Lower Extremity

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Course Instructor: Dr. Rob Sillevis, PT, DPT, PhD, OCS, FAAOMPT-click for bio

Course Instructor: Dr. Karen Wyss, PT, DPT, CFC-click for bio

CEU’s: Pending

Course objectives

Based on the material presented in the course seminar, the on-line material, and independent study; the student will be able to:

•Demonstrate proper clinical decision making skills, including clinical reasoning, clinical judgment, and reflective practice as it relates to the cervical and craniofascial region.

•Participate in scholarly activities to understand or contribute to the body of physical therapy knowledge.

• Perform a complete evaluation of the cervical/carniofascial region. This should be influenced by history, systems reviews, and by utilizing valid and reliable tests and measures (evidence based).

• Determine based on evaluation findings and current evidence within what classification category the patient falls and what the optimal clinical management approach will be based on this.

• Identify the PT diagnosis/prognosis/differential diagnosis based on the evaluation/assessment of the clinical presentation.

• Understand the value of pre-test/post-test assessment to determine the success of clinical intervention.

• Successfully apply manipulation techniques to the cervical spine and TMJ to treat hypomobility.

• Utilize the proper augmented exercise to maximize the outcome following manipulation.

• Determine the proper/best (evidence influenced) treatment approach based on PT diagnosis.

Lower Extremity

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Course Description

This course will present a systematic approach to the management of patients with lower extremity and gait disorders. As the foot hits the ground everything changes in the lower extremity (and more proximal). The regional interdependence model is very obvious in the LE. Static and dynamic foot positioning and dysfunctions will directly impact how the knee and hip are functionally used which can easily lead to secondary dysfunctions. Due to the biomechanical construction, daily functioning, and during sports activities, both the ankle and knee are exposed to mechanical loading and forces that easily can exceed normal and therefore lead to injury affecting both joint and/of muscular structures. As we are dealing in the clinic with an aging population the number of OA cases is increasing (mostly affecting the hip and knee). We will be discussing the best practice model for the management of OA. In order to achieve optimal outcome from Manual Therapy intervention each fellow will carry the burden to properly identify the underlying pathology and determine the most optimal evidence based treatment approach based on this.

The course participant will be introduced to a structured evaluation process that includes the identification of yellow and red flags, neurological assessment, the use of clinical prediction rules when appropriate, and the identification of muscle and joint dysfunction. The treatment component of this course will introduce the participant to a variety of manipulation techniques and augmented exercises to maximize clinical outcomes.

After completion of this Lower Extremity course the participant will be able to effectively treat patients with lower extremity dysfunctions and gait disorders based on the current research evidence.