Course Catalog
*Pathology and Intervention in Musculoskeletal Rehabilitation
This course is offered in cooperation with Elsevier Science Publishing and utilizes text from the textbook “Pathology and Intervention in Musculoskeletal Rehabilitation” by David J. Magee, PhD, PT, James E. Zachazewski, PT, DPT, SCS, ATC and William S. Quillen PT, PhD, SCS, FACSM © 2009.
Instructional Level: Beginner to Intermediate
Pathology and Intervention in Musculoskeletal Rehabilitation provides clear guidance on patient management relative to specific musculoskeletal pathology, injury, and illness – all based on a sound understanding of basic science and principles of practice.
Throughout the text, detailed evidence-based descriptions of current and practical rehabilitation methods as well as the tools needed to design and implement a rehabilitation program for musculoskeletal pathology. Presented is the rationale for choosing an intervention along with challenges presented by the pathology, stage of healing, cautions and contraindications to treatment, different treatment considerations based on best evidence and clinical reasoning considerations. Surgical pathology is discussed when appropriate, along with the interventions providing the best evidence for clinical decision making.
To better meet your professional needs, this fully illustrated text of 944 pages has been carefully broken down into 7 modules. (NOTE: board approvals vary state to state, please check your states approval status in the state specific course catalog by returning to our home page and entering both your state and profession).
Each course is offered in two easy formats to again meet your professional needs. You can choose to have immediate access to your course by selecting the online format (PDF download) or a hard copy of the material can be rushed to your home by selecting our mail format.
Modules In Course
*Module 1: The SpineModule 1: The Spine
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study on Pathology and Intervention of the Spine in Musculoskeletal Rehabilitation.
Professional Learning Objectives
1. Recognize the relationship between the cervical spine and the occiput, and associated injuries and dysfunction.
2. List the stages of cervical spondylosis.
3. Define spinal stenosis.
4. Identify requirements for safe, effective, and economical mobilization treatment.
5. Identify the function of the thoracic spine and ribs.
6. List goals for treating the thoracic spine and ribs.
7. Recognize a failed load transfer and tests that identify a failed load transfer.
8. Define back gripping.
9. Differentiate between inappropriate timing of exercise intervention and bad or unsuccessful treatment.
10. Identify the possible causative factors of low back pain.
11. Define chronic low back pain
12. Recognize incidence of spondylolysis
13. Identify risk factors for abdominal aortic aneurysm.
14. Recognize red flags for low back pain.
15. Recognize symptoms of lumbar spinal stenosis.
16. Identify the characteristics of hypomobility.
17. Define the neurophysiological model.
18. Recognize variable pain and clinical episodes.
19. Identify locking and barriering techniques.
20. Identify the signs of an enlarging disc herniation.
21. Recognize changes in the activity of the trunk muscles and their contribution to the control of sacroiliac joint stability.
22. List the consequences of increased stability.
23. Understand benefits of motor control training in treating patients with low back pain and lumbopelvic pain. "
What you can expect in Module 1
Included in Module 1: The Spine
Chapter 2: Cervical Spine
Chapter 8: Integrated Multimodal Approach to the Thoracic Spine
Chapter 9: Low Back Pain: causes and Differential Diagnosis
Chapter 10: Lumbar Spine: Treatment of Hypomobility and Disc Conditions
Chapter 11: Lumbar Spine: Treatment of Instability and Disorders of Movement Control
Module 2: Elbow and Shoulder
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study on Pathology and Intervention of the Elbow and Shoulder in Musculoskeletal Rehabilitation.
Professional Learning Objectives
1. List the principals of shoulder treatment.
2. Demonstrate knowledge in the stabilization of the scapula
3. Identify complications associated with dislocation of the shoulder girdle.
4. Define the condition frozen shoulder.
5. Define floating shoulder.
6. Differentiate between primary tendonitis and secondary tendonitis.
7. Differentiate between an anterior sternoclavacular dislocation and a posterior dislocation.
8. Recognize the phases of frozen shoulder.
9. List the four muscles that constitute the rotator cuff.
10.Recognize that it is imperative for clinicians to consider the shoulder girdle as a whole rather than only one circulation, when assessing instability and impingement.
