Idaho Physical Therapist Continuing Education

Part 1:

• Review anatomy of the shoulder joint
• Discuss pathophysiology of shoulder joint dislocation
• Become familiar with physical examination for shoulder dislocation
• List indications for shoulder joint relocation
• Review technique for performing Stimson maneuver
• Review Scapular manipulation technique
• Review External rotation method
• Review Milch technique
• Review  traction-counter-traction technique
• Review Spaso technique
• Review Posterior dislocation reduction technique
• Review technique for Inferior dislocation reduction
• Discuss post reduction care, complications and anticipated outcomes

Part 2:

• Review anatomy of the shoulder joint
• Become familiar with shoulder joint dislocations
• Describe Bankart lesioins
• List 4 indicaitons for performing arthroscopic Bankart repair
• List 5 contraindications for performing arthroscopic Bankart repair
• Review technique for performing arthroscopic Bankart repair
• Discuss post-op management, complications and anticipated outcomes

• Review anatomy of the shoulder joint
• Become familiar with shoulder joint dislocations
• Describe Bankart lesioins
• List 4 indicaitons for performing arthroscopic Bankart repair
• List 5 contraindications for performing arthroscopic Bankart repair
• Review technique for performing arthroscopic Bankart repair
• Discuss post-op management, complications and anticipated outcomes

• Review anatomy of the median, radial and ulnar nerves
• Discuss indications for performing nerve block of the upper extremity
• List 3 contraindications for performing nerve block of the upper extremity
• Become familiar with general considerations prior to performing nerve block
• Review procedures for median nerve block
• Review procedures for radial nerve block
• Review procedures for ulnar nerve block
• List 5 complications of nerve block of the upper extremity

• Become familiar with nerve blocks for the lower extremity
• List indications and contraindications for nerve blocks to the lower extremity
• Review functional innervation of the foot
• Discuss general considerations for nerve block to the lower extremity
• Review technique for deep peroneal nerve block
• Review technique for posterior tibial nerve block
• Review technique for saphenous nerve block
• Review technique for superficial peroneal nerve block
• Review technique for sural nerve block
• Review technique for nerve blocks of the metatarsals and toes
• Discuss post-procedure care, complications and anticipated outcomes

• List 10 essential supplies for effective taping
• Outline 5 general guidelines for taping
• Become familiar with basic pathology appropriate for taping
• List and describe 5 taping techniques
• List 5 indications and describe taping techniques for taping the lower extremity
• List 5 indications and describe taping techniques for taping the upper extremity

• Define telerehab including how it can be incorporated as service delivery model for OT 
• Describe how telerehab can be used as a tool to see patients in a variety of locations 
• List and describe 5 benefits and 5 drawbacks to the use of telerehab 
• List and describe 5 different technologies that can be used in telerehabilitation 
• Describe the scope of practice that can be incorporated in the use of telerehab 
• Become familiar with telerehab as a service delivery model for Occupational Therapy services

• List and describe 5 guidelines for virtual physical examination of the spine and extremities
• Summarize what is needed in terms of set up and preparation for the virtual physical examination
• Outline and describe 3 different telehealth treatment option
• Recognize and describe 5 different clinically relevant outcomes of telerehabilitation
• Examine and recite 5 clinic care points related to telehealth and telerehabilitation

• List and examine 3 categories of physical agents
• Outline and describe 4 effects of physical agents
• List contraindications and precautions for the use of physical agents
• Describe the process for evaluating and planning for the use of physical agents
• List important considerations for documentation for the use of physical agents

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

• Review the history of PAMS in physical medicine and rehabilitation
• Outline and analyze the role of PAMS in rehabilitation
• Discuss the use of PAMS and evidence based practice
• Describe how PAMS can be used in different health care settings
• List and define terminology associated with PAMS

• Outline and describe 3 phases of inflammation and healing
• Describe and differentiate chronic healing from acute healing
• List and examine various features that effect the healing process
• Outline and describe the healing of specific musculoskeletal tissues including cartilage, bone, ligaments and muscle
• Review case studies that highlight clinical application

• List 5 different modes of heat transfer
• Define and differentiate conduction, convection, conversion, radiation, evaporation
• Describe 3 effects of cold and 4 effects of heat
• Indicate 4 clinical uses for heat and 4 uses for cold
• List and describe 2 contraindications for heat and 2 contraindications for cold
• Analyze 4 adverse effects of thermotherapy
• Describe the application techniques of both hot and cold
• Describe important components for documentation for thermal modalities
• Read case studies to highlight clinical application
• Discuss clinical reasoning for choosing between cryotherapy and thermotherapy

