Michigan Physical Therapist Continuing Education

• Become familiar with a variety of ethical issues in the care of stroke survivors
• Examine the various aspects and factors related to informed consent
• Outline and describe how stroke impacts family members and discuss the research on caregiver intervention
• Examine the various aspects for driving after stroke including neurologic disorders that effect driving, crash risk and determining fitness for driving
• Understand the role of sports and recreation after stroke and the importance of activity
• Become familiar with sexuality after stroke including the physiology of sexual function
• Understand vocational rehabilitation options after stroke and the role of employer accommodation

• Describe current stroke statistics and trends within the US
• Discuss the difference between Ischemic stroke, Hemorrhagic stroke and TIA
• List 5 preventable causes of strokes
• Describe 3 key methods for the prevention of strokes
• Describe 3 types of medical intervention based on classification of stroke

• Describe the profile of suicide in the US, noting psychosocial and cultural factors that effect risk
• Identify 3 common precipitating events for suicide attempts
• Describe risk factors for suicide including co-existing psychiatric disorders
• Name the most frequent co-existing psychiatric disorders
• Use the sad person scale to assess suicide risk
• Give examples of primary, secondary, and tertiary interventions
• Describe basic level interventions that take place in the hospital or community
• Identify key elements of suicide precautions and environmental safety factors in the hospital
• Describe the problem on non-suicidal self-injury
• Explain the range of self-protective behavioral responses
• Discuss 3 myths about suicidal behaviors
• Identify 2 cultural or social factors that relate to suicide
• Examine 4 categories of motivation for attempting suicide
• Explain how suicide affects family members and friends
• Describe 3 theories that attempt to explain the causes of suicide
• Discuss the occurrence of suicide throughout each life cycle
• Outline the process for assessing the suicidal potential of a client
• Choose 3 therapeutic goals and interventions for clients with suicidal behaviors

• Describe the profile of suicide in the US, noting psychosocial and cultural factors that effect risk
• Identify 3 common precipitating events for suicide attempts
• Describe risk factors for suicide including co-existing psychiatric disorders
• Name the most frequent co-existing psychiatric disorders
• Use the sad person scale to assess suicide risk
• Give examples of primary, secondary, and tertiary interventions
• Describe basic level interventions that take place in the hospital or community
• Identify key elements of suicide precautions and environmental safety factors in the hospital
• Describe the problem on non-suicidal self-injury
• Explain the range of self-protective behavioral responses
• Discuss 3 myths about suicidal behaviors
• Identify 2 cultural or social factors that relate to suicide
• Examine 4 categories of motivation for attempting suicide
• Explain how suicide affects family members and friends
• Describe 3 theories that attempt to explain the causes of suicide
• Discuss the occurrence of suicide throughout each life cycle
• Outline the process for assessing the suicidal potential of a client
• Choose 3 therapeutic goals and interventions for clients with suicidal behaviors
• Indicate the manifestations of military sexual trauma
• Cite the rate of disability amongst living veterans
• Describe the incidence and distribution of mental illness in the veteran population
• Define PTSD
• Recognize the DSM-5 criteria for the diagnosis of PTSD
• Explain the risk factors to developing PTSD
• Summarize the association between PTSD and Chronic Pain
• Describe the Primary Care PTSD Screen (PC-PTSD)
• Recognize the effects of PTSD on the family of sufferers
• Summarize the psychological and pharmacological treatment for PTSD
• Define depression
• List the DMS-5 Criteria for depression
• Recognize the signs and symptoms of depression
• Define survivor guilt
• Explain suicide prevention and the VA Risk Assessment Guide
• Outline the use of the SAD PERSONS instrument
• List the risk factors to suicidal behavior
• Outline the Long and short term goals in suicide prevention, interventions and their rationale
• Define the characteristics of hopelessness
• List the outcome criteria for intervention for patients with hopelessness
• Explain the factors related to ineffective coping mechanisms
• List long and short term goals of the management of ineffective coping mechanisms
• Describe interventions and their rationale for the patient with ineffective coping
• Identify medications used to treat anxiety
• Recognize medications used to treat psychotic diseases
• Identify principal signs of depression and drugs used as treatment
• Recognize agents used as antimanics and medications for bipolar disorder
• Describe behavioral disorders found in adults and children and drugs indicated in treatment
• Explain the role of medications in treating Alzheimer’s disease
• Provide patient education for compliance with medications used to treat conditions and diseases of mental health and behavioral disorders

