Clinical Doctorate in Occupational Therapy (OTD) Elective Course Catalog

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1 Clinical Doctorate in Occupational Therapy (OTD) Elective Course Catalog OTD Elective Course Options: please place a check next to each of the courses you would like to include as part of your OTD curriculum. You must choose a minimum of 15 credits. *Please return this completed form to registrar@eimpt.com Name: OTD Cohort: **Please note registrant is responsible for all travel and expenses related to attendance at required onsite lab courses. Elective Categories Musculoskeletal Neurological Stroke Geriatric Concussion Therapeutic Pain Specialist Hand Therapy Pelvic Health

2 Musculoskeletal Elective Courses APPT 6220 Essentials of Medical Screening Credits: 2 Length: 6 weeks Course type: Online- faculty led Timeframe offered: Spring, Fall Description: Screening for conditions not amenable to treatment by a physical and/or occupational therapist or that requires consultation/referral to other providers is a key skill. This course complements entry-level education on medical screening by presenting a pragmatic approach to a review of symptoms and incorporating the latest evidence on yellow and red flags. Current evidence is presented where available. In addition to red flags, participants will learn how to use evidence-based questionnaires to aid screening for depression and fear-avoidance behaviors, and they will work on creating or updating a general health screening form for use in their own clinical environments ORPT 6540 Management of Upper Extremity Disorders Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty led; Onsite- faculty directed Timeframe offered: Spring, Fall Onsite offered: Various locations in April and October Description: Management of Upper Extremities is designed to enhance the student's knowledge and skill level in the evidence-based management of individuals with upper extremity disorders and dysfunction. Classification systems, diagnostic clusters, and outcomes assessment tools are discussed as components of the diagnostic process within the framework of evidencebased practice. Diagnostic information for the medical screening of systemic and vascular disorders is also discussed. Evidence-based treatment approaches, with special emphasis on manual therapy and exercise, are reviewed to improve the student's management of individuals with upper extremity musculoskeletal disorders. An intensive laboratory weekend is included to provide hands-on demonstration and practice of examination skills and selected manual therapy and exercise interventions for the shoulder, elbow, wrist and hand regions.

3 ORPT 6110 Chronic Spinal Pain online d, self-study Description: Pain is the primary reason why our patients seek physical and occupational therapy services, it is imperative that today s evidenced-based physical and occupational therapists maintains a basic, accurate knowledge of the pain sciences. Nowhere is the nature of pain and suffering more misunderstood than in the arena of spinal pain. The data is overwhelming that we are not only harming a large number of people with invasive medical procedures that are targeted at the wrong area, we are also failing to implement current evidence in the pain sciences into the management of patients with spinal pain. This course will focus the student on actionable ways to successfully manage difficult spinal pain conditions. Neurological Elective Courses NRTI 6119 Motor Learning/Motor Control & Neuroplasticity Length: 1 week online, 2 day onsite lab Course type: Online- faculty led; Onsite- faculty directed Timeframe offered: Spring Description: This course will expose students to the theoretical perspectives and current principles associated with the control and learning of movement skills. Specifically, the neural and mechanical mechanisms underlying motor behavior and the variables influencing motor learning will be addressed. Throughout the course, application of theoretical concepts to instructional and clinical settings will be emphasized.

4 NRTI Wheelchair Seating/Assistive Technology and Electrical Stimulation Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty directed; Onsite- faculty directed Timeframe offered: Summer Description: This purpose of this course is to improve the participant s knowledge base on the evaluation and intervention techniques using assistive technology. It will encourage participants to use the latest evidence with inclusion of assistive technology as an integral part of the comprehensive evaluation and intervention process. The primary focus will be on wheelchairs and seating systems and its connection to body function and structures and participation. This course will also focus on the use of assistive technology to maximize client s participation. Using the latest evidence, participants will develop skilled observation, problem solving and clinical reasoning skills to interpret the evaluation data and translate it into most appropriate features for the wheelchair seating, mobility and assistive technology products. This course will be self-paced online and there will be 10 hours of classroom/lab experience. Stroke Elective Courses (Course credit for Stroke Coursework may be transferred into the Specialty Certification in Stroke Recovery) Clinically Applied Neuroanatomy and Pathology of Stroke Description: This course provides a functional review of neuroanatomy and neurophysiology specific to the pathology of stroke and offers opportunities for integration of this information with current neuromuscular rehabilitation treatment philosophies and approaches in the management of stroke. The goal for this course will be application of this knowledge to direct patient care to achieve a better understanding of patients presenting pathology, and subsequently be capable to developing the best plan of care to maximize outcomes.