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

• Describe the mechanism of pain receptors and how pain is transmitted
• Discuss the gate control theory and how pain is modulated and controlled
• Compare and contrast the 6 different types of pain including: acute, chronic, nociceptive, neuropathic, dysfunctional, and psychogenic
• Analyze 3 different ways to assess pain including the use of pain scales
• Describe 5 different approaches for managing pain including the use of physical agents, pharmacological, exercise, and other pain management programs
• Read case studies to highlight and understand clinical application

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

• Describe the various challenges to assessing tone abnormalities
• Compare and contrast hypertonicity vs. hypotonicity
• Describe and differentiate quantitative measuring of muscle tone vs. qualitative measuring of muscle tone
• Review and describe anatomical bases of muscle tone including neural and muscular contributions
• Describe abnormal muscle tone and list 3 consequences of abnormal tone
• Read clinical case studies to highlight and understand clinical application

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

• Describe and differentiate 3 different types of motion
• Describe capsular and noncapsular patterns of motion restrictions
• Analyze 5 pathologies that can restrict motion
• Compare and contrast examination and evaluation techniques for motion restriction
• Assess 3 methods for treating motion restrictions
• Discuss the role of physical agents in the treatment of motion restrictions
• List 5 contraindications and precautions to range of motion techniques
• Read and examine case studies to highlight clinical application

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

• Analyze the thermal and nonthermal benefits of ultrasound
• Discuss the clinical application of ultrasound in the use of soft tissue shortening, pain control, bone fractures and other clinical conditions
• List 5 contraindications and precautions for the use of ultrasound
• Describe application techniques and parameters surrounding the use of ultrasound
• Discuss components of ultrasound that should be included in documentation
• Examine and discuss the physical properties of diathermy
• Compare and contrast diathermy applicators
• Describe the thermal and nonthermal effects of diathermy
• Outline application techniques and understand positioning for diathermy
• Read case studies to highlight clinical application

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

Introduction to Electrical Currents

• Define and describe 3 electrical current parameters including waveforms, time-dependent and other electrical current parameters
• Describe 3 positive effects of electrical currents
• List 3 contraindications and precautions for the use of electrical currents
• Outline the steps for application including patient positioning, electrode type and placement and list 3 general considerations

Electrical Currents for Muscle Contraction

• Describe the physiology involved in muscle contraction in the innervated muscle
• Describe clinical application for orthopedic, neurologic and sports medicine
• Describe muscle contraction for denervated muscle
• List 5 precautions and contraindications
• Outline parameters including, but not limited to, electrode placement, positioning, frequency and amplitude for the use of electrical stimulation for innervated muscles

(This content is NOT included in the Therapeutic Modalities 101 course)

• Discuss the physical properties of electromagnetic radiation
• Become familiar with the history and physical properties of lasers and lights
• List and describe 6 effects of lasers and lights
• Review the indications and contraindications for the use of lasers and lights
• Outline the steps involved in the application of lasers and lights
• Discuss important components involved in documentation with the use of lasers and lights
• Read case studies to understand clinical application
• Outline and describe the physical properties of ultraviolet radiation
• Describe 5 effects of ultraviolet radiation
• List and examine 2 clinical indications for the use of ultraviolet radiation
• List 5 contraindications and adverse effects for the use of ultraviolet radiation
• Describe application techniques for ultraviolet radiation

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

• Describe 5 clinical indications for the use of spinal traction
• Outline and describe application techniques for mechanical traction, lumbar, cervical, self and positional traction
• Examine important aspects included in documentation for the use of traction

Electrical Currents for Soft Tissue Healing

• Explain how electrical stimulation facilitates wound healing
• Describe 3 parameters for electrical stimulation to promote wound healing
• Explore and list 2 parameters for the use of iontophoresis
• Describe the use of electrical currents for edema control
• List 3 precautions and 3 contraindications for the use of electrical currents in tissue healing

Electrical Currents for Pain Control

• Describe the use of conventional TENS, Low-rate and Burst-Mode TENS for the use of pain control
• List and describe 3 contraindications for the use of electrical currents for pain control
• Examine parameters such as waveform, electrode placement, amplitude, treatment time and frequency in the use of electrical currents for the use ofpain control
• Read case studies and highlight clinical application

