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DESCRIPTION
Purchase this entire series at a 30% discount!
This comprehensive 10-part course series will help the physical therapist recognize significant overlaps between common musculoskeletal or neuromuscular conditions and other medical pathologic problems or co-morbidities that can affect clinical decision-making. The knowledge and skills necessary for accurate screening of all clients will be emphasized.
This series of courses are designed for all levels of learning, from the DPT student to the clinician seeking a transitional DPT or simply trying to keep up his or her clinical skills. It is applicable to all clinical settings, including pediatrics. Each course in this series is a blended-learning model and has the required textbook Differential Diagnosis for the Physical Therapist: Screening for Referral, 5th ed., 2012 with additional information drawn from a wide variety of sources as listed in the Bibliography.
The entire series is presented in 10 parts with each section building upon information used in previous sessions.
COURSE GOAL
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction.
As more states move toward direct access and primary care practice, physical therapists are increasingly becoming the first contact that patients seek, particularly for care of musculoskeletal dysfunction. This makes it critical for physical therapists to be well versed in determining when referral to a physician (or other health care provider) is necessary.
A cognitive processing-reasoning approach will be used throughout the course series. Students will be encouraged to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments in making appropriate differential diagnoses and referrals.
OBJECTIVES
Upon completion of this course, the Learner will be able to:
ACCREDITATIONS
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 5.8 CEUs, Introductory Level, Domain of OT: Client Factors; Occupational Therapy Process: Evaluation. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for 5.8 CEUs
This course series is approved for 5.8 CEUs (58 contact hours) by the Board of Certification for Athletic Trainers.
State of Illinois Physical Therapy Continuing Education Sponsor License No: 216.000127
Dynamic Learning Online is approved by New York State Education Department, Office of the Professions as a sponsor of Continuing Education for Physical Therapists & Physical Therapy Assistants
Dynamic Learning Online is a Texas Board of Physical Therapy Examiners (TPTA) Accredited Provider. The assignment of Texas PT CCUs does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
See individual course listings for full details on approvals
Title: Differential Diagnosis in Physical Therapy, Screening for Referral Author: Catherine Cavallaro Goodman, MBA, PT, CBP and Teresa E. Kelly Snyder, MN, RN, OCN, CS Publisher: W. B. Saunders Copyright: 2012 Edition: 5th Pages: 816 URL: http://www.us.elsevierhealth.com/product.jsp?sid=EHS_US_BS-SPE-445&isbn=9781437725438
Title: Diagnosis and Treatment of Movement Impairment Syndromes Author: Shirley Sahrmann, PT, PhD, FAPTA Publisher: Mosby Copyright: 2002 Edition: 1st Pages: 380 ISBN: 0801672050 URL: http://www.us.elsevierhealth.com/product.jsp?sid=EHS_US_BS-SPE-445&isbn=9780801672057
Title: Pathology: Implications for the Physical Therapist Author: Catherine C Goodman, MBA, CBP and Kenda S Fuller, PT, NCS Publisher: W. B. Saunders Copyright: 2009 Edition: 3rd Pages: 1760 ISBN: 9781416031185 URL: http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031185
Author and Instructor
Catherine C. Goodman, M.B.A., P.T., C.B.P. graduated from the University of Pennsylvania in 1976 with a B.S. in Physical Therapy and in 1986 with a Master’s in Business Administration (MBA) from the University of Montana. She received her certification as a BodyTalk practitioner from the International BodyTalk Association in 2008. Catherine has 35+ years of experience in a variety of clinical settings. She specialized in pediatrics for the first 10 years, then served 8 years in the U.S. Army Reserves as an orthopedic therapist. She has since broadened her skills in home health care, acute care, inpatient/rehabilitation, hospital out-patient services, and through private practice as a hand therapist. She is a faculty affiliate at the University of Montana School of Physical Therapy and the co-author of three textbooks: Differential Diagnosis for Physical Therapists: Screening for Referral (2007), 4th edition and Pathology: Special Implications for the Physical Therapist, 3rd ed. (2009), and Exercise Prescription for Medical Conditions: A Handbook for Physical Therapists (2011). Ms. Goodman is a medical writer for Medical Multimedia Group remains at the University of Montana as a Faculty Affiliate. She lives in Missoula, Montana where she has an active clinical practice and continues to provide physical therapy continuing education courses. The material has been refined and updated continuously throughout that time.