5 The Comprehensive Stroke Examination and Evaluation Description: This course will detail the comprehensive examination and evaluation of persons following stroke. Participants will learn to conduct a hypothesis driven examination and evaluation, and be able to obtain a holistic assessment with efficiency and accuracy. Participants will be provided with evidence based stroke specific outcome measures, and instruction in appropriate use of these measures to design effective plans of care and measure progress. Maximizing Stroke Recovery through Motor Learning and Neuroplasticity Description: This course will provide a review of current literature of neuroplasticity and motor learning focusing on the clinical research demonstrating the occurrence of neuroplastic changes following stroke. Motor learning concepts will be outlined, and current practice will be reviewed in light of these concepts. This course will review the necessary ingredients to drive these neuroplastic changes and offer practical examples of creating rehabilitation interventions that integrate these into a plan of care that is evidence based to maximize recovery.

6 Translating Evidence into Practice Recovery of Function following Stroke Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty driven- hands-on Timeframe offered: Spring Description: This course will serve to tie together knowledge to introduce the most current evidence based interventions for the most common post stroke deficits in posture, balance, functional mobility, UE function, and gait. The course will focus on holistic, patientcentered treatment of the patient following stroke across the continuum of care. The concepts of neuroplasticity, motor learning, and intensity of practice will be synthesized into effective treatment plans to maximize recovery. The onsite intensive will allow participants the opportunity for hands on practice of specific skills and techniques covered in the course via peer practice, written and video cases, and live demonstration and practice with persons with stroke. Vision Dysfunction and Treatment following Stroke Description: This course this will provide therapists with an understanding of the visual sequelae of stroke. Anatomy and physiology of the visual-perceptual system will be reviewed, and the common pathologies including low vision, visual field loss, ocular motility disorders, and visual perception difficulties will be elucidated. Course participants will learn assessment techniques to appropriately diagnose and/or effectively create a collaborative diagnosis for the visual and/or perceptual dysfunction, as well as treatment strategies that can be utilized to maximize clinical outcomes.

7 Vestibular Dysfunction Diagnosis and Management following Stroke Description: This course will provide therapists with a brief review of the anatomy and physiology of the vestibular system, while focusing on the pathophysiology of vestibular disorders that commonly occur following stroke. The course will cover basic vestibular screen and assessment, and provide therapists with tools for diagnosis as well as knowledge of need for referral to other members of the health care team. Therapists will be able to apply information from this course to diagnose and treat common vestibular system disorders following stroke. Beyond Traditional Therapy Reintegration following Stroke Description: This course will expand therapists scope of intervention beyond that of the traditional rehabilitation time frame, focusing on persons reintegration into home and community following stroke. The course will provide strategies for continuation of rehabilitation in the home and community, and tools for promoting health and wellness for both the person with stroke as well as their caregiver.

8 Geriatric Elective Courses (Course credit for Geriatric Coursework may be transferred into the Geriatric Certification) GERI 6110 Introduction to Geriatric Rehabilitation Description: The Introduction to Geriatric Rehabilitation introduces the participants to the fundamentals of geriatric rehabilitation practice. Students will acquire in depth knowledge of the aging process and compare and contrast normal and pathologic aging. Case studies will be presented that illustrate the complexities and interactions of the aging process on diagnosis, impact on interventions, and expected progression based on function. Students will be provided with an introduction to evidence-based examination and intervention of older adults. A multidisciplinary perspective will be presented, and students will develop skills to communicate and educate other healthcare providers (Physical Therapy, Occupational Therapy, Pharmacy, Social Work, Medicine) in order to provide the best care for older adults. GERI 6510 Management of Geriatric Neurologic Conditions Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online, faculty directed Timeframe offered: Fall, onsite in November Description: This course will provide the rehabilitation clinician with knowledge and skills in managing older adults with a variety of neuromuscular conditions that implicate on their movement and function. This course will have two distinct sections. The two-day onsite session is designed to integrate both sections through specific discussion and laboratory sessions to allow the participants the clinical reasoning process to competently manage neurological disorders and falls in the geriatric population.

