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PHYSICAL THERAPY PRACTICE the Publication of the Academy of Orthopaedic Physical Therapy, APTA 2020 / volume 32 / number 3 ORTHOPAEDIC PHYSICAL THERAPY PRACTICE The publication of the Academy of Orthopaedic Physical Therapy, APTA 9000_OP_July.indd 1 6/22/20 12:33 PM TISSUE TOLERANCES Independent Study Course 30.2 Description This course will provide the clinician with an appreciation of the structure and function of tissue and its tolerance for injury and its potential for healing. Physiological concepts and biomechan- ics are covered for muscle and tendon, ligament and capsule, and articular cartilage. Each author brings a unique perspective for how to integrate basic science to clinical scenarios. An interest- ing array of cases accompanies each monograph. The cases serve to facilitate clinical decision-making and to provide examples Learning Objectives of evaluation and treatment. This is a unique course series 1. Understand muscle and tendon anatomy and biomechanics. that should satisfy the scientifi c and clinical curiosity of every 2. Interpret the physiological mechanisms and processes associ- clinician. ated with pathologic muscle and tendon tissue to clinical care. 3. Describe clinical and diagnostic tools used in identifying mus- Topics and Authors cle-tendon abnormality. Tissue Tolerances of the Muscle-Tendon Unit 4. Apply the current body of evidence underlying the physical Dhinu J. Jayaseelan, DPT, OCS, FAAOMPT therapy management for injury to the muscle-tendon unit. Tissue Tolerances of the Ligament and Capsule 5. Know how to apply concepts to improve the tolerance of mus- Katherine Wilford, PT, DPT, Cert. MDT; cle-tendon tissue to load, and implement such concepts to Hazel Anderson, PT, DPT, Cert. MDT; injury prevention strategies. Navpreet Kaur, PT, DPT, PhD, MTC; 6. Describe the anatomy and physiology of a healthy ligament Manuel A. (Tony) Domenech, PT, DPT, MS, EdD, OCS, FAAOMPT; and capsular tissue. Nicole P. Borman, PT, PhD, MTC, OCS, CSCS 7. Describe the pathophysiological processes that occur in the event of an injury to ligament or capsule. Tissue Tolerances of the Articular Cartilage 8. Identify the phases of healing following a ligamentous injury. Ann Smith, PT, DPT, OCS, PCS 9. Apply pathophysiological concepts of ligamentous integrity to the examination and treatment of specifi c conditions for Continuing Education Credit Contact hours will be awarded to registrants who successfully the extremities. complete the fi nal examination. The Academy of Orthopaedic 10. Understand the structure and functional rigor of articular Physical Therapy CEUs are accepted by the majority of cartilage. state physical therapy licensure boards as allowed 11. Appreciate the scientifi c basis of why cartilage regeneration by the type of course requirements in state is limited. regulations. For individual state requirements, 12. Describe the most common mechanisms for articular carti- please visit your state licensure lage damage. board website. 13. Describe the link between articular cartilage damage and early osteoarthritis. Course content is not intended 14. Describe the medical interventions currently used in the for use by participants outside repair of articular cartilage. the scope of their license 15. Specifi cally apply rehabilitation goals and precautions for or regulation. patients who have undergone patellar and femoral articular cartilage repair. Editorial Staff Christopher Hughes, PT, PhD, OCS, CSCS—Editor Gordon Riddle, PT, DPT, ATC, OCS, SCS, CSCS—Associate Editor Sharon Klinski—Managing Editor For Registration and Fees, visit orthopt.org Additional Questions—Call toll free 800/444-3982 9000_OP_July.indd 2 6/22/20 12:33 PM Orthopaedic Practice volume 32 / number 3 / 2020 121 9000_OP_July.indd 3 6/22/20 12:33 PM AWARDS NOW is the Time to Nominate! Now is the time to be thinking about and submitting nominations for the Orthopaedic Section Awards. There are many therapists in our profession who have contributed so much, and who deserve to be recognized. Please take some time to think about these individuals and nominate them for the AOPT’s highest awards. Let's celebrate the success of these hardworking people! ! Outstanding PT & PTA Student Award N IO NE IT James A. Gould Excellence in Teaching W 2nd ED Orthopaedic Physical Therapy Award Emerging Leader Award Richard W. Bowling - Richard E. Erhard CHRONIC BACK PAIN Orthopaedic Clinical Practice Award SI DYSFUNCTION Paris Distinguished Service Award Plan to nominate an individual for one of these Companion highly-regarded awards! https://www.orthopt.org/content/membership/awards 3PelvicSet Rotator Cuff Book 2nd Edition Includes Abdominal Core Power for Prolapse Just $19.95 Wonder W’edge For back pain, pelvic muscle dysfunction, prolapse Just $31.95 NOMINATE Pelvic Rotator Cuff