In response to COVID-19 the following expanded resources are being provided to faculty and instructors to assist with the transition to online DPT education. These unprecedented times call for us to support one another all the more throughout the profession and higher education. If I can be an additional resource for you or your colleagues please reach out by clicking the "contact us" button below. Stay safe!
The following information and resources are being provided and made available in order to assist faculty, instructors, students and clinicians in the areas of neuromusculoskeletal, clinical reasoning, clinical examination and evaluation, and general overviews of anatomy, kinesiology and biomechanics through a region and joint-specific approach.
This content is primarily compiled from courses within the Methodist University entry-level DPT program, to include but not limited to: DPT 5900 - Musculoskeletal I, DPT 6000 - Musculoskeletal II, and DPT 6020 - Musculoskeletal III. Unless otherwise specified via in-text citation and/or references, this content belongs to Joel Sattgast, PT, DPT - Board Certified Orthopaedic Clinical Specialist (OCS), Assistant Professor.
Fair Use Act Disclaimer: Components of this material is for educational purposes only.
Copyright Disclaimer under section 107 of the Copyright Act of 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education & research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Copyrighted material used for educational purposes is indicated with citations.
Additional material has been compiled by Joel Sattgast for use within DPT curriculum and is protected under the following terms:
PLEASE NOTE: this specific page is under routine modification as content will updated and added as it becomes available. If a link is broken, content is unaccessible, or you do not see something that you would like access to...please feel free to contact us through the link below.
This content is primarily compiled from courses within the Methodist University entry-level DPT program, to include but not limited to: DPT 5900 - Musculoskeletal I, DPT 6000 - Musculoskeletal II, and DPT 6020 - Musculoskeletal III. Unless otherwise specified via in-text citation and/or references, this content belongs to Joel Sattgast, PT, DPT - Board Certified Orthopaedic Clinical Specialist (OCS), Assistant Professor.
Fair Use Act Disclaimer: Components of this material is for educational purposes only.
Copyright Disclaimer under section 107 of the Copyright Act of 1976, allowance is made for “fair use” for purposes such as criticism, comment, news reporting, teaching, scholarship, education & research. Fair use is a use permitted by copyright statute that might otherwise be infringing. Copyrighted material used for educational purposes is indicated with citations.
Additional material has been compiled by Joel Sattgast for use within DPT curriculum and is protected under the following terms:
- Attribution You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- NonCommercial You may not use the material for commercial purposes.
- ShareAlike If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
- No additional restrictions You may not apply legal terms or technological measures that legally restrict others from doing anything the license allows
PLEASE NOTE: this specific page is under routine modification as content will updated and added as it becomes available. If a link is broken, content is unaccessible, or you do not see something that you would like access to...please feel free to contact us through the link below.
"If we are to achieve things never before accomplished we must employ methods never before attempted."
-Francis Bacon
Neuromusculoskeletal - Lecture Podcasts
The following material provides a general overview of anatomy, kinesiology and biomechanics through a region and joint specific approach
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Neuromusculoskeletal - Differential Diagnosis & Pathology Overview
The following material provides a general overview of anatomy, kinesiology and biomechanics through a region and joint specific approach
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Clinical Skills for Physical Therapy Examination and Evaluation
The following material provides an overview of tests, measures, and examination techniques for use within clinical physical therapy practice
Playlists are linked below to provide access to multiple videos related to each area of content / anatomical region to include:
Playlists are linked below to provide access to multiple videos related to each area of content / anatomical region to include:
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The content contained in these videos is oriented to evidence, opinions and thoughts regarding various performance and rehabilitation topics. Please remember that any application of this material is based on personal choice. At no time does Joel Sattgast, PT, DPT | Trexo PT & Performance (or affiliated DPT education programs) retain responsibility for these choices. Readers and individuals using this content for personal use are encouraged to operate within their scope of practice, where applicable. Any physical therapy or other healthcare examination, evaluation, treatment, intervention and/or rehabilitation plan of care should be executed by a licensed health professional.
This content is for informational purposes only. Joel Sattgast is not a medical doctor, registered dietician, or psychologist. The information contained herein will not treat or diagnose any medical disease, illness, or ailment. If you should experience any such issues you should seek the advice and examination of your registered physician, practitioner, and/or licensed medical clinician as determined by your own judgment. Joel Sattgast (the individual) and Trexo PT & Performance, LLC assume no liability for the use or interpretation of any information contained herein.
This content is for informational purposes only. Joel Sattgast is not a medical doctor, registered dietician, or psychologist. The information contained herein will not treat or diagnose any medical disease, illness, or ailment. If you should experience any such issues you should seek the advice and examination of your registered physician, practitioner, and/or licensed medical clinician as determined by your own judgment. Joel Sattgast (the individual) and Trexo PT & Performance, LLC assume no liability for the use or interpretation of any information contained herein.