9 GERI 6520 Management of Geriatric Musculoskeletal Conditions Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online, faculty directed Timeframe offered: Spring, onsite in May Description: This course will provide the rehabilitation clinician with knowledge and skills in managing older adults with a variety of musculoskeletal conditions that implicate on their movement and function. Musculoskeletal pain and dysfunction is a leading cause of disability in older adults. Lower extremity arthritic conditions and aging spine problems such as lumbar spinal stenosis frequently result in decreased fitness levels and increased fall risk. This course will focus on evidence-based programs to address these problems and hands-on manual therapy management strategies that are adapted for the older adult. GERI 6120 Geriatric Cardiovascular Conditions Timeframe offered: Spring, Summer, Fall Description: This course will provide the rehabilitation clinician with knowledge and skills in managing older adults with a variety of musculoskeletal conditions that implicate on their movement and function. Musculoskeletal pain and dysfunction is a leading cause of disability in older adults. Lower extremity arthritic conditions and aging spine problems such as lumbar spinal stenosis frequently result in decreased fitness levels and increased fall risk. This course will focus on evidence-based programs to address these problems and hands-on manual therapy management strategies that are adapted for the older adult

10 GERI 6130 Geriatric Integumentary Conditions Description: This course will provide the clinician with knowledge and skills in the rehabilitation management of integumentary problems. The course will cover risks for skin breakdown, prevention of integumentary problems in the geriatric population, and wound care management. GERI 6140 Wellness and Health Promotion in the Geriatric Population Description: This course covers evidence-based approaches to optimize health and wellness in the older adults. It will discuss issues regarding readiness of an individual to change behaviors related to health promotion, and interventions to optimize adherence to exercise or other health behaviors to support health aging. GERI 6150 Complementary Therapies in Geriatric Rehabilitation Description: This course will provide the clinical with theoretical foundations and practical applications of selected complementary therapies that may be applied in geriatric rehabilitation practice.

11 GERI 6160 Regulatory, Legal and Ethical Issues in Geriatric Rehabilitation Description: This course covers special health policy issues that affect the geriatric population. Course Objectives: At the end of this course, the student will be able to: 1. Recognize selected health policy issues affecting geriatric rehabilitation practice. 2. Identify and discuss selected legal and ethical issues in geriatric rehabilitation practice 3. Discuss approaches to manage ethical issues in the older adults

12 Concussion Elective Courses (Course credit for Concussion Coursework may be transferred into the Concussion Certification) CONC 6110 Introduction to Concussion Description: This introductory course will prime the students on the latest clinical conversations in the concussion community breaking down basic science, anatomy, pathophysiology, communication pearls for cross-disciplinary interactions, comprehensive physical examination review, pointers to access high yield concussion data from trusted resources, and foster the tools needed to set up objective tools and interventional options for various clinic settings. This course will combine the interpretation of basic science knowledge with targeted clinical history approach based on presentation of signs and symptoms, and incorporate them into an EBP framework to develop dynamic critical thinking skills needed to complete a high quality differential evaluation and provide the most effective treatment possible. This course will focus on effective communication with the patient, the patient interview and objective examination to identify and generate clinical hypotheses, and the treatment principles used in the biopsychosocial approach in healthcare. This course will introduce the student to objective tests and measures for the concussion patient. CONC 6510 Concussion Management Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty led; Onsite- faculty directed Timeframe offered: Summer Onsite- June Description: The 8-week course reviews the roles, responsibilities, and rationale for treatment of the concussive injury within the specialty providers scope of practice. An emergency medicine physician, neurologist, physical therapists, vestibular therapist, occupational therapist, neuropsychologist, and speech language pathologist review their unique treatment approaches, interventional options, and management abilities for the concussion patient acute to chronic across the lifespan.

13 CONC 6120 Concussion of the Athlete Description: This course is designed to enhance the student's knowledge and skill level in the evidence-based management of the sports-related concussion (SRC). The SRC often gets the most attention in the media and gets the most funding in research. Legislation and rules are being proposed and passed at lightning speed and are often difficult to keep up with when it comes to clinical practice. Board certified sports physical therapists and practicing athletic trainers take the student through the unique nature of the acute sideline evaluation all the way through the reexamination, interventional options, and testing for the sub-acute and persistent symptom presentation concussed athlete in clinic. CONC 6130 Concussion of the Pediatric Population Description: This course is designed to enhance the student's knowledge and skill level in the evidence-based management of the pediatric population who has suffered from a concussion. Classification systems, outcomes assessment tools, and the application of diagnostic imaging rules for mtbi/concussion are discussed as components of the diagnostic process within the framework of evidence-based practice. Diagnostic information for the medical screening of cervical spine, systemic, vascular, cognitive, mood, orthopedic, neurological, vestibular, autonomic and ocular motor disorders are also discussed. Evidence-based treatment approaches are reviewed to improve the student's management of individuals with concussion. Special emphasis is placed on taking a comprehensive subjective history on the patient including school faculty and administration, caregivers, caretakers, and primary care practitioners make this a unique learning environment fostering a biopsychosocial and rehabilitative team approach. Each specialty topic area will review the epidemiology, risk factors, interventional options, and unique characteristics of why the pediatric patient population requires specialty training to foster successful evaluation, intervention, and management across the lifespan of the concussive injury.

