New Jersey Occupational Therapy Assistant Continuing Education

• Define abuse and neglect
• Differentiate the various forms of abuse
• Recognize who are mandatory reporters of abuse
• Identify the reporting requirements for mandatory reporters
• Cite resources for obtaining specific state laws and statutes pertaining to child abuse and neglect
• List signs of abuse and neglect
• Explain the appropriate history and examination components in cases of suspected abuse and neglect
• Cite resources for patient education
• Define Mandatory Reporter and Permissive Reporter
• Explain the term perpetrator as it pertains to child abuse
• Explain the reporting requirements of mandatory reporters
• Differentiate Child Protective Services from General Protective Services
• List the penalties for failure to report suspected child abuse by mandatory reporters

• Summarize the types of interviews: Forensic, Diagnostic, Therapeutic
• Describe who is involved in the interview process
• Explain the importance of the medical history
• Identify reasons for non-disclosure of information by the victim
• Recognize how family dynamics effect disclosure
• Indicate how the age and developmental status of the child affects the interview process
• Describe the proper use of open and closed ended questions
• List components of the medical history
• Summarize the responsibilities for disclosure of information
• Identify safety issues related to the disclosure of confidential information

• Define abuse and neglect
• Differentiate the various forms of abuse and neglect
• Identify the reporting requirements for mandatory reporters
• Cite resources for obtaining specific state laws and statutes pertaining to elder abuse and neglect
• Describe the concept of immunity and confidentiality as it relates to elder abuse and neglect
• List signs of abuse and neglect
• Explain the appropriate history and examination components in cases of suspected elder abuse and neglect
• Cite resources for physician, caregiver and patient education

• Apply manual therapy interventions for people living with HIV disease
• List the applicability of soft tissue mobilization, muscle energy technique, and myofacial release in the treatment of patients with HIV disease
• Describe craniosacral therapy and lymphatic drainage techniques in the treatment of patients with HIV disease

• Identify aspects of macronutrient deficiency and progression to AIDS
• Describe pathophysiological malnutrition in HIV Disease
• Discuss micronutrient deficiency and progression to AIDS
• Identify nutritional therapies in the treatment of AIDS patients

• Discuss Neuromuscular Manifestations of HIV and Electroacupuncture
• Review the use of Acupuncture and Microcurrents in AIDS patients
• Discuss Effects of Massage Therapy on the HIV-Exposed Newborn and Adult
• Describe how Massage Therapy enhances immune function in adults

• Define HIV
• Outline HIV epidemiology and symptoms
• Discuss the effects of HIV on health and wellness
• Review current facts about the HIV and AIDS epidemic both in the U.S. and worldwide

• Discuss strategies for preventing HIV in the health care workplace
• Outline universal precautions and additional precautions to prevent transmission of HIV by blood
• Apply what to do when there has been a possible exposure to HIV infection

• Define and discuss confidentiality laws covering the medical records of HIV/AIDS patients
• Define and discuss behavioral interventions for HIV/AIDS patients
• Outline the screening of HIV-infected persons for HIV transmission risk

• Explain the difference between HIV infection and AIDS
• Outline the methods of transmission of HIV
• Explain why early treatment of HIV infection is advantageous
• Discuss the basic factors in treatment
• Assess the individual HIV-AIDS patient for nutritional needs
• Explain the basic nutritional guidelines for the HIV infected patient.
• Discuss the classification of nutrients and their sources
• List some tools that may be used to do a nutritional analysis.
• Recognize AIDS nutritional deficient syndromes and other co morbidities
• Suggest some food plans/food treatments for nutritional deficiencies caused by the HIV infection or other opportunistic infections.
• Discuss  the steps to good nutritional counseling
• Discuss some nutritional problems that may face the HIV patient and list some remedies for these issues.

• Identify the classification methods for the diagnosis of HIV infection
• Describe the methods of transmission of HIV
• Explain the global epidemiology of HIV
• Summarize the origin and evolution of SIV and HIV
• Outline the crossover of HIV to the human population

• Describe the principal HIV-associated neurological complications
• List the clinical features of HIV-associated dementia
• Summarize the diagnosis and treatment of HIV neuropathy
• Identify common cardiovascular complications in HIV patients
• Explain the etiology of HIV-associated cardiomyopathy and congestive heart failure

• Outline the general concepts of the immune response to viral infection
• Compare and contrast innate immunity versus acquired immunity
• Describe the role of the CD4 T lymphocyte response in HIV infection
• Explain why the immune response fails in HIV infection
• Discuss the potential for vaccines to HIV

• Summarize the biology and transmission of HIV/AIDS
• Describe the clinical and serological progression of HIV/AIDS
• Outline the diagnosis and follow up monitoring for HIV/AIDS
• Produce a synopsis of the medical management of HIV/AIDS
• Identify the 5 classes of HAART medications and their mechanism of action
• Recognize the interactions of vitamins and nutrients with the various classes of HIV medications
• Identify therapies to address constitutional symptoms, medication side effects, and symptoms of immunosuppression
• List homeopathic and botanicals that have demonstrated effectiveness in treating HIV

• Discuss the concept of Gender as it relates to society, language and culture
• Identify Gender roles in Western Society
• Recognize innate gender traits in males and females
• Summarize socially imposed gender traits

• Identify aspects of male and female psychological development
• Relate basic concepts of Gender and Power
• List female and male leadership factors
• Discuss gender and the Doctor/Patient relationship
• Identify the ways which gender affects the Doctor/Patient relationship

• Describe what accounts for the differences, in practice style and patient care, between males and females healthcare providers
• Define differing sexualities in western culture
• Review sexuality as it relates to the Doctor/Patient relationship
• Identify misconceptions in personal definitions of male, female, power and sexuality
• Recognize when Power is misused and becomes a threat

• Define Touch as it relates to perception, gender and culture
• Discuss the giving up of power as it relates to patients and touch
• Recognize the perception, intention, and uses of touch
• Perform an analysis of individual conceptions of gender and sexuality

• Perform an exercise to identify personal concepts of touch
• Create practical applications for healthcare practitioners with regard to gender, touch, and sexuality
• Define sexual misconduct
• Recognize the difference between sexual misconduct and sexual harassment
• Critique different models of misconduct

• Describe how misconduct occurs
• Distinguish between different types of offenders
• Give examples of case studies in sexual misconduct
• Identify common fears and misconceptions of sexual misconduct
• Specify important concepts of treated a patient who has a history of abuse

• Define professional boundaries and relate the issue of consent
• Describe the three types of power, the three patterns of power, and how power is used
• Discuss the differences between adherence vs. compliance and transference vs. countertransference
• Identify anatomical risk levels for touch

• Develop safe touch guidelines
• Create a set of office based interventions and patient based interventions in the development of safe practice strategies
• Define educational interventions for safe practice strategies
• Define the basics of the supervision for a safe practice strategy

