Recent Advances in the Evidenced Based
Evaluation and Treatment of Upper Extremity Injuries in Gymnasts
Learn How to help gymnasts With Shoulder, Elbow, And Wrist Pain
Recover and Get Back to the sport they love
A Step by Step System For Evaluating, Treating and
building return to sport programs for gymnasts with Upper Extremity Injuries
"Evaluating and Treating Upper Extremity Injuries in Gymnasts was the best course I've taken on evaluating and treating upper extremity injuries!!
This course provides tons of great information, explanations, and PRACTICAL skills that can be used directly in the clinic.
There are lots of great demonstrations and downloadable handouts, templates, and powerpoint slides throughout the entire course.
As a new graduate, it can be really tough to find courses that help give a full picture of how to work with some of t these tough injuries.
After taking this course, I feel way more knowledgable and confident to handle injuries gymnasts face like shoulder instability, labral issues, elbow OCD, and wrist problems.
I'm looking forward to applying these new techniques and skills not only in the physical therapy clinic I work in but also with the athletes I work with in a gymnastics gym!
These concepts, evaluation techniques, and interventions can be applied to all sports and patients.
I would highly recommend this course for any one for works with UE injuries! AWESOME content!!
- Shelley Anderson
Sports Physical Therapist
"As a collegiate gymnast, I'm SO grateful for Dave's rehab programs.
In my senior year of high school, I tore my labrum doing a Tkachev on bars. I caught the skill, but peeled off swinging through and one arm hung on, which is when tear happened.
I went on to compete a whole season of college gymnastics after this but was still having a lot of trouble lifting my arm, making me unable to do bars or vault. The summer after my freshman year of college, I had a bicep tenodesis on my left shoulder, fixing the labrum and my bicep.
After the surgery, I went to see Dave for rehab. I knew he would do a great job helping me come back from my shoulder surgery just as he had done after my foot surgery.
I knew I only had a summer to make sure my shoulder was back in shape before going back to UNH in September. Dave made sure to create a plan for me that wasn't too aggressive, but was also safe and efficient in getting me back into gymnastics and stronger than I was before.
We started with basic stretching, got my full range back, and then built up my strength back up slowly adding weight and exercise challenge while also making me a full home program.
After the summer and going into my Sophomore year of college, my shoulder was progressing amazingly. Upon going to school, Dave gave me a packet of exercises I should continue to be doing and following up with me while at school.
I was able to get back into vault and bars, and I am super happy and thankful that Dave was able to get me there!
- Emma Winer
Former Division 1 Gymnast
A brand new 10 hour online course for medical providers who want learn exactly how to evaluate, treat, and build return to sport programs for gymnasts with shoulder, elbow, and wrist injuries.
Main Highlights of
Evaluation and Treatment of
Upper Extremity Injuries in Gymnasts
5 Modules with 10 hours of Lecture and lab Content
Literature, Biomechanics, and Rehab Concepts Review
Subjective, Objective, and Movement Assessments
Subacute and Acute Rehabilitation
Advanced Rehabilitation and strength & Conditioning
Return to Sport, Maintenance, and Prevention Programs
Slides For every lecture Presentation
Male and Female gymnast Examples For Shoulder and Elbow/Wrist
Return to sport skill progressions
specific to injury and male / female
for Return to sport and home programs
Stop feeling overwhelmed and frustrated when trying to help gymnasts with Shoulder, Elbow and Wrist Injuries
The rates of shoulder, elbow, and wrist injuries in gymnastics are incredibly high, leading to a huge negative impact on training. Even worse is the massive negative
impact these injuries have a gymnast's health, performance, and their entire life.
Shoulder, elbow, and wrist injuries are one of the largest contributing factors to prolonged pain, frustration, and gymnasts struggling in the sport..
A lot of it comes down to the fact that gymnastics places massive force on the upper extremity, with high repetitions and high volume. Most of these athletes are training year round, and specialize early, which further complicates things.
Huge compression and traction forces have been measured in gymnasts when performing common skills. They must also be done in extreme ranges of motion, which stress these joints further.
For medical providers, it’s is quite a daunting task to help gymnasts struggling with these injuries.
It can feel overwhelming and stressful finding ways to help or rehabilitate these athletes.
As a former collegiate gymnast, I have experienced many of these injuries myself, and have also seen friends of mine struggle.
As a gymnastics coach, I've unfortunately had athletes stall their entire careers due to shoulder, elbow, or wrist pain.
And as a medical provider, I've worked with well over 500 gymnasts for a variety of upper extremity injuries.
I know these feelings of being overwhelmed all too well. To say it feels awful awful is an understatement.
I know exactly what that stomach turning sensation of frustration and feeling lost is like when a gymnast is sitting in front of you asking for help, but you honestly don't know what else to say or do.
Like many other medical providers and allied health professionals, it truly breaks my heart to see the devastating impact that these injuries can have on the gymnasts and their families.
As a younger clinician, I knew I wanted to help gymnasts with upper extremity injuries. I had felt the personal impact as a gymnast, and now was working as a coach and Physical Therapist with a unique point of view on the sport.
Despite hours and hours of researching trying to find answers, nothing I tried seemed to make a real difference. In the long term, gymnasts I was treating still had high rates of re-injury, pain, and quitting the sport due to these injuries.
I have vivid memories of trying to help an optional gymnast I coached with persistent shoulder pain, only to see her not get better.
After months of her shoulder getting worse, her not being able to train, and the injury having a huge negative impact on her life, she ended up getting a big surgery. She had a rotator cuff debridement, a biceps tenodesis, a labral repair, and a capsular shift.
It was beyond painful for her, and challenging for everyone.
i've been exactly where you are, and it's not fun.