14 CONC 6140 Concussion of the Geriatric Population Description: This course is designed to enhance the student's knowledge and skill level in the evidence-based management of the geriatric population who has suffered from a concussion. Classification systems, outcomes assessment tools, and the application of diagnostic imaging rules for mtbi/concussion are discussed as components of the diagnostic process within the framework of evidence-based practice. Diagnostic information for the medical screening of cervical spine, systemic, vascular, cognitive, mood, orthopedic, neurological, vestibular, autonomic, and ocular motor disorders are also discussed. Evidence-based treatment approaches are reviewed to improve the student's management of individuals with concussion. Special emphasis is placed on taking a comprehensive subjective history on the patient including caregivers, caretakers, and primary care practitioners make this a unique learning environment fostering a biopsychosocial and rehabilitative team approach. Each specialty topic area will review the epidemiology, risk factors, interventional options, and unique characteristics of why these patient populations require specialty training to foster successful evaluation, intervention, and management across the lifespan. CONC 6150 Concussion of the Service Member/Trauma Description: This course is designed to enhance the student's knowledge, comfort, and skill level in the evidence-based management of these special populations of patient: the service member and victims of domestic violence. Two weeks will be devoted to the service member and two weeks will be devoted to victims of domestic violence who have suffered from a concussive injury. Approximately 25% of service members seek care outside of the veteran affairs (VA) system and present with unique pre and post-morbid historical presentations very unique to their population cohort directly affecting their ability to heal. Victims of domestic violence, also termed intimate-partner violence (IPV), suffer from polytrauma similar to a service member; however, often get lost in the medical and legal system with mtbi often being overlooked. This

15 4-week course will review the sensitive nature of taking a history on these cohorts of patients, identifying and providing tools to enhance the providers clinical practice for these special populations of patient. Therapeutic Pain Science (TPS) Elective Courses (Course credit for TPS Coursework may be transferred into the ISPI TPS Certification) ISPI 6410 Therapeutic Neuroscience Education Credits: 4 Length: : 6 weeks online, 2 day onsite lab Course type: Online- faculty driven- 2-day onsite Onsite: Description: Teaching people about pain can have a therapeutic effect. This course is designed to update attendees on the latest evidence and clinical application of therapeutic neuroscience education for patients in pain. Current best evidence has shown that neuroscience educational strategies utilizing neurobiology and neurophysiology are able to reduce pain, increase function, reduce fear and catastrophization, and improve movement and change cognitions and brain activation during pain experiences. Therapeutic neuroscience education changes patient beliefs regarding their pain, thus reducing the threat of pain. This course will discuss the evolution of therapeutic neuroscience education, why neuroscience education is needed in patient care and, more importantly, the clinical application and implementation of therapeutic neuroscience education for patients with acute, sub-acute and chronic pain. Special features include various metaphors, images, examples and case studies explaining neuroscience to patients in pain. In addition, the class will cover clinical issues such as compliance, pacing exercise and activity, incorporation of therapeutic neuroscience education with traditional movement based therapy, billing and insurance reimbursement concerns and delivering therapeutic neuroscience education in busy, time-constrained clinical environments. This class is a must for all professionals dealing with patients in pain.

16 ISPI 6151a/b A Study of Neurodynamics I & II Credits: 2 Length: 6 weeks Course type: Online- faculty driven- 2-day onsite Prerequisites: ISPI 6410 Therapeutic Neuroscience Education Description: This two-part course is designed to update participants on the latest evidence and clinical application of neurodynamics. Neurodynamics is the physical ability of the nervous system allowing it to move, slide, glide and accommodate human movement and function. Compared to more traditional manual therapy models focusing on joints and muscles, neurodynamics is new and vitally important in restoring normal movement and function. To understand the physical movement of nerves, neuroscience knowledge is explored to understand how pain works from a neurobiological and neurophysiological perspective. This course will discuss the latest research in the use of neurodynamic tests for examination as well as treatment. Mounting evidence supports the use of neurodynamics in various traditional orthopedic based disorders such as low back pain, radiculopathy, plantar fasciitis, lateral epicondylitis, whiplash associated disorders, neck pain, carpal tunnel, post-surgery, ankle sprains and more. The didactic coursework will prepare attendees for the weekend intensive lab sessions. Following the lab session on the weekend intensives, the course will conclude with the clinical application of the neurodynamic tests and treatments associated with the course. This course adds the important handling skills component for healthcare providers treating patients with pain. ISPI 6152 Too Hot to Handle Length: 3 weeks Course type: Online- self study Prerequisites: ISPI 6410 Therapeutic Neuroscience Education Description: Many patients seeking help for pain are simply too hot to handle. Modern pain science referred to this as allodynia and/or hyperalgesia. Nowhere is this more evident that Complex Regional Pain Syndrome (CRPS). Using CRPS as a template, this course will feature various aspects of CRPS including differences between CRPS 1 and CRPS 2, clinical presentation and diagnosis, current epidemiological factors and risks associated with the development of CRPS to discuss hypersenitization of the nervous system. In the last 10 years, knowledge of hypersensitization, including CRPS, has increased rapidly leading to new advances in physical treatment. Now patients with hypersensitization can not only be managed, but treated