Teaching Methods
Teaching Methods include: Course content is delivered in a text format with case examples, pictures and graphics, references, resources and web links provided. You also have the opportunity for email interaction with the course instructor and fellow course participants. The entire course is presented in 10 parts with each section building upon information used in previous sessions. Understanding a physical therapist’s diagnosis and the difference between diagnosis and screening is the first step, followed by a careful client interview (Parts 1 and 2). Past medical history, medication use, and red flag symptoms are key features in the screening process.
From there, the student is taken through a course in pain types and viscerogenic pain patterns. This knowledge is needed to rule out systemic origins of neuromusculoskeletal dysfunction (Part 3). Screening for cancer is absolutely essential in today’s health care environment. Skin and nail bed assessment are key features. Modes of metastases and clinical manifestations of cancer are presented in detail based on clinical practice. For example, the therapist is most likely to see signs and symptoms affecting one of four systems: pulmonary, central nervous system, hepatic and skeletal. What to look for and red flag signs and symptoms are included (Part 4). Who to screen, how to screen, and when to screen are presented along with Review of Systems and when and how to make a physician referral (Part 5). Parts 6 through 10 take the student through each body part (back, sacrum, sacroiliac, groin, hip, pelvis, chest, breast and shoulder), identifying clues to vascular, renal, gastrointestinal, hepatic, gynecologic, endocrine and pulmonary sources of referred pain and symptoms. At the end of each course is a Final Exam with a required minimum passing score of 80%.
The content of this course includes a discussion of physical therapy diagnosis, interviewing techniques, and a thorough review of systemic origins of musculoskeletal pain. While specifically designed for physical therapists, occupational therapists and physical therapist assistants will also benefit from this information. At the end of each course there is a Final Exam with a required minimum passing score of 80%.
Please note there is one required textbook that accompanies this course.
3 Contact Hours
The state of today’s health care environment makes it critical for physical therapists to be well-versed in determining when referral to a physician is necessary. Physical therapists must also be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal dysfunction. This course will cover the fact that screening for systemic disease is now part of the physical therapy evaluation leading to a physical therapy diagnosis. Evidence-based clinical decision making consistent with the patient/client management model will be the foundation upon which differential diagnoses are made.
The first step in understanding the physical therapy diagnosis is knowing how the diagnostic process differs from screening for systemic disease. Scope of practice and diagnostic vs. impairment classifications are also reviewed in this course.
Although PT Diagnosis and Screening is written as a stand-alone, Intermediate, course, it lays the foundation needed to participate in the rest of the Differential Diagnosis series of 10 courses. We strongly advise you to take these courses in the order presented, but it is not required.
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction. Understanding the role of the physical therapy diagnosis in the screening process is the focus of this Part 1 of the series: Differential Diagnosis in Physical Therapy: PT Diagnosis and Screening.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .3 CEUs, Intermediate Level, Domain of OT: Client Factors; Occupational Therapy Process: Evaluation. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .3 CEUs
NBCOT 3.75 PDU
This course is approved for .3 CEUs (3 contact hours) by the Board of Certification for Athletic Trainers.
This course is also approved by the:
Title: Diagnosis and Treatment of Movement Impairment Syndromes Author: Shirley Sahrmann, PT, PhD, FAPTA Publisher: Mosby Copyright: 2002 Edition: 1st Pages: 380 ISBN: 0801672058 URL: http://www.us.elsevierhealth.com/product.jsp?sid=EHS_US_BS-SPE-445&isbn=9780801672057
Title: Pathology: Implications for the Physical Therapist Author: Catherine C Goodman, MBA, PT, CBP and Kenda S. Fuller, PT, NCS Publisher: W. B. Saunders Copyright: 2009 Edition: 3rd Pages: 1760 ISBN: 9781416031185 URL: http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031185
Teaching MethodS
Teaching Methods include: Course content delivered in a text format, pictures and graphics, case examples, live web links, references and resources, and the opportunity for email interaction with the instructor and fellow course participants. At the conclusion of the course, there is a Final Exam which requires a minimum passing score of 80%. Please note there is one required textbook that accompanies this course.