• Develop and outline for safe practice analysis
• Perform a risk factor analysis
• Execute a healthcare provider questionnaire
• Create a staff evaluation to implement at the office

• Develop and implement a buddy/supervisor evaluation of the healthcare provider and staff
• Develop and implement a patient evaluation of the healthcare provider and staff
• Create a system of analysis for the buddy/supervisor, healthcare provider, staff and patient evaluations

• Develop a plan for change based on the risk factor analysis (RFA) and practice evaluation questionnaires
• Identify areas of improvement for touch, consent, communication and respect
• Address concerns raised by staff and patients
• Discuss ways to defuse attraction

• Develop guidelines of dealing with a patient who is attracted to you
• Develop guidelines of dealing with feeling an attraction
• Discuss the six factors for a safe practice
• Describe the new partnership between healthcare providers and patients

• Describe the biomechanics of rotation of a thoracic ring at the levels T1-T7.
• Describe the biomechanics of the Cervical spine, Thoracic spine, ribs, clavicle and manubrium with elevation of the right or left shoulder.
• Describe the biomechanics of flexion and extension at the Costotransverse joint at T9.
• Describe the differences in motion of the mobile segments between T3 -T7 with side flexion occurring first in the Thoracic spine.

• Describe the physiology of breathing and how altered pH can affect the body.
• Describe two functions of the diaphragm.
• Identify limited chest expansion and Bradcliff angles and ski jumps
• Identify limited lateral costal breathing and how to facilitate normal lateral costal breathing

• Describe how altered breathing patterns can alter pH and how this can affect the body.
• Describe the autonomic nervous system and function.
• Name three physiological consequences of respiratory alkalosis.
• Describe suboptimal breathing patterns and their effect on the cervical spine and chronic pain.

• Name and describe the different types of sleep apnea.
• Describe the three levels of Apnea-hypopnea index AHI.
• List five symptoms of sleep apnea.
• List two treatments for sleep apnea.

• Describe the physiological response of aerobic exercise on the respiratory system.
• Describe the effect of running on the viscera and the diaphragm.
• Describe the response to inspiratory muscle fatigue on the body.
• List one device than may increase endurance of the respiratory muscles.

• Describe the anatomical structure of the diaphragm including innervation and blood supply.
• List four causes that may damage the innervation to the diaphragm and effect normal function.
• Describe the factors involved in Intensive Care Unit Acquired Weakness.
• Be able to describe the pros and cons of early mobilization in the ICU.

• List and describe each Medicare required document, content requirements and timing rules
• Summarize and explain Medicare’s documentation requirements and how to comply with those requirements to improve patient care
• Examine and review how Medicare reviews PT and OT documentation
• Describe how to demonstrate and document medical necessity in order to treat patients and prepare for a potential appeal

Hour 1 and 2

• Describe the components of the core and the function of the core.
• Describe the function of the diaphragm as it relates to posture, muscular relationships and stability of the spine.
• Describe the function and structure of the superficial muscle system of the body.
• Describe two concepts of spinal stability. 

Hour 3

• Demonstrate how to determine the length of quadratus lumborum and erector spinae. 
• Demonstrate how to evaluate Transversus abdominus function
• Demonstrate how to facilitate the core and initiate a core training program

Hour 4

• List three pathologies related to less than optimal core function.
• Describe three postural strategies that the patient may develop when the core is in dysfunction.
• Describe how weakness of the abdominals can alter diaphragm contractions.
• Explain how respiratory fatigue can alter core control.

• Examine the historical background of the various Latino/Hispanic groups in the U.S.
• Develop the skills needed to care for people from Spanish speaking parts of the world
• Increase our understanding of the cultural traits of Latino/Hispanic groups in the U.S.
• Summarize specific traits of various Latino/Hispanic groups
• Recognize how we can narrow the gap between us

• Develop an appreciation of the impact of culture group, minority group and racial group on the health care relationship.
• Increase sensitivity, knowledge and skills to promote effective intercultural interactions.
• Identify our own provider culture/judgments /biases and their impact.
• Examine characteristics of Asians, Blacks and Middle Easterners.
• Summarize how to care for patients of these three ethnic/racial groups and how to narrow the gap between us
• Develop an understanding/plan of how to reach out to these populations.

• Describe cultural diversity
• Recognize the need for cultural competence in health care
• Explain the concept of health disparity
• Define culture and cultural competence
• Differentiate between the concepts of culture, race, ethnicity, diversity, and minority
• Describe the Cultural Competence Continuum
• Discuss the interdependency between the levels of cultural competence

• Discuss the evolution of multicultural policy
• Describe the phases of multiculturalism
• Discuss three major perspectives on culture and diversity that have influenced healthcare literature and practice
• Identify the common myths and misconceptions associated with culture
• Recognize the paradoxical dilemmas associated with cultural competence

• Describe diagnostic criteria in the presentation of dementia
• Describe aspects of cognition, ADL and behavior affected by dementia
• Become familiar with differential diagnosis for dementia
• Outline the management of dementia including pharmacologic and non drug therapies
• Review arguments for and against disclosure of a diagnosis of dementia

• Describe the basis of the American legal system
• Compare and contrast constitutional, statutory, common and administrative law
• List the differences between criminal and civil law
• Explain the civil litigation explosion
• Summarize tort reform

• Differentiate morals and ethics
• Explain the purpose of professional codes of ethics
• Compare and contrast legal and professional health care ethics
• Define situational ethics
• Identify the four principles of biomedical ethics

• List the external and internal factors affecting the exposure to malpractice liability
• Describe the legal basis for imposing malpractice liability of a patient injury
• Define the concept of abandonment
• Outline the four elements needed to prove malpractice
• Compare and contrast ordinary negligence versus professional negligence
• Explain vicarious liability
• Summarize defenses to malpractice actions
• Describe the importance of patient care documentation

• Describe the concept of intentional torts
• Differentiate assault and battery
• Define defamation, slander and libel
• Summarize the mandatory reporting requirements for health care professionals
• Outline the four principle forms of invasion of privacy
• Classify the types of criminal activity 
• Describe the steps in a criminal prosecution
• Explain the classifications of homicide

• Differentiate employment at will versus employment under contract
• Summarize the history of federal regulation of labor – management relations
• Describe the five major sections of the Americans with Disabilities Act of 1990
• Recognize sexual harassment in the workplace
• Define “ordinary reasonable person” as it pertains to sexual harassment
• Differentiate the vicarious liability of an employer relative to employees and independent contractors
• Explain the considerations in writing a letter of recommendation
• Outline the requirements for an enforceable restrictive covenant

• Summarize the antitrust laws
• Discuss the importance of the attorney – heath care professional client relationship
• Define the elements of a binding contract
• Explain breach of contract and possible contractual remedies
• Describe the various forms of business organization
• Outline the good Samaritan laws
• Recognize the requirements for HIPAA compliance
• Assess the necessity and limitations of professional liability insurance

