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Orthopedic Excellence: The Lower Quarter

Advance your clinical skills in the evidence-based evaluation and management of patients with lower extremity-related conditions.

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About this Certificate Program

Enhance the quality of care you provide patients who suffer from lower extremity-related conditions by becoming skilled in the best evidence approaches available. In this Certificate Program, you will learn examination and treatment fundamentals through a clinical decision making paradigm for disorders and dysfunctions for the pelvis, hip, thigh, knee, ankle and foot, and integrate advanced technical concepts to improve clinical outcomes in your practice.

Target Audience

The Certificate Program is designed to improve clinical outcomes for all clinicians who treat orthopedic-related conditions of the pelvis, hip, thigh, knee, ankle and foot, but would be especially beneficial for recent graduates, residents in training, individuals who function in a closed system of healthcare who are interested in designing best treatment pathways, or individuals who are returning to treatment for patients with orthopedic problems.

Goals & Objectives

  • Demonstrate advanced understanding and clinical competency in the evaluation and treatment of disorders and dysfunction with pelvis, hip, thigh, knee, ankle and foot-related conditions.
  • Synthesize course materials to standardize course care pathways and reduce clinical variation.
  • Practice and apply the best clinical tests to maximize clinical efficiency.
  • Compare and contrast intervention methods for each of the pelvis, hip, thigh, knee, ankle and foot-related conditions.
  • Apply classification models and the latest evidence to optimize treatment choices by clinical presentation.

What's Included in the Certificate Program

Accredited Online Courses*

38 hours of online video lectures and patient demonstrations.

Case Study Interviews

Recorded Q&A sessions between instructors and practice managers.

Interactive Learning Assessments

Case-based quizzes to evaluate and improve clinical reasoning.

Section 1: Introduction

1 Chapters

Orthopedic Clinical Examination, Diagnosis and Treatment: Becoming an Expertkeyboard_arrow_down

  • IntroductionChapter 1

    Explain the funnel shape of the examination sequence. Identify the type of clinical reasoning represented by the paradigm. Outline the ideal clinical decision making model. Justify the need for a treatment-based/impairment-driven diagnosis.

  • Foundational Concepts of DiagnosisChapter 2

    Compare and contrast sensitivity and specificity in the context of clinical diagnosis. Identify the correct formula for determining sensitivity and specificity. Outline the utility of specificity and sensitivity in the context of clinical diagnosis.

  • Overview of Patient Interview, Outcomes Measures, and ObservationChapter 3

    Outline the biases involved in the patient interview process. Identify the factors that can help assess depression in a patient. Explain the keys factors in active listening when taking a patient history. Discuss the importance of using a broad to narrow approach in patient observation.

  • Triage/Screening/Sensitive Tests: Ruling Out and Making the First Order DecisionChapter 4

    Discuss the utility of a screening examination in the clinical assessment process. Compare and contrast the key elements in the upper and lower quarter screen.

  • The Rest of the ExaminationChapter 5

    Discuss the level of objective evidence regarding the diagnostic value of motion testing, palpation, and muscle testing. Explain the utility of motion testing in the screening process. Compare and contrast “make” and “break” tests in the motion testing examination. Explain the importance of PPM’s in the musculoskeletal examination.

  • Orthopaedic Diagnosis, Treatment, and Treatment-Based ClassificationChapter 6

    Identify the most important skills in the treatment based classification process. Justify the use of a treatment-based classification system in clinical practice. Explain the inverted funnel shape of the examination sequence. Identify an example of a diagnosis that typifies regional interdependence.

  • View full course details »

Section 2: Pelvis

1 Chapters

Evidence-Based Examination and Treatment of the Pelviskeyboard_arrow_down


Section 3: Hip

2 Chapters

Evidence-Based Examination of the Hipkeyboard_arrow_down


Evidence-Based Treatment of the Hipkeyboard_arrow_down


Section 4: Knee and Thigh

2 Chapters

Evidence-Based Examination of the Knee and Thighkeyboard_arrow_down

  • EpidemiologyChapter 1

    Define knee pain. Outline the prevalence and incidence of most common sources of knee pain and pathology. Identify risk factors for sources of knee pain. Closely examine hamstring injuries as a source of thigh pain.

  • History and Patient Self Report MeasuresChapter 2

    Recognize patient interview questions unique to the knee/thigh and the value of those questions. Identify best SRMs for knee/thigh pain.

  • ObservationChapter 3

    Observe asymmetries and /or anomalies in the knee joint complex. Identify the link or lack thereof between knee pain and observed asymmetries.

  • Triage and ScreeningChapter 4

    Identify common red flags and yellow flags in the treatment of patients with knee pain. Understand the role of pain referral from adjacent body segments in knee pain.

  • Motion TestingChapter 5

    Perform basic motion testing of the knee and thigh with focus on the concordant sign.

  • Palpation and Manual Muscle TestsChapter 6

    Perform an appropriate palpatory examination of the knee. Understand the limited value of palpation alone. Perform an appropriate muscle testing examination of the knee.

