Applied Health Physical Therapy 860

AHPT 860: Advanced Orthopedics
Prerequisite: AHPT 814, AHPT 826, or permission of the Department
Credit Hours: (4)

The focus of Advanced Orthopedics is on advanced examinations and intervention skills for the patient with spinal and TMJ musculoskeletal impairments, with an emphasis on evidenced-based practice.

Detailed Description of Course

Advanced Orthopedics integrates materials previously learned in Human Anatomy, Kinesiology-Biomechanics, and Patient Management I & II. The focus of the course is on advanced examinations and intervention skills for the patient with spinal and TMJ musculoskeletal impairments, with an emphasis on evidenced-based practice. There will be written and groups assignments. Lab participation is required for this course. This course prepares students for their second and third clinical internships.    

Detailed Description of Conduct of Course

Teaching methods for the course may include lecture, discussion, lab experiences, small group activities, on-site ergonomic analysis, patient demonstration, case studies, student presentations and discussions.

Goals and Objectives of this Course

Will require students to:

1) Differentiate characteristics of each stage of the healing process: inflammation, proliferation, and remodeling; 2) Identify treatment goals and plans of care for each stage of healing; 3) Identify special considerations, treatment goals, and plan of care for pre-surgical and post-surgical management, including the patient with complex medical problems; 4) Design a scientifically-based post-surgical protocol for a hypothetical patient’s existing co-morbidities, providing treatment goals and a plan for each phase of the rehabilitation sequence ; 5) Analyze past and current post-surgical protocols for selected orthopedic conditions and determine whether they are scientifically sound; 6) Based on a hypothetical client/patient, develop an appropriate clinical question, analyze the evidence, and develop a plan of care based on the best available evidence and client/patient preferences; 8) Describe the principles of the McKenzie approach for the evaluation and treatment of a patient with LBP/ neck pain; 9) Identify contraindications to the McKenzie approach; 10) List indications for accessory and physiologic spinal joint mobilization techniques; 11) Describe the basic concepts of muscle energy techniques and demonstrate proper use of this technique in correcting lumbar, sacral, and innominate dysfunctions; 12) Describe the appropriate steps of a TMJ evaluation; 13) Educate patients about proper exercise and self-care according to patient's demographics and medical characteristics; 14) Demonstrate critical thinking and appropriate decision-making in planning the sequence of a spinal examination and subsequent treatment; 15) Critically analyze current literature related to new techniques for treatment of the patient with LBP/ neck pain; 16) Differentiate between myogenic and capsular source of TMJ pain and dysfunction; 17) Based on the results of a hypothetical spinal examination, develop a minimum of three differential diagnoses for those findings and select the appropriate evaluation tools for securing the proper diagnosis; 18) Given a hypothetical patient with a spinal or TMJ problem, develop a plan  of care and demonstrate the appropriate joint mobilization techniques for this patient; 19) Given the history and examination findings of a hypothetical patient with spinal pain, formulate a diagnosis and prognosis, and modify the plan of care based on patient goals and outcomes; 20) Compare and contrast the symptom reproduction model to the osteopathic model of orthopedic evaluation; 21) Select and demonstrate the appropriate tests to differentiate an iliosacral problem from a sacroiliac problem;  22) Conduct an appropriate systems review on a patient with spinal pain; 23) Demonstrate the proper techniques for examining and treating spinal hypomobility; 24) As part of a faculty-student group, provide physical therapy consultation to RU athletic teams, students, faculty and staff;  25) As part of a faculty-student group project, provide consultation, screening and educational workshops for local community agencies including schools and senior centers; 26) Perform screening in various practice settings to guide further examination or referral; 27) Integrate results of the history, systems review, and examination in order to formulate a diagnosis, prognosis, and plan of care for patients with the following disorders: spinal/ sacroiliac dysfunctions, TMJ dysfunctions, and post-surgical orthopedic dysfunctions; 28) Make clinical judgments based on analysis of data in the context of current best practice derived from scientific literature; 29) Assume responsibility for consulting with and/or referral to other professionals; 30) Design and manage a plan of care that complies with the standards of practice and is evidence-based; 31) Select and perform interventions as described in the Guide to Physical Therapy Practice for patients with spinal, sacroiliac, TMJ and post-surgical orthopedic dysfunctions; 32)Design and manage a plan of care that complies with the standards of practice and is evidence-based and individualized to best meet patient needs..

Assessment Measures

May include but not be limited to: 

Examinations, lab/practical examinations, and written assignments.

Other Course Information


Review and Approval

February 10, 2014