• Summarize the major federal statutes regulating education
• Discuss federal education law derived from constitutional protections
• Outline a risk management strategy for academic discipline in health professional educational programs
• Assess liability for student conduct in the clinical setting
• Outline procedures to minimize liability when incorporating students in the clinical setting

• Explain patient informed consent to intervention
• List the requirements of sufficient informed consent
• Describe pertinent considerations in life and death decision making including euthanasia
• Recognize issues of nondiscrimination against participants in health care delivery
• Explain pro bono health care services
• Outline professional practice issues of financial responsibility and gifts
• Summarize the ethical issues of impaired providers and intra and inter-professional relations
• Define the ethical issues in research and the informed consent process

• Define morality and ethics and distinguish between the two
• Describe three moralities that health professionals must integrate into their own moral life
• Identify some major sources of moral beliefs in Western societies
• Distinguish between an ethical issue and ethical problem
• List three ways that ethics is useful in everyday professional practice
• Describe what material cooperation entails
• Identify some mechanisms available to protect the personal moral convictions of health professionals

• Identify the goal of professional ethics activity.
• Describe the basic idea of a caring response and some ways this response in a professional relationship is distinguished from expressions of care in other types of relationships.
• Identify three component parts of any ethical problem.
• Describe what an agent is and, more importantly, what it is to be a moral agent.
• Name the three prototypical ethical problems.
• Describe the role of emotions in ethical distress.
• Distinguish between two varieties of ethical distress.
• Compare the fundamental difference between ethical distress and an ethical dilemma.
• Define ethical paternalism or parentalism.
• Describe a type of ethical dilemma that challenges a professionals desire (and duty) to treat everyone fairly and equitably.
• Identify the fundamental difference between distress or dilemma problems and locus of authority problems.
• Identify four criteria that will assist you in deciding who should assume authority for a specific ethical decision to achieve a caring response.
• Become familiar with AOTA and APTA Code of Ethics
• Become familiar with the Guide to Professional Conduct for PT
• Indiana PTs - become familiar with the IN PT Rules and Practice Act
• Texas PTs - become familiar with the TX PT Rules and Practice Act
• Utah PTs - become familiar with the UT PT Rules and Practice Act

• Identify six steps in the analysis of ethical problems encountered in everyday professional life and how each plays a part in arriving at a caring response.
• Describe the central role of narrative and virtue theories in gathering relevant information for a caring response.
• List four areas of inquiry that will be useful when gathering relevant information to make sure you have the story straight.
• Describe the role of conduct-related ethical theories and approaches in arriving at a caring response.
• Describe why imagination is an essential aspect of seeking out the practical alternatives in an ethically challenging situation.
• Discuss how courage assists you in a caring response.
• Identify two benefits of taking time to reflect on and evaluate the action afterward.
• Become familiar with AOTA and APTA Code of Ethics
• Become familiar with the Guide to Professional Conduct for PT's

• Define the terms confidential information and confidentiality.
• Identify the relationship of a patient's legal right to privacy with his reasonable expectations regarding confidential information.
• Describe how the telling and keeping of secrets is relevant to understanding the importance of confidentiality.
• Discuss the ethical norms involved in keeping and breaking professional confidences.
• Name five general legal exceptions to the professional standard of practice that confidences should not be broken.
• Consider practical options that a professional can take when faced with the possibility of breaking a confidence.
• Discuss some important aspects of documentation that affect confidentiality.
• Compare ethical issues of confidentiality traditionally conceived with those that have arisen because of computerized medical records and patient care information systems.
• Describe the key ethical strengths and challenges of the recent U.S. federal regulations related to privacy considerations (Health Insurance Portability and Accountability Act of 1996).
• Become familiar with AOTA and APTA Code of Ethics
• Review and become familiar with the TX PT Rules
• Read case scenarios illustrating ethical decision making

• Describe three basic legal concepts that led to the doctrine of informed consent.
• Describe three approaches to determining the disclosure standard for judging that a patient or client has been informed.
• Discuss three major aspects of the process of obtaining informed consent.
• Distinguish "general consent" from "special consent" documents.
• Differentiate between the never-competent and once-competent patient or client and the challenges posed by each in regard to informed consent.
• Compare informed consent as it is used in health care practice and in human studies research.
• Describe some considerations one must always take into account to be sure one is being culturally competent and honoring cultural difference when informed consent is the standard.

• Examine the impact of sexual boundaries on the health care relationship
• Recognize the most common misconceptions about sexual boundaries
• Distinguish between sexual misconduct and sexual harassment
• Demonstrate the need for providing safety for patients
• Identify the inherent dangers of being in a power position

• Define sex abuse
• Identify the characteristics of an abused individual
• Appraise the effects of abuse on the health care relationship
• Create an individualized Patient Protection Protocol
• Develop office procedures and policies that will create a safe and comfortable environment for all patients

• Breakdown the biomechanical processes of spinal degeneration
• Explain the biochemical processes that occur in the geriatric population in 
• Differentiate between various diagnosis of structural and chemical conditions seen in geriatric patients
• Analyze the radiological findings and how they influence clinical decisions
• Explain Syndrome X and how it affects physiology
• Differentiate trauma and its late effects on the body

Hour 1

• List 3 factors which impact the mechanical properties of fascia
• Recall 3 important functions of fascia
• Cite 3 negative biological effects of fibrosis
• Describe 3 proposed neurophysiological effects of IASTM
• Itemize three biological effects of IASTM

Hour 2

• Cite 8 indications for using IASTM for upper/lower quarter musculoskeletal conditions
• Provide 8 indications for using IASTM for upper/lower quarter musculoskeletal conditions
• Enumerate 8 indications for using IASTM for upper/lower quarter musculoskeletal conditions
• when using IASTM for musculoskeletal disorders.
• List 2 features of IASTM tools and the effect that these features have on the treatment effect (tissue penetration)
• Summarize 5 IASTM basic stroke techniques
• Apply IASTM techniques for over 30 common upper quarter musculoskeletal conditions

Hour 3

• Outline 3 general purposes for using instrument-assisted soft tissue mobilizations (IASTM) for lower quarter musculoskeletal disorders.
• Recall 3 clinical indications for using IASTM to the hip
• State 3 clinical indications for providing IASTM to the lumbar spine
• Present 3 clinical indications for using IASTM for knee-related musculoskeletal disorders
• Itemize 3 clinical conditions of the lower leg and foot for which IASTM would be appropriate

• Define the terminology of decontamination, disinfection and sterilization in a clinical setting.
• Explain the basis of universal precautions and its implementation
• Discuss the latest research and evidence for risk of treatment table contamination in chiropractic and manual therapy offices.
• Learn the recommended evidence based disinfection methods of clinician hands, tables and equipment for manual providers.
• Identify the Spaulding Classification System for disinfection and sterilization of patient care items and equipment.