5 Contact Hours
This Intermediate course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. Although Client History and Interview is written as a stand-alone course, the foundation for physical therapy diagnosis has been laid in Part 1 (Physical Therapy Diagnosis and Screening) of this 10-part series. The student is strongly advised to take these courses in the order presented, but it is not required.
Evidence-based clinical decision-making consistent with the patient/client management model will be the foundation upon which a physical therapy differential diagnosis is made. The physical therapy diagnosis begins with a screening component. In turn, screening for systemic disease begins with a well-developed client history and interview. The foundation for these skills is presented in this course.
The client interview, including the personal and family history, is the single most important tool in screening for systemic disease. Restated for emphasis: The client interview as it is presented here is the first step in the screening process. Risk factor assessment and health screening are also included, as these are becoming a more integral part of the physical therapist’s practice in the primary care setting.
A large part of the screening process is identifying red flag histories and red flag signs and symptoms. Many clients are experiencing signs and symptoms associated with visceral impairment but don’t make the connection between these signs and symptoms and their NMS dysfunction. The therapist must be well-versed in what questions to ask in order to obtain this information.
As more states move toward direct access and independent practice, physical therapists are increasingly becoming the first contact that patients seek, particularly for care of musculoskeletal dysfunction. This makes it critical for physical therapists to have a logical decision-making process in determining when referral to a physician is necessary.
A cognitive processing-reasoning orientation will be utilized throughout the course to encourage students to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies will be used to integrate screening information in determining a physical therapy diagnosis and in making decisions regarding intervention versus referral.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .5 CEUs, Intermediate Level, Domain of OT: Client Factors; Occupational Therapy Process: Evaluation. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .5 CEUs
NBCOT 6.25 PDU
This course is approved for .5 CEUs (5 contact hours) by the Board of Certification for Athletic Trainers.
Title: Differential Diagnosis in Physical Therapy, Screening for Referral Author: Catherine Cavallaro Goodman, MBA, PT, CBT and Teresa E. Kelly Snyder, MN, RN, OCN, CS Publisher: W. B. Saunders Copyright: 2012 Edition: 5th Pages: 816 URL: http://www.us.elsevierhealth.com/product.jsp?sid=EHS_US_BS-SPE-445&isbn=9781437725438
Title: Pathology: Implications for the Physical Therapist Author: Catherine C Goodman, MBA, CBP, PT and Kenda S Fuller, PT, NCS Publisher: W. B. Saunders Copyright: 2009 Edition: 3rd Pages: 1760 ISBN: 9781416031185 URL: http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031185
Teaching Methods include: course content delivered in a text format, pictures and graphics, case examples, live web links, references and resources, and the opportunity for email interaction with the instructor and fellow course participants. At the conclusion of the course, there is a Final Exam which requires a minimum passing score of 80%.
Although Client History and Interview is written as a stand-alone course, the foundation for physical therapy diagnosis has been laid in Part 1 (Physical Therapy Diagnosis and Screening) of this 10-part series. The student is strongly advised to take these courses in the order presented, but it is not required.
The student is advised to take these courses in the order presented. For a thorough description of the entire series, see Differential Diagnosis: 10-part Course Series Overview.
A large part of the physical therapy screening process is identifying red flag histories and red flag signs and symptoms. Understanding how and when diseased organs can refer pain to the musculoskeletal system helps the therapist identify suspicious pain patterns.
Evidence-based clinical decision-making consistent with the patient/client management model will be the foundation upon which a physical therapy differential diagnosis is made. Screening for systemic disease begins with a well-developed client history and interview. The foundation for these skills is presented in Part 2 of this series (Client History and Screening Interview).