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Full orthopedic client evaluation, specifically for a runner; however, these skills and techniques, demonstrated by Chris Johnson, may be extrapolated out to a general orthopedic population as many items are screening general neuromusculoskeletal health and wellness.
COPYRIGHTED CONTENT of Zeren PT, LLC / RunningMateKC, LLC / Trexo PT & Performance, LLC NOT FOR DISSEMINATION OR USE OUTSIDE EDUCATIONAL SETTINGS www.zerenpt.com | runningmatekc.com | www.trexopt.com Special thanks to Brooklyn Swantek, PT, DPT for her participation in this video! |
The Academy of Orthopaedic Physical Therapy has several useful tools on their website for educators, students and clinicians. Links are provided where available.
Orthopaedic Clinical Practice Guidelines (CPG): (up-to-date as of March 2020)
Additional information can be found by visit the AOPT website where decision trees, patient perspectives, and additional digital resources and guidelines can be found. All information is copyrighted and the property of AOPT and cited authors. These links provide accessibility to these open-access articles and clinical practice guidelines.
Orthopaedic Clinical Practice Guidelines (CPG): (up-to-date as of March 2020)
- Hand Pain and Sensory Deficits: Carpal Tunnel Syndrome
- Neck Pain
- Pelvic Girdle Pain in the Antepartum Population: Physical Therapy Clinical Practice Guidelines Linked to the International Classification of Functioning, Disability, and Health From the Section on Women's Health and the Orthopaedic Section of the American Physical Therapy Association
- Shoulder Pain and Mobility Deficits: Adhesive Capsulitis
- Low Back Pain
- Hip Pain and Mobility Deficits — Hip Osteoarthritis
- Nonarthritic Hip Joint Pain
- Exercise-Based Knee and Anterior Cruciate Ligament Injury Prevention
- Patellofemoral Pain
- Knee Stability and Movement Coordination Impairments: Knee Ligament Sprain
- Knee Pain and Mobility Impairments: Meniscal and Articular Cartilage Lesions
- Achilles Pain, Stiffness, and Muscle Power Deficits; Midportion Achilles Tendinopathy Revision
- Ankle Stability and Movement Coordination Impairments
- Heel Pain - Plantar Fasciitis
Additional information can be found by visit the AOPT website where decision trees, patient perspectives, and additional digital resources and guidelines can be found. All information is copyrighted and the property of AOPT and cited authors. These links provide accessibility to these open-access articles and clinical practice guidelines.
Frequently Asked Questions
The following information is based on FAQs (frequently asked questions) that I routinely provide information on and/or about to educators, clinical instructors, students and coaches. This is by no means an exhaustive list of resources and reference; however, it should provide an initial frame work to demystify concepts and build a foundation for further investigation.
Have additional questions? Need a 'full-text' paper? Click the "contact us" button at the top of the page.
Have additional questions? Need a 'full-text' paper? Click the "contact us" button at the top of the page.
I am interested in pain neuroscience education - any resources?
There is, quite simply, no 'getting it right' when it comes to pain. It is both undertreated and over-treated. It is ubiquitous, subjective, and sometimes feigned. Its experience is influenced by culture and varies among individuals, and it's diagnosis easily distorted by bias. - Lee TH. Zero pain is not the goal. JAMA. 2016;315(15):1575-7.
Where to begin... over the past decade there has been a significant increase in resources for clinicians, students, and educators. And yet, despite these resources and recommendations further work must continue to be done to integrate evidence into clinical practice and use clinical practice to ask and inform researchers in their quest to understand the complexities of pain. The following resources begin to scratch the surface of a much bigger topic but should provide the reader with an overview of pain neuroscience.
Papers:
Papers:
- Moseley GL. Reconceptualising Pain According to Modern Pain Science
- Lee T. Zero Pain Is Not the Goal
- Williams ACC and Craig KD. Updating the Definition of Pain
- Moayedi M and Davis KD. Theories of Pain: From Specificity to Gate Control
- Vlaeuen JWS and Linton SJ. Fear-avoidance and Its Consequences in Chronic Musculoskeletal Pain: A State of the Art
- Darlow B. Beliefs about back pain: The confluence of client, clinician and community
- Diener, I, Kargela M, Louw A. Listening is Therapy: Patient Interviewing From a Pain Science Perspective
- Melzack R. From the Gate to the Neuromatrix
- Hodges PW and Tucker K. Moving Differently in Pain: A new theory to explain the adaptation to pain
- Louw A et al. Three-year follow of a RCT comparing preoperative neuroscience education for patients undergoing surgery for lumbar radiculopathy
- Greg Lehman - Pain Science Workbook
- SCCR - Emotional Homunculus and Brain's Amazing Drug Cabinet
- Karen Davis (TED Ed) - How does your brain respond to pain?