• Examine and describe key characteristics related to the pathophysiology of Hepatitis C including those related to transmission, acute and chronic phase
• List and examine 3 key steps to diagnosing Hepatitis C
• Compare and contrast 2 ways for staging fibrosis seen in Hepatitis C
• Examine and describe 2 clinical manifestations seen in Hepatitis C
• Examine and describe pharmacologic vs. nonpharmacologic therapies seen in Hepatitis C

Hour One:

• List three non-musculoskeletal diagnoses that can affect the hip with referred pain.
• Describe two symptoms of axial spondyloarthropathy that may mimic posterior gluteal pain
• Describe sacral insufficiency.
• List three risk factors of statin involved muscle pain.

 Hour Two:

• Describe the key features of soft tissue posterior buttock pain.
• Describe the key features of peripheral nerve related posterior buttock pain.
• List three variable in the proposed CPR for lumbar radiculopathy.
• Describe the referral pattern of thoracolumbar involvement.

 Hour Three:

• List three symptoms of a labral defect of the hip.
• List two variables for the CPR of Osteoarthritis of the hip.
• List four factors documented in the clinical presentation of Gluteal tendinopathy.
• Describe four aspects of the pathomechanics for gluteal tendinopathy

• Summarize the following types of medical errors:
  1. medication errors
  2. handoff errors
  3. diagnostic errors
  4. healthcare acquired infections
  5. device associated infections
• List factors that increase the risk of the above medical errors
• Describe strategies to prevent the above medical errors

• Locate major divisions and structures of the CNS
• Name functions of CNS structures, and their integration with other structures
• Identify effects of CNS dysfunction on upper extremity function, behavior and occupational performance

• Outline the nature of and hallmarks of cancer
• Summarize the relationship between physical activity and cancer
• Summarize the relationship between nutrition and cancer
• Summarize the relationship between massage therapy and cancer
• Summarize the relationship between acupuncture and cancer
• Summarize the relationship between manual therapy and cancer

• Summarize the assessment and diagnosis of pain
• List and describe 5 common causes of back pain and how to prevent injury
• Outline the causes of fibromyalgia
• Illustrate the mechanisms of inflammation and pain
• Discuss the pain of peripheral neuropathy

• Describe the development of postural control systems and the influence of that development on gross- and fine-motor development.
• Discuss atypical development of postural control and its influence on the development of gross- and fine-motor skills.
• Identify appropriate assessment tools available for the evaluation of postural control.
• Identify appropriate treatment techniques for facilitating reactive and anticipatory postural control.

• Identify the anatomy of upper motor neuron tract systems and discuss the functionality of upper motor neuron tract systems
• Explain the effects of a spinal cord injury
• Discuss the anatomy and functionality of regions of the brain
• Describe complications post injury of brain and spinal cord injury
• Describe standard treatment procedures prior to rehabilitation of brain and spinal cord injured patients
• Explain the difference between neurological deficit rigidity versus disuse atrophy/spasm of spinal cord and head injured patients
• Describe treatment options for rehabilitation of spinal cord and head injured patients
• Explain treatment methods to transition C curve locomotion to S curve locomotion
• Explain treatment methods for atrophy and spasm
• Discuss most current curative research for spinal cord and head injured patients

• Recite 3 risk factors for developing rotator cuff tendonosis
• State the purpose of the scapula reposition and scapula assistance test.
• Explain how to perform the external rotation lag sign and recall the purpose of this test
• Paraphrase one evidence - based test cluster for diagnosing a rotator cuff tear.
• Recall two indications/goals for performing posterior glenohumeral joint mobilizations.
• Cite the clinical prediction rule (CPR) for favorable outcome in patients undergoing conservative management for rotator cuff disorders
• Identify two criteria for phase I rehabilitation exercises for rotator cuff disorders

• Recall 3 potential reasons, based on expert opinion, that may contribute to the high re-tear rate following rotator cuff repair.
• Recite 4 factors that impact the rehabilitation program for patients following rotator cuff repair.
• Summarize the DeOrio classification for rotator cuff tear size.
• State 3 appropriate exercises during weeks 0-2 following rotator cuff repair
• Provide 2 appropriate exercises during weeks 6-8 following rotator cuff repair
• Name 3 appropriate exercises during weeks 8-12 following rotator cuff repair

Hour 1

• Recall 2 pathological pitching mechanical patterns that may lead to injury
• List 3 injury risk factors in in the overhead athlete
• Provide 4 injury prevention screening tests for the overhead athlete
• With respect to shoulder strength, cite 3 metrics  that can be used as red flags to identify players who are at higher risk for incurring an injury to the shoulder /elbow

Hour 1

• Recall the most common types of lumbar spine injuries among athletes participating in different sports.
• Identify one advantage and one disadvantage of the treatment-based classification system as it applies to the treatment of the athlete’s lumbar spine.
• List 3 contemporary treatment models that can be applied to the management of lower back pain in the athlete.

Hour 2

• Recall the definition and importance of red and yellow flags during the medical screening process.
• Identify 3 red flags that may implicate a non-mechanical source of lower back pain.
• List the difference between central and peripheral sensitization.

Hour 3

• List one treatment goal in phase 2 rehabilitation of the athlete’s lumbar spine.
• Cite one treatment principle in phase 3 rehabilitation of the athlete’s lumbar spine.
• Summarize two variations of the squat exercises that can be used to decrease strain on the lumbar spine.
• Recall three variations of the deadlift exercises that can be used to decrease strain on the lumbar spine.
• Summarize the McGill core endurance ratio tests that can be used to guide the return to sport decision making processes

• Appreciate the significance of Artificial Intelligence (AI) in transforming the healthcare industry.
• Recognize the potential benefits of AI in improving diagnosis accuracy and treatment outcomes.
• Identify how AI can streamline administrative processes, such as scheduling appointments, billing, forms, and managing patient records.
• Explore compliance with laws and regulations when using AI and chatbots in advertising, including rules around data collection and use
• Understand the challenges of determining who owns the copyright for content generated by AI systems
• Evaluate the importance of keeping up-to-date with technological advancements in healthcare for quality patient care and practice management
• Comprehend the challenges regarding patient data privacy and security associated with AI.