This Intermediate course will describe pain types in general and viscerogenic pain patterns specifically. A large component in evaluating pain during the screening process is being able to recognize the client demonstrating a significant emotional overlay.
Pain patterns from cancer can be very similar to what we have traditionally identified as psychogenic or emotional. It is important to know how to differentiate between these two sources of painful symptoms. Symptom magnification and illness behavior will also be reviewed.
The series is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced.
A cognitive processing-reasoning orientation will be utilized throughout the course to encourage the Learner to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies are used to integrate screening information in determining a physical therapy diagnosis and in making decisions regarding intervention versus referral.
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction. In particular, understanding the way in which visceral pain is referred to the musculoskeletal system is the focus of this Part 3 of the series Differential Diagnosis in Physical Therapy.
A cognitive processing-reasoning orientation is utilized throughout the course to encourage the Learner to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies are used to integrate screening information in determining a physical therapy diagnosis and in making decisions regarding intervention versus referra
Although Pain Types and Viscerogenic Pain Patterns is written as a stand-alone course, the foundation for physical therapy diagnosis and client history and screening has been laid in Part 1 (Physical Therapy Diagnosis and Screening) and Part 2 (Client History and Screening Interview) of this 10-part series. We strongly advise you to take these courses in the order presented, but it is not required.
10 Contact Hours
A large part of the physical therapy screening process is identifying red flag histories and red flag signs and symptoms. Cancer screening is a major part of the overall screening process. Anyone with a past medical history of cancer is at risk for cancer recurrence. Clinical manifestations of cancer can mimic NMS dysfunction. This is true whether it’s primary cancer or cancer that has recurred or metastasized.
Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal dysfunction. For example, peptic ulcers, gallbladder disease, liver disease and myocardial ischemia are only a few examples of systemic diseases that can cause shoulder pain.
Cancer Screening and Prevention is part 4 of a 10-part series entitled Differential Diagnosis in Physical Therapy. The overall 10 hour course will introduce students and clinicians to the role that health screenings and review of systems (ROS – see Part 5: When to Screen for Systemic Disease and When to Refer for detailed explanation of ROS in the screening process) play in the clinical decision making that leads to a physical therapist’s diagnosis.
As more states move toward direct access and independent practice, physical therapists are increasingly becoming the first contact that patients seek, particularly for care of musculoskeletal dysfunction. This makes it critical for physical therapists to be well versed at determining when referral to a physician is necessary.
Evidence-based clinical decision-making consistent with the patient client management model will be the foundation upon which a physical therapy differential diagnosis is made. Cancer screening begins with a well-developed client history and interview. The foundation for these skills is presented in Part 1 of this series (Client Interview and History).
This Intermediate course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. The course will review terminology, epidemiology and the metastatic process, especially as the latter presents itself in a clinical practice. Physical therapist’s diagnosis vs. screening, risk factors, prevention and oncology pain will also be included
This course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. The course will review terminology, epidemiology and the metastatic process, especially as the latter presents itself in a clinical practice. Physical therapist's diagnosis vs. screening, risk factors, prevention and oncology pain will also be included. A cognitive processing-reasoning orientation will be utilized throughout the course to encourage students to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies will be used to integrate screening information in determining a physical therapist’s diagnosis and making decisions regarding intervention versus referral.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for 1.0 CEUs, Intermediate Level, Domain of OT: Client Factors; Occupational Therapy Process: Evaluation. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for 1.0 CEUs
NBCOT 12.5 PDU
This course is approved for 1.0 CEUs (10 contact hours) by the Board of Certification for Athletic Trainers.
Title: Pathology: Implications for the Physical Therapist Author: Catherine C Goodman, MBA, PT, CBP and Kenda S Fuller, PT, NCS Publisher: W. B. Saunders Copyright: 2009 Edition: 3rd Pages: 1760 ISBN: 9781416031185 URL: http://www.us.elsevierhealth.com/product.jsp?isbn=9781416031185
A cognitive processing-reasoning orientation will be utilized throughout the course to encourage students to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies will be used to integrate screening information in determining a physical therapist’s diagnosis and making decisions regarding intervention versus referral.
