Topics Covered

In-depth evaluation techniques for the cervical spine including passive and active range of motion testing, special orthopedic tests, and manual therapy interventions. Covers mobilization, manipulation, and soft tissue techniques.

• Active & passive ROM assessment
• Joint mobility testing
• Manual therapy techniques
• Cervical manipulation fundamentals
• Soft tissue mobilization
• Exercise prescription for the cervical spine

Comprehensive management of the thoracic spine with emphasis on the relationship between thoracic dysfunction and cervical or shoulder pathology. Includes mobilization grades, thrust techniques, and postural correction.

• Thoracic mobility screening
• Thrust and non-thrust mobilization
• Rib cage and costovertebral assessment
• Postural re-education strategies
• Thoracic manipulation techniques
• Integration with shoulder rehabilitation

Full assessment of the glenohumeral, acromioclavicular, and scapulothoracic joints. Evidence-based treatment approaches for common shoulder pathologies including impingement, rotator cuff tears, and adhesive capsulitis.

• Shoulder screening & special tests
• Scapular dyskinesis evaluation
• GH joint mobilization techniques
• Impingement syndrome management
• Post-surgical shoulder rehab
• Functional movement retraining

Clinical reasoning framework for differentiating between cervical spine and shoulder complex pathologies. Master the art of ruling in and ruling out diagnoses through systematic examination and evidence-based testing clusters.

• Referred pain patterns & dermatomal maps
• Cervicogenic vs. primary shoulder pain
• Diagnostic test sensitivity & specificity
• Clinical prediction rules
• Red flag screening
• Diagnostic reasoning case studies

Special focus on one of the most challenging diagnoses in the upper quarter. Covers the neurogenic, venous, and arterial subtypes with practical strategies for identification, provocation testing, and evidence-based conservative management.

• Anatomy of the thoracic outlet
• Neurogenic vs. vascular TOS
• Provocative test battery (Roos, Adson, Wright)
• Differential diagnosis of TOS
• Conservative management protocols
• When to refer: surgical considerations

Evidence-based management of shoulder tendinopathies including rotator cuff pathology. Covers the continuum model of tendinopathy, load management principles, and progressive rehabilitation protocols grounded in current research.

• Tendinopathy continuum model
• Load management principles
• Isometric, isotonic, and heavy slow resistance
• Rotator cuff strengthening progression
• Return to sport/activity criteria
• Patient education strategies

Practical framework for designing evidence-based exercise programs for the cervical spine and shoulder complex. Covers motor control retraining, progressive overload principles, and outcome measure tracking.

• Deep neck flexor retraining
• Scapular stabilization progressions
• Proprioceptive and neuromuscular training
• Home exercise program design
• Outcome measures & goal setting
• Functional movement screening integration

Bridging current research with clinical application. Participants will develop skills for critically appraising literature and integrating evidence into their everyday clinical decision-making process.

• Critically appraising clinical studies
• Levels of evidence framework
• Applying research to patient care
• Clinical reasoning models
• Documentation for CEU compliance
• Outcome tracking and reporting