Simplifying Shoulder Diagnosis and Treatment: Science to Practice

A highly practical workshop exploring the theory and management of common shoulder conditions seen in clinic; in particular, the workshop will focus on frozen shoulder, impingement syndrome and post-operative management of the shoulder. There will be discussion of the aetiology and the processes associated with these conditions and a review of current research findings.

During the workshop participants will be introduced to a biopsychosocial approach in physical therapy called Process Approach. This management provides supports for the processes associated with functional recovery; in particular, repair and adaptive processes associated with tissue healing and motor recovery and the processes associated with the alleviation of pain/sensitisation. The management aims to match the most suitable interventions according to these processes rather than aiming to correct structural imbalances or anomalies. A Process Approach can reduce the duration of treatment/recovery of many shoulder conditions from many months to several weeks.

In the practical sessions, the participants will learn new manual and physical therapy approaches for treating the shoulder. The workshop will also address self-care management for the patient. The participants will be introduced to Functioncise, a practical movement approach in which normal daily activities are amplified to provide the challenges necessary for recovery. The workshop will enable the participants to provide more effective management and expand their scope of practice.

Learning outcomes:

• Understanding repair and adaptation processes in relation to the shoulder and related structures
• Understanding the neuromuscular cost of injury, changes in motor control and motor recovery
• Understanding the psychological processes associated with injury, pain and how they impede or facilitate recovery
• Understanding how different techniques/exercise can be used to target repair, adaptation and motor control recovery
• Developing a simplified method for diagnosis
• Understanding the pathophysiological mechanisms underlying frozen shoulder and impingement syndrome
• Developing clinical management for common shoulder conditions such as: frozen shoulder, impingement syndrome, the post-operative shoulder and more…

Dr. Eyal Lederman graduated from the British School of Osteopathy and has been in practice since 1986. He is the director of CPDO, an international centre providing continuing professional development for manual and physical therapists. Dr. Lederman completed his PhD at King’s College, London, where he researched the neurophysiology of manual therapy. He also researched and developed Osteopathic Harmonic Technique, Osteopathic Functional Neuromuscular Rehabilitation and Osteopathic Functional Stretching. He is an Honorary Senior Lecturer at University College London (UCL), Institute of Orthopaedics and Musculoskeletal Science UCL where has conducted research into post-surgery functional movement rehabilitation.

Apart from these activities, Dr. Lederman regularly teaches osteopathy and manual therapy to various groups and universities in the UK and abroad. He has published several articles in the area of manual therapy and is the author of the books ‘Harmonic Technique, ‘Fundamentals of Manual Therapy’, ‘The Science and Practice of Manual Therapy’, ‘Neuromuscular Rehabilitation in Manual and Physical Therapy’ and ‘Therapeutic Stretching: Towards a Functional Approach’. He is currently writing a book titled ‘Functional Exercise Prescription in Movement Rehabilitation and Sports’.