Lecture I Outline:
I. Review of anatomy
A. Four joints of the shoulder complex
B. Subacromial space
C. Non-contractile tissues: bursa, labrum, capsule, ligaments
D. Contractile tissues: muscles and tendons
II. Importance of the case history and pain pattern
A. Mystery solved during history
B. Pattern and character of pain
C. Red flags of visceral and ,usculoskeletal pathology
D. Cervical spine refers pain to shoulder
E. Constant versus intermittent pain
III. Mechanical principles of musculoskeletal pain and physical examination
A. systematic use of mechanical forces to reproduce pain: orthopedic tests
B. Differentiating between inert and contractile tissue pain
C. Selective tension testing
D. Muscle testing for contractile tissue pain and weakness E. Active and passive joint motions for painful inert tissues
IV. Focal versus global musculoskeletal dysfunction
A. Global dysfunction: abnormal posture and movements
B. Posture education and rehabilitative exercise
C. Three types of focal lesions
D. Soft tissue and joint mobilization
V. Principles of treatment
A. Goals of treatment: relieve pain and restore function
B. Focal manual treatments for focal pain generators
C. Global exercise treatments for global posture/movement dysfunction
D. Combination of focal and global treatments in chiropractic practice
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