book NEW! 2nd ed. and the Wonder W’edge, plus YouTube NOW! Pelvic Rotator Cuff and The Amazing Human Cathedral videos with purchase of book. Just $39.00 Order at: www.phoenixcore.com or call 1-800-549-8371 122 Orthopaedic Practice volume 32 / number 3 / 2020 9000_OP_July.indd 4 6/22/20 12:33 PM ORTHOPAEDIC PHYSICAL THERAPY PRACTICE The publication of the Academy of Orthopaedic Physical Therapy, APTA In this issue Regular features 127 Physical Therapists in the Patient Centered Medical Home: 125 President's Corner Improving Cost, Quality, and Access Matthew B. Garber 126 Editor’s Note 162 Occupational Health SIG Newsletter 130 Clinical Decision-making Considerations for the Integration of Manual Therapy as an Intervention for Patellofemoral Pain 167 Performing Arts SIG Newsletter Shira Racoosin, Dhinu J. Jayaseelan, Emily Jurschak 167 Foot & Ankle SIG Newsletter 137 Clinical Reasoning Considerations for the “Flexible” Patient: A Ligamentous Laxity Overview 177 Pain SIG Newsletter Kaitlin Barnet, Megan Barker, Joseph Signorino 180 Imaging SIG Newsletter 142 Establishing An Interdisciplinary Team of Engineering and Physical Therapy Faculty and Students to Improve Rehabilitation Technology: 181 Orthopaedic Residency/Fellowship SIG Newsletter A Single Site Example Keith Cole, Erin Wentzell, David Lee, Cara Jenson, Erin Flynn, Alexis Hare, 188 Animal Physical Therapy SIG Newsletter Jared Kern, Jonathan Schwartz C3 Index to Advertisers 148 Continuous Quality Improvement to Eventuate Learning Health Care Systems in Physical Therapy Practice Kenneth J. Harwood, Paige L. McDonald, Emily Balog, Lena M. Volland, Philip J. Van der Wees 154 Chronic Sacroiliac Joint and Pelvic Girdle Pain and Dysfunction Successfully Managed with a Multimodal and Multidisciplinary Approach: A Case Series Holly Jonely, Melinda Avery, Mehul J. Desai OPTP Mission Publication Staff Managing Editor & Advertising Editor To serve as an advocate and Sharon Klinski John Heick, PT, DPT, PhD, OCS, resource for the practice of Academy of Orthopaedic SCS, NCS Physical Therapy Orthopaedic Physical Therapy by 2920 East Ave So, Suite 200 Associate Editor La Crosse, Wisconsin 54601 Rita Shapiro, PT, MA, DPT fostering quality patient/client care 800-444-3982 x 2020 and promoting professional growth. 608-788-3965 FAX Email: [email protected] Publication Title: Orthopaedic Physical Therapy Practice Statement of Frequency: Quarterly; January, April, July, and October Authorized Organization’s Name and Address: Academy of Orthopaedic Physical Therapy, 2920 East Avenue South, Suite 200, La Crosse, WI 54601-7202 Orthopaedic Physical Therapy Practice (ISSN 1532-0871) is the official publication of the Academy of Orthopaedic Physical Therapy, APTA, Inc. Copyright 2020 by the Orthopaedic Section/APTA. Nonmember subscriptions are available Online Only for $50 per year and Print & Online for $75 per year/International Online Only $75 per year and Print & Online $100 per year (4 issues). Opinions expressed by the authors are their own and do not necessarily reflect the views of the Academy of Orthopaedic Physical Therapy. The editor reserves the right to edit manuscripts as necessary for publication. All requests for change of address should be directed to the La Crosse office. All advertisements that ap pear in or ac com pa ny Or tho paedic Physical Therapy Prac tice are ac cept ed on the ba sis of conformation to ethical physical therapy stan dards, but acceptance does not imply endorsement by the Academy of Orthopaedic Physical Therapy. Orthopaedic Physical Therapy Practice is indexed by Cu mu la tive Index to Nursing & Allied Health Literature (CINAHL) and EBSCO Publishing, Inc. Orthopaedic Practice volume 32 / number 3 / 2020 123 9000_OP_July.indd 5 6/22/20 12:33 PM DIRECTORY 2020 / volume 32 / number 3 BOARD of DIRECTORS CHAIRS President: MEMBERSHIP ORTHOPAEDIC SPE CIAL TY COUNCIL Joseph M Donnelly, PT, DHSc Megan Poll, PT, DPT, OCS Hilary Greenberger, PT, PhD, OCS 800-444-3982 • [email protected] 908-208-2321 • [email protected] [email protected] 1st Term: 2019-2022 1st Term: 2018-2021 Term: Expires 2021 Vice Pres i dent: Vice Chair: Members: Judy Gelber, Pamela Kikillus, Peter Sprague Lori Michener, PT, PhD, SCS, ATC, FAPTA Christine B. Mansfield, PT, DPT, OCS, ATC 804-828-0234 • [email protected] 1st Term: 2019-2022 PRACTICE 1st Term: 2020-2023 James Spencer, PT, DPT Members: Molly Baker O'Rourke, Kelsey Smith (student) (see Board of Directors) Treasurer: Kimberly Wellborn, PT, MBA EDUCATION PRO GRAM Members: Jim Dauber, Kathleen Geist, Gretchen Johnson, 615-465-7145 • [email protected] Nancy Bloom, PT, DPT, MSOT Molly Malloy, Marcia Spoto, Emma Williams White 2nd Term: 2018-2021 (see Board of Directors) FINANCE Director 1: Vice Chair: Kimberly Wellborn, PT, MBA Aimee Klein, PT, DPT, DSc, OCS
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