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The state of today’s health care environment makes it critical for physical therapists to be well-versed in determining when referral to a physician is necessary. Physical therapists must also be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal dysfunction. Screening for systemic disease is now part of the physical therapy evaluation leading to a physical therapy diagnosis. Evidence-based clinical decision making consistent with the pati...

Description According to the National Institutes of Health, Occupational health problems occur at work or because of the kind of work you do. These problems can include cuts, broken bones, sprains and strains, or amputations, repetitive motion disorders, hearing problems caused by exposure to noise, vision problems or even blindness, illness caused by breathing, touching or ingesting unsafe substances, illness caused by exposure to radiation, exposure to germs in healthcare settings. Obje...

Cardiovascular disease is a disease process that affects the heart and/or vasculature. This course, intended for intermediate learners, provides a review of cardiovascular disease, including structures and organs affected, the signs and symptoms associated with disease processes, and how these symptoms may affect mobility, quality of life and participation in therapy. It includes a review of medications used for treatment, associated side effects and precautions that may impact therapy, and st...

Description: Reflex Integration has re-emerged as a “hot” therapeutic topic. This course is designed to bridge the gap between reflex oriented treatment and sensory integrative and occupational performance intervention. Observing components of dysfunction through a “reflex” lens can offer the clinician new insight which may expand therapeutic options. Participants will be guided to scaffold reflex assessment and treatment procedures into more typical occupational therapy practice. Lea...

Please note that this course is intended for Occupational Therapists and other non-SLP Dysphagia Team members only. If you are a Speech-Language Pathologist, please see our listing for Course #2043_002: Dysphagia Management in Long Term Care - The Essentials for the New Dysphagia Therapist The need for dysphagia therapists continues to rise, despite the sweeping changes in Medicare reimbursement of recent years. Occupational Therapists are finding themselves in demand to provide these servi...

Screening problems in the shoulder for systemic disease is the focus of this course, which is the final segment (Part 10) of the series: Differential Diagnosis in Physical Therapy. The overall course series will introduce students and clinicians to the role that health screenings and review of systems (ROS ~ see Part 5 for detailed explanation of ROS in the screening process) play in the clinical decision making that leads to a physical therapy diagnosis. Physical therapists must be able...

Evidence-based clinical decision-making consistent with the patient/client management model will be the foundation upon which a physical therapy differential diagnosis is made. The physical therapy diagnosis begins with a screening component. In turn, screening for systemic disease begins with a well-developed client history and interview. The foundation for these skills is presented in this course. A large part of the screening process is identifying red flag histories and red flag signs a...

When our patients are faced with chest pain, we must know how to assess the situation quickly and decide if medical referral is required…and whether medical attention is needed immediately! Angina, anxiety, upper gastrointestinal disease and pulmonary conditions are only a few examples of systemic diseases that can cause chest and/or breast pain. Various NMS conditions such as thoracic outlet syndrome, costochondritis, trigger points and cervical spine disorders can also affect the chest ...

A large part of the physical therapy screening process is identifying red flag histories and red flag signs and symptoms. Understanding how and when diseased organs can refer pain to the musculoskeletal system helps the therapist identify suspicious pain patterns. This course will describe pain types in general and viscerogenic pain patterns specifically. A large component in evaluating pain during the screening process is being able to recognize the client demonstrating a significant emoti...

Is handwriting the problem or the symptom? This course attempts to answer that question by reviewing the literature about handwriting and visual-perceptual-motor function, describing a performance-based assessment/intervention model, and presenting a case study that illustrates the use of that model. The knowledge base presented includes both normal and atypical development of the entire body, because upper extremity functions require dynamic postural stability of the shoulder girdle on a st...

Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (referred to as neuromusculoskeletal or NMS) dysfunction. It is critical for physical therapists to be well versed at determining when referral to a physician (or other appropriate health care professional) is necessary. In this course, Part 5 of a ten-part series on Differential Diagnosis, we will cover not only when referral is necessary, but also how to make...

This course is designed to present an overview of eye-hand coordination in terms of physiological, developmental, and functional perspectives, as well as an overview of a systems approach to assessment and task analysis. The relationships between the visual and fine-motor systems are first examined by identifying the components of eye-hand mechanisms separately and then together. The functional relevance of skill development for activities of self-help, play, and learning is correlated with...

This course is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This section will review clues suggesting systemic or viscerogenic causes of hip and groin pain and dysfunction. This will include the vascular conditions, infectious or inflammatory causes and gynecologic and male reproductive system causes of hip and/or groin symptoms. Physical therapists must be able to identify signs and symptoms of systemic disease that can ...

Physical therapists must be able to identify signs and symptoms of systemic disease that can mimic neuromuscular or musculoskeletal (herein referred to as neuromusculoskeletal or NMS) dysfunction. For example, Paget’s disease, gastrointestinal (GI) disease, gynecologic disease and vascular conditions such as endocarditis and ovarian varicosities are only a few examples of systemic diseases that can cause sacral, SI and/or pelvic pain. The therapist must especially know how and what to loo...

A large part of the physical therapy screening process is identifying red flag histories and red flag signs and symptoms. Cancer screening is a major part of the overall screening process. Anyone with a past medical history of cancer is at risk for cancer recurrence. Clinical manifestations of cancer can mimic NMS dysfunction. This is true whether it’s primary cancer or cancer that has recurred or metastasized. Physical therapists must be able to identify signs and symptoms of systemic di...