  • Special TestsChapter 7

    Identify the most diagnostic knee oriented special tests. Apply the tests to the appropriate diagnoses.

  • Physical Performance MeasuresChapter 8

    Demonstrate the most commonly used physical performance measures of the knee/thigh complex. Identify the utility of the physical performance measures of the knee/thigh complex.

  • View full course details »

Evidence-Based Treatment of the Knee and Thighkeyboard_arrow_down

  • Common PathologiesChapter 1

    Recognize the most common knee/thigh pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies.

  • Treatment ClassificationsChapter 2

    Recognize the proposed benefit to classifying knee disorders and treatments by similarity. Understand that classifications do not need to be mutually exclusive.

  • Local InterventionsChapter 3

    Describe evidence behind concordant based interventions targeted to the primary impairment. Demonstrate knee/thigh oriented movement based techniques. Demonstrate knee/thigh specific stretching and strengthening techniques.

  • Regional InterventionsChapter 4

    Outline and demonstrate the adjunctive techniques used to target the secondary or regional contributors to the primary impairment. Understand that injuries to the knee and thigh particularly demand a regional approach.

  • Global InterventionsChapter 5

    Review and apply techniques used to target global issues. Understand the need for addressing the human as a whole and not an injury.

  • View full course details »

Section 5: Foot and Ankle

2 Chapters

Evidence-Based Examination of the Foot and Anklekeyboard_arrow_down

  • Introduction of the Foot and Ankle/Prevalence and IncidenceChapter 1

    Define Foot and/or Ankle pain. Gain an understanding of foot and ankle related pain patterns.

  • Patient History and Outcomes MeasuresChapter 2

    Discuss key components of patient history during a foot and ankle examination. Discuss the “best” forms of self reported patient reported outcome measures for foot and ankle pain and function. Discuss reported Minimally Clinical Important Difference scores for self reported outcome measures related to the foot and ankle.

  • ObservationChapter 3

    Recognize selected observations that may be associated with disease processes.

  • Triage and ScreeningChapter 4

    Identify the best tests used to diagnose red flag conditions of the foot and ankle. Compare and contract different tests used for differential diagnosis. Identify structural screening tests to rule out competing diagnoses.

  • Movement Assessment/Motion TestingChapter 5

    Understand the nature of the patient’s condition. Identify the concordant sign reproductive of the patient’s signs/symptoms. Perform functional testing, active and passive physiological and passive accessory movement examination.

  • Palpation and Manual Muscle TestingChapter 6

    Perform an appropriate palpatory examination. Perform an appropriate strength and endurance examination.

  • Special TestingChapter 7

    Understand the language of diagnostic accuracy. Identify the most diagnostic foot and ankle oriented special tests. Apply the tests to the appropriate diagnoses.

  • Physical Performance MeasuresChapter 8

    Understand the different constructs of function. Understand the strengths and weaknesses of self report measures and the need for physical performance measures of function. Identify the best physical performance measures by condition

  • View full course details »

Evidence-Based Treatment of the Foot and Anklekeyboard_arrow_down


Section 6: Lower Quarter

1 Chapters

Evidence-Based Examination and Treatment of the Lower Quarterkeyboard_arrow_down

  • Introduction of the Lower QuarterChapter 1

    Define bowel or bladder problems and what pathologies they are consistent with. Identify red flags that require immediate medical attention during medical screening. Define the concordant sign. Explain the value in performing a lower quarter screen.

  • Lower Quarter Case StudyChapter 2

    Using patient history, explain the rationale for hypothesizing diagnosis. Explain next best steps for proceeding with a physical examination. Identify three proper treatments to recommend a patient on their initial visit.

  • View full course details »
Alexis Wright


Eric Hegedus


CEU Approved

38 total hours* of accredited coursework.
MedBridge accredits each course individually so you can earn CEUs as you progress.

      Our clinic could not be happier with MedBridge.

Amy Lee, MPT, OCS
Physical Therapy Central

       MedBridge has allowed us to create a culture of learning that we were previously unable to attain with traditional coursework.

Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services

    MedBridge has created a cost-effective and quality platform that is the future of online education.

Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy

Frequently Asked Questions

Do I get CEU credit?
Each course is individually accredited. Please check each course for your state and discipline. You can receive CEU credit after each course is completed.

When do I get my certificate?
You will receive accredited certificates of completion for each course as you complete them. Once you have completed the entire Certificate Program you will receive your certificate for the program.

*Accreditation Hours
Each course is individually accredited and exact hours will vary by state and discipline. Check each course for specific accreditation for your license.

Do I have to complete the courses in order?
It is not required that you complete the courses in order. Each Certificate Program's content is built to be completed sequentially but it is not forced to be completed this way.

How long do I have access to the Certificate Program?
You will have access to this Certificate Program for as long as you are a subscriber. Your initial subscription will last for one year from the date you purchase.

Sample Certificate

Sample Certificate

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