Although Cancer Screening and Prevention is written as a stand-alone course, the foundation for physical therapist’s diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical therapist’s diagnosis and Screening and Client History and Screening Interview. The student is strongly advised to take these courses in the order presented.
4 Contact Hours
Communicating our findings to the physician is an essential part of our jobs. What do you do when you find out important information the client’s physician may not know about? What if the client presents with red flag signs and symptoms that simply weren’t present at the time of his or her office visit with the physician?
Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (referred to as neuromusculoskeletal or NMS) dysfunction. It is critical for physical therapists to be well versed at determining when referral to a physician (or other appropriate health care professional) is necessary.
In this Intermediate course, Part 5 of a ten-part series on Differential Diagnosis, we will cover not only when referral is necessary, but also how to make that referral. Who to screen, when to screen and how to screen are the main topics of this course. The course participant will learn how to use the Review of Systems from the Guide to Physical Therapist Practice. The Review of Systems is an important tool in the evaluation process once screening has taken place.
As more states move toward direct access and independent practice, physical therapists are increasingly becoming the first contact that patients seek, particularly for care of musculoskeletal dysfunction. This makes it critical for physical therapists to be well versed at determining when referral to a physician (or other appropriate health care professional) is necessary.
Is immediate medical attention needed? What precautions and contraindications to physical therapy intervention are advised? Specific guidelines for medical referral are reviewed. Special considerations in the referral process and liability issues are also raised in this course.
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client's appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .4 CEUs, Intermediate Level, Domain of OT: Client Factors; Occupational Therapy Process: Evaluation. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .4 CEUs
NBCOT 5. PDU
This course is approved for .4 CEUs (4 contact hours) by the Board of Certification for Athletic Trainers.
Although When to Screen for Systemic Disease and When to Refer is written as a stand-alone course, the foundation for physical therapy diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical Therapy Diagnosis and Screening andClient History and Screening Interview. The student is strongly advised to take these courses in the order presented.
This course, Screening for Systemic Disease: The Neck and Back, is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This particular section will review clues suggesting systemic or viscerogenic neck or back pain and take you through each system that can refer pain or symptoms to the neck or back. This will include GI, pulmonary, renal and urologic, gynecologic, and vascular (both peripheral and cardiovascular) causes of neck or back pain.
The Intermediate course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This particular section will review clues suggesting systemic or viscerogenic neck or back pain and take you through each system that can refer pain or symptoms to the neck or back. This will include GI, pulmonary, renal and urologic, gynecologic, and vascular (both peripheral and cardiovascular) causes of neck or back pain.
Evidence-based clinical decision-making consistent with the patient client management model will be the foundation upon which a physical therapy differential diagnosis is made. Screening for systemic disease begins with a well-developed client history and interview. The foundation for these skills is presented in Part 1 of this series (Client History and Screening Interview). A cognitive processing-reasoning orientation will be utilized throughout the course to encourage students to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies will be used to integrate screening information in determining a physical therapy diagnosis and making decisions regarding intervention versus referral.
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction. Screening problems in the neck and back for systemic disease is the focus of this Part 6 of the series: Differential Diagnosis in Physical Therapy.
A cognitive processing-reasoning orientation will be utilized throughout the course to encourage students to gather and analyze data, pose and solve problems, infer, hypothesize and make clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies will be used to integrate screening information in determining a physical therapy diagnosis and making decisions regarding intervention versus referral.
Although Screening for Systemic Disease: The Neck and Back is written as a stand-alone course, the foundation for physical therapy diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical Therapy Diagnosis and Screening and Client History and Screening Interview. The student is strongly advised to take these courses in the order presented.
6 Contact Hours
Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (herein referred to as neuromusculoskeletal or NMS) dysfunction. For example, Paget’s disease, gastrointestinal (GI) disease, gynecologic disease and vascular conditions such as endocarditis and ovarian varicosities are only a few examples of systemic diseases that can cause sacral, SI and/or pelvic pain.
