The Shoulder Center of Kentucky and the Lexington Clinic Sports Medicine Center present the

13th Annual Shoulder Symposium

2010 Speakers:

July 30 – 31 2010

Hilton Lexington/Downtown Lexington, Kentucky

W. Ben Kibler, MD Brian Cole, MD Jed Kuhn, MD David Dome, MD, ATC Peter Hester, MD Tim Uhl, PhD, PT, ATC Robin Cromwell, PT Keith Duerler, PT Martin Kelley, PT Brian Leggin, PT

educational credit: Certificates of attendance will be given to all participants and may be used for those who need continuing education verification and credit. This program has been approved for 14.75 continuing medical education credits by: National Athletic Trainers’ Association Board of Certification Lexington Clinic Sports Medicine Center’s Provider Number P2822. Level of Difficulty: Advanced Level CEUs have been approved from the following organizations: Kentucky Physical Therapy Association: 14.75 CEUs American Physical Therapy Association, Ohio Component: 14.75 CEUs Tennessee Physical Therapy Association: 14.75 CEUs (1.5 Contact Hours)

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s a provider accredited by the Kentucky Medical Association, Lexington Clinic must ensure balance, independence, objectivity, and scientific rigor in its educational activities. All faculty participating in this Lexington Clinic Sports Medicine Center activity are required to disclose commitments to and/or relationships with pharmaceutical companies, biomedical device manufacturers or distributors, or others whose products or services may be considered to be related to the subject matter of the educational activity. Faculty will also disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of these commitments and/or relationships will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation. This activity has been planned and implemented with the Essentials and Standards of the Accreditation Council for Continuing Medical Education through the sponsorship of Lexington Clinic and Lexington Clinic Sports Medicine Center.

Lexington Clinic is accredited by the Kentucky Medical Association to sponsor continuing medical education for physicians. Lexington Clinic designates this educational activity for a maximum of 14.75 AMA PRA Category 1 CreditsTM. Participants should only claim credit commensurate with the extent of their participation in the activity.

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OUR SPEAKERS: W. Ben Kibler, MD | Dr. Kibler is the Medical Director for Lexington Clinic Orthopedics – Sports Medicine Center in Lexington, KY. He is the team physician and orthopedist for the Lexington Legends a class A minor league team in the Houston Astros Organization. He also is the team physician for numerous colleges and high schools in the Lexington area. Currently, Dr. Kibler serves on the Sports Science Committee of the U.S. Tennis Association and is a founding member of the Society of Tennis Medicine and Science. Dr. Kibler is a Fellow and former Vice President for the American College of Sports Medicine. Dr. Kibler has presented and written prolifically on all areas of sports medicine. He specializes in the upper extremity, shoulder pathology, scapula, and biomechanics of tennis medicine. John E. (Jed) Kuhn, MD | Dr. Kuhn is an Associate Professor at Vanderbilt and Chief of Shoulder Surgery at Vanderbilt Sports Medicine and Shoulder Surgery. He is a graduate of the University of Michigan Medical School. He completed his orthopedic surgery residency at the University of Michigan, followed by a fellowship in orthopedic sports medicine and shoulder surgery at the Steadman-Hawkins Clinic in Vail, Colorado. Dr. Kuhn is a fellow of the American Academy of Orthopaedic Surgeons and is the only member of the American Shoulder and Elbow Surgeons in the state of Tennessee. Dr. Kuhn’s clinical interests include arthroscopic shoulder surgery, the evaluation and treatment of the athlete’s shoulder, and methods of keeping the older athlete active. Brian Cole, MD, MBA | Dr. Cole is a Professor in the Department of Orthopedics with a conjoint appointment in the Department of Anatomy and Cell Biology at Rush University Medical Center in Chicago, Illinois. He is the Section Head of the Cartilage Research Program at Rush University Medical Center and the Cartilage Restoration Center at Rush, a multidisciplinary program specializing in the restoration of articular cartilage and meniscal deficiency. He also serves as the head of the Orthopedic Master’s Program and trains residents and fellows in sports medicine. Dr. Cole received his MD and MBA from the University of Chicago in 1990, completed his residency at The Hospital for Special Surgery in New York in 1996, and his Sports Medicine Fellowship at the University of Pittsburgh in 1997. He has authored and edited several hundred peer-reviewed publications, including highly recognized orthopedic textbooks on arthroscopy, sports medicine and cartilage transplantation. His publications also include nearly one thousand book chapters, technique papers, and presentations describing the techniques and results of shoulder, elbow and knee surgery. Dr. Cole was chosen as one of the “Best Doctors in America” each year since 2004 and as a “Top Doctor” in the Chicago Metro area each year since 2003. In 2006, he was featured as “Chicago’s Top Doctor” and placed on the cover of Chicago Magazine. Dr. Cole is the team physician for the Chicago Bulls NBA Basketball team and was named “NBA Team Physician of the Year” in 2009. Dr. Cole is also co-team physician for the Chicago White Sox Major League Baseball team and DePaul University in Chicago. Peter Hester, MD | Dr. Hester received his medical degree from the University of Kentucky College of Medicine. He completed a residency in Orthopedic Surgery at the University of Kentucky Chandler Medical Center in Lexington, Kentucky and a fellowship in Sports Medicine at the University of Kentucky Chandler Medical Center, Lexington, Kentucky and The Hughston Clinic, Columbus, Georgia. He is board-certified in Orthopedic Surgery. Dr. Hester is a team physician for numerous professional teams, colleges and high schools in the Lexington area. Dr. Hester’s interest lies in arthroscopy of the knee, shoulder, hip, ankle, elbow, and sports injuries. He has been affiliated with Lexington Clinic since August 2002. David Dome, MD, ATC | Dr. Dome received his medical degree from the University of Kentucky College of Medicine. He completed a residency in Orthopedic Surgery at Greenville Hospital System in Greenville, South Carolina and a fellowship in Orthopedics Sports Medicine at Lipscomb Clinic in Nashville, Tennessee. He is board-certified in Orthopedic Surgery. Dr. Dome is a team physician for numerous professional teams, colleges and high schools in the Lexington area. He began his sports medicine career as a Certified Athletic Trainer and currently maintains that certification. Dr. Dome’s interest lies in the arthroscopy of the shoulder and elbow. He has been affiliated with Lexington Clinic since August 2000. Tim Uhl, PhD, PT, ATC, FNA, TA | Dr. Uhl is an Associate Professor in the Division of Athletic Training and is the Director of the Musculoskeletal Laboratory at the University of Kentucky. During Dr. Uhl’s professional career he has been a staff physical therapist and clinical researcher at Lexington Clinic Orthopedics – Sports Medicine Center as well as Director of Physical Therapy at the Human Performance and Rehabilitation Center in Columbus, GA. Dr. Uhl’s research interest is in the area of shoulder pathology, electromyography, and outcomes. Dr. Uhl has presented information at over 100 courses and has over 40 publications in the areas of orthopedics and sports medicine.

