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Evidence-Based Treatment of the Foot and Ankle: An Update

presented by Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

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Disclosure Statement:

Financial: Lexie Wright receives compensation from MedBridge for this course. There is no financial interest beyond the production of this course.

Non-Financial: Lexie Wright has no competing non-financial interests or relationships with regard to the content presented in this course.

Satisfactory completion requirements: All disciplines must complete learning assessments to be awarded credit, no minimum score required unless otherwise specified within the course.

MedBridge is committed to accessibility for all of our subscribers. If you are in need of a disability-related accommodation, please contact [email protected]. We will process requests for reasonable accommodation and will provide reasonable accommodations where appropriate, in a prompt and efficient manner.

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Video Runtime: 51 Minutes; Learning Assessment Time: 34 Minutes

In this course, learners will experience the recommended evidence-based interventions for the foot and ankle. Users will recognize the more prevalent foot/ankle pathologies seen in musculoskeletal practice and understand the proposed benefit to classifying foot/ankle conditions through use of the Pain and Disability Drivers Management model. Techniques used to target the primary impairment are explained, as well as the adjunctive techniques used to target the primary impairment and secondary contributors, and the techniques used to target global conditional issues. Learners will analyze the effectiveness of each technique for treatment within the classifications. Throughout the course, current research is presented to provide learners with the proper tools for evidence-based management of these patients. This course is part of a comprehensive clinical series covering examination and intervention for the cervical, thoracic, and lumbar spine, as well as the upper (shoulder, elbow, wrist, and hand) and lower (hip, pelvis, knee, foot, and ankle) quarters.

Meet Your Instructor

Alexis Wright, PT, PhD, DPT, OCS, FAAOMPT

Dr. Alexis Wright is an Associate Professor and serves as the Director of Curriculum Assessment in the Doctor of Physical Therapy program at Tufts University. Previously, Dr. Wright served as the Assistant Chair in the Department of Physical Therapy, High Point University. Dr. Wright is a clinical researcher, educator, and practicing physical therapist whose passions…

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Chapters & Learning Objectives

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1. Common Pathologies of the Foot and Ankle

In this chapter, learners will recognize the more prevalent foot and ankle pathologies seen in musculoskeletal practice. One of the key goals is geared toward understanding the etiology behind each of the pathologies and the prognosis of each.

2. Pain and Disability Drivers of the Foot/Ankle

The primary pain and disability drivers for the foot and ankle include: (1) nociceptive pain elements, (2) neuropathic pain elements, (3) comorbidity pain and disability elements, (4) mood and cognitive pain and disability elements, and (5) social and environmental disability elements. Each of the domains that is specific to the foot/ankle is discussed.

3. Interventions Directed at Impairments Specific to the Involved Joint

This chapter reviews the techniques used to target pain relief or strength, specifically toward the targeted region that is impaired within the foot/ankle. The chapter will analyze the effectiveness of each technique for treatment within the local impairment classification.

4. Regional Interventions Directed at Structures That Mediate the Impaired Level

In this chapter, learners will review the adjunctive techniques used to target the primary impairment and secondary contributors. Learners will analyze the effectiveness of each technique for treatment within the regional designation.

5. Global-Body or Whole-Person-Directed Interventions

Within this chapter, the focus is less on the impairment and more on motor control, proprioception, cognitions, behaviors, and whole-body conditioning. Learners will review techniques associated with lifestyle medicine, global management, and cognitive-behavioral approaches.

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