Module 5: Shoulder Myofascial Dysfunctions
Understanding fascial dynamics behind shoulder pain, dysfunction, and impingement
Course Overview
This module explores shoulder-related myofascial dysfunctions from an anatomical, biomechanical, and therapeutic perspective. You’ll analyze fascial layers in the shoulder region and their influence on movement restriction, pain, and joint rhythm disturbance.
We will cover key dysfunctions including infraspinatus and teres minor syndromes, subacromial impingement, and postural shoulder pain. Targeted needling zones and dynamic testing strategies will also be discussed.
Learning Objectives
- Understand the fascial compartments and planes of the shoulder girdle.
- Identify rhythm disorders between the scapula and humerus.
- Delineate pain syndromes involving the infraspinatus and teres minor muscles.
- Recognize fascial contributors to subacromial impingement and posterior shoulder tension.
- Locate effective fasciapuncture points to treat shoulder-related dysfunctions.
- Use dynamic testing to analyze restricted motion and muscle-fascia imbalance.
5.1 Shoulder Anatomy & Fascial Planes / 肩关节解剖与筋膜层次
Explore the structural layers of the shoulder, including deltoid fascia, rotator cuff sheaths, and glenohumeral capsule. Understand how fascia guides mobility and power transmission.
5.2 Scapulohumeral Rhythm Disorders / 肩胛肱节律障碍
Analyze how fascial tension disturbs the natural coordination between scapula and humerus. Identify compensatory patterns and their link to chronic pain.
5.3 Infraspinatus & Teres Minor Syndromes / 冈下肌与小圆肌综合征
Identify typical symptoms and fascial adhesions involving these posterior cuff muscles. Learn to detect nodules, referred pain zones, and fascial shortening in desk-bound or overhead-work individuals.
5.4 Subacromial Impingement / 肩峰下撞击综合征
Explore the fascial contributions to impingement, including anterior shoulder tightness and rotator cuff pressure zones. Learn precise needling and decompression strategies.
5.5 Posterior Shoulder Pain (Desk Worker) / 久坐人群的后肩痛
Learn how static posture, keyboard use, and thoracic immobility lead to posterior fascial strain and nodules. Target release points for pain behind the shoulder blade.
5.6 Key Shoulder Fasciapuncture Points / 重点肩部筋膜针刺点
Review key points used in fasciapuncture to treat rotator cuff tightness, impingement, and fascial entrapment. Includes palpation guidance and insertion safety notes.
5.7 Dynamic Shoulder Testing / 肩部功能动态检测
Perform movement-based assessments to evaluate scapular glide, shoulder elevation, and fascial recoil. Track improvement post-release with simple functional tests.
How to Learn
Each lesson combines anatomical review with real-patient demonstrations. Practice assessments and needling techniques are provided through video and image sequences.
How to Get Started
- Start with 5.1 to understand the fascial planes before moving into dysfunction analysis.
- Take notes on referred pain areas and trigger zones during each chapter.
- Prepare to correlate shoulder issues with cervical and thoracic mechanics in the next module.
Course Highlights
- Functional Focus: Diagnose shoulder restrictions through fascia-first testing.
- Layered Techniques: Learn safe and deep-target release of key cuff muscles.
- Postural Insight: Connect shoulder pain to scapular stability and thoracic compensation.
- Clinical Logic: Sharpen diagnosis and point selection strategy through case integration.