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In this course covering examination of the lumbar spine by Dr. Chad Cook, users will evaluate the economic impact and prevalence of lumbar spine dysfunction. The imperative patient history elements of a lumbar examination will be discussed. Users will be able to identify the link between observation of posture and low back pain or dysfunction, and what certain postural elements related to low back pain may mean. Compare and contrast different tests used for differential diagnosis and screening for red flags in the lumbar region. Evaluate the benefit of palpation and manual muscle testing as part of a dedicated clinical examination. Identify the most diagnostic lumbar spine oriented special tests and apply the tests to the appropriate diagnoses. Current research is presented throughout the course to provide learners with the proper tools for evidence-based management of these patients. This course is part of a 19 course comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.
This course by Dr. Eric Hegedus PT, DPT, MHSC, OCS, CSCS serves as the introduction to our series of courses on musculoskeletal evidence-based examination and treatment. Through interaction with your faculty, Dr. Eric Hegedus, Dr. Chad Cook, and Dr. Lexie Wright, you will be exposed to the fundamentals of examination and treatment and but have the opportunity to integrate advanced concepts and material that will impact your practice immediately.
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In this course, Jack Stagge P.T., O.C.S., FAAOMPT will cover in depth topics that are introduced in both the Upper Quarter and Lower Quarter Basic Courses. Advanced concepts and techniques that will allow the participant to treat even the most difficult patients will be presented. Advanced considerations in treatment include the use of T.E.N.S., deprovocation/desensitization, progressive loading, and mirror image, among other advanced treatment techniques. Emphasis of specific manual technique application, sequencing of treatment, medical considerations, and advanced techniques for desensitization and deprovocation will allow for the fine tuning of participant’s skills, and enable improved results. Further thoughts about patient specificity, regional intervention, and the therapist’s role in treatment of these complex patients will also be presented, and the mechanical and physiological basis for treatment will be discussed to allow for a more evidenced base approach.
Pain is complex and new paradigms of pain, i.e., neuromatrix, nerve sensitivity, endocrine and immune responses to pain and neuroplasticity has pushed physical therapy to the foreground in the treatment of pain. Physical therapy is uniquely positioned to treat pain, exhibiting various important skillsets such as knowledge of movement, biology, exercise and psychology, let alone the important clinical aspects of time with patients, hands-on treatment, cost-effectiveness and a large workforce. This course aims to show physical therapists, via a modern understanding of pain, how physical therapy can help patients afflicted with various seemingly disabling pain states. Various common pathologies such as low back pain, whiplash associated disorders, carpal tunnel syndrome, complex regional pain, knee arthroscopy and more will be discussed from a pain perspective to illustrate the vast number of strategies physical therapists have to treat patients affected by pain.
With an increasing demand for knee replacement procedures, clinicians require up-to-date information on surgical and rehabilitation techniques. Starting with an overview of the history of knee arthroplasty, this course compares minimally invasive and traditional knee arthroplasty methods such as mobile-bearing versus fixed-bearing surfaces. Dr. John O’Halloran describes the phases of postoperative rehabilitation and range of motion methods, including continuous passive motion and neuromuscular electrical stimulation, using numerous patient demonstration videos. The course finishes with an in-depth discussion of recommendations for return to activity following knee arthroplasty. This is the third course in a four course series. Please be sure to also watch:
Patients with knee OA have a wide variety of presentations, making it a disorder that is best addressed with strong clinical reasoning and high differential diagnosis skills. Despite a compelling body of literature for physical therapy directed exercise programs and growing evidence that manual therapy combined with exercise increases the level of symptom relief and functional benefit, most patients do not receive physical therapy treatment prior to total joint replacement.
This course series will help the learner make accurate judgments on the patient with knee OA, like tolerance for examination and treatment, while identifying key impairments to strength, range of motion, flexibility, gait, and balance that can be addressed with manual therapy and exercise. This clinical reasoning-based process facilitates highly focused treatment strategies that are typically well tolerated by the patient.
This installment will help the learner take information derived from the patient interview and manual examination to plan and execute an appropriate and well-tolerated intervention. Participants will develop clinical reasoning strategies to plan, prioritize, and execute a well-tolerated manual physical therapy intervention. Specific topics covered include prescription of exercise to enforce manual treatment, employing maintenance or tune-up physical therapy sessions, and prescribing and fitting a stationary bicycle.
