The Upper Quarter: Lake Worth, FL, June 6-7 2020

Evidence-Based Evaluation and Treatment Utilizing Classification Systems, Manual Therapy and Exercise


Pain and dysfunction of the upper quarter is a common presentation in the outpatient setting. Conventional management often attempts to identify the painful structure and treat it directly. A more in-depth understanding of the drivers and mechanisms involved often reveal problems in other areas.

The course is designed to equip the clinician with the ability to differentially evaluate and treat the numerous causes of pain and dysfunction stemming from the cervical/thoracic spine, ribs, scapula-thoracic region and upper extremity.  This involves looking for the‘drivers’ not just the painful structure.

Participants will learn evaluate the influences of the thoracic spine, categorize the scapular into three syndromes to improve outcomes, assess and treat rib dysfunction and observe the affect these have on the function of the upper extremity, evaluate and treat the 5 shoulder syndromes, evaluate and treat dysfunctions in the elbow and hand

The evaluation and treatment system taught will allow the participant to apply sound clinical skills to be more effective in this region.

The participant will be taught effective manual therapy approaches, including, Area of Greatest Restriction assessment (AGR), disc centralization rationale, mobilization, physiological overpressure mobilizations (POMs), muscle energy and manual traction, along with strain and counter-strain and motor pattern retraining reinforced with exercise.

This is a practical course for a clinician in the outpatient setting.

Audience:ATs, PTs, PTAs




By attending this course the participant will be able to:

  • Incorporate vindication and provocation tests to differentially assess problems of cervical spine, ribs, scapula-thoracic region and upper extremity
  • Evaluate the contribution rib dysfunction to shoulder girdle problems
  • Identify ‘drivers’ that are contributing to the problem
  • Identity the three scapular positional faults
  • Describe how different manual therapy rationales are best used in the treatment of the upper quarter
  • Implement an effective objective examination that is timely to assist in treatment selection
  • Evaluate joint stability and mobility
  • Implement appropriate manual therapy treatment techniques for the ribs, scapulo-thoracic region, shoulder, elbow, wrist and hand, taking irritability into account





7:15   Sign In 

8:00   Introduction to orthopedic manual therapy

8:45   Best practice and treatment rationale

09:30   AGR area of greater restriction

10:00  Break

10:10  Cervical spine treatment rationale

11:00  Cervical spine objective screening

12:00  Lunch

01:00   Cervical core assessment and testing

01:45    Upper Limb Neural Tension testing/implications

02:15    First Rib and SC evaluation and treatment

3:00     Break

03:10    Cervical spine ‘Go to’ treatment techniques

04:15     Static and dynamic scapula-thoracic evaluation

5:00     End of day one




08:00   Treatment of the three scapular syndromes

09:00  Treatment of the shoulder girdle with strain and counter-strain

10:00   Break

10:10   Shoulder girdle mobility evaluation

10:45    Manual therapy treatment of the shoulder

12:00   Lunch

12:30    Shoulder Impingement treatment

01:00    Evaluation and treatment of the elbow, including epicondylalgia

02:00   Evaluation and treatment of the wrist and hand

03:00  End of course


Categories: Orthopedic

Related Courses

  • StartJune 6 2020
  • EndJune 7 2020
  • FYZICAL Lake Worth, 9897 Lake Worth Road, Suite 203, Lake Worth FL, 33467
  • 248-921-9171


$0 1.5 CEUs, 15 CEHs
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FYZICAL is dedicated to providing the community with the highest standards of physical therapy. In order to achieve this, FYZICAL EDUCATION offers our therapist the most up to date clinically significant eduction program.