Sue Falsone The Shoulder DVD

Sue Falsone: The Shoulder DVD Details

The Shoulder

Implications for the Overhead Athlete and Beyond

Former Major League Baseball Head Athletic Trainer and Physical Therapist Shows You How You Can Prevent Painful, Potentially Season-Ending Shoulder Injuries in Overhead Athletes

Athletes whose sports require them to swing or throw achieve amazing feats of power and precision with their bodies. Baseball pitchers often throw fastballs at speeds in excess of 90 miles per hour into the strike zone. Top tennis players can serve balls at speeds greater than 110 miles per hour into the court… …while pro quarterbacks are regularly called to throw passes over 40 yards or more to a moving teammate down field. These amazing feats place enormous force, torque and stress on one of the most complex structures in the human body—the shoulder. For example, during a baseball pitch, the shoulder of the pitching arm can—

  • abduct 90 degrees or more
  • externally rotate up to 180 degrees
  • experience a peak force of over 600N
  • be subjected to an internal rotation velocity of the shoulder of over 6000 degrees per sec

…as the ball is thrown as fast as possible. The shoulder is a complex structure made up of an array of bones, ligaments and muscles, all of which work with precision to create the wide range of motion needed in daily activity and in sports. The repetitive and enormous amount of stress occurring in rapidly changing directions during overhead sports such as  baseball, softball, football, cricket, water polo, tennis, javelin, racquetball and volleyball can degrade these finely balanced parts of the shoulder. This can create compensations. Common conditions and injuries in overhead athletes include— Rotator cuff tendonitis—also known as swimmer’s shoulder, pitcher’s shoulder or tennis shoulder Rotator cuff tendonitis is an inflammation of the rotator cuff that can cause—

  • loss of mobility and strength in the affected arm
  • pain and swelling in the shoulder that can get worse over time

Rotator cuff bursitis Rotator cuff bursitis often accompanies rotator cuff tendonitis, and is an inflammation of any one of the fluid-filled sacs that help reduce friction in the shoulder spaces. Rotator cuff bursitis can cause—

  • A gradually increasing pain that starts in the shoulder and can spread down the arm towards the wrist
  • A pain that worsens when moving the arm up and outwards, but disappears when the arm is by the side

Shoulder impingement Rotator cuff tendonitis and bursitis reduce the space inside the shoulder, and this can cause shoulder impingement, which occurs when the rotator cuff tendons become trapped and compressed during shoulder movements. This injury can cause pain at rest, or when the arm is moved. Failure to treat this injury can cause it to recur. Rotator cuff tear The rotator cuff is subject to micro trauma in overhead athletes again and again as they throw, pitch or swing. This micro trauma can cause small or severe tears in the rotator cuff. Depending on the severity, these tears can cause mild pain during shoulder movement, or a complete inability to move the arm. SLAP tears A SLAP tear is an injury to the superior part of the labrum where the biceps tendon attaches and can cause—

  • Pain when moving the arm overhead
  • Decreased shoulder mobility and strength, often described as a ‘dead arm’ by pitchers
  • A feeling of locking, popping or grinding

These conditions and injuries can put an athlete out for weeks or months, costing precious game or practice time. Shoulder injuries can also lead to costly surgery and the frustrating process of rehabilitation, often players never returning to their original form prior to the injury. For athletes climbing the ranks in the early stages of the career this can cost them the experience they need to ‘break’ into the team they want. For athletes in the later stage of a career, these conditions and injuries can put an end to their careers and send them into early retirement. But most of all, these shoulder conditions and injuries can cause constant pain, a decrease in form and can stop people from playing the sports they love. Whether your clients are professional athletes whose multi-million dollar contracts rely on their shoulder performing optimally and pain-free… … or weekend warriors who just want to enjoy playing their favorite sports pain-free for as many years as possible, you need to learn how to look after the shoulder. In The Shoulder: Implications for the Overhead Athlete and Beyond, physical therapist Sue Falsone will tell you what you need to know about the shoulder, including—

  • Areas to pay attention to when working with overhead athletes
  • How to assess the shoulder and identify possible issues
  • Four common shoulder compensations found in overhead athletes, and how to correct them

Sue has had extensive experience working with overhead athletes, having worked as the head athletic trainer of the Major League Baseball team, the L.A. Dodgers, for six years and at Athlete’s Performance (now EXOS) for thirteen years. Sue is the owner of her consulting company, S&F, teaching healthcare clinicians the skills they need to get better results with their clients. She is the Head of Athletic Training and Sport Performance with the US men’s national soccer team, and sits on the board of various sports organizations. In her lecture, The Shoulder: Implications for the Overhead Athlete and Beyond, she helps professionals working with athletes, clients and patients to ease shoulder aches and pains and help prevent crippling injury. So whether you’re helping elite overhead athletes playing 162 games a season avoid shoulder injuries that can end their season or cost them their careers… … or with recreational athletes participating in sports or desk jockeys looking to restore function and enjoy the sport and life without niggling injuries or pain—check out The Shoulder: Implications for the Overhead Athlete and Beyond and learn the skills you need to look after your clients and patients.