Martin J. Kelley, PT, DPT, OCS | Martin Kelley is the Advanced Clinician II and Site Supervisor at Therapy and Fitness, Good Shepherd Penn Partners at PennPresbyterian Medical Center in Philadelphia, PA. He graduated from Arcadia University (formerly Beaver College) in 1984 and obtained his DPT in 2005 from Temple University. He is a member of the University of Pennsylvania Shoulder and Elbow Service. Marty serves as adjunct faculty for Arcadia University. He lectures nationally and internationally on examination and treatment of shoulder disorders. During Marty’s 25 years of practice he has published over 30 articles or book chapters in multiple peer reviewed journals and texts, respectively. He is the pastpresident of the American Society of Shoulder and Elbow Therapists. He is also the co-editor of a textbook called Orthopedic Therapy of the Shoulder. Brian Leggin, PT, DPT, OCS | Brian Leggin is currently an Orthopedic Clinical Specialist for Penn Therapy and Fitness at Penn Presbyterian Medical Center. He has been working with the surgeons and physicians of the Shoulder and Elbow Service of the University of Pennsylvania Health System for over 15 years. In addition, Brian is and has been an adjunct instructor and guest lecturer in the Physical Therapy programs at Arcadia University, Virginia Commonwealth University, University of Medicine and Dentistry of New Jersey-Camden, and the University of the Sciences in Philadelphia. He has published numerous journal articles and book chapters. In addition, he has given numerous professional and scientific presentations at local, national, and international conferences. He is an active member of the American Society of Shoulder and Elbow Therapists and a member of the board of the International Congress of Shoulder and Elbow Therapy. Keith Duerler, MPT | Keith Duerler is employed by Active Rehab and Fitness where he serves as a physical therapist, personal trainer, and a certified golf fitness specialist. He served as a physical therapist at Lexington Clinic Orthopedics – Sports Medicine Center from 1998-2009. He received his Bachelor of Science degree in Biomedical Sciences from Ohio University and his Master of Physical Therapy degree from Andrews University. Robin Cromwell, PT | Robin Cromwell is currently the lead physical therapist for Lexington Clinic Orthopedics – Sports Medicine Center. She received her Bachelor of Health Science Degree in Physical Therapy from the University of Kentucky. Her current interest lies in the area of functional rehabilitation of sports related injuries. Daun Karolich, PT, MS | Daun Karolich is an established manual therapist who has been affiliated with the Lexington Clinic Orthopedics – Sports Medicine Center since 2002. She received her Bachelor of Science in Physical Therapy from the University of Illinois, Chicago, Illinois and her Master of Science Degree in Rehabilitation Management from DePaul University, Chicago, Illinois. Miemie Dorfling, PT, OCS | Miemie Dorfling has been a physical therapist at the Lexington Clinic since 2004. She received her Bachelor of Science in Physiotherapy degree from the University of Stellenbosch, South Africa. She is also OCS certified since 2004. Her special interest is in manual therapy and functional rehabilitation. Mark Kluemper, PT | Mark Kluemper joined the Lexington Clinic physical therapy staff in 2004. He received his degree in physical therapy from the University of Kentucky in 2003. Mark brings a unique point of view to the physical therapy staff and its perspective on shoulder function and rehabilitation, as he was an NCAA Division 1 swim coach for 9 years. Aaron Sciascia, MS, ATC, NASM-PES | Aaron Sciascia has been the program coordinator for the Lexington Clinic Orthopedics – Sports Medicine Center since 2003. 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. He is certified as a National Academy of Sports Medicine Performance Enhancement Specialist and serves as an adjunct professor and approved clinical instructor for Eastern Kentucky University’s accredited athletic training education program. He has served as secretary of the Kentucky Athletic Trainers’ Society the past 2 years and has been appointed to the Kentucky Advisory Council on Athletic Trainers by Kentucky governor Steven Beshear. Aaron is a member of the National Athletic Trainers’ Association, as well as the American Society of Shoulder and Elbow Therapists. He has produced over 20 articles and book chapters related to the function, evaluation, and treatment of the shoulder, and he speaks at various professional venues annually.