• Indicate the manifestations of military sexual trauma
• Cite the rate of disability amongst living veterans
• Describe the incidence and distribution of mental illness in the veteran population
• Define PTSD
• Recognize the DSM-5 criteria for the diagnosis of PTSD
• Explain the risk factors to developing PTSD
• Summarize the association between PTSD and Chronic Pain
• Describe the Primary Care PTSD Screen (PC-PTSD)
• Recognize the effects of PTSD on the family of sufferers
• Summarize the psychological and pharmacological treatment for PTSD
• Define depression
• List the DMS-5 Criteria for depression
• Recognize the signs and symptoms of depression
• Define survivor guilt
• Explain suicide prevention and the VA Risk Assessment Guide
• Outline the use of the SAD PERSONS instrument
• List the risk factors to suicidal behavior
• Outline the long and short term goals in suicide prevention, interventions and their rationale
• Define the characteristics of hopelessness
• List the outcome criteria for intervention for patients with hopelessness
• Explain the factors related to ineffective coping mechanisms
• List long and short term goals of the management of ineffective coping mechanisms
• Describe interventions and their rationale for the patient with ineffective coping
• Identify medications used to treat anxiety
• Recognize medications used to treat psychotic diseases
• Identify principal signs of depression and drugs used as treatment
• Recognize agents used as antimanics and medications for bipolar disorder
• Describe behavioral disorders found in adults and children and drugs indicated in treatment
• Explain the role of medications in treating Alzheimer’s disease
• Provide patient education for compliance with medications used to treat conditions and diseases of mental health and behavioral disorders

• Review pathoanatomy associated with PSI
• Discuss indications and contraindications for arthroscopic repair of PSI
• Become familiar with surgical techniques for arthroscopic repair of PSI
• Examine postoperative considerations and rehabiliation protocols for arthroscopic repair of PSI
• List 3 complications involved in the arthroscopic repair of PSI

101: Arthroscopic Repair of Posterior Shoulder Instability (PSI)

• Review pathoanatomy associated with PSI
• Discuss indications and contraindications for arthroscopic repair of PSI
• Become familiar with surgical techniques for arthroscopic repair of PSI
• Examine postoperative considerations and rehabilitation protocols for arthroscopic repair of PSI
• List 3 complications involved in the arthroscopic repair of PSI

102: Arthroscopic Management of Glenohumeral Arthritis (GA)

• Review the pathoanatomy associated with GA
• Discuss indications and contraindications for arthroscopic management of GA
• Become familiar with surgical technique for arthroscopic management of GA
• Examine postoperative considerations and rehabilitation protocols for GA
• List 3 complications of arthroscopic management of GA

103: Arthroscopic Management of Shoulder Stiffness (SS)

• Review preoperative considerations for arthroscopic management of SS
• Discuss indications and contraindications for arthroscopic management of SS
• Become familiar with surgical technique for arthroscopic management of SS
• Examine postoperative considerations and rehabilitation protocols for SS
• List 3 complications of arthroscopic management of SS

104:  Arthroscopic Treatment of Lateral Epicondylitis (LE)

• Understand the pathology involved in LE
• Explain the components for performing a comprehensive physical examination on a patient with LE
• Become familiar with imaging used for LE
• Explain the indications and contraindications for arthroscopic treatment of LE
• Become familiar with the surgical technique for arthroscopic treatment of LE
• Understand the rehabilitation process, complications and expected outcomes following arthroscopic treatment of LE

