Idaho Physical Therapist Continuing Education

• Describe pharmacokinetic concepts, including absorption, distribution, metabolism, excretion half-life, and duration of action, and their relationship and signi???cance to therapy
• Describe pharmacodynamic concepts, including the dose-response relationship, therapeutic window, adverse drug reactions, toxicity, tolerance, withdrawal, and addiction
• List 3 general principles of safe medication use and the role of the therapist in optimizing patient safety
• List 3 general principles of treatment and prevention of orthopedic infection, including why such infections are dif???cult to treat and the importance of antibiotic compliance
• List the analgesics best suited for different types of pain
• Describe how opioids work differently from anti-in???ammatory analgesics in the treatment of pain
• List 3 common side effects and precautions associated with opioids, acetaminophen, nonsteroidal anti-in???ammatory drugs, cyclooxygenase-2 inhibitors, and corticosteroids
• List 3 risks of acetaminophen overdoses during pain management
• Recognize the boundaries of your professional scope of practice and identify what a therapist can tell a patient about their medication

• Compare how pharmacokinetics, clinical pharmacokinetics and pharmacodynamics work on the body 
• Categorize medications based of drug classes and mechanisms of actions, indications, adverse effects, and monitoring parameters as it relates to adults and elderly 
• Recognize how to properly use, administer, and dispose of medications

• Explain how different classes of medications can cause central nervous system impairment, significant side effects, and direct dysphagia complications that could elevate a person's risk for adverse sequelae 
• Identify who is at risk for drug-induced dysphagia complications and be prepared to advocate for your patients with the entire medical team, collaborating with pharmacy, nursing, physicians, and more 
• Describe medications that could improve swallow function, especially when taken correctly, and advocate for people who have difficulty swallowing pills and require safe strategies and solutions

• Discuss the impact of medication errors on patient safety and the risk factors that contribute to healthcare issues.
• Analyze safety standards and the role of organizational culture in the prevention of healthcare and medication related adverse events
• Describe error reporting systems, processes, and tools used to investigate and disclose medication-related adverse events
• Identify high-alert and high-risk medications and measures that can be taken to reduce the risk of adverse events
• Recognize the impact on technology on reducing adverse healthcare outcomes

• List five statistical references that relate to evidence based practice.
• List four Red flags that are pertinent in the evaluation component of treatment.
• Identify the five categories that pertain to possible spinal pain and referred pain.
• Describe two metabolic diseases that can affect the spine.

• This contains all courses with the educational objectives listed from Physical Diagnosis 166 through Physical Diagnosis 169

• Recognize and list four red flags for the cervical and shoulder girdle.
• Identify three medical conditions that may refer to the cervical spine but are non-musculoskeletal in origin and require a physician's intervention.
• Name and describe two CPR for the Cervical Spine.
• List two dural tests that are done for the nervous system in the Cervical region.

• Identify and describe two musculoskeletal issues of the thoracic region.
• List one dural test that is used to evaluate the thoracic region which will assist in determining normal neuromeningeal pathway mobility.
• List two CPR of the spine in the thoracic region that have good reliability and are effective in use.
• List and describe two vascular diagnoses which may relate to Thoracic Spine referred pain

• Identify two serious pathologies that appear to be related to the lumbar spine but are not.
• Describe three categories of pelvic fractures than may occur.
• Describe the objective differences between vascular claudication and neurogenic claudication.
• List the five screening tests for the pelvis and SI joint.

• Compare the difference between angular and linear motion.
• List the limiting factors necessary for stability in respect to linear motion.
• List and describe the function of the limiting structures of the atlantooccipital joint and the atlantoaxial joint.
• Describe the path of the vertebral artery from the subclavian artery to the basilar artery
• List the three types of Atlantooccipital fractures.
• Describe five diseases that may compromise the stability of the cervical region and how.
• List and elaborate on the immune specific diseases that can affect the atlantoaxial joint.
• Summarize the normal growth of the cervical spine and craniovertebral region in children.
• Outline the details of IFOMPT Framework for Red Flags.
• Demonstrate three stability tests of the cervical region and interpret the results.
• Demonstrate a neurological scan to clear spinal cord and neurological dysfunction in the cervical spine.
• Apply a vigorous mandatory scan for all patients to rule out serious pathology of the cervical spine and the neurological system and be able to interpret the results.

