presented by Jennifer T. Dodson
Do you get referrals for patients with the diagnosis of shoulder pain/impingement? Do you notice in your practice treating the UE that after prolonged nonuse of the upper extremity due to an elbow/wrist/hand injury, shoulder pain starts when your patient starts using the UE again? Do you wonder what is the current evidence available for evaluating these patients? Recent biomechanical considerations will be discussed when rehabilitating patients with impingement. Evaluation techniques will be reviewed and demonstrated to allow you to effectively gather the information needed to create an effective treatment plan to return your patient to their ADLs.
Jennifer graduated from the Florida International University Occupational Therapy program in 1998. She has been practicing outpatient rehabilitation in Jacksonville, FL ever since. In 2002 she was honored to be chosen as a fellow for the Evelyn Mackin Hand Therapy Fellowship at the Philadelphia Hand Center. She became a Certified Hand Therapist in 2004. Part of the mission of the fellowship was to have the fellow bring the knowledge learned to an underserved area. To help fulfill this mission, she created her own continuing education company, 3Kings Upper Extremity Specialists, specializing in upper extremity rehabilitation. 3Kings Upper Extremity Specialists brings quality continuing education courses to Jacksonville, FL with the support of local hand/plastic surgeons and CHTs from around the country. Another goal of starting her own company was to unite the CHTs/MDs in the Jacksonville area, promote evidenced-based practice through holding journal clubs, and mentor area therapists. Jennifer is an active member of the American Society of Hand Therapy and has served on the Education Council. She has been invited to lecture at local and national conferences around the US and Canada on various upper extremity topics. She currently works at UF Health Jacksonville, a level 1 academic trauma hospital. This allows her to practice the two areas she is passionate about, trauma and sports medicine. She previously served as Clinical Specialist for Hand where she developed the Hand Therapy program at the hospital. Through her years of practice, she has had the ability to start up Hand Therapy programs in various types of settings.
This chapter will review the different types of shoulder impingement. Recent biomechanics studies will be reviewed to consider when performing evaluations.
Evaluation techniques and special tests/screenings will be presented and demonstrated. The specificity and validity of tests and screenings will also be discussed. The importance of gathering a thorough history and analyzing a person’s ADLs will also be discussed.
Though you may be lucky enough to obtain referrals from professionals in the field, there are times where you may receive referrals from non-specialists that do not dictate enough information to properly diagnose patients. This chapter will illustrate the types of impingement tests needed to successfully evaluate patients with shoulder impingement.