105: Open Treatment of Lateral and Medial Epicondylitis

• Understand the pathology involved in medial and lateral epicondylitis
• Explain the components for performing a comprehensive physical examination on a patient with medial and lateral epicondylitis
• Become familiar with imaging used in the diagnosis of medial and lateral epicondylitis
• Explain the indications and contraindications for open treatment of medial and lateral epicondylitis
• Become familiar with the surgical technique for open treatment of medial and lateral epicondylitis
• Understand the rehabilitation process, complications and expected outcomes following open treatment of medial and lateral epicondylitis

• Review the pathoanatomy associated with GA
• Discuss indications and contraindications for arthroscopic management of GA
• Become familiar with surgical technique for arthroscopic management of GA
• Examine postoperative considerations and rehabiliation protocols for GA
• List 3 complications of arthroscopic management of GA

• Review preoperative considerations for arthroscopic management of SS
• Discuss indications and contraindications for arthroscopic management of SS
• Become familiar with surgical technique for arthroscopic management of SS
• Examine postoperative considerations and rehabiliation protocols for SS
• List 3 complications of arthroscopic management of SS

• Examine and explain the pathology involved in LE
• Explain the components for performing a comprehensive physical examination on a patient with LE
• Become familiar with imaging used for LE
• Explain the indications and contraindications for arthroscopic treatment of LE
• Become familiar with the surgical technique for arthroscopic treatment of LE
• Describe and outline the rehabilitation process, complications and expected outcomes following arthroscopic treatment of LE

• Describe the pathology involved in medial and lateral epicondylitis
• Explain the components for performing a comprehensive physical examination on a patient with medial and lateral epicondylitis
• Become familiar with imaging used in the diagnosis of medial and lateral epicondylitis
• Explain the indications and contraindications for open treatment of medial and lateral epicondylitis
• Become familiar with the surgical technique for open treatment of medial and lateral epicondylitis
• Explore the rehabilitation process, complications and expected outcomes following open treatment of medial and lateral epicondylitis

• Describe the mechanism of injury in athletes with UCL injury
• Explain preoperative considerations including physical exam, imaging techniques, indications and contraindications to surgery
• Become familiar with the surgical technique for reconstruction of the UCL
• Outline the rehabilitation process, complications and expected outcomes following reconstruction of the UCL

• Review preoperative considerations for DBR
• Discuss indications and contraindications for DBR
• Become familiar with surgical technique for DBR
• Examine postoperative considerations and rehabiliation protocols for DBR
• List 3 complications of DBR

• Describe the pathology involved in PIE
• Review preoperative considerations for PIE
• Discuss indications and contraindications for PIE
• Become familiar with surgical technique for PIE
• Examine postoperative considerations and rehabiliation protocols for PIE
• List 3 complications of PIE

• Understand the pathology and mechanism of injury involved in mensical tears
• Discuss 5 symptoms of mensical tears
• Become familiar with imaging techniques used to assist in the diagnosis and differential diagnosis of meniscal tears
• Explain the indications and contraindications for AM
• Become familiar with the surgical technique for AM
• Understand the rehabilitation process, complications and expected outcomes following AM

• Understand the pathology and mechanism of injury involved in ACL tears
• Discuss 5 symptoms of ACL tears
• Become familiar with imaging techniques used to assist in the diagnosis and differential diagnosis of ACL tears
• Explain the indications and contraindications for ACL reconstruction
• Become familiar with the surgical technique for ACL reconstruction with patellar tendon autograft
• Understand the rehabilitation process, complications and expected outcomes following ACL reconstruction

• Describe the anatomy and contents of the carpal tunnel
• List and describe 4 physical tests for diagnosing carpal tunnel syndrome
• Recite 5 contraindications to endoscopic surgery
• Describe the procedure for the Standard Open Approach
• Describe the procedure for the Agee Single-Portal technique
• Describe the procedure for the Chow Two-Portal Extrabursal Technique
• List 3 complications each procedure mentioned above
• Discuss outcomes for each procedure mentioned above

