Advanced Management of Lower Extremity Injuries in the Athlete

Course Outline

This two-day lecture and hands-on laboratory course will provide the clinician with recent evidence-based practice guidelines for the examination, evaluation, differential diagnosis, prognosis, treatment interventions and expected outcomes for selected lower extremity disorders. New research on how to accurately diagnose and treat hip and knee osteoarthritis, acetabular labral tears, iliotibial band syndrome, hamstring strains, knee chondral lesions, patellofemoral disorders, tendinopathies, and plantar fasciopathy will be reviewed. Participants will learn new exercises and “clinical pearls” to add to their current non-operative and operative rehabilitation protocols. During the interactive laboratory activities, course participants will hone their orthopedic examination and treatment skills. Hands-on practice of selected special tests and treatment techniques for the hip, knee and ankle will be the focus of each breakout session. Each lab session will emphasize the use of examination findings to determine appropriate treatment interventions. This interactive course will allow participants to enhance the quality and efficiency of care to clients with lower extremity overuse injuries. The clinician who attends this course will be able to immediately apply the information and skills presented.


Course Objectives

• Become more confident in recognizing, examining, evaluating and treating common overuse injuries of the hip.
• Perform a series of orthopedic special tests for the hip using an algorithm - based approach.
• Recognize early signs and symptoms of hip osteoarthritis and labral pathology.
• Be able to understand the current surgical and non-surgical treatment options for articular cartilage lesions of the knee.
• Understand the difference between tendonitis and tendinopathy.
• Recognize current concepts surrounding the treatment of lower extremity tendinopathies
• Learn new techniques to treat patellofemoral pain.
• Understand the theories surrounding the increased risk of knee injury in the female athlete.
• Recognize the current evidence or lack of evidence surrounding knee injury prevention in the female athlete.
• Use a clinical prediction rule to recommend that the athlete needs a knee or ankle radiograph.
• Use evidence based practice in the prescription of static and dynamic stretching exercises in the athlete.
• Perform an algorithm based examination of the ankle ligaments.
• Interpret the most recent findings on how to diagnose and treat plantar fasciitis.
• Be able to recommend the best running shoe for the athlete.
• Create innovative treatments for neuromuscular re-education of the lower extremity.
• Understand the current research behind the efficacy of orthotics.
• Be able to use a “treatment direction approach” to determine the need for orthotics.

Schedule of instruction

  Day One   Day Two
7:30 8:00 Registration 8:00 8:45 Patellofemoral Pain
8:00 8:20 The Physical Therapist as a
Diagnostician
  • The Physical Stress Theory
8:20 8:40 Evidence-Based Practice (EBP)   • Letting the examination dictate the treatment
  • Definition of EBP   • Classifying patients and CPR guidelines
  • Use of the internet to quickly assess EBP physical therapy 8:45 9:45 Lab Session V
8:40 9:30 Examination, Diagnosis, Prognosis and Treatment of Intra-Articular
Disorders of the Hip Part 1
  • The Beighton-Horan Index
  • Hip osteoarthritis   • Clinical tests for anterior knee pain
  • Hip labral lesions   • Functional testing and patellofemoral pain
  • Hip arthroscopy 9:45 10:00 Break
9:30 10:00 Lab Session I 10:00 11:15 The Increased Incidence of Knee Injuries in the Female Athlete
  • Orthopedic special tests of the hip joint   • Current research surrounding this topic
  • Post operative hip arthroscopy exercises   • Current knee injury prevention programs
10:00 10:15 Break 11:15 12:15 Lab Session VI
10:15 11:00 Examination, Diagnosis, Prognosis and Treatment of Contractile and Non-Contractile Tissue of the Thigh Part II   • Ottawa ankle and foot radiography rule
  • Sports Hernia   • Ankle special testing algorithm
  • Adductor strains   • Lab review from day one
  • Hamstring strains 12:15 1:00 Lunch (On Your Own)
  • Iliotibial band syndrome 1:00 1:30 Selecting the Right Running Shoe
11:00 12:00 Lab Session II 1:30 2:15 Evidence Based Treatment of Heel Pain
  • Testing trunk muscle endurance   • Plantar fasciosis
  • Muscle length tests and hip AROM   • Low dye and calcaneal taping
  • Post-operative hip exercise progression 2:15 3:00 Does The Athlete Need and Orthotic?
12:00 1:00 Lunch (On Your Own) 3:00 3:15 Break
1:00 1:45 Current Surgical Procedures and Post-Operative Rehabilitation Protocols for Knee Cartilage Lesions 3:15 4:00 Lab Session VII
  • Microfracture   • Reverse six arch taping
  • OATS   • The Longitudinal arch angle
  • ACI   • Lab review
1:45 2:30 Conservative Treatment of Knee Osteoarthritis 4:00 4:15 Case Study and Discussion
  • Diagnosis    
  • Manual therapy    
  • Exercises    
  • Supplements    
2:30 3:15 Lab Session III    
  • Hip mobilizations    
  • The Ottowa knee radiography rule    
3:15 3:30 Break    
3:30 3:50 Choosing the Best Meniscus Test    
  • Diagnostic accuracy    
  • Weight bearing versus non weight bearing tests    
3:50 4:10 Lab Session IV    
  • Joint effusion and meniscus clinical tests    
4:10 5:00 Treating Tendinopathy vs.
Tendonitis
   
  • High hamstring tendinopathy    
  • Patellar tendinopathy    
  • Achilles tendinopathy    
5:00 5:30 Summary and Discussion    

Downloads

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Course Brochure for Advanced Management of Lower Extremity Injuries in the Athlete

Scheduled Dates and Locations

Start DateEnd DateLocation - **Click to Map It**TuitionHrsHotel
Sep 27, 08Sep 28, 08Fallon Clinic, Worcester, MA$399.0015.00View Hotels

 

North American Seminars 2008 courses

 

Course Instructor
North American Seminars Course Icon  

J.W. Matheson PT, DPT, MS, SCS, OCS, CSCS, is a 1996 graduate of the Mayo Clinic of Health Sciences. In 2000, J.W. was awarded a post-professional Mary McMillan Scholarship from the APTA. J.W. has worked in a variety of clinical and academic settings as a clinician, researcher, adjunct faculty member and a consultant. J.W. is also a 2001 graduate of the first public APTA Credentialed Sports Physical Therapy residency at Gundersen-Lutheran Sports Medicine in Onalaska, WI. He is a board certified specialist in sports physical therapy and a certified strength and conditioning specialist.

J.W. is currently employed as the Clinical Research Director for Therapy Partners, Inc. in Minneapolis, Minnesota. He divides his time between research and clinical practice. J.W. has contributed multiple chapters to textbooks in the areas of sports and orthopaedic physical therapy. He has also published several peer-reviewed research articles on specific exercises for the knee and shoulder. J.W. has completed his transitional DPT degree from the Massachusetts General Hospital Institute of Health Professions in Boston and currently is a teaching assistant in the program. In his free time, J.W. likes to run and when possible, escape to Montana to fly fish.

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