17 effectively and returned to normal function. In addition, the three main pathobiological processes currently thought to be the main issues with CRPS, and general hypersensitization, will be discussed. These are aberrant inflammatory mechanisms, vasomotor issues and neuroplastic changes in response to pain. This class will feature an extensive review of treatments based on the latest evidence for treating patients with CRPS and hypersensitization. Included are graded motor imagery, sensory discrimination, graphesthesia and neuroscience education. Various examination and treatment techniques will be discussed allowing preparation for the weekend intensive lab sessions. This course is a must for healthcare providers working in a variety of clinical settings dealing with CRPS or any patients displaying a heightened sensitization to physical movement and handling. ISPI 6100WI Weekend Intensive I: Neurodynamics and Too Hot to Handle Length: 6 weeks Course type: Online- faculty driven-2-day onsite Prerequisites: ISPI-TPS 6151A Neurodynamics I, ISPI 6152 Too Hot to Handle, ISPI 6410 Therapeutic Neuroscience Education Description: This weekend intensive serves as the practical application of the neurodynamics and too hot to handle courses. On day 1, attendees will practice and develop skills in the physical examination of a sensitized nervous system. Practical sessions focus on the main upper extremity nerves (median, radial and ulnar), trunk, head and lower extremities, including both lumbar and lumbosacral tracks. Practical sessions include identifying and palpating peripheral nerves, active and passive neurodynamic tests as well as treatments for the sensitive nervous system. Day 2 focuses on desensitization of the nervous system. First, attendees will practice and learn easy-tofollow strategies to teach people about pain, including why they are so sensitive. This practical application of therapeutic neuroscience education will prepare patients for treatments aimed at desensitization of a hypesensitive nervous system. Prior to desensitization, attendees will practically test various aspects associated with sensitization, including laterality, two point discrimination, body diagram drawings, localization of stimulus and graphesthesia. Treatments will include retraining left-right discrimination, motor imagery/visualization, localization, sensory discrimination, graphesthesia and mirror therapy.

18 ISPI 6154 Everything Hurts Length: 3 weeks Course type: Online- self study Prerequisites: ISPI 6410 Therapeutic Neuroscience Education Description: Many chronic pain sufferers are diagnosed with widespread, diffuse, and nonspecific pain in conditions like fibromyalgia, chronic fatigue syndrome, metabolic disorder and Lyme disease. Current neuroscience is pointing a shared mechanism of brain processing (pain neuromatrix) and significant alterations in biological systems such as the immune and endocrine systems in these patient populations. Collectively, these conditions affect approximately 5% of the population - or more than 15 million Americans. Research has shown that treatments such as cardiovascular exercise, strengthening exercise, membrane stabilizing drugs and education (especially cognitive behavioral therapy) is helpful in treating widespread pain. But how does it work? How can therapy help patients with widespread pain? This class will discuss the epidemiology and etiology of conditions like fibromyalgia as well as the current medical model for treating widespread pain and especially the deficiencies in this model. The class will focus on the new neuroscience view of widespread pain, including the brain s processing of pain, nerve sensitization, neuroendocrine and immune changes in response to pain, changes in motor function, sleep and more. Evidence based treatments such as therapeutic neuroscience education, aerobic exercise, pacing, graded exposure, goal setting and various other strategies such as relaxation, breathing and sleep hygiene will be discussed in patients with widespread pain.