• Discuss the unique properties of lasers and their clinical applications
• Identify indications and contraindications to cold laser therapy
• List parameters and protocols of cold laser therapy
• Evaluate the current body of low level laser therapy clinical research
• Explain the advantages and disadvantages of using cold laser therapy

• Describe the development of postural control systems and the influence of that development on gross- and fine-motor development.
• Discuss atypical development of postural control and its influence on the development of gross- and fine-motor skills.
• Identify appropriate assessment tools available for the evaluation of postural control.
• Identify appropriate treatment techniques for facilitating reactive and anticipatory postural control.

• Review sensory-motor control and rehabilitation
• Discuss aerobic exercise for LBP patients
• Describe muscle training of the hip, abdominal and paraspinal muscles
• Identify how aerobic exercise improves motor performance in the elderly
• Distinguish the effects of different training styles on the cross-sectional area of paraspinal muscles

• Describe the contribution of hip vs. spinal motion
• Distinguish poor motor patterns of hip and low back movements and what to do about it
• Differentiate the role of exercise for neck disorders and determine what type of exercise works
• Delineate the neural adaptations to exercise and apply towards rehabilitation
• Describe current issues in low back rehabilitation (such as can low back tissues heal within a few weeks?)

• Describe the long term course of LBP
• Describe neuromuscular impairments following LBP
• Differentiate the effects of pain on the neuromuscular system
• Discuss the models that explain the nature of motor problems with pain
• Differentiate and discuss the potential sources of LBP

• Identify and describe the major factors influencing muscular strength
• Assess the chiropractic influences on strength
• Identify and discuss the strength training principles
• Illustrate components of a training session
• Apply training principles into a practical strength program

• Define proprioception and describe how it is measured
• Discuss proprioception from a rehabilitative perspective
• Examine ankle, knee and shoulder proprioception and rehabilitation
• Examine spinal proprioception and sensorimotor training
• Summarize rehabilitation recommendations for proprioceptive deficits

• Identify the anatomy of upper motor neuron tract systems and discuss the functionality of upper motor neuron tract systems
• Explain the effects of a spinal cord injury
• Discuss the anatomy and functionality of regions of the brain
• Describe complications post injury of brain and spinal cord injury
• Describe standard treatment procedures prior to rehabilitation of brain and spinal cord injured patients
• Explain the difference between neurological deficit rigidity versus disuse atrophy/spasm of spinal cord and head injured patients
• Describe treatment options for rehabilitation of spinal cord and head injured patients
• Explain treatment methods to transition C curve locomotion to S curve locomotion
• Explain treatment methods for atrophy and spasm
• Discuss most current curative research for spinal cord and head injured patients

• Recite 3 risk factors for developing rotator cuff tendonosis
• State the purpose of the scapula reposition and scapula assistance test.
• Explain how to perform the external rotation lag sign and recall the purpose of this test
• Paraphrase one evidence - based test cluster for diagnosing a rotator cuff tear.
• Recall two indications/goals for performing posterior glenohumeral joint mobilizations.
• Cite the clinical prediction rule (CPR) for favorable outcome in patients undergoing conservative management for rotator cuff disorders
• Identify two criteria for phase I rehabilitation exercises for rotator cuff disorders

• Recall 3 potential reasons, based on expert opinion, that may contribute to the high re-tear rate following rotator cuff repair.
• Recite 4 factors that impact the rehabilitation program for patients following rotator cuff repair.
• Summarize the DeOrio classification for rotator cuff tear size.
• State 3 appropriate exercises during weeks 0-2 following rotator cuff repair
• Provide 2 appropriate exercises during weeks 6-8 following rotator cuff repair
• Name 3 appropriate exercises during weeks 8-12 following rotator cuff repair

• Enumerate three physical / clinical examination findings associated with rupture of the quadriceps tenon.
• List 3 patient specific factors that need to be considered when following a rehabilitation program following repair of the quadriceps or patella tendon.
• Recall three goals during phase 1 (0-2 weeks) of a rehabilitation program following repair of the quadriceps or patella tendon.
• Identify three goals during phase 3 of a rehabilitation program following repair of the quadriceps or patella tendon.
• Cite five return to play criteria that need to be met following repair of the quadriceps or patella tendon.

