There is increasing interest in the relevance and role of the kinetic chain in shoulder rehabilitation.Whether our patients are elite athletes or work in desk based jobs the shoulder does not function in isolation. So how does incorporating the kinetic chain impact our shoulder exercises? Is there evidence to support the role of the kinetic chain in performance and injury? Is this concept only relevant to our athletes and highfunctional demand individuals or does it have relevance to our general populations? In this short course we will take a comprehensive bottom up and top down look at the current evidence base regarding the kinetic chain and shoulder pain and rehabilitation and what it means to our practice. You will leave with clinical tips and exercises to enhance your rehabilitation of patients with shoulder pathology.