19 Hand Therapy Elective Courses (Course credit for Hand Therapy Coursework may be transferred into the Advanced Practice in Hand Therapy Certification) HNDT 6110 Introduction to Tissue Healing & Splinting Overview online d, self-study Description: This course introduces the general concepts of tissue healing used to progress patients through the rehabilitation process. Students will develop an in-depth understanding of the inflammatory and scarring process, as well as how to use this natural healing to appropriately progress therapy intervention. This course also introduces the general concepts of splinting. Students acquire an understanding of types of splinting material and general concepts in fabricating static and dynamic splints. HNDT 6510 Management of the Shoulder Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty directed; Onsite- faculty directed Timeframe offered: Fall Prerequisites: HDNT 6410 (2 day on-site is combined with Management of the Elbow) Description: This course will provide students with an in-depth understanding of evaluation and treatment of the shoulder complex. Students will receive an extensive overview of anatomy and pathology of this complicated joint, while gaining the knowledge and ability to perform a comprehensive shoulder evaluation. Students will also learn a variety of evidence-based treatments and progression of therapy for an extensive list of shoulder conditions. Conservative treatment as well as post-operative care of a variety conditions including, but not limited to rotator cuff tears, impingement syndromes, scapular dysfunction, labral tears, and fractures will be extensively discussed.

20 HNDT 6410 Management of the Elbow Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty directed; Onsite- faculty directed Timeframe offered: Fall Prerequisites: HDNT 6510 (2 day on-site is combined with Management of the Shoulder) Description: This course will provide students with an in-depth understanding of evaluation and treatment of the elbow. Students will receive an extensive overview of anatomy and pathology, while gaining the knowledge and ability to perform a comprehensive elbow evaluation. Students will also learn a variety of evidence-based treatments and progression of therapy for an extensive list of elbow conditions. Conservative care and post-operative interventions for chronic conditions such as lateral epicondylitis, medial epicondylitis, and arthritis will be reviewed, along with conservative and post-operative care for acute conditions such as fractures, dislocations, and ligament injuries. HNDT 6520 Management of Wrist & Forearm Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty directed; Onsite- faculty directed Timeframe offered: Spring Prerequisites: HDNT 6530 (2 day on-site is combined with Management of the Hand) Description: This course will provide students with an in-depth understanding of evaluation and treatment of the wrist and forearm. Students will receive an extensive overview of anatomy and pathology, while gaining the knowledge and ability to perform comprehensive evaluations of the wrist and forearm. Students will also learn a variety of evidence-based treatments and progression of therapy for an extensive list of wrist and forearm conditions. Conservative care and post-operative interventions for a variety of conditions including, but not limited to fractures and dislocations, sprains and ligaments tears, tendonitis and tendinosis diagnoses, and carpal instabilities will be extensively discussed. Students will learn to determine and fabricate appropriate splinting for a variety of wrist and forearm diagnoses.

21 HNDT 6530 Management of the Hand Credits: 5 Length: 8 weeks online, 2 day onsite lab Course type: Online- faculty directed; Onsite- faculty directed Timeframe offered: Spring Prerequisites: HDNT 6520 (2 day on-site is combined with Management of the Wrist & Forearm) Description: This course will provide students with an in-depth understanding of evaluation and treatment of the hand. Students will receive an extensive overview of anatomy and pathology, while gaining the knowledge and ability to perform comprehensive evaluations of the hand. Students will also learn a variety of evidence-based treatments and progression of therapy for an extensive list of hand conditions. Conservative care and post-operative interventions for a variety of conditions including, but not limited to fractures and dislocations, sprains and ligaments tears, and tendonitis and tendinosis diagnoses will be extensively discussed. Students will learn to determine and fabricate appropriate splinting for a variety of hand diagnoses. HNDT 6210 Evaluation and Treatment of Tendon and Nerve Diagnoses Credits: 2 Length: 6 weeks Course type: Online- faculty directed Timeframe offered: Summer Description: This course will provide students with an in-depth understanding of evaluation and treatment of upper quarter nervous system as well as tendon injuries. Students will receive an extensive overview of anatomy and pathology of the complicated upper extremity nervous system and tendons of the upper quarter. Students will also learn a variety of evidence-based treatments and progression of therapy for an extensive list of nerve and tendon dysfunction. Conservative treatment as well as post-operative care of nerve and tendon injuries including compression diagnoses, traction injuries, ruptures, and lacerations will be extensively discussed. Students will learn to determine and fabricate appropriate splinting for a variety of nerve and tendon diagnoses.

