Evaluation & Treatment of Shoulder Impingement
Speaker: Ann Porretto-Loehrke, PT, DPT, CHT, COMT, CMTPT
Date: Sunday, July 12, 2026
Time: 08:00 - 16:30
Location:
University of California, Irvine
200 South Manchester Ave Suite 100
Orange, CA 92868
Contact Hours: 7 (CBOT HTC hours application in process)
Cost:
Members: $220 (members registration opens on 5/23/26)
Non-members: $250 (non-members registration opens on 5/30/26)
Student registration: Unavailable
Available seats: 12
Purpose: to provide a clinical workshop is to assist occupational therapists (OTs), certified occupational therapist assistants (COTAs), physical therapists (PTs), and physical therapist assistants (PTAs) in the evaluation and treatment of clients with shoulder impingement. This workshop is intended to help therapists feel more comfortable performing a clinical examination to determine the type of impingement involved and efficiently develop an appropriate plan of care. Course participants will have an opportunity to perform joint mobilization techniques to address posterior shoulder tightness, manual therapy techniques to address bursal irritation, perform scapular taping techniques as well as evidence-supported research for rotator cuff and scapular stabilization strengthening.
Course objectives: Through a combination of lecture and lab, participants will
- Identify key structures of the shoulder girdle and gain an appreciation for the orientation of the glenoid fossa, in preparation for joint mobilization techniques.
- Perform a clinical exam to assess the integrity of the rotator cuff musculature, identify faulty scapular mechanics, bursal irritation, and determine posterior shoulder tightness. Appreciate how the findings of the clinical examination will determine the treatment plan.
- Understand the difference in clinical presentation between external and internal impingement and how to prioritize the impairments for these patients.
- Demonstrate ability to perform joint mobilization techniques to address posterior shoulder tightness related to shoulder impingement.
- Develop an understanding for the exercise techniques to address for patients with external and internal impingement.
Agenda:
07:30 - 08:00 - Registration
08:00 - 09:00 - Lecture: anatomy and kinesiology of the shoulder: glenohumeral joint, acromioclavicular joint, sternoclavicular joint, and scapular mechanics
09:00 - 10:00 - Lab: clinical examination of the shoulder
10:00 - 10:15 - Break
10:15 - 10:45 - Lab: complete the clinical exam
10:45 - 11:15 - Lecture: glenohumeral joint impingement: external verses internal impingement
11:15 - 12:00 - Lab: special tests for impingement: assessing for posterior shoulder tightness, bursal irritation, and rotator cuff function
12:00 - 12:30 - Lunch - to be provided by Ortho RPM
12:30 - 14:00 - Lab: joint mobilization techniques and home program ideas to address posterior shoulder tightness
14:00 - 14:15 - Break
14:15 - 16:00 - Lecture & lab: addressing poor scapular alignment: scapular taping; muscle groups to emphasize with shoulder impingement rehabilitation
16:00 - 16:30 - Lab: shoulder impingement case studies (external versus internal) with clinical problem-solving
16:30 - Adjourn
We are adopting a new registration process for this course.
Registration link for everyone will be available on 5/30/26.
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