Together: Integrative Drills & Toys
- Applications to Clinical Situations, Questions & Wrap Up