Surgical repair of damaged anterior cruciate ligaments is almost a standard of care in the United States, with the vast majority of tears managed surgically. There is another option for some patients, however, and emerging evidence can help us identify who those people might be. This course overviews conservative management of ACL injury
This course will discuss how tissue healing affects management of lower extremity post-surgical patients and present rehabilitation considerations for more common lower extremity surgical procedures encountered in an outpatient setting.
Questions frequently arise during care of seriously ill and declining patients, both from them and their family members. What should we say and how does a therapist talk about such sensitive issues in a context of both hope and reality? This course builds on the trust developed in the patient-therapist relationship to provide concrete examples of conversations around disease process, treatment effects, levels of exertion, energy conservation, and being open to possibilities of improvement and decline. We then move on to identify and explore the psychosocial and spiritual concerns that develop from the effects and losses of advanced disease states. The course concludes outlining sample documentation that justifies this supportive care in clinical therapy practice.
This continuing education course instructs in the specific skills that physical therapists and occupational therapists must consider in the skilled nursing facility when working with a patient who has had a hip fracture. Evaluation and intervention techniques will be demonstrated or discussed with emphasis on determination of the patient’s prior level of function, reason for experiencing hip fracture (dizziness, weakness, pain, etc.), and knowledge of patient’s environment upon discharge. The progression from post-surgical early mobility and ADL task instruction, to acute care IADL instruction is demonstrated and discussed with suggestions for appropriate levels of intervention. The therapist will learn how to instruct the patient in use of common assistive devices such as sock aids, reachers, and leg lifters. This is the fourth course in a five course series on hip fractures. Please be sure to watch:
Hip Fracture Part A: Overview, Classifications, and Evidence Hip Fracture Part B: The Surgical Approach Hip Fracture Part C: Acute Care Management Hip Fracture Part E: Home Care Management
Urinary incontinence (UI) is a worldwide problem associated with negative rehabilitation outcomes for adults with a wide range of orthopedic and neurologic diagnoses and across the spectrum of rehabilitation settings. Physical and occupational therapists play an important if not critical role in identifying and treating bladder control problems yet they frequently fail to identify UI or provide recommended interventions. This course will use patient case studies to describe urgency incontinence and other bladder control problems widely experienced by patients undergoing rehabilitation. Participants will learn basic evaluation and non-invasive interventions to improve bladder control and to improve rehabilitation outcomes.
Fifty four million Americans are living with or at-risk of osteoporosis and low bone mass, resulting in two million fractures every year. Physical therapists have a vital contribution to patient education and intervention both before and after fracture to improve posture, core and spinal extension strength, balance/coordination and muscle strength reducing fall risk and risk for fracture. Collegial partnerships with referring physicians in primary care, PM&R, endocrinology and gynecology are essential. Special populations from transplant, oncology and gastroenterology are also important to address. This course, the final in a three-part series, focuses on effective therapeutic interventions for the older adult with osteoporosis.
This course focuses on transitioning the older adult cancer survivor back to a functional lifestyle. Join us as we provide relevant information to using a restorative approach to recovery and a better understanding of issues specific to older adult cancer survivors in an ambulatory setting. You’ll be able to advance a restorative program for older adult cancer survivors who are medically stable. Be able to distinguish physical constraints to certain exercises and how to adapt them to a program. Following completion, you’ll be able to implement strategies to develop a restorative program.
The motor task of walking is ultimately a product of the characteristics of the individual, the environment in which one is immersed, and the task(s) performed while walking. As physical therapists we must be mindful of all components and strategically integrate appropriate challenges when targeting gait interventions. This course is designed to present the predictable set of age related changes of temporal & spatial gait characteristics and review the environmental & task demands of community ambulation. The value of collecting gait speed data, and its relationship to health, function, and mortality are emphasized.
It is well known that exercise can help patients at all phases of their rehabilitation, but what exercises are best for patients who have near normal strength, power, muscle endurance, balance, and aerobic capacity but just need to work on high level activities? In order to maximize function and delay declines, exercises prescribed during this time need to focus on advanced coordination and multimodal training. This course discusses the physiology behind advanced coordination and skill exercises including plyometrics, how clinicians can use a clinical decision making process for therapeutic exercise prescription, and practical examples of assessing and prescribing exercise for older adults. With this information clinicians bring patients and clients to their highest level of function through appropriate use of exercise.
