Advanced Tissue Training: Upper Extremity Tendon Pathologies
Presented by Jim Rivard
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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
- Rehab to Resilience: Transforming Sports Therapy Outcomes
- Tissue Repair Training in Rehabilitation and Athletic Performance
- Seven Core Principles of Sports Manual Therapy
- Precise Loading: Optimizing Dosage for Tissue Repair and Rehabilitative Exercise
- Advanced Tissue Training: Lower Extremity Tendon Pathologies
- Patellar and Hamstring Injury: Optimizing Collagen Tissue Health
- Advanced Tissue Training: Upper Extremity Tendon Pathologies
Meet your instructor

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…
Chapters & learning objectives

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.

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.
More courses in this series

Rehab to Resilience: Transforming Sports Therapy Outcomes
Jim Rivard

Tissue Repair Training in Rehabilitation and Athletic Performance
Jim Rivard

Seven Core Principles of Sports Manual Therapy
Jim Rivard

Precise Loading: Optimizing Dosage for Tissue Repair and Rehabilitative Exercise
Jim Rivard

Advanced Tissue Training: Lower Extremity Tendon Pathologies
Jim Rivard

Patellar and Hamstring Injury: Optimizing Collagen Tissue Health
Jim Rivard

Advanced Tissue Training: Upper Extremity Tendon Pathologies
Jim Rivard