Academy of Orthopaedic Physical Therapy

American Physical Therapy Association (APTA)

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Friday, April 5, 2019
Breakout Session Details

Following the general session on Friday, four concurrent breakout sessions were offered. The registrant attended three out of four breakout sessions following the morning general session, based on order of preference indicated on the registration form. 

Breakout Session #1:

Hands-on Techniques to Provide Screening and Feedback to Reduce Risk of Primary ACL Injury
Speaker:  Kevin R. Ford, PhD, FACSM
Description: Physical therapists have a role to play in targeting primary risk of ACL injury in young athletes. This lecture and lab will provide the physical therapist the knowledge, skills and abilities to quantify risk and design rehabilitative programs for risk reduction for their patients and community members. The breakout will consist of hands-on screening techniques that can be used to analyze quality of movement related to risk of ACL injury. Participants will also learn the components of evidence based comprehensive, off-season injury prevention programs and several progressions of specific exercises. The use of iPad apps will also be explored in both screening and interventions related to appropriate visual, verbal and external cues to improve quality of movement.

Objectives
At the end of this session the attendee was able to:

  1. Contrast quality of movement based on previous evidence related to risk of ACL injury.
  2. Apply progressions on balance, plyometric and strengthening exercises in a comprehensive off-season ACL injury prevention program.
  3. Identify appropriate visual, verbal and external cues in order to apply these concepts in a clinical environment.
  4. Apply iPad apps to assist in real-time and immediate feedback in ACL injury risk screening.
  5. Describe how screening and feedback can be utilized by the physical therapist in and out of the clinic in outreach programs.
Breakout Session #2:

Exploring the Role of the PT in Field-based Primary ACL Injury Prevention and Rehabilitation Dosing with Wearable Technology
Speaker:  Jeffrey Taylor PT, PhD, DPT, OCS, SCS, CSCS
Description: ACL injury prevention should be population specific to insure that the unique needs of the individual are addressed. Therapists will learn to address influencing factors (e.g age, sex, sport specifics) in their program planning. The breakout session will focus on the role of the physical therapist in the primary prevention of ACL injury. Participants will learn how to facilitate field- or court-based neuromuscular training programs and discuss methods to modify current programs for sport- and age-specific populations. Additionally, the use of wearable technology as a means of dosing will be explored in both prevention and rehabilitation paradigms.

Objectives
At the end of this session the attendee was able to:

  1. Advocate for expanded roles of physical therapists in primary injury prevention.
  2. Facilitate a field-based (or court-based) primary ACL injury prevention program.
  3. Apply sport-specific principles to primary ACL injury prevention.
  4. Modify injury prevention programming for youth populations.
  5. Describe how wearable technology can optimize dosing in ACL injury prevention and rehabilitation.
Breakout Session #3:

Objectively-informed Decision-making to Maximize Functional Recovery
Speaker:  Laura C Schmitt PT, MPT, PhD
Description: Objective-based physical impairment and outcome instruments are standardized measures of body structure or function, activity limitation, or participation restriction. These instruments provide information by which physical therapists can plan, guide, and modify a plan of care; as well as evaluate the results of care and impact on the patient. This breakout will focus on incorporating objective measures throughout the plan of care to inform rehabilitation progression and clinical decision-making. Objective measures will cover strength measures, patient-reported measures, measures of functional performance, and quality of movement assessments. Participants will participate in hands-on testing and case-based decision-making.

Objectives
At the end of this session the attendee was able to:

  1. Advocate for the use of standardized and objective measures in physical therapy practice and decision-making.
  2. Perform clinic-friendly assessments of strength, function, and quality of movement.
  3. Identify appropriate objective measures and interpret findings to inform clinical practice.
  4. Describe domains and considerations for return to activity decision-making.
Breakout Session #4:

Targeted Rehabilitation to Reduce 2nd ACL injury: Addressing Risk Factors at all Phase of Rehabilitation
Speaker:  Mark V. Paterno PT, PhD, MBA, SCS, ATC
Description: Prevention of a 2nd ACL injury is paramount after ACL reconstruction. Physical therapists have the opportunity to incorporate rehabilitation techniques aimed at prevention of the next injury during initial recovery phases. Learning critical components to incorporate into post-operative training will help maximize the long term outcome for young athletes after ACL injury. The breakout will focus on techniques designed to target known risk factors for 2nd ACL injury after ACL reconstruction and return to sport at all phases of the rehabilitation process. Specifically, participants will participate in case based treatment decision making with interventions focused on addressing early phase impairments, impairments that persist through phases of rehabilitation and abnormal, high-risk movement patterns.

Objectives
At the end of this session the attendee was able to:

  1. Identify the presence of risk factors for 2nd ACL injury in patients following ACL reconstruction
  2. Articulate optimal phases of rehabilitation to address specific impairments known to be risk factors
  3. Describe optimal interventions to introduce at each phase of rehabilitation which target foundational impairments linked to 2nd ACL injury risk
  4. Identify interventions to address high risk movement pattern asymmetries present after ACL reconstruction

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