Advanced Tissue Training: Upper Extremity Tendon Pathologies

Presented by Jim Rivard

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Video Runtime: 95 Minutes; Learning Assessment Time: 21 Minutes

This course is designed for healthcare professionals, including athletic trainers and physical therapists, seeking advanced strategies to address tendon injuries in the elbow and shoulder. This course delves into evidence-based rehabilitation approaches for lateral epicondylalgia and rotator cuff pathologies, integrating optimal loading strategies, manual therapy techniques, and progressive mechanotherapy protocols. Participants will explore how to address hardware (biomechanical), software (neurological), and fuel (biochemical) impairments while incorporating biopsychosocial factors into patient care. Emphasis is placed on safely progressing patients from tissue repair to functional performance, ensuring a return to sport or daily activities with reduced risk of recurrence.

Learning Objectives
  • Determine optimal loading strategies for common upper extremity tendon injuries, including rotator cuff pathologies
  • Analyze the roles of manual therapy and motor control in addressing upper extremity impairments
  • Organize rehabilitation protocols that integrate tendon repair with functional movement training
  • Apply principles of mechanotherapy to improve tissue health and performance in the upper extremity
Course Series Overview

Meet your instructor

A person with spiky hair in a light suit and patterned tie stands indoors, representing modern hybrid care for medbridge.

Jim Rivard

Jim Rivard received his bachelor of science in physical therapy from the University of Puget Sound in 1988. He then completed four years of postgraduate residency and fellowship training at the Ola Grimsby Institute (OGI) and a chronic pain management certificate program at McGill University. Jim is the founder of MTI…

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Chapters & learning objectives

Advanced Tissue Training Concepts for Elbow Epicondylalgia

1. Advanced Tissue Training Concepts for Elbow Epicondylalgia

This chapter covers the rehabilitation of lateral and medial epicondylalgia, focusing on tendon-specific interventions for both midsubstance and insertional injuries. Participants will learn to apply manual therapy techniques, such as mobilizations and manipulations, to improve pain and motor control. Progressive exercise strategies, including vascular training and eccentric loading, are emphasized to restore tendon function and minimize recurrence.

Advanced Tissue Training Concepts for the Rotator Cuff

2. Advanced Tissue Training Concepts for the Rotator Cuff

This chapter explores advanced rehabilitation strategies for rotator cuff injuries, addressing both acute and chronic presentations. Topics include tissue sparing, mechanotherapy dosage, and synergistic motor control training to optimize shoulder function. The role of sports manual therapy in resolving scapulothoracic and glenohumeral impairments is highlighted, along with progression to functional, sport-specific movement patterns.