Lesson 1Palpation, special considerations for night pain, sleep positions, and load-related symptom patternsDis part cover proper feeling of rotator cuff and bursa, understanding pain patterns, and how night pain, sleep position, and load pain behavior help separate subacromial pain from other shoulder and neck conditions.
Palpation of supraspinatus and infraspinatus tendonsIdentifying subacromial bursal tendernessInterpreting night pain and sleep disturbanceAdvising shoulder-friendly sleep positionsLoad-response patterns in daily and sport tasksLesson 2Range of motion and scapular kinematics assessment: active vs passive ROM, scapular upward rotation, posterior tilt, and protraction testsDis part explain how to check active and passive shoulder movement range and scapular movement, including upward rotation, posterior tilt, and protraction, and how to connect movement findings to pain, function, and exercise planning.
Measuring active and passive glenohumeral ROMIdentifying painful versus restricted end rangesObserving scapular upward rotation and timingAssessing scapular posterior tilt and protractionLinking movement findings to exercise selectionLesson 3Assessing psychosocial factors and fear-avoidance: brief screening tools and interviewing strategiesDis part tackle mind factors in shoulder pain, like fear-avoidance, catastrophizing, and low mood, and explain short check tools and talk strategies to mix these into check-up and treatment planning.
Recognizing fear-avoidance and catastrophizingBrief screening questionnaires for shoulder painOpen-ended questions to explore patient beliefsValidating distress while promoting self-efficacyIntegrating psychosocial findings into rehabLesson 4History-taking specific to shoulder pain: onset, aggravating/relieving factors, night pain, activity demands (tennis, computer work)Dis part focus on proper history-taking for shoulder pain, including how it start, what make it worse or better, night pain, work and sport demands like tennis or computer work, to guide guess-making and personal check-up.
Clarifying onset, trauma, and symptom progressionMapping aggravating and relieving activitiesExploring night pain and 24-hour symptom patternWork demands such as computer and manual tasksSport and overhead activity load profilingLesson 5Key clinical tests for subacromial pain and rotator cuff tendinopathy: painful arc, empty can/full can, resisted external rotation, Hawkins-Kennedy, Neer impingement testDis part detail de best clinical tests for subacromial pain and rotator cuff tendinopathy, including how to do, understand, and value of painful arc, empty can/full can, resisted external rotation, Hawkins-Kennedy, Neer impingement test.
Standardized test order and patient positioningPerforming and interpreting the painful arc testEmpty can and full can test technique and pitfallsResisted external rotation and lag signsHawkins-Kennedy and Neer impingement proceduresLesson 6Interpreting imaging reports (ultrasound, MRI) and integrating with clinical findings: partial-thickness vs full-thickness tears, tendinopathy signsDis part explain how to read ultrasound and MRI reports for subacromial pain, tell partial from full rotator cuff tears, spot tendinopathy signs on pictures, and mix with clinical check and patient pain.
Key ultrasound findings in rotator cuff tendinopathyMRI features of partial- and full-thickness tearsCorrelating imaging severity with symptomsCommon incidental findings and their relevanceCommunicating imaging results to patientsLesson 7Strength testing and load tolerance assessment: isometric strength, resisted tests for supraspinatus and external rotators, pain provocation vs weaknessDis part outline ways to check shoulder strength and load bearing, including isometric test, resisted test for supraspinatus and external rotators, and ways to tell pain stop from real weakness in check-up.
Standardized isometric strength testing positionsResisted supraspinatus testing and interpretationAssessing external rotator strength and enduranceDifferentiating pain inhibition from true weaknessDocumenting strength changes over rehabilitationLesson 8Red flags and when to refer: systemic signs, cervical radiculopathy, inflammatory disease, septic arthritisDis part review danger signs dat need doctor referral, like body-wide signs, neck nerve pain, swelling joint disease, fracture, septic arthritis, and plan for urgent or normal referral.
Systemic signs suggesting serious pathologyScreening for cervical radiculopathy featuresRecognizing inflammatory and autoimmune diseaseIdentifying possible septic arthritis or fractureCriteria for urgent versus routine referralLesson 9Anatomy review: rotator cuff (supraspinatus, infraspinatus, teres minor, subscapularis), bursa, acromion and coracoacromial archDis part review de working anatomy of rotator cuff (supraspinatus, infraspinatus, teres minor, subscapularis), bursa, acromion and coracoacromial arch, stressing how structure, blood flow, and body mechanics link to subacromial pain, tendon overload, and common wear changes.
Roles of supraspinatus and infraspinatus in elevationSubscapularis and teres minor in rotation controlSubacromial bursa structure and pain generationAcromion shape and coracoacromial arch mechanicsAge-related changes in rotator cuff tissues
