Satisfactory completion requirements: All disciplines must complete learning
assessments to be awarded credit, no minimum score required unless otherwise specified within the
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Patients with knee OA have a wide variety of presentations, making it a disorder that is best addressed with strong clinical reasoning and high differential diagnosis skills. Despite a compelling body of literature for physical therapy directed exercise programs and growing evidence that manual therapy combined with exercise increases the level of symptom relief and functional benefit, most patients do not receive physical therapy treatment prior to total joint replacement.
This course series will help the learner make accurate judgments on the patient with knee OA, like tolerance for examination and treatment, while identifying key impairments to strength, range of motion, flexibility, gait, and balance that can be addressed with manual therapy and exercise. This clinical reasoning-based process facilitates highly focused treatment strategies that are typically well tolerated by the patient.
This installment will help the learner take information derived from the patient interview and manual examination to plan and execute an appropriate and well-tolerated intervention. Participants will develop clinical reasoning strategies to plan, prioritize, and execute a well-tolerated manual physical therapy intervention. Specific topics covered include prescription of exercise to enforce manual treatment, employing maintenance or tune-up physical therapy sessions, and prescribing and fitting a stationary bicycle.
Gail Deyle is a Professor with Baylor University Graduate School and the founder and senior faculty member of the Army-Baylor University Doctoral Fellowship in Orthopaedic Manual Physical Therapy, located at Brooke Army Medical Center in San Antonio, Texas. He is an internationally recognized expert, frequent national guideline panel member, and experienced researcher on physical therapy…
This chapter details how to utilize examination findings to plan, prioritize, and dose likely to be well-tolerated exercises to augment and reinforce manual therapy intervention.
3. Bike Fitting and Training
The final chapter of this course details how to utilize stationary bike exercise as a low impact physical activity to initiate and sustain a variety of beneficial effects for the patient with knee OA. This chapter includes a video demonstration of bike fitting with a patient.
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