22 HDNT 6120 Management of Trauma, Edema, and Wounds Course type: Online, self-paced/self-study Description: Multiple diagnoses sent to hand therapy present due to trauma and most present with edema and some with wounds. This course will provide students with an in-depth understanding of trauma and evidence-based treatment in progress of traumatic injuries. Students will learn how to manage edema correctly, as well as discuss wound care and the pathology and anatomy behind wound healing. Students will learn when immobilization or progression of motion is appropriate in providing patients with the best possible outcome. HNDT 6140 Complex Injuries and Amputations & Prosthetics Course type: Online, self-paced/self-study Description: This course will provide students with knowledge and skills in the rehabilitation of complex injuries and amputations. Students will learn the appropriate order of treatment for complex injuries, as well as care of amputations and use of a variety of upper extremity prosthetics. Students will also review the psychological components of coping with complex injuries and amputations. HDNT 6150 Pediatric Disorders, Special Populations, and Industrial Rehabilitation Course type: Online, self-paced/self-study Description: Students will learn the special concepts of rehabilitation in pediatric disorders and other special populations. The first half of the course will include discussion of evaluation and rehabilitation of upper extremity disorders in pediatrics and other special populations including, but not limited to genetic disorders, traumatic brain injuries, and strokes that affect upper limb function. The second aspect of this course will include hand therapy in industrial rehabilitation. Students will review ergonomics and work rehabilitation as it relates to upper quarter diagnoses.

23 HDNT 6160 Imaging & Modalities Course type: Online, self-paced/self-study Description: This course encompasses the essentials of musculoskeletal radiology and other common imaging modalities such as MRI, CT and musculoskeletal ultrasound of the upper quarter. This course helps students confidence grow in the areas of common radiographic views, radiographic presentation of common upper quarter musculoskeletal conditions, and communicating with doctors and patients how the diagnostic imaging results relate to the current problem. Students will also develop understanding of the use of a variety of modalities including therapeutic ultrasound, electrical stimulation, interferential stimulation, iontophoresis, paraffin, heat, and ice. Evidence-based and appropriate use of these modalities will be extensively discussed.

24 Pelvic Health Elective Courses (Course credit for Pelvic Health Coursework may be transferred into the Pelvic Health Certification) PHPT 6510 Pelvic Health I Application for Orthopaedic Therapists Credits: 5 Length: 8 weeks Course type: Blended, Online with 2-day onsite weekend intensive Timeframe offered: Summer Description: This course is designed to teach the orthopaedic therapist how to effectively integrate the pelvic floor into therapy treatment for clients with low back pain, hip pain, pelvic pain, and pelvic floor dysfunction. Students will learn how to screen for pelvic floor dysfunction and effectively integrate the pelvic floor into their treatment plans for improved patient outcomes. This course additionally has a 2-day weekend intensive component in which students will learn techniques such as manipulations, mobilizations, muscle energy techniques soft tissue work, and retraining techniques specific to the orthopaedic patient with low back pain, hip pain, and pelvic floor dysfunction. The student will also learn modifications needed to examine and treat the pregnant patient. PHPT 6520 Pelvic Health II Female Pelvic Pain Intravaginal Evaluation and Interventions Credits: 5 Length: 8 weeks Course type: Blended, Online with 2-day onsite weekend intensive Timeframe offered: Fall Prerequisites: PHPT 6510 Pelvic Health I Description: This course is designed to teach the student advanced pelvic floor techniques, including internal vaginal and rectal pelvic floor examination, evaluation and treatment, use of biofeedback to aid in uptraining and downtraining the pelvic floor, overview of chronic pain, and marketing strategies need to build a pelvic health practice. The 2-day weekend intensive part of this course will cover the hands on portion of the techniques learned and includes vaginal and rectal components.

25 PHPT 6110 Lifestyle Considerations Course Type: Online, Self-directed Timeframe Offered: Winter, Spring, Summer, Fall Description: This elective course is designed to give the student an understanding of how certain lifestyle factors may contribute to orthopedic conditions and pelvic floor dysfunction and pain as well as provide an overview of additional factors that may impact the pelvic floor. Course Objectives: 1. Explain how to complete a bladder/bowel diary and the purpose of completing diary. 2. Discuss common comorbidities and their impact on the pelvic floor. 3. List the most common dietary irritants to the bladder. 4. Demonstrate appropriate recommendations and interventions for lifestyle modification to aid in recovery of pelvic pain and dysfunction. PHPT 6120 Sexuality Considerations Length; 4 weeks Course Type: Online, Self-directed Timeframe Offered: Winter, Spring, Summer, Fall Description: Patients with pelvic floor dysfunction may also exhibit sexual dysfunction. This elective course is designed to teach the student how to take a history from a client with sexual dysfunction. The student will learn modifications for sexual positioning for clients with orthopedic or pelvic floor dysfunction. Course Objectives 1. Describe normal physiological processes that occur during intercourse. 2. Demonstrate understanding of psychosocial factors associated with sexual dysfunction. 3. Determine appropriate positioning modifications for the patient with orthopedic and pelvic floor 4. dysfunction. 5. Demonstrate an understanding of reproductive anatomy. 6. Develop intimacy plans for clients and couples wishing to return to intimacy.

