Decoding the Shoulder Problem: Neural Vs Non-neural Pathology
Section: Academy of Clinical Electrophysiology and Wound Management
Co-Section: Orthopaedics Section
Session Code: CE-2B-4560
Date: Friday, January 25, 2019
Time: 11:00 AM - 1:00 PM
Location: Marriott Marquis
Room: Liberty Salon N
Session Type: Educational Sessions
Session Level: Intermediate
Shoulder dysfunction is one of the most common reasons for a patient's visit to a primary care physician and physical therapist. It often is managed conservatively in a similar manner, with little knowledge of the underlying pathology. Clinical tests and physical examination may not be enough to differentiate wide range of pathologies related to the shoulder-neck area. Physical therapists are trained to recognize signs and symptoms and use diagnostic tests like electromyography, nerve conduction studies, and ultrasound imaging to inform clinical decision making and guide patient management.
Structures causing shoulder symptoms can be broadly classified into 2 categories, neural and non-neural. The presenters will highlight the role of electromyography and nerve conduction studies in ruling out neural causes of shoulder dysfunction, discuss related neuroanatomy and neurophysiology, and explain how to integrate this knowledge in clinical decision making. Ultrasound imaging is rapidly growing and popular point-of-care assessment tool which has its application in not only PT practice but other disciplines of health care. Appropriate and effective use can eliminate unnecessary costly imaging tests and can provide insight into the pathophysiology of the shoulder. This presentation will highlight the role of ultrasound imaging in delineating the abnormal structures as potential source of the shoulder dysfunction.
Learning Objectives: Upon completion of this course, you will be able to:
1. Discuss evidence and importance of electrodiagnosis and ultrasound imaging as tools in clinical examination for the physical therapist.
2. Discuss the findings of electrodiagnosis and ultrasound imaging with its clinical correlates.
3. Discuss clinical relevance of both tools and their appropriate use with respect to the patient plan of care.
4. Explain how adding electrodiagnosis and ultrasound imaging can advance the knowledge of the problem and results in better patient management.
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