Differential Diagnosis of the Lower Extremity - A Therapists Guide
Live Event

Differential Diagnosis of the Lower Extremity - A Therapists Guide

Sat, Oct 22nd, 2022
9:00am – 12:15pm US Eastern Time
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About the Event

The main focus of this course is to provide skills to assess systemic differential diagnosis that can mimic the symptoms of hip, knee, ankle-foot pain. Identifying the systemic cause and knowledge of referring to the physician or medical emergency services can potentially save precious time, resources and drastically change patient outcomes. This course will equip the clinicians with skills to stop chasing the symptoms and narrow down the source of dysfunction and pain earlier on in the course of therapy.

In addition, this is a concise course designed to be a handy reference guide for clinicians to perform a skilled evaluation, including subjective questioning and history taking, with objective examination with musculoskeletal special tests, and evidence based treatment strategies.

The participant should look forward to an energetic, interactive presentation with simplistic explanations of complex concepts and case studies with pop questions.

Live Event
This live online event will be held as a Zoom Webinar. Attendees will have the option to interact through features such as the Chat and Q&A, but cameras and microphones will not be enabled.

Live Event Instructors

Rina Pandya, PT, DPT, FHEA, PGLTHE

Rina Pandya, PT, DPT, FHEA, PGLTHE

Dr. Pandya is an MSK senior lecturer and Fellow, at the University of West England, Bristol, UK involved in both undergraduate and postgraduate studies. Dr. Pandya’s physical therapy career spans over 25 years, through the UK, the USA and the Middle East. She has worked in Nationalized Healthcare Services, American health care and self pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman. Rina is an internationally published webinar presenter.

Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA, HCPC-UK and OAP-Oman.

Rina Pandya

Rina Pandya

Dr. Pandya is an MSK senior lecturer and Fellow, at the University of West England, Bristol, UK involved in both undergraduate and postgraduate studies. Dr. Pandya’s physical therapy career spans over 25 years, through the UK, the USA and the Middle East. She has worked in Nationalized Healthcare Services, American health care and self pay services in acute care, in-patient rehab, skilled nursing facility, home healthcare and outpatient clinic. In addition to being a clinician she has developed specialty programs based on evidence-based practice in her role as a project manager. She has also managed the Physical Therapy department in the capacity of Head of Department in a premier private hospital in Oman. Rina is an internationally published webinar presenter.

Dr. Pandya graduated from Manipal University, India in 2000 as well as University of Michigan, in 2018 with a Doctor of Physical Therapy. Rina conducts live webinars and is part of the continuing professional development teaching community with courses published in the UK, US, South Africa, Ireland and Australia. Rina is a member of APTA, HCPC-UK and OAP-Oman.

Target Audience

This live interactive webinar is intended for Physical Therapists, Physical Therapy Assistants, Occupational Therapists, and Occupational Therapy Assistants. (PT, PTA, OT, OTA)

Learning Objectives

After taking this activity, you should be able to:

  1. 1 Apply the knowledge MSK evaluation strategies for hip knee, ankle-foot joint clinically through identification of musculoskeletal injuries.
  2. 2 Analyse red flags and yellow flags, referral criteria for the physician.
  3. 3 Differentiate between systemic and musculoskeletal differential diagnosis in order to identify the need for therapy or refer to the physician or emergency services.
  4. 4 Demonstrate skilled patient interviewing techniques with system review questions for differential diagnosis.

Ajimsha, M. S., Shenoy, P. D., & Gampawar, N. (2020). Role of fascial connectivity in musculoskeletal dysfunctions: A narrative review. Journal of Bodywork and Movement Therapies, 24(4), 423-431.

Atif, M., Malik, A. T., & Noordin, S. (2018). Psoas abscess masquerading as a prosthetic hip infection: A case report. International Journal of Surgery Case Reports, 42, 17-19.

Cibulka, M. T., Bloom, N. J., Enseki, K. R., MacDonald, C. W., Woehrle, J., & McDonough, C. M. (2017). Hip pain and mobility deficits—hip osteoarthritis: revision 2017: clinical practice guidelines linked to the international classification of functioning, disability and health from the orthopaedic section of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy, 47(6), A1-A37.

Fereydounnia, S., Shadmehr, A., Moghadam, B. A., Moghadam, S. T., Mir, S. M., Salemi, S., & Pourkazemi, F. (2019). Improvements in strength and functional performance after Kinesio taping in semi-professional male soccer players with and without functional ankle instability. The foot, 41, 12-18.

Heick, J., & Lazaro, R. T. (2022). Goodman and Snyder’s Differential Diagnosis for Physical Therapists: Screening for Referral. Elsevier Health Sciences.

Kiel, J., & Kaiser, K. (2018). Adductor strain.

Maetzler, M., Ruescher, M., Punzenberger, F., Wang, W., & Abboud, R. J. (2020). Progressive rehabilitation of the sprained ankle: A novel treatment method. The Foot, 43, 101645.

Martin, R. L., Davenport, T. E., Fraser, J. J., Sawdon-Bea, J., Carcia, C. R., Carroll, L. A., ... & Carreira, D. (2021). Ankle Stability and Movement Coordination Impairments: Lateral Ankle Ligament Sprains Revision 2021: Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy, 51(4), CPG1-CPG80.

Martin, R., Martin, H. D., & Kivlan, B. R. (2017). Nerve entrapment in the hip region: current concepts review. International journal of sports physical therapy, 12(7), 1163.