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Meet Your Lecturer

Sue Falsone

Sue Falsone is the owner of Structure & Function – an education and consulting company dedicated to improving the skills of healthcare clinicians. She is also the Head Athletic Trainer and Head of Sport Performance with the US Soccer Men’s National Team. She’s the former vice president of Performance Physical Therapy and Team Sports at Athletes Performance (how EXOS), and also the former head athletic trainer and physical therapist for the Los Angeles Dodgers. Sue has presented at state, national and international level conferences in areas focusing on pillar strength, integration of physical therapy and performance training, and comprehensive kinetic chain assessment and rehabilitation. She’s a Board Certified Clinical Specialist in Sports Physical Therapy (SCS), a certified athletic trainer (ATC), certified orthopedic manual therapist for the spine (COMT) and a certified strength and conditioning specialist (CSCS) through the National Strength and Conditioning Association. Sue was the first female head athletic trainer in any of the four major sports in the United States (MLB, NFL, NHL, NBA).

What’s Covered In The Lecture

2-disc, 68-minute DVD set Here’s a playlist of sample clips:

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Disc One

In disc one, Sue starts by looking at the anatomy of the shoulder, describes common issues she sees in clients, and explains how to identify them. After you’ve studied this video, you’ll better understand the interconnected components that make up the shoulder, and the common problems your clients and athletes may experience. Here’s what she covers (including transcript page references)—

  • Where shoulder problems often originate from. pg.1
  • Which area of the shoulder you should pay attention to prevent possible shoulder impingement problems. pg.2
  • The wrong way most people think about the scapula. pg.4
  • Does one of your clients have a winged scapula? Sue shows you which muscle may not be working properly. pg.4
  • The four muscles that make up the rotator cuff (if we don’t keep these four muscles functioning well, we may develop tendonitis or bursitis in the shoulder, which can cause pain and movement restriction). pg. 4
  • Myofascial slings: How muscle fibers in the shoulder are connected to other parts of the body—if you want to do a successful intervention on the shoulder, you must understand which other areas may be impacting it. pg.5
  • Why it’s physically impossible for some people to throw properly. pg.5
  • What to do before assessing movement patterns: assessing posture using Janda’s famous Upper and Lower Crossed Syndrome (once you learn to identify each syndrome, you’ll be able to quickly identify which problem areas you need to address in your clients). pg.5
  • How prolonged sitting impacts the function of the shoulder. pg.6
  • Which types of athletes usually suffer from Lower Crossed Syndrome, and how it impacts their performance on the field. pg.6
  • What ‘ideal’ alignment is and what areas you need to focus on to restore it . pg.7
  • How to identify whether the shoulder is aligned properly. pg.7
  • The two types of scapula winging. pg.8
  • How high above the SC joint the AC joint should be sitting. pg.9
  • Where the humeral head should ideally be located within the shoulder complex (if you are working with an overhead throwing athlete, you must learn this). pg.9
  • One reason why there are so many asymptomatic labral tears in overhead athletes. pg.9
  • Combining the Functional Movement Screen and a test done on the table to assess the thoracic mobility of an overhead athlete. pg.9

Disc Two

In disc two, Sue demonstrates four common shoulder compensations found in overhead athletes and using athlete models, she demonstrates her favorite exercises to correct them. Here’s what she covers (including transcript page references)—

