Academy of Orthopaedic Physical Therapy

American Physical Therapy Association (APTA)

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30.2, Tissue Tolerances

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This course will provide the clinician with an appreciation of the structure and function of tissue and its tolerance for injury and its potential for healing. Physiological concepts and biomechanics are covered for muscle and tendon, ligament and capsule, and articular cartilage. Each author brings a unique perspective for how to integrate basic science to clinical scenarios. An interesting array of cases accompanies each monograph. The cases serve to facilitate clinical decision-making and to provide examples of evaluation and treatment. This is a unique course series that should satisfy the scientific and clinical curiosity of every clinician.

  1. Understand muscle and tendon anatomy and biomechanics.
  2. Interpret the physiological mechanisms and processes associated with pathologic muscle and tendon tissue to clinical care.
  3. Describe clinical and diagnostic tools used in identifying muscle-tendon abnormality.
  4. Apply the current body of evidence underlying the physical therapy management for injury to the muscle-tendon unit.
  5. Know how to apply concepts to improve the tolerance of muscle-tendon tissue to load, and implement such concepts to injury prevention strategies.
  6. Describe the anatomy and physiology of a healthy ligament and capsular tissue.
  7. Describe the pathophysiological processes that occur in the event of an injury to ligament or capsule.
  8. Identify the phases of healing following a ligamentous injury.
  9. Apply pathophysiological concepts of ligamentous integrity to the examination and treatment of specific conditions for the extremities.
  10. Understand the structure and functional rigor of articular cartilage.
  11. Appreciate the scientific basis of why cartilage regeneration is limited.
  12. Describe the most common mechanisms for articular cartilage damage.
  13. Describe the link between articular cartilage damage and early osteoarthritis.
  14. Describe the medical interventions currently used in the repair of articular cartilage.
  15. Specifically apply rehabilitation goals and precautions for patients who have undergone patellar and femoral articular cartilage repair.

  • Tissue Tolerances of the Muscle-Tendon Unit
    Dhinu J. Jayaseelan, DPT, OCS, FAAOMPT
  • Tissue Tolerances of the Ligament and Capsule
    Katherine Wilford, PT, DPT, Cert. MDT; Hazel Anderson, PT, DPT, Cert. MDT; Navpreet Kaur, PT, DPT, PhD, MTC; Manuel A.(Tony) Domenech, PT, DPT, MS, EdD, OCS, FAAOMPT; Nicole P. Borman, PT, PhD, MTC, OCS, CSCS
  • Tissue Tolerances of the Articular Cartilage
    Ann Smith, PT, DPT, OCS, PCS
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Price (USD):
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Academy of Orthopaedic Physical Therapy Member Three(3) $105 $125
Non-Academy Member Three (3) $205 $225


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Academy of Orthopaedic Physical Therapy Copyright Statement

Materials in this course—unless otherwise indicated—are protected by the United States Copyright Law [Title 17, U.S. Code]. Materials are presented in educational context for personal use and study and should not be shared, distributed, or sold in print—or digitally—outside the scope of this course without AOPT permission. Copyright 2020, Academy of Orthopaedic Physical Therapy, APTA, Inc. All rights reserved.

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