Orthopaedic Section (OrthoPT)

American Physical Therapy Association (APTA)

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Saturday, April 28, 2018
Breakout Session Details

Following the general session on Saturday, four concurrent breakout sessions will be offered. The registrant will attend three out of four breakout sessions following the morning general session, based on order of preference indicated on the registration form. Note: space is limited, and therefore the attendee’s breakout session assignments will be given on a first-come, first-serve basis.

Breakout Session #4:

Classification that Drives Rehabilitation with Consideration of Relationships between Pain, Movement, and Muscle Activation: Practical Strategies and Techniques for Management of Common Shoulder Problems
Speaker: Phil McClure, PT, PhD, FAPTA
Lab Assistant: Brian Eckenrode, PT, DPT, OCS
Description: Most rehabilitation approaches to shoulder problems are based on biomechanical models despite sparse evidence for biomechanical changes with rehabilitation. This session will explore the use of both biomechanical and other models to guide decision making regarding patient communication, exercise, and manual therapy. A combination of discussion and hands-on techniques using patient scenarios and videos will be used to apply specific examination and intervention strategies.

Objectives
At the end of this session the PT will be able to:

  1. Apply the concept of tissue irritability and its relevance to decisions about exercise dosage
  2. Practice and apply tests for scapular movement dysfunction and associated impairments along with matched intervention strategies and techniques
  3. Practice and apply select spinal and shoulder manual therapy techniques and discuss potential mechanisms by which they may improve symptoms and function

At the end of this session the PTA will be able to:

  1. Apply the concept of tissue irritability and its relevance to decisions about exercise dosage
  2. Understand tests for scapular movement dysfunction and associated impairments along with matched intervention strategies and techniques
  3. Describe select spinal and shoulder manual therapy techniques and discuss potential mechanisms by which they may improve symptoms and function
Breakout Session #5:

Intra-articular, Prearthritic Hip Disorders and the Movement System
Speaker: Marcie Harris-Hayes, PT, DPT, MSCI
Lab Assistant: Nancy Bloom, PT, DPT, MSOT
Description: During this breakout session, actual patient cases will be presented to demonstrate examination items used to identify the primary movement impairment associated with each patient's pain. Participants will perform select examination procedures, including movement analysis of functional tasks and test items to identify physical impairments that contribute to the movement impairment. Finally, participants will use the examination information provided to develop intervention to target the movement impairment identified, including instruction in correcting the performance of daily activities and instruction in an exercise program to correct physical impairments associated with the movement impairment.

Objectives
At the end of this session the PT and PTA will be able to:

  1. Discuss the multiple factors proposed to contribute to pre-arthritic hip disease, including structural and neuromuscular impairments, activity level and type, and abnormal movement patterns.
  2. Analyze movement patterns demonstrated during performance of functional tasks, such as step down and single leg squat.
  3. Perform additional examination items to identify impairments contributing to the primary movement impairment.
  4. Given a patient case, use clinical reasoning to label the primary movement impairment, develop a corrective exercise program, and provide instruction in correcting the performance of daily activities.

At the end of this breakout session the PTA will be able to:

  1. Discuss the multiple factors proposed to contribute to pre-arthritic hip disease, including structural and neuromuscular impairments, activity level and type, and abnormal movement patterns.
  2. Analyze movement patterns demonstrated during performance of functional tasks, such as step down and single leg squat.
  3. Understand additional examination items to identify impairments contributing to the primary movement impairment.
  4. Given a patient case and the primary movement impairment, teach a corrective exercise program and provide instruction in correcting the performance of daily activities.
Breakout Session #6:

A Cognitive-Biomechanical Approach to Knee and Low Back Pain – How to Do It?
Speaker: Skulpan Asavasopon, PT, PhD, OCS
Lab Assistant: Jason Tonley, PT, DPT, OCS, FAAOMPT
Description: This breakout session will focus on how to apply a cognitive-biomechanical physical therapy approach to patients with uncomplicated/acute and complicated/chronic knee and low back pain conditions. Participants will learn how to screen for cognitive-affective elements that have been shown to interfere with favorable outcomes in the knee and low back pain population. Participants will also learn why it is crucial to identify tissue sources, pain behaviors, and common pathomechanical patterns that will drive the overall intervention in this patient population. The session will start with a brief didactic tutorial on the fundamental elements involving the cognitive-biomechanical approach, followed by a patient video case dissection that reveals the intensive clinical reasoning process. This will then be followed by a live interactive workshop/demonstration of the evaluation process as it is applied in a patient case with knee or low back pain. The session will end with an interactive exercise lab workshop geared at demonstrating how cognitive-affective elements can be integrated within a hip and trunk-focused strengthening protocol for common knee and low back pain conditions.

Objectives
At the end of this session the PT and PTA will be able to:

  1. Demonstrate how to use clinical reasoning and pattern recognition to identify common tissue sources, tissue stresses, and pathomechanics associated with knee and low back pain.
  2. Demonstrate how hip weakness can result in adverse biomechanical stresses on the anterior knee, and anterior or posterior lumbar spine elements.
  3. Identify cognitive-affective factors that could negatively impact knee and low back pain, given a patient case video example.
  4. Review a hip and trunk activation/strengthening protocol that integrates cognitive-biomechanical elements to address patients with common knee and low back pain problems.
Breakout Session #7:

Implementing Skill Training in the Treatment of People with Low Back Pain: The Why and the How
Speaker: Linda Van Dillen, PT, PhD, FAPTA
Lab Assistant: Vanessa Lanier, PT, DPT, OCS
Description: During this breakout session a videotape of a patient case will be presented. There will be a review of the history and physical examination as well as initial outcome status. Principles underlying the skill training will be outlined. Practical application of the training will be provided through viewing of the videotape and periodic discussion as the patient case is progressed. Participants will practice training a person to change performance of a functional activity applying the principles of skill training. A discussion of considerations and challenges to implementation of skill training with a person with LBP will occur.

Objectives
At the end of this session the PT will be able to:

  1. Describe the primary principles underlying the application of skill training to a person with low back pain.
  2. Discuss the clinical reasoning underlying decisions about skills to be targeted in treatment.
  3. Discuss progression of skill training.
  4. Discuss considerations and challenges of skill training in the people with chronic LBP.
  5. Demonstrate the ability to implement skill training to change performance of a functional activity.

At the end of this breakout session the PTA will be able to:

  1. Describe the primary principles underlying the application of skill training to a person with low back pain.
  2. Understand decisions about skills to be targeted in treatment.
  3. Discuss progression of skill training.
  4. Discuss considerations and challenges of skill training in the people with chronic LBP.
  5. Demonstrate the ability to implement skill training to change performance of a functional activity.

Orthopaedic Section, APTA, Inc.
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