Evaluation & Intervention of the Foot & Ankle for the Orthopedic/Sports Rehab Clinician

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Presented by Kris Porter, PT, DPT, OCS

April 25-26, 2020

Total Course Hours = 16
Pending CEU's = 1.6

Registration
$525
$425*
*$50 off for the 1st ten people to sign up

Course Description

This course is focused on the ankle/foot complex and related to LE biomechanics for the orthopedic/sports based PT, PTA, and ATC. This is an intermediate level course with emphasis on pragmatic examination, evaluation, and eclectic but evidence based intervention consistent with the Description of Specialty Practice in Orthopedic PT, the Description of Specialty Practice in Sports PT & the Orthopedic Clinical Practice Guidelines (CPG's) in the lower leg & ankle/foot region. CPG's published by the APTA Orthopedic Section discussed during this course include:

• Heel Pain - Plantar Fasciitis
• Ankle Stability & Movement Coordination Impairments
• Achilles Pain, Stiffness, and Muscle Power Deficits: Achilles Tendinitis 

This course will also cover a myriad of the other pathologies not covered in the CPG's. Furthermore, a strong emphasis of this course will be to develop rapid pattern recognition of commonly seen movement & pathological disorders and link these to pragmatic and customizable intervention plans. This ~50% lab based course will include a focus on selecting and performing sound psycho-motor procedures and avoiding common pitfalls associated with inadequate psycho-motor skill development and clinical reasoning. This course is open to physical therapists, PTA's, and ATC's. However, this course level is ideally suited for orthopedic/sport residency level knowledge/skills. Those with less or more expertise are encouraged to attend, but discussions may be re-directed as needed to provide the level of content expected of a Sport/Orthopedic residency program. 

Suggested Pre-Course Assignment:

Review ankle/foot biomechanics as well as manual examination and intervention skills on Dr. Porter's YouTube channel. This will allow for a "flipped classroom" model and much deeper learning if you have already exposed yourself to this material prior to lecture/discussion and lab. This is especially important if you do not have basic competency with these skills. 

• To access Dr. Porter’s YouTube channel, follow this link:
  https://www.youtube.com/user/enoforewopeht or search for “Kris Porter DPT” within YouTube.
• Then, click on “Playlists” and review the following 3 playlists:
  -“Ankle & Foot Examination & Manual Therapy”
  -“Ankle & Foot Anatomy & Biomechanics”
  -“Foot and Ankle Taping”

Items to bring if you have them: mobilization wedge, inclinometer, small goniometer, Airex pad

Course Schedule

DAY 1 (8:00am-5:30pm)

8:00 - 8:10 Introduction, Objvectives & Nomenclature
8:10 - 8:50 Nomenclature, Biomechanics, Osteology, Key tendon insertions, axes of motion
9:00 - 9:30 Foot Posture (focus on Foot Posture Index)
9:30 – 9:50 Foot Posture Lab
    Torsions (Femoral, Tibial, Talar) throughout age spans
10:00 - 10:30 Callous patterns, Shoe Wear Screening, Shoe Lace Patterns
10:30 - 11:00 Callous and Shoe Lab
11:00 - 12:00 Movement Screening of the Lower Half
12:00 - 1:00 LUNCH
1:00 - 1:30 Movement Screen Lab
1:30 - 2:00 Gait Analysis
2:00 - 2:30 Gait Analysis (Exam form provided)
2:30 - 3:00 Running Analysis
3:30 - 4:00 Running Analysis (Exam form provided)
4:00 - 4:30 Motor Performance Testing of the Lower Quarter
4:30 – 4:50 Ankle Differential Diagnosis
4:50 - 5:30 Talocrural, Distal Tib-Fib, and Proximal Tib-Fib Accessory Testing and Joint Mobilization/Manipulation

DAY 2 (8:00am-4:30pm)

8:00 – 8:20  Rear-foot Differential Diagnosis
8:20 – 8:50 Rear-foot Accessory Testing and Joint Mobilization/Manipulation
8:50 – 9:10 Midfoot Differential Diagnosis
9:10 – 10:00 Midfoot Accessory Testing and Joint Mobilization/Manipulation
10:00 – 10:20 Forefoot & Toe Differential Diagnosis
10:20 – 11:00 Forefoot & Toes Accessory Testing and Joint Mobilization/Manipulation
11:00 - 11:30 Palpation and Soft Tissue Mobilization of the Lower Leg
11:30 - 12:00 Palpation and Special Testing of the ankle ligaments
12:00 - 1:00 LUNCH
1:00 – 2:15 Ther Ex, PNF, NRE for the ankle/foot
2:15 – 3:15 Taping, Insole and Pre-Fab Sole Wedging Lab
3:15 – 4:30 Small Group Case Discussion & Presentation & Wrap Up

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