• Explain the anatomy and functionality of healthy soft tissue components
• Explain the effects of injury on soft tissue
• Define effects of injured soft tissue on functionality of the spine and extremities
• Discuss patterns of musculoskeletal relationships of recruiting other structures after injury and their effects on functionality
• Describe various methods of treatment for dysfunctional soft tissue
• Explain relationship of injured tissue to its surrounding structures, its effects and treatment
• Explain compensation and recruitment of healthy tissue to the broader scope of complications and the effective treatment of primary and now secondary effects of injury
• Describe rehabilitation exercises in relation to proprioception

• Differentiate localized MPS and fibromyalgia
• Become familiar with the diagnosis and treatment of MPS
• Describe theory and benefits of Myofascial Release (MFR) as a treatment for soft tissue conditions including MPS
• Summarize 3 key points of traditional and modern Myofascial techniques

• Explain the types of soft tissue
• Demonstrate and discuss diagnostic evaluation of soft tissue injury
• Explain pain patterns of neurological injury for differential diagnosis
• Discuss types of soft tissue injuries
• Evaluate soft tissue changes associated with pain
• Discuss the mechanisms of healing soft tissue injuries
• Describe diagnostic tools in determining soft tissue injuries
• Explain the use of ice and heat in soft tissue injuries
• Demonstrate and discuss stretching; passive, active and postfacilitation
• Demonstrate and discuss somatic technique
• Demonstrate and discuss strain/counterstrain
• Demonstrate and discuss friction massage
• Demonstrate and discuss Postisometric relaxation
• Demonstrate and discuss electrical muscle stimulation and ultrasound
• Demonstrate and discuss triggerpoint ultrasound in treatment
• Discuss massage therapy
• Demonstrate and discuss myofascial release
• Demonstrate and discuss active release
• Demonstrate and discuss Neuromuscular Therapy (NMT)
• Discuss cold laser therapy
• Demonstrate and discuss exercise rehabilitation and muscle strengthening
• Discuss mobilization and manipulation

• Explain the structural anatomy of the shoulder and its soft tissue
• Explain the functional anatomy of the shoulder and its soft tissue.
• Demonstrate the active and passive examination of the shoulder and soft tissue.
• Describe pathological conditions of the bony structures, joints, ligaments, tendons, bursa and muscles of the shoulder
• Describe sports injures to the shoulder.
• Describe injuries to the nerves, blood vessels and fascia of the shoulder.
• Demonstrate soft tissue treatments for pathological conditions of the bony structures, joints, ligaments, tendons, bursa and muscles of the shoulder.
• Demonstrate soft tissue treatments for the nerves, blood vessels and fascia of the shoulder.
• Define functional relationships of the shoulder with associated regions

• Explain the structural anatomy of the elbow, wrist, and hand and associated soft tissue
• Explain the functional anatomy of the elbow, wrist, and hand and associated soft tissue
• Demonstrate the passive examination of the elbow, wrist, and hand and associated soft tissue
• Demonstrate the active examination of the elbow, wrist, and hand and associated soft tissue
• Describe pathological conditions of the bony structures, joints, ligaments, tendons, muscles, fascia, bursa and nerves of the elbow, wrist, and hand
• Demonstrate soft tissue treatments for pathological conditions of the bony structures of the elbow, wrist and hand
• Demonstrate soft tissue treatments for the joints, ligaments, tendons, muscles, fascia, bursa and nerves of the elbow, wrist and hand
• Define functional relationships between the elbow, wrist and hand and with other regions

• Explain the structural anatomy of the bones and joints of the cervical spine, ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Explain the functional anatomy of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Demonstrate the passive examination of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Demonstrate the active examination of the bones and joints of the cervical spine, the ligaments and muscles of the cervical spine and the nerves, blood vessels and fascia of the cervical spine
• Discuss imaging of the cervical spine
• Discuss advanced testing of the soft tissue of the cervical spine
• Describe pathological conditions of the bony structures, joints, ligaments, tendons, muscles, nerves, blood vessels and fascia of the cervical spine
• Explain the mechanism of acceleration/deceleration impact
• Explain the effects on the cervical spine from acceleration/deceleration injury, and specifically the effects on the soft tissues structures
• Explain the grading system for acceleration/deceleration injury
• Demonstrate soft tissue treatments for the pathological conditions of the bony structures, joints, ligaments, tendons, muscles, blood vessels, nerves and fascia of the cervical spine
• Demonstrate soft tissue treatments for the sequela of acceleration/deceleration injury
• Define relationships of the cervical spine with other regions

• Explain the structural anatomy of the TMJ and its soft tissue
• Explain the functional anatomy of the TMJ and its soft tissue
• Demonstrate the passive examination of the TMJ and soft tissue
• Demonstrate the active examination of the TMJ and soft tissue
• Describe pathological conditions of the bony structures of the TMJ
• Describe pathological conditions of the joints of the TMJ
• Describe pathological conditions of the ligaments of the TMJ
• Describe pathological conditions of the muscles of the TMJ
• Describe injuries to the nerves, blood vessels and fascia of the TMJ
• Describe injuries from acceleration/deceleration impact to the TMJ
• Demonstrate soft tissue treatments for the joints of the TMJ
• Demonstrate soft tissue treatments for the ligaments of the TMJ
• Demonstrate soft tissue treatments for the muscles of the TMJ
• Demonstrate soft tissue treatments for the nerves, blood vessels and fascia of the TMJ
• Demonstrate soft tissue treatments for acceleration/deceleration injury to the TMJ
• Define functional relationships of the TMJ with associated regions

• Explain the structural anatomy of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Explain the functional anatomy of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Demonstrate the passive examination of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Demonstrate the active examination of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Discuss imaging of the thoracic spine and rib cage
• Describe pathological conditions of the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Demonstrate soft tissue treatments for the bones, joints, ligaments, muscles nerves, blood vessels and fascia of the thoracic spine and rib cage
• Discuss relationships of the thoracic spine and ribs with other regions

• Review pathoanatomy associated with PSI
• Discuss indications and contraindications for arthroscopic repair of PSI
• Become familiar with surgical techniques for arthroscopic repair of PSI
• Examine postoperative considerations and rehabiliation protocols for arthroscopic repair of PSI
• List 3 complications involved in the arthroscopic repair of PSI

• Review the pathoanatomy associated with GA
• Discuss indications and contraindications for arthroscopic management of GA
• Become familiar with surgical technique for arthroscopic management of GA
• Examine postoperative considerations and rehabiliation protocols for GA
• List 3 complications of arthroscopic management of GA

• Review preoperative considerations for arthroscopic management of SS
• Discuss indications and contraindications for arthroscopic management of SS
• Become familiar with surgical technique for arthroscopic management of SS
• Examine postoperative considerations and rehabiliation protocols for SS
• List 3 complications of arthroscopic management of SS

• Examine and explain the pathology involved in LE
• Explain the components for performing a comprehensive physical examination on a patient with LE
• Become familiar with imaging used for LE
• Explain the indications and contraindications for arthroscopic treatment of LE
• Become familiar with the surgical technique for arthroscopic treatment of LE
• Describe and outline the rehabilitation process, complications and expected outcomes following arthroscopic treatment of LE