Schedule of events The Rotator Cuff & the master Athlete: Friday July 30, 2010 17:45 - 18:00 Introduction and welcome – Aaron Sciascia, MS, ATC, NASM-PES ROTATOR CUFF INJURY Moderator: W. Ben Kibler, MD 8:00 - 18:30 The shoulder as a machine – W. Ben Kibler, MD 1 18:30 - 19:00 Pathophysiology of rotator cuff disease – Brian Cole, MD 19:00 - 19:30 Rotator cuff disease in context – Jed Kuhn, MD 19:30 - 19:50 Discussion 19:50 - 10:05 Break Moderator: Jed Kuhn, MD 10:05 - 10:30 The scapula in rotator cuff disease – Tim Uhl, PhD, ATC, PT, FNATA 10:30 - 10:50 Adhesive capsulitis – Jed Kuhn, MD 10:50 - 11:15 Clinical exam in rotator cuff disease – Brian Cole, MD 11:15 - 12:00 Cases and discussion 12:00 - 1:00

Lunch

ROTATOR CUFF TREATMENT Moderator: Tim Uhl, PhD, PT, ATC, FNATA 1:00 - 11:25 Treatment options in full thickness tears – Brian Cole, MD 1 11:25 - 11:50 Treatment options in massive rotator cuff tears – Jed Kuhn, MD 11:50 - 12:15 Treatment in partial thickness rotator cuff tears – W. Ben Kibler, MD 12:15 - 12:45 Physiological basis for rehabilitation of rotator cuff tears – Martin Kelley, PT 12:45 - 13:00 Discussion 3:00 - 13:15 Break 1 Moderator: W. Ben Kibler, MD 13:15 - 14:30 Case-based therapy issues in rotator cuff disease – Panel Discussion Non-operative rehabilitation; Immobilization: type and time; Safe motions: what and when; Closed chain and open chain protocols; Progressions: when, what criteria and when to return to activity; Concerns: tenuous repair, stiffness, and weakness. Saturday July 31, 2010 THE SHOULDER IN THE MASTER ATHLETE Moderator: Brian Cole, MD 8:00 - 18:25 Shoulder arthritis – Jed Kuhn, MD 1 18:25 - 18:50 Strength and function – W. Ben Kibler, MD 18:50 - 19:20 Shoulder non-arthroplasty techniques – Brian Cole, MD 19:20 - 19:40 Sport specific concerns – W. Ben Kibler, MD 19:40 - 10:00 Discussion 10:00 - 10:15 Break THE PAST AND THE FUTURE Moderator: W. Ben Kibler, MD 10:15 - 10:40 Long-term outcomes of rotator cuff treatment – Jed Kuhn, MD 10:40 - 11:00 Short-term outcomes of rotator cuff treatment – W. Ben Kibler, MD 11:00 - 11:20 Physical therapy outcomes – Brian Leggin, PT 11:20 - 11:40 Future directions in rotator cuff treatment – Brian Cole, MD 11:40 - 12:00 Rehabilitation guidelines using the kinetic chain – Robin Cromwell, PT 12:00 - 11:00 Lunch Rehabilitation workshops 11:00 - 15:00 Session I: Golf fitness: Evaluation and rehabilitation Session II: Post-Op and Non-Op kinetic chain rehabilitation Session III: The role of manual therapy

symposium description: This symposium is designed for physical therapists, certified athletic trainers, physicians and other healthcare professionals interested in the evaluation and management of the shoulder and trunk, including how they relate to the kinetic chain and functional rehabilitation. The most current concepts will be presented in various ways: didactic sessions, panel discussions, video presentations, case presentations, and hands-on workshops. These formats are designed to provide interaction between registrants and presenters.