26 PHPT 6130 Pelvic Floor Post-Op/Pharmacology Length; 4 weeks Course Type: Online, Self-directed Timeframe Offered: Winter, Spring, Summer, Fall Description: This elective course is designed to give the student knowledge of surgical techniques used to treat pelvic floor disorders, post surgical rehabilitation, and common medications used in the treatment of pelvic floor disorders. Course Objectives 1. Demonstrate understanding of the most common gynecologic, urologic, and urogynecologic surgeries. 2. Know contraindications for exercise following these surgeries. 3. List common medications used to treat bladder and bowel dysfunction and their effects on the client. PHPT 6140 Special Populations Length; 4 weeks Course Type: Online, Self-directed Timeframe Offered: Winter, Spring, Summer, Fall Description: This elective course describes the etiology, pathology, and prognosis for pelvic floor dysfunction in some populations that are often overlooked even by pelvic floor therapists: men, athletes, children, and postmenopausal women. The learner will receive information allowing him or her to understand the variation in care that is needed for each of these populations as well as learn how to incorporate pelvic floor intervention into these populations when the pelvic floor is a primary or secondary component of their complaint. Course Objectives 1. Describe the etiology, pathology, and prognosis for pelvic floor dysfunction in men, athletes, children, and postmenopausal women. 2. Understand and be able to describe the variation in treatment plan that is needed for all of the above mentioned special populations. 3. Describe and implement a plan for treatment for the above mentioned special populations.

27 PHPT 6160 Pelvic Floor from Adolescence Through Older Adulthood Length; 4 weeks Course Type: Online, Self-directed Timeframe Offered: Winter, Spring, Summer, Fall Description: This self-directed 4 week course seeks to educate the pelvic health practitioner on normal pelvic floor changes that occur during the life span, during adolescence, childbearing years, during and after menopause, and during older adulthood. Participants will also learn about common pelvic floor dysfunction during these time periods and be able to screen for common and uncommon problems following completion of this course. Course Objectives 1. Participants will be able to articulate challenges inherent with each of the stated periods of life as well as discuss appropriate ways to address each. 2. Participants will demonstrate understanding of normal changes to the pelvic floor at each stage and have an ability to distinguish normal age related changes from pathology or dysfunction. 3. Participants will be able to customize their plan of care to accommodate for needs specific to each age category and adjust care appropriately. PHPT 6170 Body Systems Impacting Pelvic Musculoskeletal Health Length; 4 weeks Course Type: Online, Self-directed Timeframe Offered: Winter, Spring, Summer, Fall Description: This self-directed 4 week elective course overviews normal anatomy and physiology of the gastrointestinal, urinary, and male and female reproductive systems as well as providing a brief overview of common pathologies that will impact each and which may impact the structure and function of the pelvic floor. Course Objectives 1. Participants will demonstrate understanding of normal physiology of the gastrointestinal, urinary, and reproductive systems. 2. Participants will demonstrate understanding of common pathologies that impact the gastrointestinal, urinary, and reproductive systems as well as potential impact on pelvic floor. 3. Participants will be able to engage in informed dialogue with other medical practitioners to enhance patient care and outcomes.

28 ORPT 6110 Diagnosis and Management of Chronic Spinal Pain Length; 4 weeks Course Type: Online, Self-directed Timeframe Offered: Winter, Spring, Summer, Fall Description: Pain is the primary reason why our patients seek physical therapy services, it is imperative that today s evidenced-based therapist maintain a basic, accurate knowledge of the pain sciences. Nowhere is the nature of pain and suffering more misunderstood than in the arena of spinal pain. The data is overwhelming that we are not only harming a large number of people with invasive medical procedures that are targeted at the wrong area, we are also failing to implement current evidence in the pain sciences into the management of patients with spinal pain. This elective course will focus the student on actionable ways to successfully manage difficult spinal pain conditions. Course Objectives: 1. Demonstrate knowledge of the current understanding of nociception, the experience of pain, and the nature of suffering. 2. Describe modulators of pain that increase or decrease the pain experience. 3. Choose the correct definition of terms used in the pain sciences. 4. Identify factors that influence the course of a patient/client prognosis. 5. Discuss current best evidence for various cognitive behavioral and education interventions in pain management. 6. Determine relevant factors and considerations that guide patient/client management for a given case with chronic spinal pain. 7. Use knowledge in the pain sciences related to structure, movement dysfunction, response to injury and disease and promotion of health and wellness to enhance outcomes for patients with chronic spinal pain

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