How do we screen and assess balance and fall risk? There are many screening and assessment tools to choose from. By completing this course participants will know how to choose a screening tool and/or assessment tool for their patient. The course begins by setting the stage and discussing what clinicians should be looking for, how to screen for it, and how to select the risk factors to further evaluate patients in order to prescribe an appropriate intervention or refer out. Depending on the patient’s screening results, a clinician will be able to use the appropriate assessment tool and document a good clinical assessment.
Be sure to view the other two courses in the series for more detail on assessment and intervention for impaired balance and risk of falls:
This course is designed to review basic principles of motor control and motor learning with emphasis on the application of these principles in the neurologic population. We will cover task analysis, a cornerstone skill for physical and occupational therapists, and apply these principles in the selection of clinical interventions. In addition, some practical ideas for structuring optimum practice in the clinic and at home will be reviewed. Following the review of these foundational topics, we will briefly review gait after stroke, including characteristics as well as traditional treatment approaches used for gait training following stroke. We will then apply the principles laid out in the first part of the program in the application of a specific treatment approach for gait retraining after stroke. We will conclude the program with patient cases and videos. This course is designed to immediately impact clinical practice across the continuum of care.
This evidence-based course will train clinicians in the practical management of benign paroxysmal positional vertigo (BPPV). The course will include instruction in relevant anatomy and physiology, pathophysiology, examination techniques, canalith repositioning maneuvers and management guidelines. The material will be presented in a lecture/lab format with video case studies. The course is intended to enhance the clinician’s ability to evaluate the appropriateness and effectiveness of canalith repositioning maneuvers. Practical application to a variety of practice settings (outpatient, acute care, SNF, ER) will be discussed.
Identifying optimal intervention strategies for patients with spinal cord injury can be very challenging for clinicians. Each level of injury presents different limitations and specific patient needs requiring a strong understanding of the functional outcomes for each level of injury. In this course, JJ Mowder-Tinney guides clinicians through a practical approach to rehabilitation for individuals recovering from spinal cord injury. Many aspects of this population must be considered to provide comprehensive care including common complications of patients with SCI, causes of shoulder pain and prevention interventions, strategies for optimal movement for different level injuries, and exercise prescription. This course involves demonstrations with real patients that have both cervical and thoracic level injuries to illustrate interventions that will optimize the independence of patients.
This course is designed to be an entry level to intermediate level course discussing Parkinson’s disease (PD) from the basics to the advanced trends in treatment. This course will cover the pathophysiology of PD, while bringing a physical therapist an appropriate knowledge level and creating applicable analogies to assist a physical therapist in gaining a better understanding of why and how treatment techniques are effective. Throughout the course, the analogy of increasing Dopamine will be drawn on frequently to apply a pathophysiological analogy to treatment intervention. While the research is in support of exercise and activity increasing dopamine levels and neurotransmitter sensitivity as a whole, this is used as an analogy and is not intended to claim that all interventions have a direct measurable effect on dopamine.
As the course material deepens, the current concepts and trends in PD research will be explored and real patient models will participate in demonstrations. The use of individuals with Parkinson’s disease and Parkinsonism is used to demonstrate the real life effectiveness of these PT interventions, and in addition to provide the therapist taking this course with real life examples. The current research in Physical Therapy for PD is exciting and Dr. Schreyer truly hopes to incite an excitement in the field regarding PT for PD. With the excellent claims in the research and the outstanding results that are being seen throughout the rehabilitation field, now is the time to expand your knowledge and practice to individuals with PD.
It is an exciting time in rehabilitation. The expansion in the literature regarding the benefits of incorporating motor learning into any type of intervention is undeniable. The latest evidence has shown profound implications for rehabilitation and recovery providing new insights into the optimization of skill learning. This course series takes these beneficial theories and turn them into practical and easy to use approaches for therapists to use in the clinic on Monday.
Currently, the principles of motor learning are commonly found as definitions in textbooks that lack explicit utilization into clinical practice. However, the research on attaining a new motor skill is extensive and requires the inclusion of adjustments in feedback, incorporation of variability, problem solving, motivation and attention while addressing intensity. It is a critical time to disseminate this beneficial information into everyday practice. This module is designed to provide specific strategies, no matter the patient diagnosis, that can immediately be incorporated into any treatment session being performed. In addition, the course provides examples of how to adjust your practice to make the motor learning process the most effective, resulting in better outcomes.