Clinicians consulting with teachers and families are increasingly challenged by students with complex behavioral issues. As a result, therapists desire discriminating skills and tools to identify the basis of these complexities. Is the behavior a result of neuropsychological limitations in sensory processing or a manifestation of social and emotional experiences? Traditionally, models of intervention have isolated these two features, as separate contributions of functional performance, whic...

Components of HIV antibody testing and confirmation, and initial evaluation and clinical management of HIV patients. Summarizes HIV prevention strategies, clinical evaluation and management of HIV, and management of occupational exposures. Continues with an analysis of HIV laws in Kentucky and attitudes and behaviors towards those infected with HIV. Concludes with Kentucky’s programs for HIV patient care. This multidisciplinary course is approved by the Kentucky Cabinet for Health and Fam...

This course, Screening for Systemic Disease: The Neck and Back, is designed for physical therapists working with clients in all settings and at all levels from beginner to advanced. This particular section will review clues suggesting systemic or viscerogenic neck or back pain and take you through each system that can refer pain or symptoms to the neck or back. This will include GI, pulmonary, renal and urologic, gynecologic, and vascular (both peripheral and cardiovascular) causes of neck or ...

This course was updated in September 2009 to include recent research on the effectiveness of interventions for hemiplegic shoulder pain and recent statistics on the incidence and financial impact of stroke. Learners will also find this updated course to be in a more pleasing and user friendly format. The incidence of shoulder pain in patients who have suffered a stroke is estimated to be as high as 72%, a significant percentage as hemiplegic shoulder pain can severely limit patients’ inde...

This Introductory/Intermediate Level course is designed for new practitioners as well as experienced practitioners who want to become more knowledgeable about visual development and dysfunction in children with multiple and developmental disabilities. The instructor of this course is Rhoda P. Erhardt, MS, OTR/L, FAOTA, who is well-known for her pioneer work in hand and vision development. Her first book, “Developmental Hand Dysfunction,” containing the Erhardt Developmental Prehension A...

Why should someone do business with YOU? WHO do you want to attract to your practice? How would you answer these 2 critical questions? This information-packed course was designed for therapists who understand business development is critical for practice survival. Participants will learn how to generate a company marketing message called a You/Who to attract the kind of business they want. A well-crafted You/Who answers the 2 critical questions above. We provide the essential information yo...

This course promotes a simplified hypothetical ethical model. Within this model, therapists can combine medical ethics and business ethics to reach a well thought out ethical decision. Although this model is simple in form, it encompasses the variety of complex issues in medical-business ethics. This course was developed to educate and facilitate medical-business ethical behavior among Occupational, Physical and Speech and Language therapy professions. The course is presented by Sheri L. Bj...

Description: Avoiding Medication Errors with Insulin Therapy is a knowledge-based program for pharmacists and nurses. The activity will explore the history of errors associated with insulin therapy and review the frequency with which they occur. Participants will learn how medication errors are generally multifactorial in nature and how medication systems contribute to these errors. Specific examples of actual medication errors will be provided to show when and how errors may occur. This acti...

This course is designed to present an overview of hand preference in terms of cultural, social, evolutional, historical, gender, genetic and environmental factors. Normal components of hand preference are examined from the perspectives of sensory-motor development and hemispheric specialization. Informal and formal assessments are illustrated by case studies, which then present examples of how “handedness” problems can be identified and managed. The instructor of this course is Rhoda P....

The purpose of this scientific conference is to identify and discuss the latest knowledge and important issues on the health effects of isocyanates, including current best evidence about exposure monitoring, environmental controls and clinical management. Conference Themes - Call for Papers • Worker and consumer protection issues • Environmental exposure/monitoring • Occupational health surveillance/management • Toxicity testing/animal models/biomarkers • Respiratory epidem...

This workshop is designed to develop orthotic skills in addressing soft tissue conditions of the upper extremity. This workshop will focus on tendinopathy of the elbow and thumb as well as post operative management of Dupuytren’s disease. This course will combine lecture, demonstrations, and lab work to facilitate the participant’s understanding of the treatment of these conditions with orthoses. Learning Outcomes: • Demonstrate a time saving technique for fabricating an elbow orthos...

Upon completion of this course, you will be able to: Discuss ethical and legal concepts important to the profession of physical therapy. Articulate the basis and sources of law in the United States. Distinguish between civil and criminal law as they apply to physical therapy. Review the rules and regulations of the Georgia Physical Therapy Practice Act. Interpret the American Physical Therapy Association's Code of Ethics and Guide for Professional Conduct of Physical Therapists. Explain ...

At the conclusion of this lesson, successful participants should be able to: 1. Explain how time pressures and other stressors negatively affect their social and occupational functioning and their physical and mental health. 2. Discuss various techniques to managing ones' time and learn a system for scheduling one's activities. 3. Recognize symptoms of stress, learn to identify one's sources of stress, and learn a systematic approach to reducing one's stress.

This workshop will begin with a review of normal and abnormal scapular kinematics, the role of the scapula as a dynamic stabilizer of the shoulder and it’s integration into the kinetic chain. Assessment and classifications of scapular dyskinesis will be presented within the construct of an upper extremity physical assessment of the shoulder. The treatment portion will include guiding rehabilitation principles, techniques to initiate scapular and shoulder motion and approaches for progression...

Objectives 1. Review the definition of acute kidney injury and the RIFLE classification. 2. Determine the indications for renal replacement therapy (RRT) in the ICU. 3. Understand the basic differences between hemodialysis and hemofiltration. 4. Review the current knowledge concerning RRT modalities, dose, timing, and anticoagulation strategies. 5. Describe the impact of RRT on prescribing practices in the ICU. 6. List the complications of RRT.

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