Orthopedic Excellence: The Lower Quarter

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

Subscribe Now Already a subscriber? Sign in to start.
Orthopedic Excellence: The Lower Quarter

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.

Who Should Get Certified

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.
  • 1 Courses

    Section 1: Introduction

      1. Chapter 1 bullet Introduction

        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.

      2. Chapter 2 bullet Foundational Concepts of 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.

      3. Chapter 3 bullet Overview of Patient Interview, Outcomes Measures, and Observation

        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.

      4. Chapter 4 bullet Triage/Screening/Sensitive Tests: Ruling Out and Making the First Order Decision

        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.

      5. Chapter 5 bullet The Rest of the Examination

        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.

      6. Chapter 6 bullet Orthopaedic Diagnosis, Treatment, and Treatment-Based Classification

        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.

      7. View full course details »
      Hide 6 Chapters
  • 1 Courses

    Section 2: Pelvis

  • 2 Courses

    Section 3: Hip

      1. Chapter 1 bullet Introduction of the Hip

        Define Hip and/or Groin pain. Gain an understanding of hip related pain patterns.

      2. Chapter 2 bullet Patient History and Outcomes Measures

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

      3. Chapter 3 bullet Observation of the Hip

        Recognize selected observations that may be associated with disease processes.

      4. Chapter 4 bullet Triage and Screening of the Hip

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

      5. Chapter 5 bullet Movement Assessment of the Hip

        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.

      6. Chapter 6 bullet Palpation and Manual Muscle Testing for the Hip

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

      7. Chapter 7 bullet Special Tests for the Hip

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

      8. Chapter 8 bullet Physical Performance Measures of the Hip

        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.

      9. View full course details »
      Hide 8 Chapters
      1. Chapter 1 bullet Common Pathologies of the Hip

        Recognize the more prevalent hip-oriented pathologies seen in musculoskeletal practice. Understand the etiology behind each of the pathologies. Evaluate the treatment-oriented evidence behind each of the disease processes.

      2. Chapter 2 bullet Classification Systems of the Hip

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

      3. Chapter 3 bullet Interventions of the Hip

        Describe the clinical utility of concordant based interventions targeted to the primary impairment. Demonstrate hip oriented movement based techniques. Demonstrate hip specific stretching and strengthening techniques.

      4. Chapter 4 bullet Adjunctive Interventions to Relieve Movement Issues at Adjacent Body Segments

        Review the adjunctive techniques used to target the primary impairment and secondary contributors. Analyze the effectiveness of each technique for treatment within the classifications.

      5. Chapter 5 bullet Interventions that Address Global Issues Pertinent to Condition

        Review and apply techniques used to target global conditional issues. Analyze the effectiveness of each technique for treatment within the classifications.

      6. View full course details »
      Hide 5 Chapters
  • 2 Courses

    Section 4: Knee and Thigh

      1. Chapter 1 bullet Epidemiology

        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.

      2. Chapter 2 bullet History and Patient Self Report Measures

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

      3. Chapter 3 bullet Observation

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

      4. Chapter 4 bullet Triage and Screening

        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.

      5. Chapter 5 bullet Motion Testing

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

      6. Chapter 6 bullet Palpation and Manual Muscle Tests

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

      7. Chapter 7 bullet Special Tests

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

      8. Chapter 8 bullet Physical Performance Measures

        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.

      9. View full course details »
      Hide 8 Chapters
      1. Chapter 1 bullet Common Pathologies

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

      2. Chapter 2 bullet Treatment Classifications

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

      3. Chapter 3 bullet Local Interventions

        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.

      4. Chapter 4 bullet Regional Interventions

        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.

      5. Chapter 5 bullet Global Interventions

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

      6. View full course details »
      Hide 5 Chapters
  • 2 Courses

    Section 5: Foot and Ankle

      1. Chapter 1 bullet Introduction of the Foot and Ankle/Prevalence and Incidence

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

      2. Chapter 2 bullet Patient History and Outcomes Measures

        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.

      3. Chapter 3 bullet Observation

        Recognize selected observations that may be associated with disease processes.

      4. Chapter 4 bullet Triage and Screening

        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.

      5. Chapter 5 bullet Movement Assessment/Motion Testing

        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.

      6. Chapter 6 bullet Palpation and Manual Muscle Testing

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

      7. Chapter 7 bullet Special Testing

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

      8. Chapter 8 bullet Physical Performance Measures

        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

      9. View full course details »
      Hide 8 Chapters
      1. Chapter 1 bullet Common Pathologies of the Foot and Ankle

        Recognize the more prevalent foot and ankle-oriented pathologies seen in musculoskeletal practice. Distinguish the etiology behind each of the pathologies. Evaluate the treatment-oriented evidence behind each of the disease processes

      2. Chapter 2 bullet Classification Systems of the Foot and Ankle

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

      3. Chapter 3 bullet Interventions of the Foot and Ankle

        Describe the clinical utility of concordant based interventions targeted to the primary impairment. Demonstrate foot and ankle oriented movement based techniques. Demonstrate foot and ankle specific stretching and strengthening techniques.

      4. Chapter 4 bullet Adjunctive Interventions to Relieve Movement Issues at Adjacent Body Segments

        Review the adjunctive techniques used to target the primary impairment and secondary contributors. Analyze the effectiveness of each technique for treatment within the classifications.

      5. Chapter 5 bullet Interventions that Address Global Issues Pertinent to Conditions

        Review and apply techniques used to target global conditional issues. Analyze the effectiveness of each technique for treatment within the classifications.

      6. View full course details »
      Hide 5 Chapters
  • 1 Courses

    Section 6: Lower Quarter

Instructors CEU Approved

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

Subscribe Now

Start the Orthopedic Excellence: The Lower Quarter

Get this Certificate Program and so much more! All included in the MedBridge subscription.


      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.
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.
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.
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.
*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.
Subscribe Now This Certificate Program and so much more are all included in the MedBridge subscription.