Rehabilitation Following Surgery to the Biceps

About the Course
With the high prevalence of re-tear rates following rotator cuff repair, it is imperative for the rehabilitation therapist to achieve optimal outcomes while minimizing stress to the surgical repair. This course combines evidence-based practice with innovative strategies to maximize functional results while minimizing risk following rotator cuff repair. Recent advancements in rotator cuff surgery will be discussed and surgical, rehabilitation and pre-operative risk factors associated with cuff re-tears will be explained. An evidence-based rehabilitation program will be presented with factors that may necessitate modifications of protocols. Video- based manual therapy techniques, including glenohumeral joint mobilizations will be discussed within the context of an evidence-based approach. Numerous videos of therapeutic and corrective exercises will be shown, with an emphasis on correct technique. Case examples and/or clinical pitfalls will be explored throughout the course in order to reinforce learned concepts.

Learning Outcomes
  • Identify the De Orio classification for rotator cuff tears.
  • Identify the re-tear rate following rotator cuff repair.
  • Identify the time frame for which the surgically repaired rotator cuff is at most risk for re- tearing.
  • Identify three risk factors for rotator cuff re-tears.
  • Identify the three rotator cuff repair protocols, based on tear size.
  • Recognize the indication for performing a superior glenohumeral capsule reconstruction.
  • Recognize the special precaution pertaining to shoulder range of motion during the early phase of rehabilitation following a subscapularis repair.
  • Select two exercises that can be classified as “Very Low EMG” based on rotator cuff muscle activity.
  • Select two exercises that can be classified as “High EMG” based on rotator cuff muscle activity.
  • Select two exercises that can be classified as “Very High EMG” based on rotator cuff muscle activity.
About the Author
Bob has 25 years of clinical experience in orthopedic and sports physical therapy. He is currently the director of the Human Performance Optimization team for the 103rd rescue squadron in Westhampton, NY. His prior experience includes working in hospital- based and outpatient private practice facilities. He has extensive experience in the treatment of patients with orthopedic and sports- related conditions. including recreational, elite and professional athletes. He previously worked at the renowned Andrews Institute, where he worked under Dr. James Andrews. Bob received his transitional doctorate degree in physical therapy from Arcadia University, a master’s degree in physical therapy from Long Island University and a master’s degree in Ergonomics and Biomechanics from New York University. He obtained his bachelor’s degree in health science from Cortland University.    Bob is an NSCA certified strength and conditioning specialist (C.S.C.S) and an APTA Board Certified Orthopedic Clinical Specialist (O.C.S). He is certified in the Functional Movement Screen (F.M.S) and the Selective Functional Movement Screes (S.F.M.A) and in manual therapy (M.T.C.) through Evidence in Motion. He has advance training and coursework in Graston instrument-assisted soft tissue mobilizations, EXOS performance training, Active Release Therapy and the McKenzie Method to Mechanical Diagnosis and Therapy (MDT). He has ten years of experience in teaching live seminars/webinars for several professional education companies. Bob has published research studies in peer-reviewed journals and has presented at national conferences.

How to Receive Credit
  • Read the entire course online or in print.
  • Answer the final examination questions at the end of the course. A passing grade of 70% is required. Test questions link content to learning objectives as a method to enhance individualized learning and material retention.
  • Provide required personal information and payment information.
  • Complete the mandatory course evaluation.
  • Print your Certificate of Completion.

Resolution of Conflict of Interest
Colibri Healthcare, LLC implemented mechanisms prior to the planning and implementation of the continuing education activity, to identify and resolve conflicts of interest for all individuals in a position to control content of the course activity.

Sponsorship/Commercial Support and Non-Endorsement
It is the policy of Colibri not to accept commercial support. Furthermore, commercial interests are prohibited from distributing or providing access to this activity to learners.

The information provided in this activity is for continuing education purposes only and is not meant to substitute for the independent medical judgment of a healthcare provider relative to diagnostic and treatment options of a specific patient’s medical condition.

©2022: All Rights Reserved. Materials may not be reproduced without the expressed written permission or consent of Colibri Healthcare, LLC. The materials presented in this course are meant to provide the consumer with general information on the topics covered. The information provided was prepared by professionals with practical knowledge of the areas covered. It is not meant to provide medical, legal, or professional advice. Colibri Healthcare, LLC recommends that you consult a medical, legal, or professional services expert licensed in your state. Colibri Healthcare, LLC has made all reasonable efforts to ensure that all content provided in this course is accurate and up to date at the time of printing but does not represent or warrant that it will apply to your situation nor circumstances and assumes no liability from reliance on these materials. Quotes are collected from customer feedback surveys. The models are intended to be representative and not actual customers.