Reinold and Cressey Together for Limited Enrollment Seminar – Details and Registration Information Announced
October 11, 2009 
16 Comments
Eric Cressey and I will be joining forces together for a seminar in November. It will be a one-day, limited enrollment seminar on “Testing, Treating, and Training the Shoulder: From Assessment to High Performance.” The format will be 50/50 split between lecture and lab from Eric and I. This is going to be an amazing experience for all rehabilitation and fitness specialists! Full information below along with a special discount coupon code for my readers for $30 off registration
Testing, Treating, and Training the Shoulder: From Assessment to High Performance
- When: Sunday November 15th, 2009. 8:30-5:00 PM. Registration begins promptly at 8:30 AM.
- Where: Cressey Performance, 577 Main St., Suite 150, Hudson, MA 01749. Phone: 978-212-2688
- Description: This course is designed to present the most recent and state of the art information in the assessment, evaluation, treatment and training of the shoulder. Through lecture presentations, hands-on laboratory sessions, open discussions and problem solving of patient case studies, the attendee will have an opportunity to master new and effective evaluation and treatment techniques based on current scientific evidence. The course is applicable to physical therapists, athletic trainers, strength and conditioning specialists and other rehabilitation and fitness specialists.
- Faculty: Michael M. Reinold, PT, DPT, SCS, ATC, CSCS (www.mikereinold.com) and Eric Cressey, MA, CSCS (www.ericcressey.com).
- Course Requirements: Lab clothing: tank top or halter-top to expose the shoulder. May bring a mat (or blanket), a pillow and a large towel for lab table.
- Objectives: Upon successful completion of this seminar, the participant will learn how to: 1) Demonstrate an understanding of a proper assessment and evaluation sequence for the shoulder; 2) Perform and interpret specific clinical examination tests & maneuvers for the shoulder; 3) Design an effective and appropriate rehabilitation and fitness program based on current clinical and scientific research; 4) Analyze specific exercise techniques and evaluate the exercises’ effectiveness; and 5) Integrate the information presented and formulate a treatment plan for specific patients and clients.
- CEUs: This course is eligible for 7 contact hours of continuing education. Certificates of attendance will be provided for all participants and may be used for CEU verification for specific state or organization licensure requirements. AdvancedCEU (P3259) is recognized by the NATA Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. This course has also been submitted to the NSCA.
- Agenda:
| 8:30 | Introduction & Registration |
| 9:00 | Assessment / Inefficiency vs. Pathology – The relationship between diagnostics and functional testing |
| 10:00 | Physical Examination of Specific Shoulder Pathologies |
| 11:00 | Training the Shoulder – Understanding the effect of different pathologies and how to maintain a training effect despite these injuries |
| 12:00 | The Scientific & Clinical Rationale Behind Shoulder Exercises: Principles of dynamic stabilization |
| 1:00 | Lunch – Provided |
| 2:00 | LAB – Assessing movement quality: Glenohumeral total motion, scapular function, thoracic spine mobility, interactions with core and lower extremity function |
| 2:45 | LAB – Review of Special Tests to Differentiate Specific Shoulder Pathologies |
| 3:30 | LAB – Warm-up protocols, resistance training strategies, and specific techniques |
| 4:15 | LAB – Integrating manual techniques and principles of dynamic stability |
| 5:00 | Q&A, Wrap-up, Adjourn |
Special Offer For My Readers
Enrollment for this seminar is going to limited to assure that lab time is productive. Readers. Normal registration fee is $199 for the seminar but my readers can use the coupon code “Reinold” for $30 off. This coupon is valid this week only and will expire after Friday October 16th. Also,
Register Now
Be sure to register soon as spots are limited and will fill up quickly! Eric will be advertising this on his site today as well and I am sure many of his readers will be trying to obtain a seat for this seminar. Follow the link below (or click here) to register:
Dr. Reinold,
Unfortunately I will be out of the country for my brother's wedding on the date when the seminar is offered. While I am disappointed to miss out on such a fantastic opportunity, I was wondering if there was a possibility of this seminar being filmed and turned into a DVD set?
I'd be on board in a flash if it that ever came to fruition.
~Rob Mulciber
You are in luck, we will be filming! More info to come later in the year! Enjoy the wedding.
I'm going to play the devil's advocate. Are there situations where just enough knowledge can be dangerous? Spending time assessing, diagnosing and differentiating shoulder pathologies doesn't seem reasonable for your audience IF you have a majority of strength and conditioning/fitness people.