• Describe the pathology involved in medial and lateral epicondylitis
• Explain the components for performing a comprehensive physical examination on a patient with medial and lateral epicondylitis
• Become familiar with imaging used in the diagnosis of medial and lateral epicondylitis
• Explain the indications and contraindications for open treatment of medial and lateral epicondylitis
• Become familiar with the surgical technique for open treatment of medial and lateral epicondylitis
• Explore the rehabilitation process, complications and expected outcomes following open treatment of medial and lateral epicondylitis

• Describe the mechanism of injury in athletes with UCL injury
• Explain preoperative considerations including physical exam, imaging techniques, indications and contraindications to surgery
• Become familiar with the surgical technique for reconstruction of the UCL
• Outline the rehabilitation process, complications and expected outcomes following reconstruction of the UCL

• Review preoperative considerations for DBR
• Discuss indications and contraindications for DBR
• Become familiar with surgical technique for DBR
• Examine postoperative considerations and rehabiliation protocols for DBR
• List 3 complications of DBR

• Describe the pathology involved in PIE
• Review preoperative considerations for PIE
• Discuss indications and contraindications for PIE
• Become familiar with surgical technique for PIE
• Examine postoperative considerations and rehabiliation protocols for PIE
• List 3 complications of PIE

• Explore pathology of the rotator cuff
• Describe and differentiate 5 tests for assessing the rotator cuff
• List and describe 3 imaging techniques for assessing the rotator cuff
• Define and explain how rotator cuff tears are classified
• Discuss the goals and treatment of rotator cuff injury
• Review anatomy of the rotator cuff and related structures
• Describe the technique for acromioplasty
• Discuss post-op care, complications and anticipated outcomes

• Discuss pathology of distal biceps rupture
• Become familiar with physical examination for distal biceps rupture
• List indications and contraindications for distal biceps repair
• Review anatomy of the biceps and the antecubital fossa
• Describe the Boyd and Anderson two-incision technique for distal biceps repair
• Discuss complications, post-op care and anticipated outcomes

• Review anatomy of the shoulder joint
• Discuss pathophysiology of shoulder joint dislocation
• Become familiar with physical examination for shoulder dislocation
• List indications for shoulder joint relocation
• Review technique for performing Stimson maneuver
• Review Scapular manipulation technique
• Review External rotation method
• Review Milch technique
• Review  traction-counter-traction technique
• Review Spaso technique
• Review Posterior dislocation reduction technique
• Review technique for Inferior dislocation reduction
• Discuss post reduction care, complications and anticipated outcomes

Part 1:

• Review anatomy of the shoulder joint
• Discuss pathophysiology of shoulder joint dislocation
• Become familiar with physical examination for shoulder dislocation
• List indications for shoulder joint relocation
• Review technique for performing Stimson maneuver
• Review Scapular manipulation technique
• Review External rotation method
• Review Milch technique
• Review  traction-counter-traction technique
• Review Spaso technique
• Review Posterior dislocation reduction technique
• Review technique for Inferior dislocation reduction
• Discuss post reduction care, complications and anticipated outcomes

Part 2:

• Review anatomy of the shoulder joint
• Become familiar with shoulder joint dislocations
• Describe Bankart lesioins
• List 4 indicaitons for performing arthroscopic Bankart repair
• List 5 contraindications for performing arthroscopic Bankart repair
• Review technique for performing arthroscopic Bankart repair
• Discuss post-op management, complications and anticipated outcomes

• Review anatomy of the shoulder joint
• Become familiar with shoulder joint dislocations
• Describe Bankart lesioins
• List 4 indicaitons for performing arthroscopic Bankart repair
• List 5 contraindications for performing arthroscopic Bankart repair
• Review technique for performing arthroscopic Bankart repair
• Discuss post-op management, complications and anticipated outcomes

• Become familiar with the prevalence and incidence of dysphagia as well as what diagnoses precipitate it.
• Identify anatomy and physiology involved in swallowing along with peripheral and neurologic controls.
• Become familiar with swallowing issues for the elderly.
• Recognize signs vs. symptoms of dysphagia and distinguish oropharyngeal impairment with esophageal impairment.
• Describe the nervous system in order to be familiar with swallowing disorders that result from neurologic disease.
• Identify characteristics of dysphagia and dysphagia-related problems seen in patients with neurologic disease.
• List treatment options and practices in different forms of neurogenic dysphagia.
• Recognize dysphagia and how it relates to various head and neck cancers.
• List factors that contribute to dysphagia in patients being treated for head and neck cancers.
• Become familiar with esophagopharyngeal disorders along with examination and treatment options.
• Describe the importance of along with the components of the physical evaluation of the swallowing mechanism.
• Describe the basic components of a fluoroscopic and endoscopic swallowing exam.
• List 5 strengths and 5 weaknesses of each exam.
• Identify treatment considerations that apply to most patients with dysphagia.
• Describe the major categories for the treatment of dysphagia.
• Identify steps for formulating effective treatment plans.
• Become familiar and describe 3 behavioral treatment strategies.
• Define and outline 5 basic principles of medical ethics and how ethics relate to swallowing disorders.

• Define dysphagia and its ramifications
• Discuss the epidemiology of dysphagia
• Discuss the medical and social consequences of dysphagia
• Provide an overview of the clinical management of dysphagia
• Discuss the role of persons who manage dysphagia
• Discuss the types of settings in which dysphagic patients might be seen and how this might affect their management

• Define the key anatomic structures involved in swallowing
• Define the groups of muscles that participate in swallowing
• Define the peripheral and central neurologic controls for swallowing
• Discuss the key physiologic components that occur when moving a bolus from the mouth to the stomach
• Discuss how normal swallowing is affected by bolus type and delivery
• Describe swallowing associated with normal aging

• Identify and understand core concepts of newborn development
• Identify the difference between a nonnutritive suck and a nutritive suck
• Identify and understand the benefits of breast milk
• Identify and understand the major swallowing milestones between birth and age 12 month

• Explain why is it important to possess a basic understanding of the nervous system to clinically manage swallowing disorders resulting from neurologic disease
• Name some of the sensorimotor characteristics associated with impairments at different levels of the nervous system
• Identify some of the dysphagia characteristics that might be seen in diseases affecting various levels of the nervous system
• Describe some of the dysphagia-related problems that might be seen in patients with neurologic disease
• Describe some aspects of change in dysphagia over time in neurologic diseases
• Identify some of the more common treatment issues, decisions, options, and/or practices in different forms of neurogenic dysphagia

• Define cancer and describe its potential impact on the individual patient
• Describe the various treatments for head/neck cancer and their side effects
• Describe factors that contribute to dysphagia in patients being treated for head/neck cancer
• Describe the dysphagia characteristics that might be associated with head/neck cancer treated with different modalities
• Elaborate on dysphagia-related complications seen in patients treated for head/neck cancer
• Discuss the when, what, and why aspects of dysphagia intervention for patients being treated for head/neck cancer.

