PT Solutions Evidence Based Practice Clinical Focus on the Foot and Ankle Course

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1 LEARNING OBJECTIVES: 1. By the end of the course the participants will be able to correctly list all of the myotomes and dermatomes for the lower extremity. 2) By the end of the course the participants will be able to list the 3 most common categories of foot and ankle dysfunction, as discussed in class. 3) By the end of the course the participants will be able to list the 3 primary ligaments involved with lateral ankle sprains. 4) By the end of the course the participants will be able to describe the mechanism for lateral ankle sprain. 5) By the end of the course the participant will be able to describe the biomechanical cause for plantar fasciitis/posterior tibialis tendonopathy. 6) By the end of the course the participants will be able to describe the etiology of Achilles tendonopathy. 7) Given a patient with lower extremity injury, the participants will correctly perform the following special tests: anterior drawer, posterior drawer, plantar flexion strength, windlass dorsiflexion, nonwindlass dorsiflexion, STAR excursion 8) By the end of the course the participant will be able to defend the importance dorsiflexion for proper foot mechanics. COURSE DESCRIPTION: An evidence based approach to the diagnosis and treatment of lower extremity dysfunction and the indications and barriers of treatment given the current health care model. This course will combine lecture and lab to teach evaluation methods, manual intervention techniques, and verbal skills for communication of approach to the patient. INTENDED PARTICPANTS: PT Solutions clinical employees to include Physical Therapists, Physical Therapist Assistants, Occupational Therapist, Occupational Therapist Assistants, and Athletic Training. The Physical Therapist Assistant, Occupational Therapist Assistants, and Athletic Training will not be expected to deliver advanced manual skills and must understand that these skills should not be delivered without supervision of the Physical Therapist and/or Occupational Therapist. METHODS: Didactic, lab and manual techniques. Pre-reading material. Manual techniques will be performed under supervision medical difficulties related to orthopaedic difficulties of the foot and ankle should be relayed to the instructor. TIME: Pre reading material and didactic, lab & manual therapy techniques. Applied for Physical Therapists, Physical Therapist Assistants, Occupational Therapist, Occupational Therapist Assistants, and Athletic Training PLACE: PT Solutions Physical Therapy Clinics

2 ATTIRE: Lab Attire

3 Pre Reading Articles 1. Efficacy of Thrust and Nonthrust Manipulations and Exercise With or Without the Addition of Myofascial Therapy for the Management of Acute Inversions Ankle Sprain: A Randomized Clinical Trail; May 2013 volume 43 number 5 journal of orthopaedic & sports physical therapy 2. Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendinitis: J Orthop Sports Phys Ther. 2010:40(9):A1-A26. Doi: /jospt Heel Pain Plantar Fasciitis: Clinical Practice Guidelines Linked to the international Classification of Functioning, Disability, and Health form the Orthopaedic Section of the American Physical Therapy Association; J Orthop Sports Phys Ther. 2008:38 (4). Doi: /jospt Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains; J Orthop Sports Phys Ther. 2013;43(9):A1-A40.doi: /jospt Bibliography 1. Guide to Physical Therapy Practice 3.0, APTA 2. Functional Anatomy, Pathomechanics, and Pathophysiology of Lateral Ankle Instability; Jay Hertel; J Athl Train Oct-Dec; 37(4): Motor Patterns in Human Walking and Running; G. Cappellini, Y. P. Ivanenko, R. E. Poppele and F. Lacquaniti; J Neurophysiol 95: , Ankle Stability and Movement Coordination Impairments: Ankle Ligament Sprains Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Orthopaedic Section of the American Physical Therapy Association; ROBROY L. MARTIN, PT, PhD TODD E. DAVENPORT, DPT STEPHEN PAULSETH, DPT, MS DANE K. WUKICH, MD JOSEPH J. GODGES, DPT, MA; J Orthop Sports Phys Ther. 2013;43(9):A1-A40. doi: /jospt Efficacy of Thrust and Nonthrust Manipulation and Exercise With or Without the Addition of Myofascial Therapy for the Management of Acute Inversion Ankle Sprain: A Randomized Clinical Trial; SEBASTIÁN TRUYOLS-DOMÍNGUEZ, PT, PhD1 JAIME SALOM-MORENO, PT2 JAVIER ABIAN-VICEN, PT, PhD1 JOSHUA A. CLELAND, PT, PhD3-5 CÉSAR FERNÁNDEZ-DE-LAS-PEÑAS, PT, PhD2; journal of orthopaedic & sports physical therapy volume 43 number 5 may 2013

4 6. Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendinitis Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association; CHRISTOPHER R. CARCIA, PT, PhD ROBROY L. MARTIN, PT, PhD JEFF HOUCK, PT, PhD DANE K. WUKICH, MD; J Orthop Sports Phys Ther. 2010:40(9):A1-A26. doi: /jospt Heel Pain Plantar Fasciitis: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health from the Orthopaedic Section of the American Physical Therapy Association; Thomas homas G. McPoil, PT, PhD RobRoy L. Martin, PT, PhD Mark W. Cornwall, PT, PhD Dane K. Wukich, MD James J. Irr gang PT, PhD Joseph J. Godges, DPT; J Orthop Sports Phys Ther. 2008:38(4). doi: /jospt ACSM s Guidelines for Exercise Testing and Prescription Fifth Edition Moore, Keith; Clinically Oriented Anatomy Third Edition Spatial Temporal Gait Characteristics; Maria Constantiou, Rod Barrett, Mark Brown, Peter Mills; JOSPT April Association Between Plantar Fascia Vascularity and Morphology and Foot Dysfunction in Individuals with Chronic Plantar Fasciitis; Hongying Chen, Hok-Ming Ho, Michael Ying, Siu Ngor Fu; JOSPT October Association Between Foot Type and Lower Extremity Injuries: Systematic Literature Review; Jasper Tong, Pui Kong; JOSPT October A Comparison of Negative Joint Work and Vertical Ground Reaction Force Loading Rates in Chi Runners and Rearfoot-Striking Runners; Donald Goss, Michael Gross; JOSPT October Influence of Stride Frequency and Length on Running Mechanics: A Systematic Review; Amy Schubert, Jenny Kempf, Bryan Heiderscheit; Sports Health May-June 2014

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