Online Courses

Use of a Staged Approach for Rehabilitation Classification of Shoulder Disorders (STAR-Shoulder) to Guide Clinical Decision-making

Price: $25.00 CE: 2.00
This course is accessible until 8/1/2023

The Staged Approach for Rehabilitation Classification of Shoulder disorders (STAR-Shoulder) was proposed in 2015 in an effort to better align clinical decision-making regarding treatment/interventions with examination findings related to physical impairment and tissue irritability.  Recent studies have demonstrated good reliability and validity of this system.  Furthermore, a recent case series demonstrated improved patient outcomes when using the STAR-Shoulder system to guide rehabilitation for patients with shoulder pain. 

Similar to other evidence-based treatment classification systems for rehabilitation of low back or neck pain, this system relies more upon identified physical impairments and tissue irritability rather than a pathoanatomic diagnosis to guide clinical decisions related to treatment.  Underlying concepts that support the STAR-Shoulder will be reviewed, including tissue irritability and the physical stress theory related to appropriate dosing of tissue loading.  Additional topics include optimal clinical tests and measures for shoulder examination and their associated psychometric properties (reliability, sensitivity, specificity, and likelihood ratios). Clinical case examples will illustrate how to effectively integrate the STAR-Shoulder system into the examination/evaluation process.

This course reports to CE Broker

Upon completion of this course, the participant will be able to:

  1. Describe positive key findings to assist with ruling in/out glenohumeral instability/hypermobility, glenohumeral hypomobility, neuromuscular weakness, and subacromial pain syndrome.
  2. Differentiate between levels of tissue irritability (high, moderate, low) based upon patient history and examination findings.
  3. Apply key concepts of STAR-Shoulder to select intervention strategies that align with identified tissue irritability and key physical impairments.

Qualified Planners/Faculty

Laura Podschun, PT, DPT, PhD, COMT

Dr. Podschun earned her BS in Microbiology from University of Florida, Master of Physical Therapy from Hahnemann University, and her Doctor of Physical Therapy from Arcadia University. She is currently pursuing a PhD in Physical Therapy at Nova Southeastern University. She is board certified in orthopedic physical therapy, a certified manual therapist, and certified strength and conditioning specialist. She is the primary instructor for the Clinical Kinesiology and Musculoskeletal I & II courses. She also is the course coordinator and instructor for Screening for Medical Disorders and guest instructor for Selected Topics content related to manipulation and dry needling. Her primary area of research interest is running-related injuries. In addition to her teaching and research at AdventHealth University, she maintains a small caseload of patient-care and serves as Program Coordinator of the Florida Hospital Residency for Orthopedic Physical Therapy.


This author has disclosed that there are neither conflicts of interest nor commercial affiliation with this activity.

3030 Potomac Avenue
Suite 100
Alexandria, VA 22305-3085
Continuing Education Hours: 2.00, Category: General, Expires: 8/1/2023
671 Winyah Drive
Orlando, FL 32803
Phone: 407-303-9409
CE Credits: 2.00, Category: General

Completion Requirements: To receive continuing education credit commensurate with the credit awarded for this on-line activity, the participant must:

  • View all modules and cases studies.
  • Participate and pass all Self-Checks and Post Test(s).
  • Complete and submit the on-line evaluation.

Certificates of Completion: will be available to print immediately upon finishing the completion requirements. You are encouraged to print and save your certificate for your portfolio as required by your licensing body. Interdisciplinary accredited activities, activities having multiple accreditors, will be listed individually on the Certificate of Completion.

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*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.