11.Differentiate between primary anterior impingement, secondary anterior impingement, posterior internal impingement and anterior impingement syndrome.
12.Define “empty glenoid”.
13.Recognize the indicators of fatigue and loss of control during treatment.
14.Recognize that training and rehabilitation need to be specific to the sport or activity in which the athlete hopes to take part.
15.List a program for the upper limb that is designed to increase the excitability of the neurological receptors and improve the reaction of the neuromuscular system.
16.Identify the components of a terrible triad injury to the shoulder.
17.Recognize inflammatory arthritis, post-traumatic arthritis, and osteoarthritis.
18.Recognize the most common form of inflammatory arthritis.
19.Differentiate between golfer’s elbow, climber’s elbow and tennis elbow.
20.Recognize the elbow pathology associated with the ulnar nerve seen in throwing athletes .
21.Define Osteochondritis dissecans.
22.Recognize the most common overuse injury of the elbow.
23.List the phases of elbow rehabilitation.
24.Differentiate between the treatment for tendonitis and tendinosis.
25.Identify the treatment of choice for most olecranon fractures. "
What you can expect in Module 2
Included in Module 2: Shoulder and Elbow
Chapter 4: Shoulder Trauma and Hypomobility
Chapter 5: Shoulder Instability and Impingement Syndrome
Chapter 6: Elbow
Module 3: Extremity Injuries
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study on Pathology and Intervention of Extremity Injuries in Musculoskeletal Rehabilitation.
Professional Learning Objectives
1. Recognize the signs that a patient with phalangeal fractures will need surgery.
2. Identify fractures of the distal phalanx.
3. Differentiate between the distal phalanx and the middle phalax.
4. Identify complications associated with prolonged immobilization.
5. Discuss treatment of mallet finger.
6. Recognize the most common complication of lateral dislocation of the PIP joint.
7. Discuss fractures of the metacarpal head.
8. Define skier’s thumb.
9. Recognize the most common cause of spontaneous flexor tendon rupture.
10. List the zones of flexor tendon injuries.
11. Differentiate between flexor tendon repair and extensor tendon repair.
12. Discuss the TFCC load test and how it is used to detect ulnocarpal abutment or TFCC tears.
13. Explain De Quevain’s disease and how it affects the radial aspect of the wrist and thumb motion.
14. Define arthrogenic muscle inhibition (AMI).
15. Discuss cryotherapy and TENS and their ability to diminish AMI.
16. Identify which exercises can be used to isolate specific joints or muscles to improve ROM, strength and movement patterns or unwanted varus/valgus forces that may occur during weight-bearing exercises.
17. Define medial tibial stress syndrome (MTSS).
18. Recognize the red flags for tibial stress fractures.
19. Discuss treatment of chronic exertional compartment syndrome.
20. Differentiate between the immobilization period for fibula fractures and tibia fractures.
21. Recognize treatment for Sever’s disease.
22. Define Freiberg’s infarction
23. Identify symptoms associated with Morton’s Neuroma. "
What you can expect from Module 3
Included in Module 3: Extremity Injuries
Chapter 7: Hand, Wrist, and Digit Injuries
Chapter 9: Rehabilitation of Leg, Ankle, and Foot Injuries
Module 4: Spinal Pathology, Arthritis, Bone and Muscle Disease
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study on Pathology and Intervention in Musculoskeletal Rehabilitation.
Professional Learning Objectives
1. Differentiate between incidence and prevalence.
2. Discuss causes of axial back pain.
3. Differentiate the sensory changes associated with spinal stenosis and radiculopathy.
4. Discuss malignancy of the spine.
5. Discuss kyphoplasy and the management of compression fractures.
6. Discuss differential diagnosis of cervical disc disease.
7. Explain surgical options for cervical radiculpathy.
8. Define corpectomy.
9. Demonstrate knowledge of operative treatment for axial neck pain and the importance of utilizing it as a last option.
10.Discuss the most common form of spinal stenosis.