I don't get it, Mike… why? If you love this profession as much as I do, I don't understand why you'd want to share some of the strengths of our profession with people who don't really have adequate training, don't have consistency in their "programs" and aren't licensed to assess, diagnose or differentiate shoulder pathologies. Help me to understand this current endeavor – your rationale in audience selection. I don't get it.
~Selena
Selena… I couldn't agree more. Why spend 7 years getting a PT education when you can just get a certificate and then learn the following…
"Upon successful completion of this seminar, the participant will learn how to: 1) Demonstrate an understanding of a proper assessment and evaluation sequence for the shoulder; 2) Perform and interpret specific clinical examination tests & maneuvers for the shoulder; 3) Design an effective and appropriate rehabilitation and fitness program based on current clinical and scientific research"
Mike, I have a ton of respect for you and your blog and realize Cressey is top notch at what he does (and maybe even what he should not do), but I just don't get why you would be offering this sort of thing to those without a PT license.
Good comments Chad and Selena, I appreciate your honesty. I certainly don't want to come across as you suggest. Rather, I feel that sharing and integrating knowledge is always better than working in isolation. It happens all the time in other professions.
Have you ever thought negatively of a physician that speaks at a seminar or APTA conference and discusses surgical techniques? Or one that co-authors a book with a physical therapist? We are not going to be performing surgery but can learn and enhance our clinical skills. Same thing for this seminar, sharing information will give the fitness group enough information to realize what NOT to do with clients and when to refer out to a more qualified specialist.
Lack of sharing knowledge would likely have a worse result for the patient. I don't believe that as a profession we should fear a personal trainer rehabilitating a patient, I dont see that happening. On the other hand, there are a lot of personal trainers that are performing exercises that are disadvantageous to people, sharing my knowledge of exercise selection is not only appropriate but also needed.
I agree with your comments regarding physical examination but again go back to the fact that I do not fear fitness professionals taking a deeper look at a client – remember, the client is already in front of them – if they can learn a couple of quick diagnostic screens to determine when to refer the client to another profession, then I think we are helping. Part of the message from me to the fitness side will be "when to refer out" and with this I think that a seminar like these NEEDS to be performed.
Also realize that this seminar is being offered to both rehabilitation and fitness specialists. The audience will be split and will both learn from each other. I have learned a lot from strength and conditioning specialists and would like to think they feel the same. That has always been a theme of my practice, teaching, publications, and this website. Collaboration is always best for the patient.
I hope this clarifies a bit, I understand your concerns and agree, I apologize for not being more clear upfront.
Mike, you said it perfectly. I don't understand why both PT's and strength and conditioning specialists are arguing with each other over patient care and who should or should not be helping the patient and/or athlete. We should all work in collaboration, PT's with strength/conditioning and vice versus, to help the most important person in this situation, the patient, with a full return to recovery and function. "Two heads think better than one." I feel both sides can bring something to the table.
I completely agree with Mike. This is a great opportunity to collaborate with strength and conditioning specialists. It's as simple as checking Eric Cressey's website to see the wealth of knowledge the guy possesses. I learn something everytime I read his work. Everything he does incorporates research and credible sources. As a DPT, I think this class sounds amazing. It's our job as PT's to not only educate patients but educate others in the fitness/rehab professions because in the end, it should be about the patient.
I hope I can attend. Thank you both for the collaboration
Nate Lee, DPT
Honestly, with a surgeon speaking at a conference… I really don't care or pay too much attention. Our health care world isn't consistent and surgeons aren't consistent in their thoughts or techniques across the nation. A clinician does a ton better networking and making relationships locally to know and understand the local surgeon's preferences and techniques. Also, I don't have a license to perform surgery and you'd never see me with a scalpel in my hand in an operating room. A personal trainer though… they are moving into performing rehabilitation.
As with anything, there are people out there doing their best, but reality is there are also a whole slew of people out there to make a buck. You can't control what someone does with the knowledge gained.
Educating someone on when to refer is one thing… the detail of the examination process and the information on interpreting AND then the information in designing rehabilitation programs based on pathology is not within the scope of a personal trainer or fitness instructor, in my opinion. (Heck a PTA isn't even supposed to "interpret.") What is within a collaborative topic: Exercising safely… exercising and designing programs to not damage a shoulder… exercising with the idea of the body adapting to specific imposed demands.. understanding acceleration and deceleration forces.
I respect you, Mike, but in this case, I will respectfully disagree with the level of collaboration that is going to occur. I believe you are taking it just a step too far and outside of what I see as boundaries. I believe you are very wrong in how that information can and will be used. My little google alert messages seem to indicate personal trainers ARE moving into "rehabilitation." In my opinion, what is risked is public safety.
