Managing Movement: Impairments of Upper Extremity and Thoracic Outlet Syndrome

COURSE INTRODUCTION: 

During this two-day course we’ll provide you with a complete solution for delivering movement retraining to successfully manage each patient’s pain, pathology and compromised function elbow, forearm and hand. You will also gain a greater understanding of the diagnosis of movement control impairments and develop a range of retraining options for helping your patients regain long term movement health. 

The course details a clinical reasoning framework to apply movement as an intervention to manage recurrence and support participation and long-term movement health. Pain, pathology and compromised function are linked to mechanism of movement impairment. Kinetic Control contemporary neuroscience, biomechanics, physiology and skill acquisition principles to allow all clinicians to harness the power of movement within their practice to empower people to change mechanisms of recurrence. 

COURSE OUTLINE: 

This two-day course reviews the functional anatomy and classification of elbow, wrist and hand musculature. Local and global muscle synergies are reviewed at the elbow, forearm and hand. Movement control impairments, related to changes in synergistic patterns, are explored. Based upon a systematic assessment of movement impairments, an integrated 

management approach is presented. Specific cognitive movement control tests are presented, and analysis of the results highlight the involvement of proximal issues in elbow, forearm and hand symptoms and function. The reasoning process will signpost strategies for both local and global muscle synergy retraining and integration into function. 

This course is orientated to a ‘hands on’ practical application. 

KEY FEATURES: 

Elbow, wrist and hand function analysed from the perspective of restriction and movement control impairments 

The development of patient specific retraining programmes to regain functional movement control of the elbow, wrist and hand based on a clinical reasoning framework 

LEARNING OUTCOMES: 

At the end of this course the participant should 

be able to: 

Understand the development of movement control impairments 

Analyse the inter-relationship between restriction and compensation in articular and myofascial tissues 

Classify muscle synergistic roles based on function & impairments 

Clinically assess motor control strategies at the elbow, wrist and hand to identify and diagnose the uncontrolled movement 

Evaluate muscle synergies for movement control impairments and retrain recruitment efficiency for forearm and hand function 

Implement a retraining strategy based on a clinical reasoning process 

PROGRAMME OUTLINE: 

Kinetic Control Clinical Reasoning Process 

Elbow, Forearm and Wrist Anatomy and Function: Functional muscle classification 

Co-ordination strategies 

Assess the site and direction of uncontrolled movement in the Elbow, Forearm, Wrist and Hand 

Diagnose the type of arm movement control impairments based on the direction of uncontrolled movement and their relationship to pathology, symptoms and function Re-train the active control the impairment and consider restrictions 

Muscle Synergies – Local 

Assessment and re-training of local muscle synergies recruitment efficiency 

Muscle Synergies – Global 

Assessment and retraining of global muscle synergies recruitment efficiency – both stabilisers and mobilisers 

Rehabilitation and progression to restore global muscle synergies efficiency Assessment of the length and dominance of the global mobilisers and associated connective tissues 

Lengthen and inhibit overactivity in the dominant global mobiliser muscles 

Functional Integration of Rehabilitation Strategies 

Integration and progression of local and global movement efficiency retraining into contemporary clinical frameworks