The therapist must especially know how and what to look for to screen for cancer. Cancer can present as primary neck, shoulder, chest, upper back, hip, groin, pelvic, sacroiliac or low back pain/symptoms.
This Intermediate course, Screening for Systemic Disease: The Sacrum, Sacroiliac and Pelvis is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This section will review clues suggesting systemic or viscerogenic causes of sacral, SI and pelvic pain and take you through each system that can refer pain or symptoms to these anatomical areas. This will include the arthritic conditions, GI, gynecologic, male reproductive system and vascular causes of sacral, SI or pelvic pain.
Evidence-based clinical decision-making consistent with the patient client management model will be the foundation upon which a physical therapy differential diagnosis is made. Screening for systemic disease begins with a well-developed client history and interview. The foundation for these skills is presented in Part 2 of this series, Client History and Screening Interview.
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction. In particular, screening the sacrum, SI, and pelvis for systemic disease is the focus of this Part 7 of the series: Differential Diagnosis in Physical Therapy.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .6 CEUs, Intermediate Level, Domain of OT: Client Factors; Occupational Therapy Process: Evaluation. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .6 CEUs
NBCOT 7.5 PDU
This course is approved for .6 CEUs (6 contact hours) by the Board of Certification for Athletic Trainers.
Although Screening for Systemic Disease: The Sacrum, Sacroiliac and Pelvis is written as a stand-alone course, the foundation for physical therapy diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical Therapy Diagnosis and Screening and Client History and Screening Interview. Part 6, Screening for Systemic Disease – The Neck and Back, forms the basis for screening all other areas of the body and is an integral part of understanding Screening for Systemic Disease – Sacrum, Sacroiliac and Pelvis.
This Intermediate course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This section will review clues suggesting systemic or viscerogenic causes of hip and groin pain and dysfunction. This will include the vascular conditions, infectious or inflammatory causes and gynecologic and male reproductive system causes of hip and/or groin symptoms.
Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (herein referred to as neuromusculoskeletal or NMS) dysfunction. Gastrointestinal (GI) disease, gynecologic disease, urologic/renal conditions and vascular conditions such as arterial insufficiency are only a few examples of systemic diseases that can cause hip or groin pain.
Screening for Systemic Disease: The Hip and Groin is part 8 of a 10-part series entitled Differential Diagnosis in Physical Therapy. The overall course will introduce students and clinicians to the role that health screenings and review of systems (ROS - see Part 5 for detailed explanation of ROS in the screening process) play in the clinical decision making that leads to a physical therapy diagnosis.
Evidence-based clinical decision-making consistent with the patient-client management model (from the Guide to Physical Therapist Practice) will be the foundation upon which a physical therapy differential diagnosis is made. Screening for systemic disease begins with a well-developed client history and interview. The foundation for these skills is presented in Part 2 of this series (Client History and Screening Interview).
A cognitive processing-reasoning orientation will be utilized throughout the course to encourage students to gather and analyze data, pose and solve problems, infer, hypothesize and form clinical judgments as mechanisms for making appropriate differential diagnoses and referrals. Case studies will be used to integrate screening information in determining a physical therapy diagnosis and making decisions regarding intervention versus referral.
Screening problems in the hip and groin for systemic disease is the focus of this Part 8 of the series: Differential Diagnosis in Physical Therapy. The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify conditions that might mimic neuromuscular or musculoskeletal dysfunction.
Although Screening for Systemic Disease: The Hip and Groin is written as a stand-alone course, the foundation for physical therapy diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical Therapy Diagnosis and Screening and Client History and Screening Interview.
Part 6: Screening for Systemic Disease – The Neck and Back forms the basis for screening all other areas of the body and is an integral part of understanding Screening for Systemic Disease – Hip and Groin. Likewise, Part 7: Screening for Systemic Disease – The Sacrum, SI and Pelvis presents the basic building blocks for this section.
7 Contact Hours
When our patients are faced with chest pain, we must know how to assess the situation quickly and decide if medical referral is required…and whether medical attention is needed immediately!
