Idaho Physical Therapist Continuing Education

• Review treatment methods for CMC arthritis
• Review the procedure of LRTI arthroplasty
• Discuss hand therapy rehab protocol following LRTI procedure
• Become familiar with technological advances and surgical devices being used to treat CMC arthritis
• List 5 considerations for new technology for thumb CMC arthritis
• Become familiar with the Arthrex Mini TightRope Suture Button Suspensionplasty procedure
• Read a case study related to the Arthrex Mini TightRope Suture Button Suspensionplasty procedure
• List 2 risks for the Arthrex Mini TightRope Suture Button Suspensionplasty procedure

• Become familiar with the neurotoxin Botulinum A
• Undertstand its current uses as an adjunct form of treatment in hand conditions
• Review its role in the treatment of stroke and spasticity, focal dystonia, vasospastic disorders, Raynaud's and other conditions
• Discuss its role in the use of pain syndromes
• Outline the complications and risk of botox

• List 3 indications, principles and considerations for nerve transfers
• Become familiar with nerve transfers for restoring function to the upper extremity
• Review transfer techniques for isolated radial, median and ulnar nerve injuries

• Understand, identify and describe the significance of the lateral epicondyle and the common extensor tendon
• Explain 3 causative factors that may lead to developing LE
• Identify the main movements or activities that put someone at risk for LE
• Describe the pathophysiology involved in LE
• Describe 5 conservative treatment interventions for LE
• Outline and describe post-operative rehab protocols following surgery and list 3 possible complications
• Discuss what prolotherapy is, what it does, how it works and what the research says
• State 2 indications for surgical intervention
• Outline the basic principles of surgery and list 3 operative techniques
• Discuss research findings and the efficacy of elbow surgery and the efficacy of treatment techniques

Hour 1 - 2

• Understand, identify and describe the significance of the lateral epicondyle and the common extensor tendon
• Explain 3 causative factors that may lead to developing LE
• Identify the main movements or activities that put someone at risk for LE
• Describe the pathophysiology involved in LE
• Describe 5 conservative treatment interventions for LE
• Outline and describe post-operative rehab protocols following surgery and list 3 possible complications
• Discuss what prolotherapy is, what it does, how it works and what the research says
• State 2 indications for surgical intervention
• Outline the basic principles of surgery and list 3 operative techniques
• Discuss research findings and the efficacy of elbow surgery and the efficacy of treatment techniques

Hour 3

• Describe the 3 joints that make up the elbow and explain static and dynamic forces that stabilize the elbow
• Define the boundaries of the cubital tunnel and explain the route of the ulnar nerve as it travels around the elbow
• List and describe the phases involved in throwing and how this activity places stress on the medial aspect of the elbow
• List and describe 5 conditions that produce medial-sided elbow pain including presenting signs and symptoms and how each condition is diagnosed
• Consider differential diagnosis and list 2 conditions that result in anterior, posterior and lateral elbow pain

• Describe the 3 joints that make up the elbow and explain static and dynamic forces that stabilize the elbow
• Define the boundaries of the cubital tunnel and explain the route of the ulnar nerve as it travels around the elbow
• List and describe the phases involved in throwing and how this activity places stress on the medial aspect of the elbow
• List and describe 5 conditions that produce medial-sided elbow pain including presenting signs and symptoms and how each condition is diagnosed
• Consider differential diagnosis and list 2 conditions that result in anterior, posterior and lateral elbow pain

• Discuss the history DD and how this condition got its name
• List 5 common risk factors for developing DD
• Describe the epidemiology of DD
• Describe 2 common signs and symptoms of DD including which digits are most commonly involved and which digits are generally spared
• Examine and describe the normal anatomy and the significance of the palmar aponeurosis
• Describe the pathogenesis of DD including defining and differentiating between the 3 stage of the disease: proliferative, involutional, residual
• Outline common steps involved in making a diagnosis of DD
• List and describe 3 conservative treatment interventions including the advantages of each
• Describe the role of hand therapy in the treatment of DD
• List 5 possible complications following surgery

• Identify 3 key components to a through wrist examination
• List the 3 dorsal zones of the wrist and describe 3 important anatomic structures located within each zone
• List the 2 volar zones of the wrist and describe 3 important anatomic structures located within each zone
• Name the 6 extensor compartments of the wrist and list the tendons located within each compartment
• Describe 3 clinical syndromes that effect the extensor tendons
• List and describe 3 clinical syndromes that effect each dorsal zone of the wrist
• List and describe 3 clinical syndromes that effect each volar zone of the wrist
• Describe 1 test used to assess scaphoid instability
• Explain the significance of the Allen’s test
• List and describe 2 tests used to identify Median Nerve compression

