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2015 Archive

Differential Diagnosis, Evaluation, and Management of Lumbopelvic, Abdominal, and Hip Pain

There is a wide variety of pathologies that can lead to lumbopelvic, abdominal, and hip pain. Many of these pathologies are of musculoskeletal origin and amenable to physical therapy intervention. However, with the direct access model for physical therapists, patients may now present with non-musculoskeletal related pain. Determining a diagnosis and appropriate intervention can be difficult, secondary to the close interrelationship between the lumbopelvic complex, soft tissue structures, and hip joint. This course will integrate lecture and laboratory material offering techniques that will allow for a logical evaluation to assist with differential diagnosis. This will include an assessment for both musculoskeletal and non-musculoskeletal pathologies. For those with musculoskeletal pathology a classification-based treatment program will be defined in both lecture and laboratory. This will include hands-on mobilization techniques for the sacroiliac joint and hip as well as the implementation of innovative exercises. For those with non-musculoskeletal related pain, appropriate referral and recommendations will be outlined. This course will emphasize interactive case studies to reinforce course information.

Duquesne University
John G. Rangos Sr., School of Health Sciences
Room 141
Saturday, December 5, 2015
8:00 a.m. - 5:00 p.m.

8.0 Hours Approved (CEUs)
Pennsylvania State Board of Physical Therapy (4.25 Direct Access; 3.75 General)
West Virginia State Board of Physical Therapy
Ohio State Board of Physical Therapy

Schedule                                                                                                                                                                                                           • 7:30 - 8:00                                                                                                                                                                                                        o Registration and Continental Breakfast

• 8:00 - 8:15
o Practicing in a Direct Access Model: Introduction

• 8:15 - 9:15 
o Clinical Anatomy and Biomechanics for the Direct Access Clinician

• 9:15 - 10:15
o Pearls & Perils in a Direct Access Model

• 10:15 - 10:30                                                                                                                                                                                                 o Break

• 10:30 - 11:30 
o Musculoskeletal Examination/Classification Algorithm

• 11:30 - 12:30
o LAB: Evaluation & Examination Techniques

• 12:30 - 1:00 
o Lunch (provided)

• 1:00 - 2:00 
o Musculoskeletal: Classification Based Treatment

• 2:00 - 2:45                                                                                                                                                                                                      o LAB: Conservative Treatment Interventions

• 2:45 - 3:00
o Break

• 3:00 - 3:30 
o Update on Arthroscopic Procedures for the Hip Joint

• 3:30 - 4:00
o Postoperative Interventions Following Hip Arthroscopy

• 4:00 - 5:00
o Case Studies: Pearls and Perils

Course Handouts: Direct Access; Diff Dx - Pearls & Perils; Musculoskeletal Exam; Interventions A; Interventions B; Post-Surgical; Eval Form; Hip Lab Sheet; Med History Form; Lower Quarter Screen

Program Objectives
Upon completion of this course you will be able to:
o Prioritize a systematic examination that can be used to differentiate musculoskeletal from non-musculoskeletal pathologies.
o Develop and apply an evaluation algorithm to allow for a classification-based treatment program for those with musculoskeletal pain.
o Create an intervention program consisting of mobilization, soft-tissue techniques, and innovative exercises based on patient classification.
o Determine appropriate referral recommendations for those with non-musculoskeletal pain.
o Outline the indications for specific arthroscopic procedures of the hip joint. 
o Determine and apply appropriate therapeutic techniques for rehabilitating individuals that have undergone arthroscopic hip procedures. 
o Outline sport-specific considerations when rehabilitating athletes. 

Presenters                                                                                                                                                                                         RobRoy Martin, PT, PhD, is a Professor of Physical Therapy at Duquesne University where he teaches coursework in Therapeutic Modalities and in Orthopedics with an emphasis on the lower extremity. Rob is recognized nationally and internationally as a content expert related to Hip pathology notably those with non-arthritic hip pain. Rob is one of the few physical therapists in the world who is not only part of but is an active member of the International Society of Hip Arthroscopists (ISHA). Rob has published over 60 articles and presented his work locally, nationally and internationally. Dr. Martin was the 2015 recipient of the APTA Orthopaedic Section's Bowling-Erhard Award for Excellence in Clinical Practice. Rob maintains a clinical presence at The Center for Sports Medicine (UPMC) on the South Side of Pittsburgh. 

Ben Kivlan, PT, PhD, OCS, SCS. is an Assistant Professor of Physical Therapy at Duquesne University. Ben is a graduate of Elon College's Exercise/Sport Science Program, the University of Pittsburgh's Physical Therapy Program, and completed his PhD studies in Rehabilitation Science at Duquesne University. Ben serves teaches of Human Anatomy and directs the cadaver lab in the Rangos School of Health Sciences. Ben has published numerous research articles and book chapters and continues to pursue research interests in the study of musculo-skeletal anatomy, functional performance testing, and post-operative rehabilitation and outcomes. Ben is also recognized as a Board Certified Specialist in Sports and Orthopedic Physical and enjoys treating patients with various sports and orthopedic injuries.Fees, registration, contact:

Fees: Alumni - $125; Others - $175.

Registration & refunds Deadline: November 27, 2015

Contact & Registration:
Make checks payable to 'Duquesne University' and mail to:
Department of Physical Therapy
Duquesne University
600 Forbes Avenue
Pittsburgh, PA 15282

Register: To register, click here or call Mary Eberle (412-396-5541) in the Department of Physical Therapy. Once we receive your payment, we will email the link & password for access to the electronic course documents.

Campus Map - Symposium is on the 1st floor of the Rangos School of Health Sciences; Park in Forbes Garage.