Vestibular physical therapists are often consulted in concussion management due to the presence of visual and vestibular dysfunction following the injury. A multitude of visual and vestibular impairments are frequently observed following concussion and may complicate recovery. This course will review the components of an ocular motor examination following concussion, along with normal and abnormal findings. Demonstrations of techniques for evaluation and video examples of pathological findings will be shown. The implications of abnormal ocular motor findings for recovery will be reviewed.
There has been increased focus on improving care coordination and transitions across the care continuum, due, in part, to the recent health care legislation focused on improving patient outcomes and reducing costs in post-acute care. In this course, Dr. Barbara Lutz discusses the impact of current U.S. health care policy on transitions of care for patients recovering from stroke, and explores stroke survivor outcomes across different post-acute care settings. She discusses the implications of the Impact Act of 2014 and describes existing transitional care models, with suggested applications to post-acute care for patients recovering from stroke.
Older adults with neurological deficits have a greater risk of falling due to balance-related issues. This can lead to fear of falling, which in turn may decrease the patient’s mobility and further increase the risk of falling. This decreased participation and physical activity negatively impacts the patient’s quality of life. Join Dr. Wing as she presents an innovative progression of interventions from simple to complex balance activities to challenge and facilitate balance for function in a variety of environments.
Optimizing running form requires that the runner bring a specific set of athletic skills to the starting line. This course discusses the impact of mobility and stability, specifically as it relates to running. Essential criteria for optimal gait, as well as the types of issues can be expected in running form if isolated deficits are identified. Finally, specific exercises, cues, and techniques to improve the deficits observed will be demonstrated. The goal of this course is to insert a better runner into the sport of running.
This case-based course is aimed at preparing physical therapists for the Sports Certified Specialist advanced certification exam, but is appropriate for any therapist looking to expand their knowledge of concussion in sport. In this course, Dr. Arnold, MD walks through four case studies dealing with concussion. In the case studies, Dr. Arnold demonstrates how to gather pertinent information from the athlete, identifies which assessments are appropriate to use in the clinic and on the sidelines, and emphasizes the clinical reasoning behind his treatment approach.
This course is designed to give the physical therapist a fundamental understanding of strength and conditioning. Susan Falsone will review basic muscle physiology and energy systems and apply metabolic and structural adaptations to both aerobic and anaerobic exercise training. Multiple demonstrations and lectures will thoroughly explore testing modalities for aerobic capacity, strength, power and agility. The participant will learn how to design and implement physiologically based aerobic and anaerobic training programs.
What does sports nutrition have to do with sports performance, healing, and overall good health in athletes? What should a sports therapist know about nutrition to guide patients during rehabilitation and training? This course presents an overview of sports nutrition including recommended intake of macronutrients and micronutrients, with consideration of excellent food sources. Limitations to therapist knowledge and scope of practice are stressed. Fuel well to perform well!
The multilayered anatomy of the hip, as well as its close proximity to complex regions such as the lumbar spine and SI joint, can create a challenge for the orthopedic and sports clinician when assessing and diagnosing hip related pathologies. This course will break down the anatomy of the hip layer by layer with a focus on the critical structures relevant to physical therapy. We will then guide you through an organized examination of the hip and finally review radiographic and other advanced diagnostic imaging utilized in the evaluation of hip pathologies. Upon completion of this course, the participant should feel confident in their foundational knowledge of the hip anatomy, be able to perform a well organized exam of the hip, and understand the common findings and terminology associated with imaging of the hip.
Over the last few years, the care and management of knee injuries and conditions has significantly evolved. An increasing appreciation of post-surgical outcomes, implications of rehabilitation in specific tissue involvement or pathology, and management realities has fueled advancements in the management of knee rehabilitation. Join Dr. Terry Malone as he utilizes insightful lectures, demonstrations, and specific case studies to introduce new and emerging treatment regimens for the knee. With a focus on ACL injuries and the meniscus, this course will provide in-depth coverage of updated knee rehabilitation approaches, enabling the participant to thoroughly engage with these new and upcoming concepts.
The shoulder is a critical component of many athletes’ careers. How might the sports therapist best prepare themself to treat and protect their athletes from overuse injuries of the shoulder? Join Lenny Macrina as he provides a detailed look into shoulder overuse injuries. This course discusses the evaluation, treatment, and progression of patients with overuse injuries to the shoulder and surrounding soft tissue. A brief synopsis of the anatomy, biomechanics and typical presentation will be discussed in lecture and case format. In addition, rehabilitation strategies to avoid long-term issues will be presented as part of the case series. This course is designed to both prepare therapists for these conditions and to provide those studying for the SCS Preparation Program with a thorough foundation in overuse injuries to the shoulder.