• Identify and describe 5 examination components used for evaluating a pt after DRF
• List and describe 4 factors that can influence the progression of therapy with a pt after DFR
• Outline and describe the 3 phases of therapy (early, motion/mobilization, function/strength phase)
• Describe 3 interventions to increase motion of the joints, tendons and intrinsic muscles of a pt after DRF
• Outline and describe the function and strength phase of rehabilitation
• List 2 key points for a HEP Identify and describe 3 common complications after DRF

• Describe the bony anatomy of the carpus and identify the 8 individual bones of the wrist
• Locate and identify the joints that make up the wrist including the radiocarpal and midcarpal joints
• List and identify 5 ligaments that play a role in stabilizing the carpus
• Discuss the vascular anatomy of the carpus and list 2 sources of blood supply
• Examine and explain the kinematics of the wrist and describe the significance of individual movement of the carpal bones
• Discuss the kinetics of the carpus and explain how force is transmitted through the distal radius and ulna

• Discuss the principles of surgical treatment of scaphoid nonunion
• Describe the rationale of arthroscopic bone grafting
• Describe how arthroscopic bone grafting promotes scaphoid union
• List 2 contraindications for the use of arthroscopic bone grafting
• Describe 2 different surgical techniques for the use of scaphoid fractures

• Outline and describe 2 risk factors that predispose patients to the development of complications during the treatment of hand infections 
• State and describe where infection can affect the hand
• Explain how immunosuppressive medications can affect hand infections
• Discuss how delayed presentation effects hand infections 
• Describe complications such as osteomyelitis, stiffness, and soft tissue defects

• Examine the diagnosis of HIV and explain how it compromises the immune system
• Describe the diagnoses of herpetic whitlow, human papillomavirus (HPV) and fungal infections
• Examine the condition of diabetes including diagnosis, presentation, treatment and discuss why people with diabetes are at an increased risk for hand infections
• Describe necrotizing fasciitis and it’s treatment
• Examine the diagnoses of rheumatoid arthritis, tuberculosis and transplant patients and describe why these people are at increased risk for hand infection

• Describe biomechanical factors that influence the stability of the forearm
• Examine the structure and function of the forearm 
• Describe injuries of the PRUJ Describe injuries of the DRUJ 
• Describe injuries of the Central Band 
• Describe injuries associated with attrition of the central band

• Outline and describe the anatomy of the distal radioulnar joint (DRUJ) and list primary and secondary stabilizers of the joint 
• Differentiate simple vs complex DRUJ dislocations 
• Explore TFCC injuries and describe Palmer’s classification of injuries 
• Examine clinical and radiographic methods for diagnosing DRUJ instability 
• Describe Galeazzi and Essex-Lopresti and how they effect the stability of the DRUJ

• Describe the anatomic components and primary stabilizers of the elbow
• Describe the mechanism of injury for elbow dislocations
• List and describe 3 treatment considerations for elbow dislocations in the acute setting
• Examine and describe “Terrible Triad” injuries and discuss how they occur
• Outline 3 mechanisms that contribute to chronic instability of the elbow due to ligamentous inefficiency

• Outline and describe the three main patterns of elbow-fracture dislocation 
• Describe 3 important components of a work-up for elbow-fracture dislocations seen in the emergency room 
• Outline and describe 5 fixation techniques for elbow-fracture dislocation 
• Recite 3 main principles related to aftercare and rehabilitation 
• Examine various complications that occur following elbow-fracture dislocations

Part I - Ulnar Collateral Ligament Evaluation and Diagnostics

• Describe and outline the anatomy of the Median nerve 
• Describe and outline the anatomy of the Ulnar nerve
• Describe and outline the anatomy of the Radial nerve 
• List five most common sites for compression of the ulnar nerve around the elbow 
• Outline and describe 3 conditions that effect each nerve: median, ulnar and radial
• Identify common sites of compression of the median and radial nerves

• Describe normal anatomy and function of the distal radioulnar joint (DRJ) 
• Outline and describe pathology of the (DRJ) 
• Summarize 3 key components of an evaluation of the (DRJ) 
• Examine and describe Triangular Fibrocartilage Tears (TFCC) 
• Outline key treatment interventions for acute distal radius fractures, ulna styloid fractures, and chronic distal radius malunion