• Discuss the structural disorders of the esophagus that affect swallowing
• Discuss the motor disorders of the esophagus that affect swallowing
• Detail disorders of the pharyngoesophageal segment
• Show how disorders of esophageal origin might affect other aspects of the swallowing chain
• Discuss possible treatment approaches for swallowing disorders of esophageal and pharyngoesophageal origin

• Detail how disorders of respiration might affect swallowing performance
• Discuss common medical and surgical complications that lead to or exacerbate dysphagia
• Review how artificial supports for respiration might interfere with swallowing
• List surgical procedures that may lead to postoperative dysphagia
• Explore traumatic injuries and how a traumatic injury may effect swallowing performance

• Describe the rationale for early detection of swallowing disorders
• Review the main components of the clinical evaluation of swallowing in adults
• Present the strengths and weaknesses of evaluation protocols
• Discuss noninvasive techniques for improving the diagnostic accuracy of the clinical examination
• Review standardized tests for dysphagia
• Present potential adjunctive measures of swallowing performance

• Explain why it is important to “image” the swallowing mechanism and evaluate swallow function with an instrumental study
• List 5 basic guidelines to help determine whether any instrumental swallowing examination is indicated
• Describe the basic components and potential modifications of a fluoroscopic swallowing examination and an endoscopic swallowing examination
• Describe and differentiate strengths and weaknesses of the fluoroscopic swallowing examination and the endoscopic swallowing examination
• Compare the endoscopic examination with the fluoroscopic examination

• List and examine 3 categories of physical agents
• Outline and describe 4 effects of physical agents
• List contraindications and precautions for the use of physical agents
• Describe the process for evaluating and planning for the use of physical agents
• List important considerations for documentation for the use of physical agents

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

Introduction to Electrical Currents

• Define and describe 3 electrical current parameters including waveforms, time-dependent and other electrical current parameters
• Describe 3 positive effects of electrical currents
• List 3 contraindications and precautions for the use of electrical currents
• Outline the steps for application including patient positioning, electrode type and placement and list 3 general considerations

Electrical Currents for Muscle Contraction

• Describe the physiology involved in muscle contraction in the innervated muscle
• Describe clinical application for orthopedic, neurologic and sports medicine
• Describe muscle contraction for denervated muscle
• List 5 precautions and contraindications
• Outline parameters including, but not limited to, electrode placement, positioning, frequency and amplitude for the use of electrical stimulation for innervated muscles

(This content is NOT included in the Therapeutic Modalities 101 course)

• Discuss the physical properties of electromagnetic radiation
• Become familiar with the history and physical properties of lasers and lights
• List and describe 6 effects of lasers and lights
• Review the indications and contraindications for the use of lasers and lights
• Outline the steps involved in the application of lasers and lights
• Discuss important components involved in documentation with the use of lasers and lights
• Read case studies to understand clinical application
• Outline and describe the physical properties of ultraviolet radiation
• Describe 5 effects of ultraviolet radiation
• List and examine 2 clinical indications for the use of ultraviolet radiation
• List 5 contraindications and adverse effects for the use of ultraviolet radiation
• Describe application techniques for ultraviolet radiation

(Content from this course is included in the Therapeutic Modalities 101 course. Do not take this individual course if you plan or have taken TM 101)

• Describe 5 clinical indications for the use of spinal traction
• Outline and describe application techniques for mechanical traction, lumbar, cervical, self and positional traction
• Examine important aspects included in documentation for the use of traction

Electrical Currents for Soft Tissue Healing

• Explain how electrical stimulation facilitates wound healing
• Describe 3 parameters for electrical stimulation to promote wound healing
• Explore and list 2 parameters for the use of iontophoresis
• Describe the use of electrical currents for edema control
• List 3 precautions and 3 contraindications for the use of electrical currents in tissue healing

Electrical Currents for Pain Control

• Describe the use of conventional TENS, Low-rate and Burst-Mode TENS for the use of pain control
• List and describe 3 contraindications for the use of electrical currents for pain control
• Examine parameters such as waveform, electrode placement, amplitude, treatment time and frequency in the use of electrical currents for the use ofpain control
• Read case studies and highlight clinical application

(This content is NOT included in the Therapeutic Modalities 101 course)

• Define 4 physical properties of water
• Describe 6 physiological effects of hydrotherapy
• Examine 4 uses for the use of hydrotherapy in clinical practice
• List and describe 4 adverse effects and 5 contraindications and precautions for hydrotherapy
• Compare and contrast clinical use and application techniques
• Examine and describe 3 important safety considerations for infection prevention

(This content is NOT included in the Therapeutic Modalities 101 course)

• Describe 3 benefits and the effects of the use of external compression
• Outline and describe 5 clinical indications for the use of external compression
• List 5 contraindications and precautions
• Outline and describe application techniques for bandaging, compression garments, and compression pumps
• Examine the adverse effects of external compression

• Understand electrical principles so that you can predict the amount and location of current flow in human tissues including muscles. 
• Decide whether an individual is appropriate for EStim given relevant contraindications, precautions, and associated risks.
• Link electrode placement and electrical waveform selection. 
• Chose common electrical stimulus parameters based on the desired outcome and individual patient needs. 
• Describe application techniques that are safe, comfortable, and effective manner. 
• Identify resources for continue learning and application of knowledge

• Become familiar with the importance of primary vision care in geriatrics
• Identify normal age-related vision changes in the aging population
• Describe 5 age-related systemic and neurological diseases
• Differentiate between anterior and posterior segment diseases in the older adult
• Become familiar with the optometric examination of the older adult
• List 5 factors that complicate eye examination in the older adult
• Describe auditory impairment in the older adult
• Describe 3 pharmacological aspects of aging
• Identify options for vision correction in the older adult
• Discuss the option of contact lenses and the older adult
• Describe the importance of functional therapy in rehab of the older adult
• Identify important factors in the care of older adults who are visually impaired
• Outline and compare 3 common issues facing the older driver
• Identify key nutritional concerns in the older adult
• Describe the delivery of vision care in nontraditional settings
• Discuss 5 public health aspects involving care of the older adult
• Become familiar with 3ethical issues involving care of the older adult
• Desccribe the field of vision rehab and the aging population

• Describe the mechanisms by which the skin is able to provide its 6 major functions
• Describe the structures, function and cellular composition of the skin layers, including layers within the dermis and eipdermis
• Explain the relationship between skin pigmentation and protection against ultraviolet light
• Compare and contrast the structural and cellular development of the skin in the fetus, premature infant, full-term neonate, adolescent and adult
• Describe at least 2 effects on the skin of the following: hydration, sun, nutrition, soaps and medications
• Compare and contrast the structure and function of dark and light pigmented skin