11.Differentiate between osteoarthritis and Rheumatoid arthritis.
12.Describe the classifications of rheumatoid arthritis in children.
13.Describe and define osteoporosis.
14.Explain how fractures are related to osteoporisis.
15.Identify the most common symptom of Paget’s Disease.
16.Discuss Duchenne’s muscular dystrophy.
17.Demonstrate knowledge in the different types of muscular dystrophies and their symptoms and treatments.
18.List cardiac signs of respiratory impairment in neuromuscular disease.
19.Discuss the diagnostic criteria for Facioscapulohumeral musclular dystrophy.
20.Discuss myotonic dystrophy and early signs and symptoms.
21.Demonstrate knowledge in effective treatment for dermatomyositis.
22.Describe Fibromyalgia Syndrome.
23.Discuss the impact of Fibromyalgia has on the US.
24.Explain the importance exercise plays in management of chronic pain syndromes. "
What you can expect from Module 4
Included in Module 4: Spinal Pathology, Arthritis, Bone and Muscle Disease
Chapter 12: Spinal Pathology: Nonsurgical Intervention
Chapter 13: Spinal Pathology, Conditions, and Deformities: Surgical Intervention
Chapter 28: Management of Osteoarthritis and Rheumatoid Arthritis
Chapter 29: Systemic Bone Disease: Medical and Rehabilitation Intervention
Chapter 30: Muscle Disease and Dysfunction
Chapter 31: Fibromyalgia and Related Disorders
Module 5: Pelvic Girdle, Hip and Arthroplasty
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study of Pelvic Girdle, Hip and Arthroplasty Pathology and Intervention in Musculoskeletal Rehabilitation.
Professional Learning Objectives
1. Describe the primary function of the pelvis.
2. Understand the tests used for the assessment of the pelvic girdle.
3. Describe the assessment findings and treatment of excessive joint compression and poor motion control.
4. Explain the treatment plan for patients with lumbopelvic pain.
5. Understand the use of neurophysiological myofascial release techniques.
6. Demonstrate knowledge of the components of the integrated model in the management of pelvic girdle pain and dysfunction.
7. Understand the importance of ruling out lumbar spine involvement when a hip problem is suspected.
8. Discuss the type of patient who presents with trochanteric bursitis.
9. Discuss the possible causes of hip flexion contracture.
10. Understand the components of the hamstring and which is more susceptible to injury and why.
11. Define the condition meralgia paresthetica
12. Describe the indications and conditions for which total shoulder arthroplasty is performed.
13. Demonstrate knowledge and understanding in the evaluation of the arthritic shoulder.
14. Understand the different types of shoulder arthroplasty and its indications.
15. Understand the importance of modifying the rehabilitative approach based on the patients’ needs following shoulder arthroplasty.
16. Discuss the complications associated with and the indications for total hip arthroplasty.
17. Discuss the variety of surgical procedures used for total hip arthroplasty.
18. Identify the red flags for patients given restricted weight baring activity for postoperative exercises.
19. Understand the importance of a positive Homans’ sign.
20. Demonstrate knowledge in the treatment of patients who have undergone total hip replacement and their rehabilitation treatment.
21. Discuss the primary indication for total knee arthroplasty.
22. Explain the rehabilitation goals and management following total knee arthroplasty. "
What you can expect from Module 5
Included in Module 5: Pelvic Girdle, Hip and Arthroplasty
Chapter 14: Integrated, Multimodal Approach to the Treatment of Pelvic Girdle Pain and Dysfunction
Chapter 15: Hip Pathologies: Diagnosis and Intervention
Chapter 25: Shoulder Arthroplasty
Chapter 26: Physical Rehabilitation after Total Hip Arthroplasty
Chapter 27: Physical Rehabilitation after Total Knee Arthroplasty
Module 6: The Knee
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study on Pathology and Intervention of the Knee in Musculoskeletal Rehabilitation.
