Level 1: solutions for movement impairments of the neck and shoulder



Course Introduction

Function and performance require an integrated relationship between the shoulder and neck. Due to this close relationship the neck and shoulder require effective management as a co-ordinated functional unit. This module presents methods of managing movement health of these regions through the evaluation of movement control, allowing for deficits to be brought to light and subsequently managed though bespoke retraining. Although these regions are undoubtedly complex, the module supplies means to restore optimal movement health through its systematic approach. This module employs a movement focused philosophy, within a highly structured process of assessment and retraining, to address issues related those highly integrated regions, the neck and shoulder.


Course Outline

It is suggested that 70% of the population will experience a significant episodes of neck pain and develop early osteoarthritic changes with a very high incidence of recurrence. Approximately 60-65% of the population will develop significant shoulder pain that limits their ability to work or participate in their social or recreational activities of daily living. Individuals in both of these groups also have a high incidence of recurrence for up to 3 years after the resolution of the initial episode.

People with a chronic or recurrent neck problem, tend to develop a concurrent secondary or compensatory shoulder problem over time. This process may also occur in reverse; people with a chronic or recurrent shoulder problem, tend to develop an associated compensatory neck problem. Such figures and insights emphasises the need to evaluate and retrain movement impairments of the neck and shoulder together as a functional ensemble. 

Effective assessment and management of movement control impairments has the potential to significantly reduce the incidence and time frame of recurrence. Movement impairments of the neck and shoulder girdle may develop as uncontrolled compensations for restrictions, pain and other barriers to optimal movement.

Systematic and detailed movement control evaluation is required to manage the complexity of this region and the additional complexity of the many factors that may influence movement quality. Decision making skills for clinical reasoning are established in prioritising both testing subsequent retraining. These retraining strategies are developed to restore optimal movement control so as to manage symptoms and improve movement function.

 Key Features

  • Neck and shoulder movement is evaluated allowing for movement control impairments to be diagnosed
    and classified
  • Presentation of a systematic assessment, clinical reasoning and movement retraining process to significantly reduce the incidence and recurrence of neck and shoulder pain
  • Impairment specific retraining of optimal movement control of the neck and shoulder to optimise movement health and improve function

Learning Outcomes

At the end of this course the participant should be able to:
  • Acquire skills to evaluate movement and identify movement impairments at the neck and shoulder
  • Make a diagnosis of movement impairments
  • Relate these movement impairments to the patient’s goals and priorities
  • Learn effective strategies to correct these movement impairments
    • Consider the neuroscience underpinning the principles of movement evaluation and retraining decision

    Programme Outline

    • Why movement matters
    • How impairments influence function and symptoms at the neck and shoulder
    • The importance of identifying uncontrolled compensation as a clinical marker of movement control impairments
    • Principles of testing for movement control impairments and making a clinical diagnosis of uncontrolled movement (clinical subgrouping)
    • Identifying movement impairments with movement control tests
    • The neutral training region – making it individual
    • The relationship between restrictions and the control of movement
    • The clinical presentation of movement control impairments of the neck and shoulder
    • Principles of retraining optimal movement control and re-establishing movement health
    • Cognitive movement control retraining – strategy and application
    • Matching movement retraining solutions to the client’s / patient’s goals and priorities
    • Optimising movement for movement health
    • Where next?
    We will cover:
    • How to evaluate movement
    • Discover the importance of the relationship between restrictions and the control of movement
    • You’ll learn how to use movement control tests to identify movement impairments
    • Find out how to make a diagnosis of movement control impairments (site and direction)
    • You’ll also consider how these problems affect function and symptoms
    • At the end of the course you’ll be able to undertake movement control retraining to help optimise movement health
    Help your patients move better, feel better and do more:
    • We will present the tools necessary to allow the full spectrum of disciplines within physiotherapy to evaluate and retrain movement within their practice.
    • The course offers therapists the ability to identify whether their patient’s current pain/dysfunction is linked to movement impairments.
    • The course presents movement as the vehicle supplying choice in people’s life, for life; a perspective shifting the emphasis away from pain and pathology, placing movement and movement health at the centre of contemporary intervention strategies.

    Kinetic Control courses are designed for medical health professionals such as physiotherapists, osteopaths, chiropractors, podiatrists etc registered with the HPC. In exceptional circumstances experienced non medical health professionals may be allowed to attend Kinetic Control courses but these participants MUST be able demonstrate that the course material is within their scope of practice and that they have appropriate professional liability insurance to cover them for their attendance at the course and the course content.

    This course has both theortical and practical elements. Please come prepared for the practical work.