The therapist may also uncover chest pain in the client who presents with jaw, neck, upper back, shoulder or arm pain. During the interview or the clinical exam, you may discover that the client also has chest pain either concurrently or alternating with pain or symptoms in these other somatic areas.
Angina, anxiety, upper gastrointestinal disease and pulmonary conditions are only a few examples of systemic diseases that can cause chest and/or breast pain. Various NMS conditions such as thoracic outlet syndrome, costochondritis, trigger points and cervical spine disorders can also affect the chest and breast. We must be able to differentiate NMS from systemic origins of symptoms.
So many of today’s aging adults with movement disorders have multiple medical comorbidities. Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (herein referred to as neuromusculoskeletal or NMS) dysfunction.
The overall course will introduce students and clinicians to the role that health screenings and review of systems play in the clinical decision-making leading to a physical therapy diagnosis.
This Intermediate course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This section will review symptoms or other signs suggesting systemic or viscerogenic pain or symptoms that can be referred to the chest or breast. This will include the cardiovascular, pulmonary, upper GI, neuromusculoskeletal systems, as well as other causes such as anxiety, steroid and cocaine use.
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify systemic or viscerogenic conditions affecting the chest and/or breast that might mimic neuromuscular or musculoskeletal dysfunction.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .7 CEUs, Intermediate Level, Domain of OT: Client Factors; Occupational Therapy Process: Evaluation. The assignment of AOTA CEU’s does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .7 CEUs
NBCOT 8.75 PDU
This course is approved for .7 CEUs (7 contact hours) by the Board of Certification for Athletic Trainers.
Title: Diagnosis and Treatment of Movement Impairment Syndromes Author: Shirley Sahrmann, PT, PhD, FAPTA Publisher: Mosby Copyright: 2002 Edition: 1st Pages: 380 ISBN: 0801672059 URL: http://www.us.elsevierhealth.com/product.jsp?sid=EHS_US_BS-SPE-445&isbn=9780801672057
Although Screening for Systemic Disease: The Chest and Breast is written as a stand-alone course, the foundation for physical therapy diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical Therapy Diagnosis and Screening (Part 1) and Client History and Screening Interview (Part 2).
In addition, screening for viscerogenic causes of chest and/or breast pain and symptoms requires an understanding of chest or breast pain associated with systemic conditions or medical illnesses. This information is presented in Part 3: Pain Types and Viscerogenic Pain Patterns.
Basic principles of cancer screening are presented in Part 4: Cancer Screening and Prevention. Breast cancer is always a consideration with upper quadrant pain or dysfunction. The therapist must know what to look for as red flags for cancer recurrence versus delayed effects of cancer treatment.
Screening problems in the shoulder for systemic disease is the focus of this course, which is the final segment (Part 10) of the series: Differential Diagnosis in Physical Therapy.
The overall course series will introduce students and clinicians to the role that health screenings and review of systems (ROS ~ see Part 5 for detailed explanation of ROS in the screening process) play in the clinical decision making that leads to a physical therapy diagnosis.
Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (herein referred to as neuromusculoskeletal or NMS) dysfunction. Peptic ulcers, heart disease, ectopic pregnancy and myocardial ischemia are only a few examples of systemic diseases that can cause shoulder pain and movement dysfunction.
This Intermediate course is designed for physical therapists at all levels from beginner to advanced and working with clients in all settings. This section will review clues suggesting systemic or viscerogenic shoulder pain and take you through each system that can refer pain or symptoms to the shoulder. This will include the GI, pulmonary, renal, gynecologic, and vascular causes of shoulder pain.
Although Screening for Systemic Disease - The Shoulder is written as a stand-alone course, the foundation for physical therapy diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical Therapy Diagnosis and Screening (Part 1) and Client History and Screening Interview (Part 2).
The instructional focus of this course is on developing advanced clinical reasoning skills related to determining a client’s appropriateness for physical therapy. The course builds on concepts of evidence-based clinical practice as they are used to identify systemic or viscerogenic conditions affecting the shoulder that might mimic neuromuscular or musculoskeletal dysfunction.
