28.7 - Special Collection Series - Knee

Course Objectives

1. Identify and discuss anatomical and biomechanical factors that influence the evaluation and treatment of knee dysfunction.
2. Use evidence-based practice to determine appropriate tests and measures, examinations, evaluations, plans of care, and interventions.
3. Screen and rule out for other pathology or conditions, including identifying red and yellow flags that refer to the knee.
4. Provide rationale for interventions aimed at resolving identified impairments, how to progress these interventions, and how to assess effectiveness of those interventions.
5. Explain the importance of neuromuscular risk factors for anterior cruciate ligament injury and their application to injury prevention strategies.
6. Identify components of successful injury prevention programs and the principles of appropriate progression of exercises.
7. Discuss clinical decision-making considerations regarding nonoperative versus surgical management for acute anterior cruciate ligament rupture.
8. Identify factors that influence the outcome of nonoperative management for anterior cruciate ligament rupture.
9. Describe important components of a nonoperative rehabilitation program for patients with acute anterior cruciate ligament rupture.
10. Describe how conservative and surgical management of anterior cruciate ligament injury effects short and long-term outcomes.
11. Understand the relevant anatomy and biomechanics of the anterior cruciate ligament injury and the mechanism of injury.
12. Understand and describe the current theories related to the mechanism of injury.
13. Describe and perform clinical tests for diagnosing anterior cruciate ligament injury tears.
14. Understand the role of imaging in diagnosis of an anterior cruciate ligament injury tear.
15. Describe the most current surgical procedures for anterior cruciate ligament repair and differences in recovery and rehabilitation.
16. Describe surgical and rehabilitation considerations for adolescents undergoing anterior cruciate ligament injury reconstruction.
17. Identify and discuss the components and value of a criterion-based and progressive rehabilitation program.
18. Develop a working treatment strategy to prioritize preoperative and postoperative impairments for treatment emphasis following anterior cruciate ligament reconstruction.
19. Provide evidence based rationale for interventions and progression criteria for managing an anterior cruciate ligament injury.
20. Identify and understand common concurrent injuries that may complicate an anterior cruciate ligament rehabilitation program.
21. Identify the most common pharmacological interventions for knee osteoarthritis treatment.
22. Identify 6 commonly used nonpharmacological conservative treatments for osteoarthritis.
23. Discuss 3 surgical alternatives to total knee arthroplasty for treatment of knee osteoarthritis.
24. Identify factors correlated to poorer outcomes following total knee arthroplasty.
25. Demonstrate knowledge of differences and similarities between the common surgical approaches for knee arthroplasty.
26. Identify common reasons for revision total knee arthroplasty.
27. Identify factors shown to predict complications following total knee arthroplasty.
28. Demonstrate knowledge of different phases of rehabilitation after total knee arthroplasty.
29. Describe rehabilitation goals and functional measures for a patient following total knee arthroplasty.
30. Demonstrate knowledge of activity recommendations following total knee arthroplasty for prosthesis survival.

Topics and Authors

• Update on Anterior Cruciate Ligament Injuries: Designing an Anterior Cruciate Ligament Injury Prevention Training Program
  Susan M. Sigward, PT, PhD, ATC
• Update on Anterior Cruciate Ligament Injuries: Rehabilitation for the Anterior Cruciate Ligament-deficient Knee
  Terese L. Chmielewski, PT, PhD, SCS; Wendy J. Hurd, PT, PhD, SCS
• Update on Anterior Cruciate Ligament Injuries: Rehabilitation Following Anterior Cruciate Ligament Reconstruction
  Airelle O. Hunter-Giordano, PT, DPT, OCS, SCS, CSCS; Erin Burlovich, PT, DPT; Tara Jo Manal, PT, DPT, OCS, SCS
• Joint Arthroplasty: Advances in Surgical Management and Rehabilitation: Surgical Management and Rehabilitation of Knee Arthroplasty
  Michael Bade, PT, MPT, FAAOMPT; Karla A. Bell, PT, DPT, OCS; Jennifer Stevens-Lapsley, PT, MPT, PhD; Tara Jo Manal, PT, DPT, OCS, SCS
• Alternative Special Topics: Innovations in Practice: Advances in Anterior Cruciate Ligament Surgery and Rehabilitation
  Kristi Campanella, PT, DPT, OCS, MEd
• Current Concepts of Orthopaedic Physical Therapy (4th Edition) The Knee: Physical Therapy Patient Management Using Current Evidence
  Tara Jo Manal, PT, DPT, OCS, SCS, FAPTA; Anna Shovestul Grieder, PT, DPT, OCS; Bryan W. Kist, PT, DPT, OCS