Evidence-based Examination and Selected Interventions for Patients with Lower Extremity Disorders
Contact hours: 1.6
Lecture: 6
Lab: 9
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Description
Patients with a primary report of hip, knee or ankle pain make up a significant portion of all patients receiving outpatient physical therapy. Partner with us in this hands-on, evidence-based seminar that integrates your clinical expertise with current evidence for physical therapy clinical examination and interventions for the hip, knee and ankle. You will spend two days enhancing your skills in clinical examination, diagnosis, and selected interventions. Extensive laboratory sessions are included to achieve proficiency in selected thrust and non-thrust manual physical therapy interventions as well as exercise application. This course is open to licensed physical therapists only.
Approach
A combination of lecture and lab session will be utilized to facilitate participant learning. Participants will receive hands-on demonstration and practice of both examination and selected interventions of the hip, knee and ankle. The lab focuses predominantly on becoming proficient in a core set of manual physical therapy techniques. However, exercise strategies that complement a manual therapy approach are integrated throughout. A small group testing session will be conducted on the beginning of Day 2 to review the examination and interventions learned in Day 1. A ?round-robin? format will be used where course faculty monitor the performance of each participant and provide feedback accordingly. In our experience, these sessions have been consistently rated among the highest by course participants.
Objectives
Upon completing this course, you'll be able to:
1. Incorporate information from self-report measures and the history and physical examination to guide evidence-based decision-making.
2. Demonstrate evidence-based clinical examination skills.
3. Synthesize examination findings to establish an accurate diagnosis and prognosis.
4. Select and demonstrate manual physical therapy and exercise interventions based on current best evidence.
And most importantly, be able to apply this stuff to your
clinical practice next week!!!!
Appropriate dress
Participants are asked to bring appropriate attire for lab sessions (i.e. shorts and t-shirts and sports bras for women) and air-conditioned environments throughout the day (i.e. warm-up or work-out clothes).
Outline
|
Day
1
|
| 8:00-8:15 AM |
Introduction & Course
Overview |
| 8:15-9:00 |
Evidence-based Practice Review |
| 9:00-10:00 |
Lumbar Screen |
| 10:00-10:15 |
Break |
| 10:15-10:45 |
Evidence for the Use of Manual Therapy in the
Management of Hip Disorders |
| 10:45-12:15 |
Manual Therapy: Hip Lab |
| 12:15-1:15 |
Lunch |
| 1:15-2:15 |
Stretching
and self-mobilization for the management of hip disorders |
| 2:15- 2:45 |
Evidence for the Use of Manual Therapy in the
Management of Knee Disorders |
| 2:45- 3:00 |
Break |
| 3:00-4:30 |
Manual Therapy: Knee Lab |
| 4:30-5:00 |
Review & Questions/Answers |
| Day
2 |
| 8:00-9:00AM |
Small Group Testing |
| 9:00-10:00 |
Diagnostic Utility of the Clinical Examination in the
Identification of Knee DisordersExamination:
Special Tests Knee Lab |
| 10:00-10:15 |
Break |
| 10:15-11:30 |
Examination:
Special Tests Knee Lab |
| 11:30-12:00 |
Evidence for the Use of Manual Therapy in the
Management of Ankle Disorders |
| 12:00-1:00 |
Lunch |
| 1:00-2:30 PM |
Manual Techniques: Ankle Lab |
| 2:30-3:00 |
Regional Interdependence |
| 3:00-3:15 |
Break |
| 3:15-4:15 |
Lumbar Mobilization/manipulation in the Management of
Lower Extremity Disorders: Lab |
| 4:15-4:45 |
Open Review Lab |
| 4:45–5:00 |
Review & Questions/Answers |
References
1. Collins N, Teys P, Vicenzino B. The initial effects of a Mulligan's
mobilization with movement technique on dorsiflexion and pain in
subacute ankle sprains. Man Ther. 2004; 9:77-82.
2. Deyle GD, Allison SC, Matekel RL, et al. Physical therapy treatment
effectiveness for osteoarthritis of the knee: a randomized comparison
of supervised clinical exercise and manual therapy procedures versus a
home exercise program. Phys Ther. 2005; 85:1301-1317.
3. Deyle G, Henderson N, Matakel R, Ryder M, Garber M, Allison S.
Effectiveness of manual physical therapy and exercise in osteoarthritis
of the knee. A randomized, controlled trial. Ann Int Med. 2000;
132:173-181.
4. Hoeksma HL, Dekker J, Ronday HK, et al. Comparison of manual therapy
and exercise therapy in osteoarthritis of the hip: a randomized
clinical trial. Arthritis Rheum. 2004; 51:722-729.
5. MacDonald CW, Whitman JM, Cleland JA, Smith M, Hoeksma HL. Clinical
outcomes following manual physical therapy and exercise for hip
osteoarthritis. A Case series. Journal of Orthopaedic and Sports
Physical Therapy. 2006; 36:588-599.
6. Whitman JM, Childs JD, Walker V. The use of manipulation in a
patient with an ankle sprain injury not responding to conventional
management: a case report. Man Ther. 2005; 10:224-231.
7. Young B, Walker MJ, Strunce J, Boyles R. A combined treatment
approach emphasizing impairment-based manual physical therapy for
plantar heel pain: a case series. J Orthop Sports Phys Ther. 2004;
34:725-733.
Click here for a full list of references. |