(This content is NOT included in the Therapeutic Modalities 101 course)

• Define 4 physical properties of water
• Describe 6 physiological effects of hydrotherapy
• Examine 4 uses for the use of hydrotherapy in clinical practice
• List and describe 4 adverse effects and 5 contraindications and precautions for hydrotherapy
• Compare and contrast clinical use and application techniques
• Examine and describe 3 important safety considerations for infection prevention

(This content is NOT included in the Therapeutic Modalities 101 course)

• Describe 3 benefits and the effects of the use of external compression
• Outline and describe 5 clinical indications for the use of external compression
• List 5 contraindications and precautions
• Outline and describe application techniques for bandaging, compression garments, and compression pumps
• Examine the adverse effects of external compression

• Understand electrical principles so that you can predict the amount and location of current flow in human tissues including muscles. 
• Decide whether an individual is appropriate for EStim given relevant contraindications, precautions, and associated risks.
• Link electrode placement and electrical waveform selection. 
• Chose common electrical stimulus parameters based on the desired outcome and individual patient needs. 
• Describe application techniques that are safe, comfortable, and effective manner. 
• Identify resources for continue learning and application of knowledge

• Recite exercise guidelines and recommendations by the ACSPPSE, HHS and ACOG
• Outline and describe 6 benefits of exercise during pregnancy
• Describe 4 maternal physiologic changes that occur during pregnancy
• Describe 3 physiologic changes associated with exercise during pregnancy
• List 5 relative and 5 absolute contraindications to exercise during pregnancy
• Describe 2 fetal outcomes associated with maternal exercise during pregnancy

• Describe the mechanisms by which the skin is able to provide its 6 major functions
• Describe the structures, function and cellular composition of the skin layers, including layers within the dermis and eipdermis
• Explain the relationship between skin pigmentation and protection against ultraviolet light
• Compare and contrast the structural and cellular development of the skin in the fetus, premature infant, full-term neonate, adolescent and adult
• Describe at least 2 effects on the skin of the following: hydration, sun, nutrition, soaps and medications
• Compare and contrast the structure and function of dark and light pigmented skin

• Compare and contrast wound healing processes for each type of closure: primary, intention, secondary intention and tertiary intention
• Distinguish between partial thickness and full thickness wound repair
• Explain the difference between acute and chronic full thickness wounds
• Describe 4 characteristics of a chronic wound
• Describe the role of various types of cells in the wound repair process
• Describe features and characteristics of scarless healing
• Distinguish between keloid and hypertrophic scarring and the treatment of each
• Identify conditions and comorbidities that affect the wound healing process

• Describe the process of at least 5 factors that contribute to skin damage
• Distinguish among the following terms; macule, papule, plaque, nodule, wheal, pustule, vescile and bulla
• Describe 4 types of mechanical trauma by the extent of tissue damage associated with each
• Discuss 3 interventions for preventing each type of mechanical trauma
• Describe 3 preventive interventions for 3 common causes of chemical damage
• Describe the process of an allergic contact dermatitis
• Identify factors that predispose a patient to candidiasis
• Describe manifestations and care of skin damage due to irradiation

• Differentiate between skin inspection and assessment
• List 6 factors to consider when assessing darkly pigmented skin
• Distinguish between wound assessment and evaluation of healing
• Define partial-thickness and full-thickness tissue loss
• Compare and contrast a normal and an abnormal finding for each wound assessment parameter
• Describe how to measure the length, width, depth tunneling and undermining of a wound

• Describe the incidence and prevalence of pressure ulcers in various clinical settings and vulnerable patient populations
• Define pressure ulcer
• Identify the 3 most common locations at which pressure ulcers develop
• Describe the role of subcutaneous tissue and muscle in preventing pressure ulcers
• Describe the role of the causative factors for pressure ulcer formation

• Explain 3 justifications for a pressure ulcer prevention program
• Distinguish between an avoidable and an unavoidable pressure ulcer
• List components of a best practice bundle of a pressure ulcer prevention program
• Distinguish between a pressure ulcer risk assessment and a skin assessment
• Identify the risk factor subscales in the Braden Scale for Predicting Pressure Sore Risk
• Distinguish between turning and repositioning
• Describe 5 repositioning techniques