Introduction to Shoulder Dysfunctions

Instructor

Ann Porretto-Loehrke

PT DPT CHT COMT CMTPT

Ann graduated from Marquette University in 1994 with a BS in Physical Therapy. She became a Certified Hand Therapist in 2002 and completed the IAOM-US certification for the upper quadrant in 2003. In 2007, Ann completed her DPT degree with a specialty in hand and upper quarter rehabilitation from Drexel University in Philadelphia. She also became certified in dry needling in 2015. Ann is the Clinical Development Coordinator at the Hand to Shoulder Center of Wisconsin, located in Appleton, Wisconsin. She is one of the creators and lead instructors of the Hand and Upper Extremity Track. Ann has co-authored a chapter in Rehabilitation of the Hand & Upper Extremity on nerve compression syndromes of the elbow and forearm, as well as published two peer-reviewed articles entitled “Clinical Manual Assessment of the Wrist” and “Taping Techniques for the Wrist” in the 2016 Journal of Hand Therapy’s special edition of the wrist. Ann serves as the planning committee chair for the Wisconsin Hand Experience conference and has presented at American Society of Hand Therapists (ASHT) annual conferences, Canadian Society of Hand Therapist Annual Conference, Philadelphia meeting, and Teton Hand Conferences. Disclaimer: Ann Porretto-Loehrke also teaches online content through MedBrigde and gets paid for these courses. MedBridge has a collaboration with IAOM-US. The courses taught by Ann both at IAOM-US and Medbrige are mentioned at the beginning of each course.

Description

3 Education Hours Online Improve your clinical confidence with the shoulder by viewing four different online lectures taught by Dr. Ann Porretto-Loehrke PT, DPT, CHT, COMT, CMTPT which aim to increase the understanding of the pathoanatomy of most common glenohumeral musculoskeletal conditions such as adhesive capsulitis, glenohumeral impingement and instability. Therapists will identify the difference in clinical presentation among patients with different stages of adhesive capsulitis, external and internal impingement and types of instability. Target Audience: PT, OT, PTA, OTA, CHT, OTR, DPT. Educational Level: Basic Instructional Method Our live courses are made up of lectures that are taught through audiovisual systems (Power Point / Keynote), and all course information is sent to participants before the starting day of the actual course for further review and discussion. The hands-on section is carried out through demonstration of techniques performed by the instructors, and then replicated by the participants under instructors’ supervision, guidance, and feedback. The hands-on section is evaluated by the instructors using an observable skills rubric.

Objectives

• 1) Describe the relevant anatomy of the shoulder and how dysfunction can contribute to adhesive capsulitis, shoulder impingement, and instability.
• 2) Classify the 2 types of adhesive capsulitis and verbalize which type responds more favorably to manual techniques.
• 3) Explain the difference in clinical presentation between external impingement (subacromial pain syndrome) and internal impingement.
• 4) Differentiate between the types of shoulder instability and the one that responds best to conservative management.
• 5) Examine common occupational performance deficits and client barriers to functional activities with the various shoulder conditions.