Learning Objectives: The program will enable participants to: • Define rotator cuff disease and scapular dyskinesis, as well as the related terminology associated with pathology to each anatomical component. • Identify specific shoulder problems relating to the athlete over age 50. • Provide an overview of the involved physiology, mechanics and anatomy. • Illustrate the techniques and components of evaluation and treatment of patients using the kinetic chain. • Present specific injury patterns and kinetic chain adaptations that can lead to injury. • Present clinical findings typical with the injuries presented. • Identify surgical treatment indications and illustrate surgical techniques via virtual demonstration. • Discuss the prognosis of surgical procedures based on etiology. • Illustrate functional rehabilitation. • Discuss case presentations that will present injury mechanism, evaluation, treatment options, surgical procedure, functional rehabilitation, and functional return to activity. • Illustrate the kinetic chain link between the upper and lower extremities. • Identify key guidelines for functional progression to the return of full activity. • Discuss tools for assessment of functional outcomes.

Registration: Register online at ShoulderCenterOfKY.com or complete the form below and mail. Please mark the appropriate profession and fee. Registration not accepted without payment. Before June 25 June 25 - July 19 Physicians n $400.00 n $450.00 Athletic Trainers Residents n $350.00 n $400.00 Physical Therapist Assistants Physician Assistants n $375.00 n $425.00 Certified/Licensed Student Nurse Practitioners n $325.00 n $375.00 Student Physical Therapists n $300.00 n $325.00

Before June 25

n n n n

$200.00 $200.00 $175.00 $100.00

June 25 - July 19

n n n n

$250.00 $250.00 $200.00 $125.00

Name: ______________________________________________________ Profession:_ _____________________________________________ Home Address:______________________________________________________________________________________________________ City: _ _______________________________________________ State: _ _______________ Zip Code:________________________________ Day Phone: ______________________________________________ Evening Phone:_ _____________________________________________ Payment Method (U.S. Funds Only) n Enclosed Check or Money Order, Payable to Lexington Clinic Sports Medicine Center n MasterCard n VISA n Discover Credit Card Number: _______________________________________________________Expiration Date:_____________________________ Signature:__________________________________________________________________________________________________________ Mail to: Aaron Sciascia, MS, ATC, NASM-PES, Lexington Clinic, 1221 South Broadway, Lexington, KY 40504 Cancellation Policy: •C  ancellations must be in writing to qualify for refund • Cancellation prior to June 25, 2010 – Full Refund •C  ancellation between June 25 – July 19, 2010 – Half Refund • Cancellation after July 19, 2010 – No Refund Available

Lexington Clinic Sports Medicine Center reserves the right to cancel any course and will not be responsible for any charges incurred by the participant. If Lexington Clinic Sports Medicine Center cancels the symposium, full tuition will be returned.

Hotel Information: 13th Annual Shoulder Symposium will be held at the Hilton Lexington/ Downtown Hotel & Convention Center, Lexington, Kentucky. Participants are responsible for their own reservations. A group rate is available, but will be limited. • Mention Lexington Clinic Sports Medicine Center • Rates are subject to change • For reservations contact: Hilton Lexington/Downtown Hotel & Convention Center 369 West Vine Street Lexington, KY 40507 859.231.9000 ph./859.281.3737 fax • Check in 7:15 a.m. on July 30 – 31, 2010 • Program begins at 7:45 a.m. and ends at 5:00 p.m. •R  egistration deadline – Postmarked by Monday, July 19, 2010; Web registration by Wednesday, July 21, 2010 • No on-site registration • Participation is limited, so please register early A - Lexington Clinic Sports Medicine Center • F or additional information, contact B - Saint Joseph Hospital Aaron Sciascia, MS, ATC, NASM-PES Map of Downtown Lexington, Kentucky C - Hilton Lexington/ Downtown Hotel from I-75, I-64 at 859.258.8506 or email: [email protected] D - Bluegrass Airport

Lexington Clinic

Presorted standard U.S. Postage

PAID lexington, ky permit no. 850

Attn: L  exington Clinic Sports Medicine Center Shoulder Symposium 1221 South Broadway Lexington, KY 40504

Hilton Lexington/Downtown Lexington, Kentucky

July 30 – 31 2010

13th Annual Shoulder Symposium The Shoulder Center of Kentucky and the Lexington Clinic Sports Medicine Center present the