McDonough, C. M., Harris-Hayes, M., Kristensen, M. T., Overgaard, J. A., Herring, T. B., Kenny, A. M., & Mangione, K. K. (2021). Physical therapy management of older adults with hip fracture: clinical practice guidelines linked to the International Classification of Functioning, Disability and Health From the Academy of Orthopaedic Physical Therapy and the Academy of Geriatric Physical Therapy of the American Physical Therapy Association. Journal of Orthopaedic & Sports Physical Therapy, 51(2), CPG1-CPG81.

McKay, J., Maffulli, N., Aicale, R., & Taunton, J. (2020). Iliotibial band syndrome rehabilitation in female runners: a pilot randomized study. Journal of Orthopaedic Surgery and Research, 15(1), 1-8.

Patti, L., & Leslie, S. W. (2021). Acute Renal Colic. 2021 Aug 23. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing.

Serner, A., Weir, A., Tol, J. L., Thorborg, K., Lanzinger, S., Otten, R., & Hölmich, P. (2020). Return to sport after criteria-based rehabilitation of acute adductor injuries in male athletes: a prospective cohort study. Orthopaedic journal of sports medicine, 8(1), 2325967119897247.

Themes U. Screening the Lower Quadrant: Buttock, Hip, Groin, Thigh, and Leg. Musculoskeletal Key. https://musculoskeletalkey.com/screening-the-lower-quadrant-buttock-hip-groin-thigh-and-leg/. Published 2017. Accessed April 14, 2021.

Thorborg, K., Branci, S., Stensbirk, F., Jensen, J., & Hölmich, P. (2014). Copenhagen hip and groin outcome score (HAGOS) in male soccer: reference values for hip and groin injury-free players. British journal of sports medicine, 48(7), 557-559.

Yousefzadeh, A., Shadmehr, A., Olyaei, G. R., Naseri, N., & Khazaeipour, Z. (2018). Effect of Holmich protocol exercise therapy on long-standing adductor-related groin pain in athletes: an objective evaluation. BMJ open sport & exercise medicine, 4(1), e000343.

Willy, R. W., Hoglund, L. T., Barton, C. J., Bolgla, L. A., Scalzitti, D. A., Logerstedt, D. S., ... & Torburn, L. (2019). Patellofemoral pain: clinical practice guidelines linked to the international classification of functioning, disability and health from the academy of orthopaedic physical therapy of the American physical therapy association. Journal of Orthopaedic & Sports Physical Therapy, 49(9), CPG1-CPG95.

Disclosure to Learners

CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited Continuing Medical Education. Any individuals in a position to control the content of a CE activity – including faculty, planners, reviewers, or others ― are required to disclose all relevant financial relationships with ineligible entities (formerly known as commercial interests).

The following relevant financial relationships have been disclosed by this activity's planners, faculty, and the reviewer:

Planners and Reviewers

The planners of this activity have reported that they have no relevant financial relationships.

Faculty

There are no known relevant financial relationships to disclose.

Commercial support

There is no commercial support for this distance-learning course.

Florida Board of Physical Therapy

3 CE credit hours
Eligible until Oct 22nd, 2022
CE Learning Systems, LLC is approved by the Florida Board of Physical Therapy to sponsor continuing education for Physical Therapists and Physical Therapist Assistants. CE Learning Systems maintains responsibility for this program and its content. Accreditation of this course does not necessarily imply the FPTA supports the views of the presenter or the sponsors. CE Broker Provider Number 50-315. FLBPT Approval Number:
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Florida Board of Occupational Therapy (FBOT)

3 CE credit hours
Eligible until Oct 22nd, 2022
CE Learning Systems, LLC is approved by the Florida Board of Occupational Therapy to sponsor continuing education for Occupational Therapists and Occupational Therapist Assistants. CE Learning Systems maintains responsibility for this program and its content. CE Broker Provider Number 50-315
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Michigan Board of Physical Therapy

3 CE credit hours
Eligible until Oct 22nd, 2022
Impact CE, a service of CE Learning Systems, is approved by the Michigan Board of Physical Therapy (Provider # 50-315).
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New York State Education Department's State Board for Physical Therapy

3 CE credit hours
Eligible until Oct 22nd, 2022
CE Learning Systems (d/b/a impactce.com) is recognized by the New York State Education Department's State Board for Physical Therapy as an approved provider of continuing education for Physical Therapists and Physical Therapist Assistants.
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Ohio Occupational Therapy, Physical Therapy, and Athletic Trainers Board - Physical Therapy (OTPTAT)

3 CE credit hours
Eligible until Oct 22nd, 2022
This course is approved by the Ohio Physical Therapy Association for PTs and PTAs. OPTA approval number #####.
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Texas Board of Physical Therapy Examiners

3 CE credit hours
Eligible until Oct 22nd, 2022
This activity has been approved by the Texas Board of Physical Therapy Examiners for 3 CCUs for PTs and PTAs. APS # 2805075TX. Accreditation Period: 6/1/25-5/31/28
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Event Agenda

Agenda times are listed in US Eastern Time. That is 3 hours later than US Pacific Time. The event starts at 6:00am US Pacific Time.

9:00am - 10:30am Lecture 10:30am - 10:45am Break 10:45am - 12:15pm Lecture and Q&A

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