Patellofemoral Disorders: Focus on Evaluation

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Item: physi-474PATELLOFEMORALDISORDE

Description

Disorders of the patellofemoral joint are among the most frequent causes of anterior knee pain in patients of all ages. These disorders have a reputation for being tricky to diagnose, leading to suboptimal treatment for some patients. This course provides the rehab professional with the tools to become better diagnosticians in order to improve outcomes for patients with these disorders. The course reviews normal and pathological anatomy and biomechanics of the patellofemoral joint, examines in detail how to complete a comprehensive evaluation for patients with potential patellofemoral disorders, discusses differential diagnosis techniques, provides a brief overview of current surgical interventions, and presents evidence-based treatment choices for this patient population. Science-based intervention is considered “the cornerstone of treatment” for patellofemoral disorders. This course should help increase your confidence in treating patients with these disorders and improve the outcomes that you see in your practice.


Available Course Credits

Alaska State PT & OT Board 6.00
Arizona State Board of Physical Therapy 6.00
Arkansas State Board of Physcial Thearpy 6.00
California Physical Therapy Board 6.00
Colorado Division of Professions and Occupations 6.00
Connecticut Department of Public Health 6.00
Delaware Examining Board of Physical Therapists and Athletic Trainers 6.00
District Of Columbia Department of Health 6.00
FPTA 6.00
Georgia State Board of Physical Therapy 6.00
Hawaii Board of Physical Therapy 6.00
Idaho Physical Therapy Licensure Board 6.00
Indiana Physical Therapy Board 6.00
Iowa Board of Physical Therapy and Occupational Therapy 6.00
Kansas State Board of Healing Arts 6.00
Kentucky Board of Physical Therapy 6.00
Louisiana Physical Therapy Board 6.00
Maine Board of Physical Therapy 6.00
Maryland Board of Physical Therapy 0.60
Massachusetts Board of Allied Health Professionals 6.00
Michigan Board of Physical Therapy 6.00
Mississippi State Board of Physical Therapy 6.00
Missouri Advisory Commission for Physical Therapists 6.00
Montana Board of Physical Therapy Examiners 6.00
Nebraska Department of Health and Human Services 6.00
New Mexico Physical Therapy Board 6.00
New York State Education Department 6.00
North Carolina Board of Physical Therapy Examiners 6.00
North Dakota Board of Physical Therapy 6.00
Office of Professional Regulation, Vermont Secretary of State 6.00
Oklahoma Physical Therapy Board 6.00
Oregon Board of Physical Therapy 6.00
Pennsylvania State Board of Physical Therapy 6.00
Physical Therapy Governing Board New Hampshire 6.00
South Carolina Board of Physical Therapy 6.00
South Dakota Physical Therapy License Board 6.00
State of Alabama Board of Physical Therapy 6.00
State of Rhode Island Department of Health 6.00
Tennessee Board of Physical Therapy 6.00
Texas Physical Therapy Association 6.00
Utah Physical Therapy Licensing Board 6.00
Virginia Board of Physical Therapy 6.00
Washington State Board of Physical Therapy 6.00
West Virginia Board of Physical Therapy 6.00
Wisconsin Physical Therapy License Board 6.00
Wyoming Board of Physical Therapy 6.00

Course Content

474 Patellofemoral Disorders: Focus on Evaluation
Module
Course Evaluation
Module

Sarah R.Stillings, MA, PT, MPT, CHT

Sarah R. (Sally) Stillings is a PT and Certified Hand Therapist in Texas. She received her physical therapy degree from the University of North Carolina at Chapel Hill. Prior to becoming a therapist, Sally taught university-level writing courses and was assistant editor of The Journal of Craniomandibular Practice. In her extensive career as a PT, she has held a variety of clinical, teaching, administrative, and business roles, including general PT practitioner, upper extremity specialist, clinic manager, hand therapy clinic coordinator, continuing education (CE) instructor, and CE course administrator. She has also served as Executive Director of the Kellermann Foundation, a U.S. nonprofit organization supporting healthcare and community development in Uganda, East Africa. Her work now focuses on creating evidence-based CE materials for rehab professionals. Sally is a lifelong runner who celebrates all those who cover the ground.

After successfully completing this continuing education course, the learner should be able to:

  1. Identify relevant anatomical features of the patellofemoral joint and surrounding tissues
  2. Recognize common bony and soft tissue abnormalities of this region
  3. Identify patellofemoral pathomechanics and how they may present in patients
  4. List the attributes of the four most common types of patellofemoral disorders: patellofemoral pain syndromes, instability, chondral injuries, and osteoarthritis
  5. Differentiate between patellofemoral disorders and other causes of anterior knee symptoms
  6. Identify all the components of a comprehensive examination for patients with potential patellofemoral dysfunction
  7. Choose and apply, using case studies, the evaluation elements and therapy interventions appropriate to specific patient presentations
  1. Apply the principles of conservative management of patellofemoral disorders in a case study
  2. Identify the most commonly used surgical techniques for patients with patellofemoral disorders
  3. Recognize when surgical intervention may be recommended
  4. Recall evidence-based therapy interventions for the most common patellofemoral disorders

 

474 Patellofemoral Disorders: Focus on Evaluation Table of Contents

Page #

HOUR 1

Course Instructions 2

About the Author / Course Description 3

Course Objectives 4

Table of Contents 5

 

Introduction 7

Chapter 1: Applied Anatomy and Biomechanics 8

Anatomy Review 8

Bony Anatomy

Soft Tissue Anatomy

Biomechanics 17

Function

Normal Patellar Tracking

Joint Reaction Forces

Pathomechanics of the Patellofemoral Joint

HOUR 2

Chapter 2: Imaging and Differential Diagnosis 28

Imaging 28

Conventional Radiography

Magnetic Resonance Imaging

Computed Tomography

Differential Diagnosis 30

Patellofemoral Pain (PFP)

Instability

Chondral Injuries

Osteoarthritis (OA)

HOUR 3

Chapter 3: Therapy Evaluation 42

Patient History

Physical Examination: Standing 44

Static Standing Posture

Dynamic Assessment

Physical Examination: Seated 51

Patellar Orientation

Range of Motion

Patellar Tracking

Strength Testing

Physical Examination: Supine 55

Observation

Palpation

Range of Motion

Flexibility Tests

Special Tests

HOUR 4

Physical Examination: Side-Lying 61

Physical Examination: Prone

Other Testing 62

Screening Neurological Exam

Dynamic Muscle Testing

Functional Testing

Patient-Reported Outcome Measures

Chapter 4: Medical and Surgical Management 65

Conservative Intervention

Surgical Intervention

Arthroscopy

Cartilage Restoration Procedures

Soft Tissue Techniques

Bony Realignment Techniques

Joint Replacements

Patellectomy

HOUR 5

Chapter 5: Therapy Approaches 75

Postsurgical Rehabilitation

Conservative Rehabilitation

Patient Education

Activity Modification

Exercise

Manual Therapy Techniques

Modalities

Foot Orthoses

Patellar Taping

Patellar Braces

Summary

Conclusion 85

HOUR 6

Case Studies 86

 

Appendix: Patient Education and Provider Resources 89

 

References 91

Examination 100 

Evaluation 107

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Educational Level: Intermediate

Target Audience: PT, PTA, OT, OTA

Course Completion Requirements: Passing an online exam with 70% or greater will be required to earn continuing education credit

This course is approved for 0.6 CEUS. 6 contact hours

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