Enhance the quality of care you provide patients who suffer from upper 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 shoulder, elbow, wrist, and hand, and integrate advanced technical concepts to improve clinical outcomes in your practice.
The Certificate Program is designed to improve clinical outcomes for all clinicians who treat orthopedic-related conditions of the shoulder, elbow, wrist and elbow, 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.
25 hours of online video lectures and patient demonstrations.
Skills checklist to practice hands-on components of coursework.
Case-based quizzes to evaluate and improve clinical reasoning.
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.
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.
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.
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.
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.
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.
Define shoulder pain. Outline the prevalence and incidence of shoulder pain. Identify risk factors for sources of shoulder pain. Evaluate the economic impact of shoulder dysfunction.
Recognize patient interview questions unique to the shoulder and the value of those questions. Identify best SRMs for shoulder pain.
Observe asymmetries and /or anomalies in the shoulder joint complex. Identify the link or lack thereof between shoulder pain and observed asymmetries.
Identify common Red Flags and yellow flags in the treatment of patients with shoulder pain. Understand the role of referral from adjacent body segments in shoulder pain. Explain how to perform two common screening tests for bony abnormalities of the shoulder
Perform basic motion testing of the shoulder with focus on the concordant sign. Perform motion testing of the shoulder beyond cardinal or straight planes.
Perform an appropriate palpatory examination of the shoulder. Perform an appropriate muscle testing examination of the shoulder.
Identify the most diagnostic shoulder oriented special tests. Apply the tests to the appropriate diagnoses.
Demonstrate the most commonly used physical performance measures of the shoulder complex. Identify the utility of the physical performance measures of the shoulder complex.
Recognize the most common shoulder pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies.
Recognize the proposed benefit to classifying shoulder disorders and treatments by similarity. Understand that classifications do not need to be mutually exclusive.
Describe evidence behind concordant based interventions targeted to the primary impairment. Demonstrate shoulder oriented movement based techniques. Demonstrate shoulder specific stretching and strengthening techniques.
Review the adjunctive techniques used to target the secondary or regional contributors to the primary impairment. Analyze the effectiveness of each technique for treatment within the classifications.
Review and apply techniques used to target global issues. Analyze the effectiveness of the kinetic chain in return to sport.
Evaluate the economic impact of elbow, wrist and hand dysfunction. Consider the prevalence/incidence of elbow, wrist and hand dysfunction and how this influences clinical practice.
Discuss the imperative patient history elements of a elbow, wrist, and hand examination. Define which patient history components are affiliated with elbow, wrist, and hand pathology. Discuss the most common forms of self-report patient outcomes measures.
Identify the link between observation of the elbow, wrist, and hand and dysfunction. Identify the key observational characteristics in a physical examination.
Identify the most prevalent red flags, germane during the elbow, wrist, and hand examination. Compare and contrast the purposes of each diagnostic test for sinister problems. Analyze the “triggers” that would prompt the use of a test for ruling out a condition. Evaluate the benefit of performing these “ruling out” actions first within the examination. Understand structural differentiation.
Synthesize the importance of the concordant/comparable sign, during examination. Compare and contrast the goals of the three primary phases of the initial examination.
Evaluate the benefit of palpation as part of a dedicated clinical examination. Evaluate the benefit and types of manual muscle testing for the elbow, wrist and hand.
Understand the language of diagnostic accuracy. Identify the most diagnostic elbow, wrist, and hand oriented special tests. Apply the tests to the appropriate diagnoses.
Recognize the more prevalent elbow, wrist and hand pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies.
Recognize the proposed benefit to classifying Elbow Wrist Hand conditions by similarity. Understand that classifications do not need to be mutually exclusive.
Review the concordant techniques used to target the primary impairment. Analyze the effectiveness of each technique for treatment within the classifications.
Review the adjunctive techniques used to target the primary impairment and secondary contributors. Analyze the effectiveness of each technique for treatment within the classifications.
Review and apply techniques used to target global conditional issues. Analyze the effectiveness of each technique for treatment within the classifications.
Learners will gain an understanding of an upper quarter screening examination, including sensitive and specific diagnostic tests.
An upper quarter examination will be demonstrated, including a patient evaluation, active and passive physiological movements, pain provocation tests, and diagnosis.
Amy Lee, MPT, OCS
Physical Therapy Central
Zach Steele, PT, DPT, OCS
Outpatient Physical Therapy & Rehabilitation Services
Grant R. Koster, PT, ATC, FACHE
Vice President of Clinical Operations, Athletico Physical Therapy