ISC 18.2: Movement Disorders and Neuromuscular Interventions for the Trunk and Extremities

Each monograph will be 18 to 24 pages in length and require 4 to 6 hours to complete. Course registrants will receive the entire course, along with the final examination, answer sheet, and registration form for continuing education units in July. To receive continuing education credit, registrants must return the answer sheet and CEU form within 3 months, and must score 70% or higher on the 24-question multiple-choice examination. Registrants who successfully complete the examination will receive a certificate recognizing the contact hours earned. Only the person named on the registration form may obtain the contact hours.

This six-monograph series provides the registrant with an in-depth discussion of movement disorders and neuromuscular interventions for the trunk and extremities. The authors successfully integrate neuromuscular and neuromechanical concepts with the exam process and guide the reader through effective decision making to implement an evidence-based approach to treatment. Specific portions of the series concentrate on lumbar stabilization, dynamic scapular stability, and gait disorders. Readers will come away with a much greater appreciation of the role of the neuromuscular system in orthopaedic care.

Upon completion of this course the participant will be able to do the following:

1. Describe the functions of the 4 major descending systems for motor control.
2. Highlight the neural control of common movements, including reaching and locomotion.
3. Synthesize an understanding of neural control of movement with principles of motor learning.
4. Apply the neuroscience of motor control and motor learning to physical therapy practice.
5. Describe the biomechanical factors that contribute to balance.
6. Describe the contributions of the somatosensory, visual, and vestibular systems to balance control.
7. Describe the 4 primary movement strategies in response to balance disturbances.
8. Describe common causes of balance disorders.
9. Utilize subjective and objective examination findings to determine the source of a patient's balance deficits.
10. Integrate the best evidence for selection of treatments for balance disorders.
11. Differentiate the causes of cervicogenic dizziness and design an appropriate intervention program.
12. Define dynamic scapular stability and the anatomical components that contribute to dynamic scapular stability.
13. Explain neuromuscular contributions to dynamic scapular stability.
14. Evaluate current models of stability with dynamic stability of the scapula.
15. Describe the validity and reliability of current tests and measures available to examine dynamic scapular stability.
16. Discuss current interventions for improving dynamic scapular stability using motor control concepts.
17. Differentiate between static and dynamic lumbar stability.
18. Compare and contrast proposed control mechanisms, including the contributions of selected muscles, to the control of stability and mobility of the spine.
19. Analyze the contributions of reflex responses to the control of stability and mobility of the spine, especially for stability in the face of sudden perturbations and during rapid movements.
20. Apply evidence-based principles to the design of effective lumbar stabilization exercise interventions.
21. Review the kinesiology of lower extremity segmental chain function as it relates to movement control.
22. Explore proposed control mechanisms, including contributions from and interactions of static and dynamic stabilizers.
23. Describe common clinical pathologies in the lower extremity relating to dysfunctional control.
24. Integrate evaluative findings to determine a physical therapy diagnosis and prognosis in clients with mobility deficits.
25. Develop an evidence-based treatment plan for the client with mobility deficits.
26. Evaluate decision making paradigms for assessment and treatment of the client at increased fall risk.
27. Apply knowledge of the impact of aging, obesity, osteoarthritis, and joint surgery on motor control and motor learning to improving mobility.
28. Integrate knowledge of the neural substrates of gait in order to assess ability to successfully ambulate on all surfaces and through obstacles.
29. Develop knowledge of current findings on rehabilitating the neural substrates of mobility.

• Neuroscience of Motor Control and Learning-John A. Buford, PT, PhD
• Mechanics and Control of Posture and Balance-Anne Kloos, PT, PhD, NCS
• Dynamic Scapular Stability-John D. Borstad, PT, PhD
• Dynamic Lumbar Stability-Deborah Givens Heiss, PT, PhD, DPT, OCS
• Dynamic Lower Extremity Stability-Jonathan Rose, PT
• Stability of Gait and Fall Prevention-Deb Kegelmeyer PT, DPT, MS, GCS

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