Motor Control & Sensorimotor Training for Pain and Injury Rehab in the Shoulder Girdle
Muscles around the shoulder girdle are designed for different roles including moving and stabilising the shoulder. Motor control deficits can arise in the region of scapulo-thoracic coordination and translation control in the glenohumeral joint. Alteration of muscle activation of the scapula-thoracic muscles can result in the scapula adopting a downwardly rotated resting position and a loss of dynamic control of the scapula in functional arm movements. This can cause a risk of tissue impingement under the sub-acromial arch or the coraco-acromial arch. If there is dysfunction in the rotator cuff muscles (+/- long head of biceps) the glenohumeral joint can be at risk of developing instability.
Retraining muscle patterning and activation timing of the appropriate stability muscles can remove the tissue provocation and promote the normal healing process. Assessing and correcting scapula and glenohumeral movement can significantly improve post operative results as well. Clients with recurrent or chronic pain have multifactorial considerations. Therefore it is important to address multiple factors and diagnoses within a chronic or recurrent shoulder pain problem. Following an episode of shoulder pain changes occur in the CNS which involve alteration of muscle activation patterns around the scapula and glenohumeral joint. Sometimes poor scapula control relates to poor sensorimotor function including the presence of remnants of primitive reflexes in the CNS.
The course will provide participants with skills in analysing movement pattern control of the scapula and glenohumeral joint, glenohumeral translation control, the relationship of the shoulder girdle with cervical spine. Retraining will focus on: mechanisms behind the movement control deficit including primitive reflex inhibition and altered sensorimotor function, and motor control retraining of specific muscle activation and movement pattern control. A revision of shoulder girdle anatomy prior to attending the course is recommended.
The participant will be equipped to:
- Be able to assess for specific motor control deficits in the shoulder relating to local muscle activation in the control of glenohumeral translation and control of functional scapula movement patterns.
- Be able to relate these control deficits to the patient’s presenting shoulder pathology.
- Distinguish shoulder pain between impingement, instability and Cervical spine involvement with a movement pattern assessment.
- Understand the relationship of scapular dysfunction and cervical dysfunction.
- Assess for possible causes of muscle tightness such as muscle imbalance and the presence of primitive reflexes.
- Understand why some clients find learning specific exercises difficult and be aware of the need to help these people learn using additional proprioceptive and sensorimotor retraining strategies.
MOTOR CONTROL & SENSORIMOTOR TRAINING FOR PAIN & INJURY REHAB IN THE SHOULDER GIRDLE
$575 inc. GST per person
$495 for attendees repeating the course
PLEASE NOTE: all courses are charged for in New Zealand Dollars (NZ$)