• Summarize the key difference between the cartilage restoration vs cartilage reparation procedures.
• List 3 personal (health and demographic) factors that need to be considered when following a rehabilitation program following cartilage restoration/reparative procedures.
• Enumerate 3 lesion-specific factors that need to be considered when following a rehabilitation program following cartilage restoration/reparative procedures.
• Recall three goals during phase 1 (0-2 weeks) of a rehabilitation program following cartilage restoration/reparative procedures.
• Cite five return to play criteria that need to be met following cartilage restoration/reparative procedures.
• Summarize the evidence-based outcomes for the 3 most common cartilage restoration/reparation techniques.

Hour 1

• Recall 2 pathological pitching mechanical patterns that may lead to injury
• List 3 injury risk factors in in the overhead athlete
• Provide 4 injury prevention screening tests for the overhead athlete
• With respect to shoulder strength, cite 3 metrics  that can be used as red flags to identify players who are at higher risk for incurring an injury to the shoulder /elbow

Hour 1

• Recall the most common types of lumbar spine injuries among athletes participating in different sports.
• Identify one advantage and one disadvantage of the treatment-based classification system as it applies to the treatment of the athlete’s lumbar spine.
• List 3 contemporary treatment models that can be applied to the management of lower back pain in the athlete.

Hour 2

• Recall the definition and importance of red and yellow flags during the medical screening process.
• Identify 3 red flags that may implicate a non-mechanical source of lower back pain.
• List the difference between central and peripheral sensitization.

Hour 3

• List one treatment goal in phase 2 rehabilitation of the athlete’s lumbar spine.
• Cite one treatment principle in phase 3 rehabilitation of the athlete’s lumbar spine.
• Summarize two variations of the squat exercises that can be used to decrease strain on the lumbar spine.
• Recall three variations of the deadlift exercises that can be used to decrease strain on the lumbar spine.
• Summarize the McGill core endurance ratio tests that can be used to guide the return to sport decision making processes

• Define and differentiate between key elements of muscle performance; strength, power, muscle endurance
• List key factors that influence the tension-producing capacity of normal skeletal muscle
• Explain the relationships among muscle fatigue, recovery from exercise and overtraining
• List precautions and contraindications for resistance exercise
• Describe principles and concepts of specificity or exercise, transfer of training overload, and reversibility as they relate to resistance exercise
• Describe the adaptation of muscle, connective tissue and bone to resistive exercise
• State general principles for application and implementation of resistance exercise

• Describe the physiological components of balance
• Outline changes in balance across the lifespan
• Define the role of the balance system in regaining function
• Describe the assessment of balance as a means to determine fall risk and to guide treatment
• Explain how to develop an appropriate exercise program to treat impairments and functional limitations related to balance

• Define the concept of endurance for both the cardiovascular and muscular systems
• Describe the physiological responses in the heart, lungs, and peripheral structures to exercise
• Explain the roles and response of skeletal muscles and respiratory muscles to exercise
• Identify 5 effects of disuse and-or immobility and aging on exercise response
• Outline the acute response to aerobic, isometric, and resistive exercise
• List 3 benefits of chronic aerobic exercise
• List 5 cardiovascular and pulmonary risk factors and explain how to reduce the risk with exercise

• Describe the nature and complexity of "coordinated movement"
• Describe and objectively measure disorders of coordination
• Explain elements of neuromuscular control and functional stability
• Define proprioception
• Describe the importance of proprioception and its contribution to normal movement
• Define common disorders of proprioception
• Rationalize the important role of ligaments in position sense
• Recognize, perform and analyze various therapeutic interventions that focus on proprioceptive deficits
• Differentiate and apply methods of problem-solving, multitasking, cognitive overlays, and multistep commands to improve coordination

• Describe conditions that may effect joint motion
• Describe impairments in joint ROM
• Describe normal and abnormal joint end-feels
• Explain capsular patterns
• Explore the scientific basis of stretch
• List and explain principles of ROM and stretching
• List and explain various types of stretching exercises
• List and explain the precautions and contraindications to ROM and stretching