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

5/5 Stars

"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 

5/5 Stars

A brand new 10 hour online course for medical providers who want learn exactly how to evaluatetreat, 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

Online Course 

5 Modules with 10 hours of Lecture and lab Content

Module 1

Literature, Biomechanics, and Rehab Concepts Review

Module 2

Subjective, Objective, and Movement Assessments

Module 3

Subacute and Acute Rehabilitation

Module 4

Advanced Rehabilitation and strength & Conditioning

Module 5 

Return to Sport, Maintenance, and Prevention Programs

Lecture PDFs

Slides For every lecture Presentation

Case studies 

Male and Female gymnast Examples For Shoulder and Elbow/Wrist

Return to sport skill progressions

specific to injury and male / female

Downloadable templates 

  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)

Download Full Rehabilitation Protocols, Return to Gymnastics Skill Progressions, and Screening Flowsheets

I wanted to take all the research based examination, examination, treatment, and return to sports protocols I use every day to help gymnasts with shoulder, elbow, and wrist pain.

I’m incredibly lucky that I have worked with some of the worlds very best medical providers, gymnastics coaches, and strength coaches.

By learning from them and reading tons of research, I’ve been able to help hundreds of gymnasts for upper extremity injuries ranging from the recreational to elite international level, and ranging across all domains of both men’s and women’s gymnastics.

For the first time ever, I am putting it all together in one course where people can learn the exact system, right from the comfort of their own couch and when it best fits their schedule.

Taking multiple weekends off, spending thousands of dollars, and traveling to courses can be an absolute nightmare for medical providers who just want to learn.

I wanted to take all the headaches out of that piece to education, so I put everything into an online course. Every piece of the material is in video, lecture, audio, and downloadable PDF worksheets.

That way, people can watch, listen, or read the material however they want. I synthesized the 5 years and hours of reading research I have done, and combined it with guest lectures from friends of mine who are expert Medical Doctors and Strength Coaches who work with gymnasts to really complete the entire package.

People will be able to help gymnasts from the very start of their injury, though rehabilitation, and all the way back to return to sports and maintenance care phases.

People may think that the material is too complicated, or that it takes too much time, but I promise you I have made sure it is presented in easy to apply concepts.

By spending just 30 minutes per day, you could learn the entire system in just one month. That is a tiny fraction of the time and money someone would have to spend to go through all the separate courses themselves.

This brand new 5 module course will give you the absolute latest, cutting edge techniques to help gymnasts with back pain so that you can be the go to expert for these athletes.

The modules go exactly through the natural course of injury.

It starts with background information, and then moves to examinations. Then things progress to the acute/subacute phase of rehabilitation, followed by the advanced rehabilitation phase. Then, we go into strength and conditioning phases, and end by teaching people how to build objective return to sport programs for gymnasts based on the specific shoulder, elbow, or wrist injury they had.

I promise you, this course will give you everything you need to build a comprehensive program and take the guess workout of of gymnastics rehabilitation. 

Dr. Dave Tilley DPT, SCS, CSCS

Doctor of Physical Therapy
Board Certified Sports Physical Therapist
Certified Strength and Conditioning Coach
CEO of SHIFT Movement Science

What are People Saying About  
Evaluating and Treating Upper Extremity Injuries in Gymnastics

learn my entire system for treating Shoulder, Elbow, and Wrist pain in gymnasts, when it fits your schedule, and right from your couch  

I have taken the time to put these protocols into real life case studies so people can see the entire treatment systems I use visit by visit.

They break down the exact treatments that helped male and female gymnasts successfully get over their injuries.

I wanted to make sure that this course was for everyone, brand new graduates who are just starting off or experienced clinicians who have years in the field.

I also wanted to make sure it was for both seasoned veterans who spent their life in gymnastics, but also those who have never done gymnastics and just happen to work with a ton of gymnasts.

It doesn’t matter your background or how long you have been in gymnastics, this course will give you exactly what you need.

I have literally put everything I possibly could into this course. Along with the case studies, I have put together all the resources you need to help gymnasts with these injuries.

You can print them out and get an exact blueprint for the evaluation and rehabilitation process.

Still on the fence and Want to see What's inside?
Check out a free Preview of the course!

Count Me In!
How Much Does Evaluation and Treatment of Upper Extremity
Injuries in Gymnastics Cost? 

I have easily spent over $10,000 on upper extremity courses, books, research articles, and mentoring.

I have also spent endless hours at weekend courses learning new concepts. It's crazy how many hours some educational companies require to learn about shoulder, elbow, and wrist pain.

I wanted to take all the headaches out of continuing education, including the massive money and time commitment. I firmly live by a "people over profits" mentality.

I wanted people to be able to access all the information right from their couch, whenever it best fit their schedule, at a low cost. No more lost weekends, staying in hotels, and emptying the bank account to learn.

That's why I'm offering this entire course for just $197


I pride myself on making sure that the educational content offered by SHIFT is of thigh highest possible quality.

If in 30 days you are not completely satisfied with your purchase, just send me an email and I will personally refund your entire order. 

Frequently Asked Questions

When does the course start and finish?

The course starts now and never ends! It is a completely self-paced online course - you decide when you start and when you finish.

How long do I have access to the course?

How does lifetime access sound? After enrolling, you have unlimited access to this course for as long as you like - across any and all devices you own.

What if I am unhappy with the course?

We would never want you to be unhappy! If you are unsatisfied with your purchase, contact us in the first 30 days and we will give you a full refund.

The course is currently being submitted for 10 BOC CEU credits, which can be claimed after the completion of the course and quiz completion with a 70% passing grade. The FSBPT has suspended ProCert accreditation, but certificates of completion can be submitted for hours state by state. 

Who is the course for?

This course is intended for medical doctors, athletic trainers, chiropractors, physical therapists, physicians assistants, strength and conditioning coaches, physical therapy assistants, and other allied health providers.

Do I need to be in gymnastics to take this course and help gymnasts?

Nope! I intentionally made the course something that those from outside the sport can learn. Whether you have spent your entire life in gymnastics, or are brand new to the sport, whether you are a new grad or an experienced clinician, you can learn a massive amount of information from this course. 

P.S Evaluation and Treatment of Upper Extremity Injuries in Gymnastics is the first ever gymnastics specific, evidenced based system to help gymnasts with thse complicated shoulder, elbow, and wrist injuries.

I promise that you will not be disappointed in your financial and time commitment!