  • Identifying the presence of a shoulder dysfunction in clients. pg.2
  • Three exercises you can use to fix poor eccentric control in the scapular stabilizers (scapular controlled-mobilizers)—do this if your client is able to lift the arm overhead in a controlled manner, but can’t do the same when bringing it back down. pg.3
  • How to help your clients improve eccentric control of the shoulder blade. pg.3
  • How overhead athletes tend to position their arms when in the quadruped position—and how to identify mobility and strength issues in the shoulder complex using the quadruped position. pg.4
  • How to modify the third eccentric control exercise for athletes who have trouble executing it. pg.4
  • A simple cue to use to take any excessive sway out of the low back when standing face against the wall. pg.5
  • A common compensatory pattern seen in people with significant shoulder pain, shoulder impingement, tendonitis, bursitis, or in the post-operative stage—and three exercises to help fit it. pg.5
  • What compensations you might see in someone who has a weak rotator cuff in the posterior aspect. pg.8
  • Three posterior external rotation exercises. pg.8
  • How to help facilitate stability and keep the thoracolumbar junction in a more neutral position during exercises. pg.10
  • The internal rotators of the shoulder (there are more powerful internal rotators other than the subscapularis). pg.10
  • How to open up a throwing athlete’s shoulder: Three exercises to stretch the anterior structures of the chest, increase mobility, and restore muscle length in the internal rotators. pg.11

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In addition to this valuable presentation, you’ll also get some great extras to help reinforce and complement the knowledge and tools you learned in the presentation.

Extras

In addition to the high quality edited video recording of the presentation, you’ll get—

  • Full Audio Recordings of the presentation in MP3 format
  • Full Transcripts of the presentation in PDF format
  • Tip Sheets—a 2-page and a 4-page PDF

That’s not all! You’ll also get—

FMS Scoring Criteria, Score Sheet & Verbal Instructions

fmsscoring In this 13-page PDF, you will find—

  • The 10 FMS tests
  • Scripts to use during each FMS screen describing exactly what to say to the client for consistency throughout the screens
  • How many times to repeat each movement

Gray Cook: IFOMPT Keynote Address—What is our baseline for movement?

gray-cook-9-thumb In this 56-minute MP3 audio recording, accompanied by a 16-page PDF transcript, Gray goes through—

  • Biomarkers for movement that demonstrate injury risk. pg.2
  • How the movement screen can benefit trainers who work with weight-loss clients. pg.2
  • The difference between screening and assessing, and how the movement screen is often misconstrued. pg.3
  • How dentists save money for insurance companies, and what physical therapists can learn from this. pg.3
  • The number one risk factor for injury. pg.3
  • What to do with asymptomatic patients who aren’t necessarily functional and are still at risk. pg.4
  • How to tell if a measured weakness is just an isolated impairment or real risk factor. pg.4
  • Why Gray and Lee invented the Functional Movement Screen. pg.5
  • Manual therapy: The three checklists Gray uses in his clinic. pg.5
  • Which patterns you should work on before you go to single-leg stance training. pg.6
  • Where asymmetries start to become more detrimental to performance and skill. pg.6
  • The incorrect assumption in diagnostic tests that Gray made as a young therapist. pg.6
  • The first exercise intervention for an acute injury. pg.7
  • The fail rate due to pain with movement in the FMS in people who have passed a medical physical. pg.7
  • How much performance tests can tell you about injury risks. pg.7
  • What rating you should put on people who leave your physical therapy practice. pg.9
  • Video taken the day following release of a 16-year-old female athlete who had her ACL reconstructed, demonstrating why a problem may not be fixed through surgery alone. pg.9
  • What the aviation profession did that reduced fatalities and how to use the same tool to improve outcomes in physical therapy. pg.10
  • The mistake of trying to find one movement that tells all—the importance of building a movement profile. pg.10
  • A position that used to be one of the preferred shooting positions in the United States Military because it allowed the shooters to quickly drop out of sight and not alert the target of their presence—and why this position is no longer used. pg.11
  • What physical therapy can learn from the treatment approach used in medicine. pg.11
  • The ordinal scale for rating and ranking movement patterns in the FMS. pg.12
  • The seven FMS movements. pg.12
  • The reliability of the FMS according to study results. pg.13
  • The injury validity of the FMS according to study results. pg.13
  • The modifiability of the FMS according to study results. pg.13
  • Can you use the FMS to tell whether your patients are in pain because they’re moving poorly, or just moving poorly because they’re in pain? The answer on pg.13
  • How to reduce your chance of aggravating symptoms and free yourself up to deal with painful patterns when treating your patients. pg.14
  • Do strength gains in new exercises made in a four- to six-week period correlate to actual changed tissue structure? The answer on pg.14, and how that tells you whether to follow a neurodevelopmental model or kinesiological model when treating your patients on pg.15

Lee Burton: Core Testing and Assessment

lee-burton-1-thumb In this 37-minute MP3 audio recording, accompanied by a 10-page PDF transcript, Lee covers—

