Academy of Orthopaedic Physical Therapy

American Physical Therapy Association (APTA)

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Saturday, April 4, 2020
Breakout Session Details

Following the general session on Saturday, the registrant will attend two breakout sessions, followed by an interactive session and panel discussion to end the day. Registrants will note their preferred order of attending these 2 breakout sessions on the registration form.  

Breakout Session #3:

Trouble with Reaching? Movement Analysis and Reeducation Strategies
Speaker:  Paula Ludewig, PhD, PT, FAPTA
Description: In this session we will overview and perform movement screening with an emphasis on scapular dyskinesias in each of the frontal (upward/downward rotation), sagittal (tilting) and transverse (internal rotation) planes. Participants will be given the opportunity to perform an upper quarter movement screening and use case vignettes to identify appropriate follow-up tests and consider diagnostically driven physical therapy interventions. Appropriate stretching, strengthening and movement coordination interventions will be discussed, including use of electromyographic biofeedback.

At the end of this session the participant will be able to:

  1. Perform upper quarter movement screening to direct key follow-up tests and measures.
  2. Identify appropriate follow-up tests and measures dependent on movement screening results.
  3. Describe appropriate treatment sequencing following from examination findings.
  4. Recognize clinical presentation of spinal accessory versus long thoracic nerve palsies
Breakout Session #4:

Trouble with Reaching? Manual Examination and Intervention Strategies: Addressing Relevant Pain and Mobility Impairments
Speaker:  Joseph Godges, DPT, MA, OCS
Description: In this session, participants will be invited to participate in hands-on practice with co-participants with feedback from the instructor and lab assistants – so come in lab clothes and be ready to expose your neck, upper back, shoulders, and arms. There will demonstrations and practice with ongoing clinical reasoning “pearls” using live case examples. The labs practice sessions will cover examination, manual interventions, and reassessment of:

  1. cervical, thoracic spine, and rib segmental mobility,
  2. upper limb nerve mobility and symptomatic entrapment sites,
  3. glenohumeral joint and soft tissue restrictions.

Through live case examples, demonstration, and discussion, gain a greater understanding of:

  1. identifying the physical impairments that are most related, at a particular point in the episode of care, related to the patient’s reported pain and/or activity limitations (e.g., overhead reaching)
  2. Sequencing of treatments to optimally address the patient’s reported pain and limitations
  3. Reassessment of intervention strategies and techniques to achieve the identified outcomes
  4. Provision of therapy in a patient-centered and patient-therapist collaboration, which facilitates self-efficacy (confidence), hope, and shared responsibility

Through demonstration, practice, and feedback, gain improved skill at:

  1. Selection of spinal mobilization/manipulation, soft tissue mobilization, manual stretching, and mobilization with movement procedures to address relevant tissue mobility deficits
  2. Motor skills with application of manual procedures, utilizing efficient body mechanics to create a therapeutic effect and desired treatment outcomes
  3. Dosing of the intensity of the procedural application consistent with the patient’s tissue tolerance to applied stress (irritability), stage of tissue healing, personal sensitivity and preferences
  4. Sequencing of treatments in the optimal therapeutic order, given the presenting clinical findings and physical impairments hypothesized to be most relevant to address, at a specific point in the patient’s episode of care


Academy of Orthopaedic Physical Therapy
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