Professional Learning Objectives
1. Identify the static restraint of the knee.
2. Identify the anterior cruciate ligament.
3. Define proprioception.
4. Differentiate between open kinetic chain exercise and closed kinetic chain exercise.
5. Discuss evaluation test for the posterior cruciate ligament.
6. Define radionuclide scintigraphy.
7. List determinants to rehabilitation progression for knee ligament injuries.
8. Recognize common symptoms and complaints associated with ligament injuries.
9. Identify the popliteal hiatus.
10.Demonstrate knowledge in the function of the meniscus as well as diagnosis of meniscal tears.
11.List the standard knee radiographic films.
12.Differentiate between radiography, MRI and Arthroscopy for knee diagnosis.
13.Recognize the indications for surgical intervention of meniscal tears.
14.Demonstrate knowledge of the importance of involving the rehabilitation team with pertinent information that allows for optimal rehabilitation.
15.Discuss ACL reconstruction and postoperative rehabilitation.
16.Explain indications for meniscal transplantation.
17.Discuss trochlear lesions.
18.List the functions of the fat pads in the knee.
19.Identify the active patellar stabilizers.
20.Recognize the primary function of the patella.
21.Define patella alta.
22.Discuss the McConnell’s assessment criteria for patellar alignment
23.Identify symptoms and complaints associated with patellofemoral pain.
24.Identify appropriate candidates for orthotics.
25.Recognize test used to diagnose postoperative neuroma. "
What you can expect from Module 6
Included in Module 6: The Knee
Chapter 16: Knee: Ligamentous and Patellar Tendon Injuries
Chapter 17: Injuries to the Meniscus and Articular Cartilage
Chapter 18: Patellofemoral Joint
Module 7: Repetitive Stress, Developmental Disorders, Pediatric and Adolescents
Module Goals and Objectives
Module Goals:This course is intended to instruct the professional through a self-paced study on Pathology and Intervention in Musculoskeletal Rehabilitation.
Professional Learning Objectives
1. Define remodeling in relation to the bone and osteoclastic cells.
2. Discuss remodeling time and implications that can occur.
3. Discuss the environmental risk factors that contribute to stress fractures.
4. Identify the diagnostic image necessary for imaging a stress fracture.
5. Discuss the importance of exercise and its roles in both the prevention and treatment of stress freactures.
6. Explain Tarsal tunnel syndrome
7. Differentiate between Tarsal tunnel syndrome and Carpal tunnel syndrome.
8. List predisposing factors that contribute to the risk of upper limb, work – related musculoskeletal disorders.
9. Identify the cardinal signs of inflammation.
10.Define Fibrosis.
11.Identify that change that occurs in a neuron as a result of repeated activity across a synapse causing chronic pain and inflammation.
12.Define sickness response.
13.Explain how psychosocial stress contributes to the risk of developing injuries.
14.Demonstrate understanding of Arthrogryposis multiplex congenital.
15.Discuss Osteogenesis imperfecta
16.Identify the characteristics of arthrogryposis congenital, osteogenesis imperfecta, and Down syndrome.
17.List maternal risk factors that increase the risk of myelomeningocele being present at birth.
18.Identify signs of abuse in children less than 12 months of age.
19.Explain the cause of “Little Leaguer’s Shoulder”
20.Identify the most common fracture that is likely to be associated with “Nursemaid’s Elbow.”
21.Differentiate between nursemaid’s elbow, and radial head dislocation.
22.Explain the role that age plays in rehabilitation outcomes in patients with Legg-Calve-Perthes Disease.
23.Explain Sever’s Apophysitis disorder in children. "
What you can expect in Module 7
Included in Module 7: Repetitive Stress, Developmental Disorders, Pediatric and Adolescents
Chapter 21: Repetitive Stress Pathology: Bone
Chapter 22: Repetitive Stress Pathology: Soft Tissue
Chapter 23: Musculoskeletal Developmental Disorders
Chapter 24: Pediatric and Adolescent Consderations