2019 JATO EBPセミナー
【日 時】 2019年9月29日（日）10時～17時（午後のみの参加も可能です）
【場 所】 帝京科学大学 千住キャンパス ７号館
（住所：〒120-0045 東京都足立区千住桜木2-2-1）
【BOC-CEU】 EBPカテゴリー 最大5.5単位（午後のみは3.5単位）
【講師】 Aaron Sciascia, PhD, ATC Eastern Kentucky University, Richmond, KY
【タイトル】
EBPセミナー1：The Effectiveness of Joint Mobilizations for Shoulder Pain
EBPセミナー2：The Role of the Scapula in Function and Dysfunction
EBPセミナー3：The Evidence-Based Rotator Cuff Examination for Practicing Clinicians
＊講義は全て英語で行われ、通訳はつきません。
【対象】 アスレティックトレーナー、ストレングス＆コンディショニングトレーナー、パーソナルトレーナー、理学療法士、スポーツや健康に従事する方達、左記を目指す学生 など
【協力】 帝京科学大学スポーツトレーナー研究部
【タイムテーブル】
|
9:30 ~ 10:00 |
受付 |
|
10:00 ~ 12:00 |
EBPセミナー1（2.0 EBP CEU） |
|
12:00 ~ 13:15 |
ランチ休憩 |
|
13:15 ~ 15:15 |
EBPセミナー2（2.0 EBP CEU） |
|
15:15 ~ 15:35 |
休憩 |
|
15:35 ~ 17:05 |
EBPセミナー3（1.5 EBP CEU） |
|
17:05 ~ 17:10 |
諸連絡・閉会 |
【講師略歴】
Aaron Sciascia, PhD, ATC
Eastern Kentucky University, Richmond, KY
Aaron is an associate professor at Eastern Kentucky University (EKU) for the CAATE-accredited athletic training education program. Prior to arriving at EKU, Aaron spent 13 years as the coordinator of the Shoulder Center of Kentucky. He also serves as adjunct faculty for Moravian College’s MSAT and DAT programs in Bethlehem, PA. He received a Bachelor of Science in Athletic Training degree from the University of Delaware and a Master of Science in Kinesiology degree from the University of Kentucky. Aaron holds a graduate certificate in Clinical and Translational Science and has earned a Doctor of Philosophy in Rehabilitation Science, both from the University of Kentucky. He has been previously honored as Clinical Athletic Trainer of the Year and with the Award of Merit from the Kentucky Athletic Trainers’ Society and the Founders' Award from the American Society of Shoulder and Elbow Therapists (ASSET). Aaron has previously served ASSET as Communication Chair, Member-at-Large, Secretary/Treasurer, President, and is currently serving as Past-President. He was recently elected as an Affiliate Member of the American Shoulder and Surgeons. Aaron has produced multiple peer-reviewed articles and book chapters related to function, evaluation, and treatment of the shoulder and speaks at various venues annually. He recently co-edited 2 textbooks, Disorders of the Scapula and Their Role in Shoulder Injury and Mechanics, Pathomechanics, and Injury in the Overhead Athlete. He is also serving as an associate editor for the International Journal of Athletic Therapy and Training.
【抄録】
EBPセミナー1：The Effectiveness of Joint Mobilizations for Shoulder Pain
Course Description
The concepts and application of joint mobilization can be complex and recent literature has begun to question the effectiveness of this manual therapy technique. The concern is that joint mobilization is traditionally utilized to restore motion yet a number of systematic reviews have been published supporting mobilizations as an intervention for pain reduction. Over the past 6 years, additional systematic reviews and randomized clinical trials have been added to the body of knowledge suggesting that joint mobilization may best serve patients as a supplemental intervention in reducing pain and possibly restoring function. Thus, it would be beneficial for practicing clinicians to be provided a summary detailing the evidence supporting these concepts as well as a summary of the specific joint mobilization techniques that have been examined. In addition, merging the clinical experience of the faculty of this session with the best available evidence would provide a true evidence-based option for those in attendance. The clinicians could then make informed decisions about selecting certain techniques to achieve pain reduction and/or functional improvement in their clinical practices.
Learning Objectives
1. Recognize the primary benefit of joint mobilization is pain reduction
2. Recognize that high grade mobilizations improve ROM better than low grade mobilizations in patients with adhesive capsulitis
3. Recall the Maitland and Kaltenborn end feels
4. Recognize that Maitland oscillations and Kaltenborn tractions both reduce pain
5. Perform the recommended joint mobilizations to reduce pain and increase function
EBPセミナー2：The Role of the Scapula in Function and Dysfunction
Course Description
Over the past 5 years, the literature has been consistent noting that dyskinesis by itself is not an injury or a musculoskeletal diagnosis. However, in most cases, scapular dyskinesis should be viewed as a physical impairment similar to patellar tracking alterations seen in the knee. This characterization has been supported by recent literature that has identified increases in shoulder function when specific scapular muscles are working optimally but not hyperactively. Furthermore, classic descriptions of how the aforementioned scapular kinematics occur have been found to be incorrect and this misinformation is taught in athletic training curriculum programs through various textbooks.
Function and dysfunction of the scapula must be fully understood by clinicians because approaching scapular dyskinesis with inaccurate knowledge about muscle function and seeing the dysfunction as a pathological entity rather than a physical impairment can misguide treatment protocols and lead to less than optimal rehabilitation outcomes. As such, scapular dyskinesis and the clinical examination designed to detect the dysfunction needs to be clarified for the participants of this session. Evidence derived from 2 peer-reviewed consensus papers which has disseminated the evidence as well as information contained within Disorders of the Scapula will utilized to accomplish this purpose.
Learning Objectives
1. To recall active muscles in normal functional scapular motion as well as to differentiate between overactive and underactive muscles in dysfunctional scapular motion
2. To define scapular dyskinesis
3. To recognize specific clinical maneuvers designed to identify scapular dysfunction
EBPセミナー3：The Evidence-Based Rotator Cuff Examination for Practicing Clinicians
Course Description
Research has been scattered regarding the value of specific shoulder examination components for diagnosing rotator cuff injuries with information being simultaneously supportive and critical of similar components. Of greater importance, a comprehensive approach has been advocated as the superior method of examination. Although a comprehensive approach has been recommended, there is limited information regarding the individual effectiveness of the clinical history, range of motion assessment, manual muscle testing, and special testing in diagnosing rotator cuff injury. Practicing clinicians currently perform a comprehensive examination to varying degrees, comprised of a multitude of tests and maneuvers but there is no established set of core components for the examination of rotator cuff integrity. Thus, it would be beneficial for practicing clinicians to be provided a summary detailing the shoulder examination components that are ideal for making rotator cuff diagnoses per the literature as well as the effectiveness of the components from the perspective of clinical application.
Learning Objectives
1. Recognize the aspects of the patient history which can assist clinicians with diagnosing rotator cuff injury
2. Recognize the range of motion assessments which have the best value for diagnosing rotator cuff injury
3. Recognize which manual muscle tests have the best value for diagnosing rotator cuff injury
4. Recognize the special tests that have the best clinical utility for diagnosing rotator cuff injury
【当日の注意事項】
① セミナー当日には写真/映像の撮影を行います。写真はJATO News
Letterやホームページに掲載される可能性があります。撮影を希望されない方はご連絡ください。
② 参加者による写真/映像の撮影、録音はご遠慮ください。
【会場へのアクセス】
帝京科学大学千住キャンパス 7号館
（〒120-0045 東京都足立区千住桜木2-2-1）
https://www.ntu.ac.jp/access/senju/index.html
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