~Selena
Selena, you make great points and I always value your comments. Something to consider, for sure.
Mike… thanks for the explanation. I think that we agree on a lot more points than we disagree, but I still think along the lines of Selena that trainers are doing a lot more "rehab" now than they did a few years ago. Educating them on a couple of quick screens to know when to refer out seems like a good idea, but educating them on special tests and then what exercises to prescribe based on the findings of the special tests is something else entirely.
In the world of elite professional athletes that you live in, I can certainly understand the need for the strength & conditioning specialists to know what you're going to present. Those professionals (such as Cressey) are elites in their field with a lot of education and will likely refer out when appropriate. However, I don't think that the average personal trainer (good genetics, minimal to no college education) is going to respond the same way Cressey and other highly trained specialists would. In response to Nate's comment on 2 heads being better than 1 and it being in the best interest of the patient… 2 heads are not better than 1 when the second head has no experience or training in the other head's area of expertise. I've had a lot more patients referred to me because of trainers as opposed to from them. Trainers certainly have their place, but it is in the realm of treating "healthy" individuals as opposed to diagnosing and treating musculoskeletal injuries.
I feel just like in any healthcare profession, there are "good and bad" personal trainers, just like surgeons and physical therapists. I don't have any injustice to personal trainers learning the information being taught by Mike and Eric if they know their limits. I want the best for the public if it takes "assessing" the shoulder in order to properly treat it.
In my opinion, this is similar to me making the recommendation of taking 2400mg of ibuprofen a day or 4000 mg of acetaminophen (which is more than bottle recommended) as this is the therapeutic effect. This may not be consistent analogy b/t personal trainers and therapists but I'm sure pharmacists do not like it. However, how many healthcare professionals have the time to explain these types of topics?
It is easier said than done in this case because most experienced physical therapists and personal trainers at that think they can "help anyone" and don't want to refer out but it really comes down to what they can do legally.
This can be a vast topic but technically personal trainers can do rehabilitation, just be a physical therapist. In the state of Virginia, it is not "illegal" for personal trainers to advertise they do physical therapy at this point in time. This is unfortunate for us, but more for the clients/patients as they do not know what care they are really getting.
Overall, if the public is benefiting from personal trainers obtaining the best information available from two of the top notch guys in treating the shoulder, then lets go for it. I'll rather personal trainers learn this information that Mike/Eric are going to present than some jo-schmo down the street.
To be honest, for those that know me, I will be putting my slides together the night before and probably still while Eric is talking! I am taking note of everyone's comments and will integrate these concerns in my talks.
Please do a DVD! for international guys!
I realize I'm coming in late to this discussion. Some valid points from both sides of the arguement: 1. That untrained persons should not be performing rehabilitation 2. That all persons involved in fitness, condtioning, etc, can have a certain level of "understanding" of shoulder pathology.
Regarding point 1: That we as PTs do not think negatively about surgeons speaking at a PT seminar is a weak arguement. The purpose of the surgeon speaking is not to teach PTs how to perform surgery, its to help them understand what happens surgically, which, in turn, benefits our knowlege of rehabilitation.
2. Will a personal trainer benefit from knowing that their client has a SPECIFIC shoulder pathology? In my opinion no, the first sign of pain that is not consistent with DOMS should be a flag for the trainer to stop what they are doing and recommend the patient undergo furhter follow-up. Do they need to know how to perform special tests? …NO. The personal trainer has no business putting their hands on someone who is potentially injured. Can a trainer attend a course so they can have an "understanding" of what we do as PTs? YES! In fact, I think its a good idea so they can get an idea of just how different they are from PTs.
Therefore, my recommendation is not to restrict non-PTs from attending the course. Rather, what I think is required is a revision of the course objectives. In my opinion, I'd recommend a set of course objectives for the PTs and separate ones for the trainers:
ie: "The physical therapist will be able to accurately perform special shoulder tests to differentiate shoulder pathology" and "The personal trainer will have an understanding of how PTs use special tests to differentiate shoulder pathology"….
Furthermore, it should be emphasized during the course what the trainer's responsibility is to do or NOT do in the case of someone with suspected pathology.
Check out this excellent article on how Physical Therapists need to be part of the Healthcare Reform Equation. http://www.lighthousecareeragents.blogspot.com
Mike,
I am getting into the conversation really late but how come there is no love for the Athletic Training profession? Everybody is saying that PT should be the only ones that evaluate the shoulder. Why arn't people discussing the fact that ATC's may be in attendance as well?
Joseph Mosher MEd, ATC, CSCS