  • Knowing what you are testing and assessing—an anatomic and neuromuscular definition of the core. pg.1
  • The main purpose of the core (it’s not flexion of the spine). pg.2
  • The vital role of the core in proper breathing. pg.2
  • An embarrassing problem you need to be comfortable discussing if you train older people, women after a pregnancy, female runners, or people who train too hard. pg.2
  • The difference between the muscles of the ‘inner’ and ‘outer’ core. pg.2
  • The developmental sequence babies go through as they learn to move. Use this to create logical progressions for the core. pg.3
  • The three joints most people don’t have enough mobility with that prevents the core from working properly and causes imbalances and pain in the rest of the body. pg.3
  • Mobility or stability—which comes first when it comes to the core? pg.4
  • The thing most people do too much of that creates stiffness. pg.5
  • Look outside the gym for answers: Identify the biggest limiting factors by looking at some of the external factors on pg.5
  • How to use the medical model doctors use to help you know what to work on with your clients. pg.5
  • The purpose of testing: why you should be doing it. pg.6
  • Three steps for testing and assessing the core. pg.6
  • How to use three different foot positions in the squat movement to help identify inefficiencies or imbalances. pg.6-7
  • How to tell whether someone may need to focus on stability or mobility using the 7 FMS tests. pg.7
  • A sitting test that tests mobility in and around the torso. pg.7
  • How to test stability of the core in different positions. pg.7-8
  • An excellent test to gauge core strength (and how to tell if it’s strong enough). pg.9
  • Two tests for the inner core. pg.9

Phil Plisky: Implementing Testing and Screening

phil-plisky-1-thumb In this 13-minute MP3 audio recording, accompanied by a 7-page PDF transcript, Phil goes through—

  • Barriers people encounter when implementing the FMS test
  • The real-life benefits of using the FMS with the populations you coach
  • Are you having great success with the Functional Movement System, but wish your coaches would buy more into the system? How to get them to become more accepting and interested in the system—and an example of how Phil successfully implemented this strategy in collegiate athletic teams after years of resistance. pg.1-2
  • Do you like the FMS, but have difficulty finding the time to implement it? How to overcome these difficulties and start benefitting from the FMS. pg.3-4
  • How to test large groups quickly and efficiently. pg.5
  • What to do if you find yourself only picking certain movements from the Functional Movement System because of time or philosophy, why this is not recommended, and some suggestions to follow if you have to pick and choose movements. pg.6-7

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Sue Falsone: The Thoracic Spine

sue-falsone-1-thumb In this 70-minute MP3 audio recording, accompanied by a 42-page PDF transcript, Sue goes through—

  • What to avoid when working with people who have back pain issues. pg.1
  • How spinal curves change as we develop from infancy to childhood. pg.2
  • How the bones in the cervical, thoracic and lumbar spine are shaped, and what function they are each designed to fulfil. pg.2
  • Dispelling common myths about the spine: Why it’s okay for the lumbar spine to rotate in certain cases. pg.3
  • How many degrees of rotation there should be at each section of the spine. pg.3
  • Why low back pain and other lumbar spine issues are so common. pg.3
  • How the ribs move during breathing: a lateral and posterior view. pg.4
  • How rib mobility impacts the spine. pg.4
  • The real issue to investigate and fix if your client scores a ‘1’ in the FMS shoulder mobility test but displays full glenohumeral joint motion in a lying position. pg.6
  • Ideal alignment: What is good posture? pg.7
  • Which areas you should focus on in training to maintain good posture. pg.8
  • Brugger’s Cogwheel diagram: a visual depiction of how the lumbar spine affects what happens at the thoracic and cervical spine. pg.8
  • The difference between respiration and breathing. pg.9
  • The two principle types of breath and when you should use each. pg.10
  • A look at a key muscle in lumbar core stability: the diaphragm. pg.11
  • How the diaphragmatic movements can impact back pain. pg.12
  • Which muscles should not be engaged as primary breathers. pg.14
  • Which muscles impact rib movement and scapular position. pg.15
  • How the lumbar spine is attached to the ribs. pg.16
  • The only time complete relaxation of inspiratory and expiratory muscles occurs. pg.17
  • Why so many people have tension at the C7 spinal segment and in the upper shoulders. pg.18
  • How lack of thoracic mobility stresses the lower back: a visual comparison between a baby and an adult with severe thoracic kyphosis. pg.19
  • What kind of movement should be avoided in the shoulder girdle. pg.19
  • A simple breathing exercise that helps people gain mobility in the upper lumbar-lower thoracic area. pg.22
  • General mobility and joint specific mobility activities for the thoracic spine. pg.24
  • What angle your direction of mobilization should follow to effectively mobilize the thoracic spine and facet joints. pg.25
  • A cheap, easy and effective way for an athlete to self-mobilize the thoracic spine. pg.27
  • How to release the pec minor. pg.28
  • A great postural exercise to open up the thoracic spine and open the anterior chest. pg.30
  • An exercise that will force the expiratory muscles to fire and provide trunk stability. pg.31
  • A great stretch for the thoracic spine that also activates the lower trapezius. pg.32
  • An exercise Sue gives to nearly all of her overhead athletes. pg.33
  • How to stretch the lateral line, get lateral breathing to occur at the thoracic spine, and get bucket handle movement of the lower lateral ribs. pg.35
  • How to get stabilization in the scapulothoracic joint and open up the lateral line. pg.36
  • A great exercise for people who have a forward head posture. pg.38
  • A great exercise that builds thoracic mobility, upper body strength and scapulothoracic stability. pg.39
  • What to do if you see a little flat spot in the thoracic spine (this indicates that the thoracic spine is stuck in flexion). pg.41