• Describe the bones that make up the pelvis
• List 3 ligaments that stabilize the pelvis
• List 3 functions of the pelvis
• Differentiate the boundaries of the greater pelvis from the lesser pelvis
• List and describe 3 muscles that have attachments withiin the pelvis
• List and describe 5 muscles that have attachments to the pelvis
• List 5 differences between the male and female pelvis
• List and describe the nerve and blood supply to the pelvis
• Describe 4 motions that occur at the pelvis
• Examine bony and soft tissue anatomy of the pelvis using interactive dissection

• Identify the superior, inferior, anterior and posterior boundaries of the core
• List 4 important functions of the core
• Outline and describe bony structures, joint articulations, nerve and blood supply and significant landmarks within the core
• Describe and demonstrate 4 movements of the core and list the primary muscle that is involved in creating that action
• Define and differentiate core stability vs. core strength
• Define and differentiate proprioception vs. kinesthesia
• List 10 muscles of the core and discuss their origin, insertions, actions and innervations
• Locate and examine 5 deep muscles of the core using interactive dissection
• Locate and examine 5 superficial muscles of the core using interactive dissection

• List and describe the 3 bones that make up the shoulder complex
• Describe the significance of the clavicle
• Describe the 4 joints that make up the shoulder complex and demonstrate the movements that occur at each joint
• Describe the supporting structures of the glenohumeral joint and differentiate between primary and secondary stabilizers
• List and describe the muscles that make up the rotator cuff
• Explain the scapulohumeral rhythm Explain the function and anatomy of the brachial plexus
• Locate and examine the bones and articulations of the shoulder complex using interactive dissection
• Locate and examine 10 muscles of the shoulder complex using interactive dissection and describe their origin, insertion, action and innervation
• Locate and examine the parts of the brachial plexus using interactive dissection

• Recognize acute situations for which homeopathic remedies are appropriate and effective
• Apply limited homeopathic remedies to acute care situations that arise in practice and day- to-day life
• Evaluate methods of application of homeopathic remedies to fit the situation at hand
• Distinguish between the available homeopathic remedies for a specific situation in order to select the most appropriate remedy for the individual
• Use homeopathic remedies in concert with existing therapeutic training

Hour 1

• List 3 factors which impact the mechanical properties of fascia
• Recall 3 important functions of fascia
• Cite 3 negative biological effects of fibrosis
• Describe 3 proposed neurophysiological effects of IASTM
• Itemize three biological effects of IASTM

Hour 2

• Cite 8 indications for using IASTM for upper/lower quarter musculoskeletal conditions
• Provide 8 indications for using IASTM for upper/lower quarter musculoskeletal conditions
• Enumerate 8 indications for using IASTM for upper/lower quarter musculoskeletal conditions
• when using IASTM for musculoskeletal disorders.
• List 2 features of IASTM tools and the effect that these features have on the treatment effect (tissue penetration)
• Summarize 5 IASTM basic stroke techniques
• Apply IASTM techniques for over 30 common upper quarter musculoskeletal conditions

Hour 3

• Outline 3 general purposes for using instrument-assisted soft tissue mobilizations (IASTM) for lower quarter musculoskeletal disorders.
• Recall 3 clinical indications for using IASTM to the hip
• State 3 clinical indications for providing IASTM to the lumbar spine
• Present 3 clinical indications for using IASTM for knee-related musculoskeletal disorders
• Itemize 3 clinical conditions of the lower leg and foot for which IASTM would be appropriate

• Define the terminology of decontamination, disinfection and sterilization in a clinical setting.
• Explain the basis of universal precautions and its implementation
• Discuss the latest research and evidence for risk of treatment table contamination in chiropractic and manual therapy offices.
• Learn the recommended evidence based disinfection methods of clinician hands, tables and equipment for manual providers.
• Identify the Spaulding Classification System for disinfection and sterilization of patient care items and equipment.

• Examine and describe key characteristics related to the pathophysiology of Hepatitis C including those related to transmission, acute and chronic phase
• List and examine 3 key steps to diagnosing Hepatitis C
• Compare and contrast 2 ways for staging fibrosis seen in Hepatitis C
• Examine and describe 2 clinical manifestations seen in Hepatitis C
• Examine and describe pharmacologic vs. nonpharmacologic therapies seen in Hepatitis C