• Describe the clinical features and characteristics associated with a ganglia
• List 3 frequent sites of origins where ganglia occur
• List and describe 4 methods of treatment
• Describe the anatomy of the dorsal wrist
• Describe the procedure for excision of dorsal wrist ganglion
• Describe the procedure for excision of volar wrist ganglion
• Describe the procedure for arthroscopic resection of dorsal wrist ganglion
• List 3 outcome and 3 complications for each of the above procedures

• Describe fractures of the distal radius
• Define and differentiate the 5 types of fractures
• List and describe 3 goals of fracture management
• Describe indications and contraindications for the treatment of distal radius fractures
• Review anatomy surrounding the distal radius
• Describe the procedure using distraction plate fixation
• Describe the procedure using volar buttress plate fixation
• Describe the procedure using volar plating of intraarticular compression injuries
• Discuss post-op care and outcomes following surgical treatment of distal radius fractures

• Describe the anatomy of the PIP and DIP joints
• Review and cite indications for PIP and DIP dislocation reduction
• Define and differentiate the 3 types of dislocations
• List 3 contraindications associated with PIP and DIP dislocation reductions
• Review procedures involved in the reduction of PIP and DIP dislocations
• List 3 complications following PIP and DIP dislocation reductions
• Become familiar with post operative care following dislocation reductions

• Describe the anatomy of the rotator cuff
• List and describe 5 different tests for assessing the integrity of the rotator cuff
• Differentiate imaging techniques for roator cuff injury
• Describe how rotator cuff tears are classified
• List and describe indications and contraindications for arthoscopic repair of rotator cuff
• Discuss 3 different techniques for repairing rotator cuff injuries
• Describe post-op care and outcomes following rotator cuff repair

• Describe pathophysiology involved in stenosing tenosynovitis
• Discuss presenting symptoms associated with stenosing tenosynovitis
• Outline the steps involved in Finkelstein's movement and what elicits a positive result
• Describe conservative treatment measures for stenosing tenosynovitis
• List 3 indications for surgical intervention
• Discuss anatomy of the extensor tendons in the hand
• Review surgical procedure for De Quervain's Disease
• Review surgical procedure for trigger finger and thumb
• Review surgical procedure for percutaneous release of trigger finger
• Describe outcomes and complications following surgery for stenosing tenosynovitis

• Explore pathology of the rotator cuff
• Describe and differentiate 5 tests for assessing the rotator cuff
• List and describe 3 imaging techniques for assessing the rotator cuff
• Define and explain how rotator cuff tears are classified
• Discuss the goals and treatment of rotator cuff injury
• Review anatomy of the rotator cuff and related structures
• Describe the technique for acromioplasty
• Discuss post-op care, complications and anticipated outcomes

• Discuss pathology of distal biceps rupture
• Become familiar with physical examination for distal biceps rupture
• List indications and contraindications for distal biceps repair
• Review anatomy of the biceps and the antecubital fossa
• Describe the Boyd and Anderson two-incision technique for distal biceps repair
• Discuss complications, post-op care and anticipated outcomes

• 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 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

• List 3 limitations to the reliance of capillary closing values for support surface evaluation
• List 4 factors to consider when interpreting the significance of interface tissue pressure readings
• Define pressure redistribution, immersion and envelopment
• Explain the difference between a reactive and an active support surface
• Compare the advantages and disadvantages of support surface categories and features
• List factors to consider for appropriate selection of a support surface

• Describe 3 types of neuropathy that may occur in the patient with diabetes
• Identify critical factors to be included in the history and physical exam of the patient with lower-extremity neuropathic disease
• Describe the correlation of protective sensation with risk for diabetic foot ulcer
• Distinguish among the musculoskeletal foot deformities that lead to focal areas of high pressure in the patient with peripheral neuropathy
• Identify key concepts in effective and appropriate offloading

• Describe the role of debridement in the wound healing process
• List contraindications to debridement
• Distinguish between selective and nonselective debridement
• Compare and contract 4 methods of debridement: autolysis, chemical, mechanical and sharp
• List debridement options for the infected wound
• Describe 5 factors to consider when selecting a debridement approach
• For each method of debridement, list 2 advantages, disadvantages and relevant special considerations