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Gray Cook: Isolation—It’s Totally Natural

gray-cook-10-thumb In this 47-minute MP3 audio recording, accompanied by a 11-page PDF transcript, Gray goes through—

  • The role of the tibialis anterior in the movement of the foot. pg.1
  • How muscles can assume different roles when switching from open to closed-chain activities. pg.1
  • The first thing required once a movement assessment suggests the half-kneeling position as a corrective strategy. pg.2
  • Two obvious things that will happen if someone is struggling to balance in the half-kneeling position (and how to help them regain control in that position). pg.2
  • Why the common hip bridge is not a good exercise for teaching glute activation. pg.3
  • How to get compliance when sending a client home with a half-kneeling exercise. pg.4
  • A better exercise than the hip bridge for activating the glutes. pg.4
  • A great exercise for comparing glute activation on left and right sides. pg.4
  • How to make people conscious of their medical or fitness dysfunctions: The psychology of how natural isolation works. pg.4
  • Is it okay to lose fundamental movement patterns like the pushup or squat if you specialize in a sport? See pg.6
  • Why common exercises like band external rotation for the rotator cuff are great to test whether the rotator cuff is firing, but not great for restoring true function. pg.7
  • Different ways you can use to put traction or compression on the shoulder. pg.7
  • A terrific metabolic exercise that has low impact on the joints (this exercise naturally isolates the core and is a great exercise to use during the pre-season). pg.7
  • How to tell if someone’s glutes are firing better. pg.9
  • What type of isolation work is bad, and which is beneficial for restoring proper function. pg.9
  • What type of patterns you shouldn’t train. pg.10
  • Performing the Functional Movement Screen with obese clients? What to do with clients who can’t perform the quadruped diagonal movement. pg.10

Mark Cheng: Breathing, an Excerpt from Prehab/Rehab 101

Mark-Cheng-DVD-product-cover-image

In this 8-minute MP4 audio recording, Mark covers—

  • Why proper breathing is important when teaching movement and the rehabilitation process
  • How to teach your client to breathe smoothly, effortlessly, calmly and deeply
  • How to tell whether your client is breathing correctly
  • How to cue proper breathing using reactive neuromuscular training

AN UNBEATABLE GUARANTEE— TRY THE SHOULDER FOR A FULL YEAR 100% RISK-FREE 

It’s simple: Try the entire The Shoulder DVD out and see for yourself. If you’ve implemented what you’ve learned in the DVD, and still feel it hasn’t made you a better professional, we insist that you get 100% of your money back.

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This guarantee is extended for a full YEAR, which means you get plenty of time to put what you’ve learned into practice, and judge by the improved results it’ll get your clients. We want you to know that we stand confidently behind our products and truly believe that they will help you become a better professional, and get your clients the results they deserve. So why not grab a copy today – you’ve got absolutely nothing to risk, and everything to gain as a professional.

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If you work with athletes, clients or patients suffering from shoulder problems, get Sue Falsone’s The Shoulder: Implications for the Overhead Athlete and Beyond and learn how to treat common shoulder compensations. You’ll find the tools you need to restore function, reduce pain and help avoid shoulder injuries in your clients.

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