I was supposed to be the coach and Physical Therapist who had the answers to help. But because I lacked an evidenced based system, any gymnastics specific rehabilitation protocols, and the tools I needed, I was unable to successfully work with her.
This is also unfortunately a common story for so many gymnasts and medical providers around the world. Thousands of gymnasts around the world struggle with ongoing shoulder, elbow, and wrist pain.
I've gotten hundreds of emails and messages from medical providers, parents, and coaches, who are completely lost on how to get help gymnasts with issues like rotator cuff strains, labral tears, shoulder instability, elbow OCD, elbow UCL, and "Gymnast Wrist".
When they go to well intentioned health care providers to get help, clinicians often research what to do...and come up empty handed This is because there is a huge lack of research in this area, but also lacking evidence based systems for helping gymnasts.
It leaves gymnast, clinicians, parents, and coaches struggling to find solutions and a result feeling really frustrated.
They may find a handful of exercises or other techniques that temporarily reduce pain, but they can not find a gymnastics specific, step by step system to evaluate, treat, and build specific return to sports programs for these athletes.
get a step by step, evidence based system to evaluate, treat, and build return to sport programs for gymnasts
So after seeing so many gymnasts struggle with shoulder, elbow, and wrist pain, and after being frustrated with not having the tools I needed to help them, in 2014 I finally put my foot down.
I decided it was time to create a new, gymnastics specific, evidenced based system to help gymnasts with their upper extremity injuries.
I was lucky that I had mentors who worked in other professional and Olympic sports, and that I also was friends with elite level gymnastics coaches.
Over 5 years, I took all that they had learned, and also spend endless of hours researching, taking courses, and treating hundreds gymnasts with shoulder, elbow, and wrist pain.
After many rounds of trial and error, this new system was finally starting to get real results.
I started being able to help gymnasts who had been to multiple doctors and health care providers get out of pain and back to full gymnastics training.
Not only this, these gymnasts went above and beyond their previous performance level (which their coaches and parents were happy about as well).
By giving them a specific movement diagnosis based on talking with them, doing a head to to evaluation, identifying the gymnastics skills that hurt, and then building a step by step rehabilitation protocol followed by a gymnastics specific objective return to sports program, I started really seeing amazing results.
I started seeing gymnasts and their parents in the clinic ecstatic because they were feeling better, not coming to the clinic devastated because they may have to give up the sport they love, leave a community with their friends, and an environment that taught them important life values.
The one that really hit home for me was when a few years ago, when another of the optional gymnasts I coached really started to struggle with shoulder pain due to impact and instability.
Her shoulder slowly started to give her more pain, have symptoms that carried over to her daily life, and was unable to train.
Thankfully with this new systematic approach to her shoulder pain, and a lot of great supporting people on her team of providers, she was able to reduce her pain, get stronger, and then back to full training.
I was so happy to see her get over her injury in a few months, and be able to pursue her goal of competing in college. This was a big difference than what happened to 5 years earlier with the first gymnast.
I want medical providers all over the world working with gymnast to have that exact same feeling.
I want them to feel confident in their ability to help gymnasts, and share the same joy I had when they can help a gymnast get out of pain.
I want to give them the exact system and step by step process I have seen help hundreds of gymnasts with shoulder, elbow, and wrist pain, so that they can change the lives of gymnasts they work with.
This is exactly why I build my brand new course,
Recent Advances in the Evidenced Based Evaluation and Treatment of Upper Extremity Injuries in Gymnastics.
What's inside the course?
Module 1 - Introduction, Biomechanics, and Pathology
- Literature Review and Epidemiology for Upper Extremity Injuries (Lecture Video)
- Anatomy and Biomechanics Review (Lecture Video)
- Pathology and and Testing (Lecture Video)
- A Physical Therapy Perspective on Evaluation and Treatment (Lecture Video)
Module 2 - Subjective and Objective Assessment
- Subjective Examination Questions (Lecture Video)
- Global Movement Evaluation (Lab Video)
- Local Shoulder Evaluation (Lab Video)
- Range of Motion andCapsular Testing
- Strength, and Special Tests
- Local Elbow and Wrist Evaluation (Lab Video)
- Range of Motion andCapsular Testing
- Strength, and Special Tests
Module 3 - Acute / Subacute Rehabilitation Concepts
- Goals and milestones of acute / subacute rehabilitation (Lecture Video)
- Shoulder PROM, Manual Therapy, and Progressions to AROM (Lab Video)
- Shoulder Basic Rhythmic Stabilizations and Strengthening (Lab Video)
- Shoulder Home Program Design (Lab Video)
- Elbow/Wrist PROM, Manual Therapy, and Progressions to AROM (Lab Video)
- Elbow/Wrist Basic Strengthening (Lab Video)
- Elbow/Wrist Home Program Design (Lab Video)
Module 4 - Advanced Rehabilitation / Strength and Conditioning Phase
- Goals and milestones of Advanced Rehabilitation / S&C Phase (Lecture Video)
- Return To Horizontal Pushing Patterns (Lab Video)
- Return To Horizontal Pulling Patterns (Lab Video)
- Return To Vertical Pushing Patterns (Lab Video)
- Return To Vertical Pulling Patterns (Lab Video)
- Advancing Dynamic Stability Exercises(Lab Video)
- Advancing Manual Strength Programs (Lab Video)
- Rebuilding Weight Bearing (Lab Video)
Module 5 - Building Return to Sports Programs and Maintenance Care
- Building Gymnastics Specific Return To Sport Programs Following Upper Extremity Injuries (Lecture Video)
- Developing Maintenance Care and Prevention Programs (Lecture Video)
- Tips for Challenging Cases During Return To Sports (Lecture Video)
- Complete Case Studies for Male and Female Gymnasts With Shoulder and Elbow Pain (PDF)
- Return to Sport and Home Program Template Downloads (PDF)