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Movement System Impairment Syndromes of the Cervical Spine and Shoulder
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Movement System Impairment Syndromes of the Cervical Spine and Shoulder

12/3/2016 to 12/4/2016
When: December 3-4, 2016
8:00 am - 6:00pm
Where: San Diego State University
5500 Campanile Drive
Petersen Gym – Room 153
San Diego, CA  92182-7251
United States
Presenter: Shirley Sahrmann, PT, PhD
Contact: Rita Pierson
(916) 929-2782 x 105

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Course Description

This course will provide a review and update of the concepts and principles of movement system impairment (MSI) syndromes. Specific syndromes of the cervical spine, scapula, and humerus will be discussed. The MSI exam used to diagnose these syndromes and identify the contributing factors will be described. The course includes both lecture and subject demonstrations of the examination. The treatment programs for specific subjects will also be included in the presentation. This course will describe the relationship between shoulder alignment and movement patterns and the effect on the cervical spine. The recent research and the best available evidence concerning movement system syndromes will be presented.

The participant should be able to discuss the key concepts of:

  1. path of least resistance
  2. you get what you train
  3. precision in motion is critical
  4. relative stiffness
  5. relative flexibility
  6. micro-instability
  7. no magic in an exercise unless demonstrating desired performance
  8. presence of a muscle does not mean optimal performance
  9. alignment and movement as controlled by muscles in series
  10. the way daily activities are performed is critical, and
  11. micro-instability(accessory motion hypermobility) is the cause of pain and degeneration

Course Objectives

At the conclusion of the program, the participant will be able to:

  • Discuss the movement system concepts
  • Describe the contributing muscle and movement adaptations
  • Describe the movement system syndromes of the cervical spine, scapula, and humerus
  • Describe the exam used to diagnose the MS syndromes of the cervical spine, scapula, and humerus
  • Discuss the treatment programs for the cervical spine, scapula, and humeral syndromes
  • Discuss the best available evidence for the syndromes


Day 1

7:00-8:00 Registration. Coffee will be available.
8:00-9:00 Application of the concepts of Movement Systems Impairment Syndromes to the upper quarter
9:00-9:30 Movement System Impairment (MSI) Syndromes of the scapula
9:30-9:45 Break
9:45-11:00 MSI syndromes of the scapula continued
11:00-12:00 MSI syndromes of the humerus
12:00-1:30 Lunch (on your own)
1:30-2:45 Demonstration of full exam of the shoulder girdle
2:45-3:00 Break
3:00-4:30 Demonstration: Examination, developing diagnosis and treatment of subject with shoulder pain
4:30-5:00 Discussion

Day 2

7:30am    Coffee Service
8:00-9:00 MSI Syndromes of the cervical spine
9:00-930   Demonstration of Examination for Cervical Spine Movement System Impairment Syndromes
9:30-9:45  Break
9:45-10:30 Demonstration: Examination, developing diagnosis and intervention for subject with neck pain
10:30-11:30 Movement System Impairment Syndromes of the Thoracic spine
11:30-1:00 Lunch (on your own)
1:00-2:00 Demonstration: Examination, diagnosis and treatment of subject with thoracic spine pain
2:00-3:00 Demonstration of exam, diagnosis and treatment of subject with upper quarter pain
3:00-3:15 Break
3:15-5:00 Demonstrations Continued
5:00 Wrap up, Summary, Q&A


 Shirley Sahrmann, PT, PhD is Dr. Sahrmann is Professor Emeritus of Physical Therapy at Washington University School of Medicine, St. Louis, Missouri. She received her bachelors degree in Physical Therapy, masters and doctorate degrees in Neurobiology from Washington University. She is a Catherine Worthingham Fellow of the American Physical Therapy Association and is a recipient of the Association's Marion Williams Research Award, the Lucy Blair Service Award, and the Kendall Practice award, the Inaugural John H.P. Maley Lecture and Mary McMillan Lecture awards. Dr. Sahrmann has also received Washington University's Distinguished Faculty Award, the School of Medicine’s Inaugural Distinguished Clinician Award and an honorary doctorate from the University of Indianapolis. She has also received the Bowling-Erhard Orthopedic Clinical Practice Award from the Orthopedic Section of the APTA. She has served on the APTA Board of Directors and as president of the Missouri Chapter. In addition to her numerous national and international presentations, Dr. Sahrmann has been a keynote speaker at the World Confederation of Physical Therapy, and at the Canadian, Australian, New Zealand and Danish national congresses. Dr. Sahrmann's research interests are in development and validation of classification schemes for movement impairment syndromes as well as in exercise based interventions for these syndromes. Her books, Diagnosis and Treatment of Movement Impairment Syndromes and Movement System Impairment Syndromes of the Cervical and Thoracic spines and the Extremities, describe the syndromes and methods of treatment.


14.0 contact hours or 1.4 CEUs
Instruction Level: Basic to Intermediate
Format: Lecture and demonstration lab

Registration Fees

Registration received by November 19, 2016
$450 APTA PT members
$285 APTA PTA members
$200 APTA Student members
$720 Non-members

Add $100 for late registration.



$15 for the weekend


Days Inn Mission Valley
Ramada Inn Mission Valley
Best Western Lamplighter Inn
Holiday Inn Mission Valley
Hilton San Diego Mission
San Diego Marriott Mission Valley


All cancellation requests must be received in writing – no exceptions. A full refund, less 20% service fee, if cancellation is received 14 days prior to the start of the course.

No refunds after November 19, 2016.

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