• Identify 3 principles of wound management
• Describe the characteristics of a physiologic wound environment
• Identify at least 5 objectives in creating a physiologic wound environment
• Define the terms occlusive, semiocclusive, moisture retentive, primary dressing and secondary dressing
• List 2 indications and 1 contraindication for each dressing category
• Describe the factors to consider when selecting a wound dressing

• Become familiar with electrical stimulation for the use of wound healing
• Define terminology associated with electrical stimulation for wound healing
• Explain the physiologic effects of electrical stimulation
• List at least 2 indications for electrical stimulation
• List at least 2 contraindications for electrical stimulation

• Become familiar with ultraviolet light and ultrasound for the use of wound healing
• List at least 1 indication each for ultraviolet-C, high frequency ultrasound and low frequency ultrasound use
• List at least 2 contraindications for each modality
• Explain the mechanisms of action for each modality

• Identify the 3 phases of burn care and discuss the goal of each phase
• Discuss the causes of burns including thermal, chemical and electrical injuries
• Identify how the 3 zones of tissue damage relate to the depth of the burn wound
• Describe 3 methods commonly used to calculate the total body surface area of a burn
• Describe the advantages and disadvantages of at least 4 topical burn care products and dressings
• Identify 3 principles of managing burn wounds in an outpatient setting

• Discuss current issues related to surgical wound infection and recommendations made by national collaboratives or evidenced-based guidelines to address these problems and improve outcomes
• Compare intrinsic and extrinsic patient characteristics associated with surgical wound healing complications or infection
• Identify wound assessment characteristics comparing the ASEPSIS method of evaluating wounds with Center for Disease Control and Prevention-defined characteristics for surgical site infection
• Identify evidence-based measures for surgical wounds including dressing, topical treatment, and care of sutures, staples and tissue adhesives
• Discuss 3 aspects of care or evaluation for patients with surgical wounds and how they can help to promote healing and prevent complications of healing

• Briefly outline the 8 limbs of Ashtanga Yoga 
• Enumerate classification of asanas 
• List 5 benefits of asanas or yogic postures 
• Understand the application of asanas with therapy 
• List 5 Asanas for low back pain 
• List 3 Asanas for hip stretches 
• Name 5 poses/ asanas for upper extremity strengthening 
• Recite contraindications for all poses

Hour # 1

• Describe what is Pranayama
• List 5 benefits of Pranayama or Yogic Breathing

Hour #2

• Understand the application of Pranayama with Rehab
• List 3 simple Breathing exercises for warm up

Hour #3

• List 9 Yogendra Pranayama
• Summarize importance of Breathing correct
• Be familiar with contraindication for all Pranayama

• List 5 benefit of Yoga Asana
• Understand the application of Yogic Asanas or Postures with Rehab
• State 5 Asanas to improve shoulder flexibility
• Propose poses for progressing with scapular stabilization
• Be able to differentiate between use of static and dynamic poses
• Recognize ways to modify poses when painful
• Create HEP with Yogic Postures
• Be familiar with correct alignment during poses
• Summarize ways to prevent injuries with yoga asanas

• Justify the use of  Yoga poses with rehabilitation 
• Name 3 poses for each stage of rehabilitation 
• List 5 poses helpful for balance 
• Describe how to implement yoga with patients and establish a POC 
• Perform a biomechanical analysis with poses 
• Recognize and list Do’s and Don'ts with  poses 
• Describe 5 ways to avoid injuries with poses

• Understand application of core stability for low back pain 
• Recall physiology associated with low back pain 
• What is eoga and enumerate various benefits 
• Enlist asanas for acute low back pain 
• List 5 important asanas for increasing flexibility 
• Select appropriate asanas for core strengthening 
• Propose modification in yoga asanas 
• Deduce information from latest evidence-based studies on yoga for low back pain 
• Summarize importance of yoga for low back pain