• Compare and contrast wound healing processes for each type of closure: primary, intention, secondary intention and tertiary intention
• Distinguish between partial thickness and full thickness wound repair
• Explain the difference between acute and chronic full thickness wounds
• Describe 4 characteristics of a chronic wound
• Describe the role of various types of cells in the wound repair process
• Describe features and characteristics of scarless healing
• Distinguish between keloid and hypertrophic scarring and the treatment of each
• Identify conditions and comorbidities that affect the wound healing process

• Describe the process of at least 5 factors that contribute to skin damage
• Distinguish among the following terms; macule, papule, plaque, nodule, wheal, pustule, vescile and bulla
• Describe 4 types of mechanical trauma by the extent of tissue damage associated with each
• Discuss 3 interventions for preventing each type of mechanical trauma
• Describe 3 preventive interventions for 3 common causes of chemical damage
• Describe the process of an allergic contact dermatitis
• Identify factors that predispose a patient to candidiasis
• Describe manifestations and care of skin damage due to irradiation

• Differentiate between skin inspection and assessment
• List 6 factors to consider when assessing darkly pigmented skin
• Distinguish between wound assessment and evaluation of healing
• Define partial-thickness and full-thickness tissue loss
• Compare and contrast a normal and an abnormal finding for each wound assessment parameter
• Describe how to measure the length, width, depth tunneling and undermining of a wound

• Describe the incidence and prevalence of pressure ulcers in various clinical settings and vulnerable patient populations
• Define pressure ulcer
• Identify the 3 most common locations at which pressure ulcers develop
• Describe the role of subcutaneous tissue and muscle in preventing pressure ulcers
• Describe the role of the causative factors for pressure ulcer formation

• Explain 3 justifications for a pressure ulcer prevention program
• Distinguish between an avoidable and an unavoidable pressure ulcer
• List components of a best practice bundle of a pressure ulcer prevention program
• Distinguish between a pressure ulcer risk assessment and a skin assessment
• Identify the risk factor subscales in the Braden Scale for Predicting Pressure Sore Risk
• Distinguish between turning and repositioning
• Describe 5 repositioning techniques

• List 3 limitations to the reliance of capillary closing values for support surface evaluation
• List 4 factors to consider when interpreting the significance of interface tissue pressure readings
• Define pressure redistribution, immersion and envelopment
• Explain the difference between a reactive and an active support surface
• Compare the advantages and disadvantages of support surface categories and features
• List factors to consider for appropriate selection of a support surface

• Describe 3 types of neuropathy that may occur in the patient with diabetes
• Identify critical factors to be included in the history and physical exam of the patient with lower-extremity neuropathic disease
• Describe the correlation of protective sensation with risk for diabetic foot ulcer
• Distinguish among the musculoskeletal foot deformities that lead to focal areas of high pressure in the patient with peripheral neuropathy
• Identify key concepts in effective and appropriate offloading

• Describe the role of debridement in the wound healing process
• List contraindications to debridement
• Distinguish between selective and nonselective debridement
• Compare and contract 4 methods of debridement: autolysis, chemical, mechanical and sharp
• List debridement options for the infected wound
• Describe 5 factors to consider when selecting a debridement approach
• For each method of debridement, list 2 advantages, disadvantages and relevant special considerations

• Identify 3 principles of wound management
• Describe the characteristics of a physiologic wound environment
• Identify at least 5 objectives in creating a physiologic wound environment
• Define the terms occlusive, semiocclusive, moisture retentive, primary dressing and secondary dressing
• List 2 indications and 1 contraindication for each dressing category
• Describe the factors to consider when selecting a wound dressing

• Become familiar with electrical stimulation for the use of wound healing
• Define terminology associated with electrical stimulation for wound healing
• Explain the physiologic effects of electrical stimulation
• List at least 2 indications for electrical stimulation
• List at least 2 contraindications for electrical stimulation

• Become familiar with ultraviolet light and ultrasound for the use of wound healing
• List at least 1 indication each for ultraviolet-C, high frequency ultrasound and low frequency ultrasound use
• List at least 2 contraindications for each modality
• Explain the mechanisms of action for each modality

• Identify the 3 phases of burn care and discuss the goal of each phase
• Discuss the causes of burns including thermal, chemical and electrical injuries
• Identify how the 3 zones of tissue damage relate to the depth of the burn wound
• Describe 3 methods commonly used to calculate the total body surface area of a burn
• Describe the advantages and disadvantages of at least 4 topical burn care products and dressings
• Identify 3 principles of managing burn wounds in an outpatient setting

• Discuss current issues related to surgical wound infection and recommendations made by national collaboratives or evidenced-based guidelines to address these problems and improve outcomes
• Compare intrinsic and extrinsic patient characteristics associated with surgical wound healing complications or infection
• Identify wound assessment characteristics comparing the ASEPSIS method of evaluating wounds with Center for Disease Control and Prevention-defined characteristics for surgical site infection
• Identify evidence-based measures for surgical wounds including dressing, topical treatment, and care of sutures, staples and tissue adhesives
• Discuss 3 aspects of care or evaluation for patients with surgical wounds and how they can help to promote healing and prevent complications of healing

• Briefly outline the 8 limbs of Ashtanga Yoga 
• Enumerate classification of asanas 
• List 5 benefits of asanas or yogic postures 
• Understand the application of asanas with therapy 
• List 5 Asanas for low back pain 
• List 3 Asanas for hip stretches 
• Name 5 poses/ asanas for upper extremity strengthening 
• Recite contraindications for all poses

Hour # 1

• Describe what is Pranayama
• List 5 benefits of Pranayama or Yogic Breathing

Hour #2

• Understand the application of Pranayama with Rehab
• List 3 simple Breathing exercises for warm up

Hour #3

• List 9 Yogendra Pranayama
• Summarize importance of Breathing correct
• Be familiar with contraindication for all Pranayama

• List 5 benefit of Yoga Asana
• Understand the application of Yogic Asanas or Postures with Rehab
• State 5 Asanas to improve shoulder flexibility
• Propose poses for progressing with scapular stabilization
• Be able to differentiate between use of static and dynamic poses
• Recognize ways to modify poses when painful
• Create HEP with Yogic Postures
• Be familiar with correct alignment during poses
• Summarize ways to prevent injuries with yoga asanas

• Justify the use of  Yoga poses with rehabilitation 
• Name 3 poses for each stage of rehabilitation 
• List 5 poses helpful for balance 
• Describe how to implement yoga with patients and establish a POC 
• Perform a biomechanical analysis with poses 
• Recognize and list Do’s and Don'ts with  poses 
• Describe 5 ways to avoid injuries with poses

• Understand application of core stability for low back pain 
• Recall physiology associated with low back pain 
• What is eoga and enumerate various benefits 
• Enlist asanas for acute low back pain 
• List 5 important asanas for increasing flexibility 
• Select appropriate asanas for core strengthening 
• Propose modification in yoga asanas 
• Deduce information from latest evidence-based studies on yoga for low back pain 
• Summarize importance of yoga for low back pain