This course with Dr. David Piskulic discusses sports injuries and non-congenital deformities and conditions that occur in pediatric patients. Participants will identify common orthopedic injuries of the foot and ankle that occur in pediatric populations, which include ankle and foot sprains, fractures, and apophysitis. Dr. Piskulic demonstrates how to apply appropriate rehabilitation techniques for these lower extremity injuries. Participants will learn how to progress a patient towards re-assessment of their injury via outcome measures, and how to apply return to sports tests to assess appropriateness for return to activity.
When children are given the opportunity to move and explore in natural ways, they develop as they should, correct? Often times there are roadblocks that get in the way of natural child development. These roadblocks are sometimes created by adults caring for children and are sometimes biological factors that go undetected. In this lecture, the presenters will identify 10 of the most common roadblocks to early development, provide an educational and research based framework to identify these roadblocks, and share practical strategies to address these needs.
Roadblocks covered in this unique problem/solution based lecture include: lack of tummy time/container use, prolonged use of a bottle/pacifier, media use, undetected gearing and undetected vision loss with special attention to cortical visual impairment (CVI), faulty parental understanding of development, over-parenting, the perfect child, the role of nutrition in development, and missed diagnoses, with a detailed look at Autism. Pediatric therapists play a huge role in early identification of biological and environmental factors that can affect early learning and development. This detail rich course will prepare you for that important role.
It is common for a clinician to lack direction when a child presents with the diagnosis of "idiopathic toe walking." The situation is often frustrating for all involved and frequently results in inaccurate evaluation with ineffective intervention and poor achievement of results. This course discusses the consequences of incorrect and delayed intervention, and reviews the evidence related to toe walking and ideal gait. The result is an alternate, and effective approach to pediatric toe walking. Participants will learn the necessity of timely and accurate management of pediatric toe walking, and how to recognize when a child has impaired biomechanics and/or sensory dysfunction that is negatively affecting their gait pattern.
This course will take participants through a well-planned 60-minute treatment session with an elderly client exhibiting decreased strength, endurance, and activity tolerance. The course will illustrate the framework of a treatment session as the therapist assesses patient status, facilitates a functional treatment session that is meaningful to the client, and provides analysis of the performance to move forward and improve the patient’s functional status.
Orthopedic Examination of the Pediatric Patient, presented Dr. David Piskulic, provides an overview of pediatric growth and development. Dr. Piskulic highlights orthopedic development, reflex integration, gross motor control and development of movement. Participants will learn common observational and assessment measures for analysis of pediatric growth and development, as well as how to perform common assessment measures for pediatric patients. Dr. Piskulic demonstrates how to recognize development time period for learned skills, such as crawling to walking, jumping, skipping, hopping, and running.
What does PL 108-446, the Individuals with Disabilities Education Improvement Act of 2004 (IDEA) require of those providing special education and related services to students with disabilities in schools? A key element is the Individualized Education Program (IEP) which is developed by the IEP team. Physical therapists must understand their role on the IEP team and how to advocate for needed student services. IDEA also includes a number of other provisions which therapists must comprehend to be successful service providers and collaborative team members.
Cerebral palsy is a diagnosis that covers a wide range of movement disorders. Physical, Occupational and Speech/Language Pathologists working with children who have Cerebral Palsy need up to date information to assess and treat the specific impairments that each child presents with. This course will provide therapists with current definitions and descriptions of the various classifications of Cerebral Palsy including specific impairments to aid them in differential diagnosis, which is a critical first step in developing a plan of care.
This course provides descriptions of basic concepts such as synaptogenesis and neurogenesis before reviewing current research on potential neuroplasticity and methods of measurement. Dr. Montgomery will also discuss the rationale for task-specific training and the role of aerobic activity in motor control and learning. Finally, critical elements to enhance brain plasticity in pediatric therapy are outlined, and the role of therapists in facilitating different types of motor tasks in varied environments is summarized.
Distinguish yourself, have confidence in your practice, and become a better clinician. Take a series of courses taught by industry-leading instructors and participate in interactive learning assessments, Q&A sessions, and case study discussions.
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