Title: Diagnosis and Treatment of Movement Impairment Syndromes Author: Shirley Sahrmann, PT, PhD, FAPTA Publisher: Mosby Copyright: 2002 Edition: 1st Pages: 380 ISBN: 0801672060 URL: http://www.us.elsevierhealth.com/product.jsp?sid=EHS_US_BS-SPE-445&isbn=9780801672057
Although Screening for Systemic Disease – The Shoulder is written as a stand-alone course, the foundation for physical therapy diagnosis, client history and screening has been laid in Parts 1 and 2 of this 10-part series: Physical Therapy Diagnosis and Screening (Part 1) and Client History and Screening Interview (Part 2).
Understanding viscero-somatic referral mechanisms will help you in screening the shoulder for systemic or medical disease. This is the topic of Part 3: Pain Types and Pain Patterns. Basic principles of cancer screening are presented in Part 4: Cancer Screening and Prevention. Breast cancer is always a consideration with upper quadrant pain or dysfunction. The therapist must know what to look for as red flags for cancer recurrence versus delayed effects of cancer treatment.
2 Contact Hour Course
Patients enter healthcare systems with an expectation of receiving care that will help and not harm them. Yet, present studies show evidence of large numbers of patients receiving injury, often unintentional but preventable, during the administration of healthcare. Many of these deaths were from errors that could have been prevented.
Previous correctional emphasis has been on placing blame on the person who committed the error, with the intention that the person could learn from his/her mistake. Current correctional emphasis is on establishing the root cause of the error and correcting system failures to avoid future occurrences.
Ongoing monitoring of corrective measures must be established. All levels of national healthcare, both inpatient and ambulatory, are committed to decreasing medical errors while restoring the public’s confidence in the healthcare industry. To achieve this goal, facilities must change from a focus on fault-finding to one of system correction within a non-punitive atmosphere. Emphasis must be on improving and implementing processes within systems to prevent and reduce future medical errors.
Completion of this Introductory medical errors reduction course (mandated by Florida Statute 456.013) provides the student with the ability to implement root cause analysis for problem solving to determine effective prevention strategies for decreasing medical errors and increasing patient safety in the healthcare system.
To direct healthcare professionals to concentrate more accurately on preventing medical errors by addressing system structure during the provision of patient care.
Dynamic Group is an approved provider of continuing education courses by the American Occupational Therapy Association (AOTA). This program is offered for .2 CEU,Introductory Level, Professional Issues: Legal, Legislative & Regulatory Issues. The assignment of AOTA CEU does not imply endorsement of specific course content, products, or clinical procedures by AOTA.
This course is AOTA approved for .2 CEU
NBCOT 2.5 PDU (course includes assessment component)
This program is offered for 0.2 CEU, (Introductory level, Related area).
Approved for .2 CEU (2 contact hours) by the Board of Certification for Athletic Trainers.
Dynamic Learning Online is a Texas Board of Physical Therapy Examiners (TPTA) Accredited Provider. The assignment of Texas PT CCU does not imply endorsement of specific course content, products, or clinical procedures by TPTA or TBPTE.
Karen G. Kendall, MSM, PT, CWS is the Director of the Medical Center for Continuing Education.
She holds a BS in Physical Therapy from Indiana University (1967), and an MSM in healthcare administration from Troy State University (2002). She has been a physical therapist since 1967 in acute, outpatient and geriatric facilities, with an emphasis on wound management. Karen developed wound management courses based on evidence-based research and involved healthcare experts teaching continuing educational conferences thru-out the eastern US.
Ms. Kendall recently retired from managing continuing medical education courses for physicians and other healthcare professionals with online courses, conventional conferences and self-directed learning studies.
Author Disclosure
Karen G. Kendall, MSM, PT, Contracted Instructor/Writer, Dynamic Group (Dynamic Learning Online, Inc.)
Financial - Author for Intervention Strategies for Reducing Medical Errors, receives royalty payments.
Non-financial - No relevant non-financial relationship exists.
Teaching Methods include: Instructor lecture via text-based content, live Internet links, references, bibliography, glossary, discussion board, email to instructor, and problem solving scenarios, as well as a Final Exam.