- Lorimer Moseley (TEDx) - Why Things Hurt
- Understanding Pain in Less Than 5 Minutes (and what to do about it)
- What is Central Sensitization (Jo Nijs)
- The Unstable Concept of Core Stability (Physio Matters - with Ben Smith)
- Peter O'Sullivan and Core Stability (YouTube - Body Logic Physio)
- Adriann Louw - Why Do I Hurt
- David Butler - The Sensitive Nervous System
- David Butler and Lorimer Moseley - Explain Pain
- David Rosengren - Building Motivational Interviewing Skills
- America Experiences More Pain Than Other Countries (The Atlantic)
- 10 myths about back pain and how to cope when it strikes (Independent)
- Thought Viruses (NOI Notes)
- Low Back Pain is the 'Common Cold' of the Spine (EIM)
- Smudging Pain Neurotags and Cortical Body Maps: explaining the weirdness of pain (G. Lehman)
Do you have any information on program design - Strength, conditioning, Endurance?
A variety of resources are available depending upon the area of interest; however, the following resources, while applicable to a wide-range of athletes and areas of performance, will focus more on areas of endurance athletics.
Papers:
Papers:
- Kiely J - Periodization Theory: Confronting an Inconvenience Truth
- Mujika I, Padilla S - Detraining: Loss of Training-induced Physiological and Performance Adaptations. Part I
- Mujika I, Padilla S - Detraining: Loss of Training-induced Physiological and Performance Adaptations. Part II
- Coyle EF - Physiological Determinants of Endurance Exercise Performance
- Cushion C - Modeling the Complexity of the Coaching Process
- Denison J - Social Theory for Coaches: A Foucauldian Reading of One Athlete's Poor Performance
- Graham L, Fleming S - Developing a Coaching Philosophy: Exploring the Experiences of Novice Sport Coaching Students
- Saw AE et al - Monitoring the Athlete Training Response: subjective self-reported measures trump commonly used objective measures: a systematic review
- Suchomel TJ et al. - The Importance of Muscular Strength: Training Considerations
- Steven Seiler (TEDx) - How "normal people" can train like the world's best endurance athletes
- Steven Rollnick, Jonathan Fader, Jeff Breckon, Theresa Moyers - Coaching Athletes to Be Their Best
- Joe Friel - The Triathlete's Training Bible (4th ed)
- Dan John - Can You Go?
- Chris Johnson, Joel Sattgast, Nathan Carlson - Running on Resistance
i am considering pursuing a residency, fellowship or earning my board certification - where do I start?
Every year I am contacted by numerous students who are interested in learning more about residencies, fellowships, and the 'next steps' in pursuing advanced board certification. A great place to start is the American Board of Physical Therapy Specialties (ABPTS). The linked website outlines the current (March 2020) specialty areas for physical therapy practice, to include: Cardiovascular and Pulmonary, Clinical Electrophysiology, Geriatrics, Neurology, Oncology, Orthopaedics, Pediatrics, Sports, and Women's Health.
Things to pay attention to are:
If you are interested in pursuing a residency and/or fellowship, the American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) is where you should start your review of available programs via the Directory of Programs.
Things to pay attention to are:
- Certification deadlines
- Exam dates
- Minimum requirements
If you are interested in pursuing a residency and/or fellowship, the American Board of Physical Therapy Residency and Fellowship Education (ABPTRFE) is where you should start your review of available programs via the Directory of Programs.
WHAT IS THE ROLE OF PHYSICAL THERAPY IN HEALTH AND WELLNESS PROMOTION?
"It is no measure of health to be well adjusted to a profoundly sick society." - J Krishnamurti
A variety of resources are available depending upon the area of interest
Papers:
Papers:
- Sullivan et al - A Vision for Society: Physical Therapy as Partners in the National Health Agenda
- Huijg et al - Factors Influencing Primary Health Care Professionals' Physical Activity Promotion Behaviors: A Systematic Review
- Lowe A et al - Physical activity promotion in physiotherapy practice: a systematic scoping review of a decade of literature
- Freene N, Cools S, and Bissett B. - Are we missing opportunities? Physiotherapy and physical activity promotion: a cross-sectional survey
- Pedersen BK and Saltin B. - Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases
- Ormond BA et al - Potential national and state medical care savings from primary disease prevention
- Loprinzi PD et al - Healthy lifestyle characteristics and their joint association with cardiovascular disease biomarkers in US adults
- Hyman MA et al - Lifestyle medicine: treating the cause of the disease
- CDC - Adult Obesity Prevalence Maps and Resources and Publications
- CDC - Diabetes Fact Sheets
- National Center for Chronic Disease Prevention and Health Promotion
- Physical Activity Guidelines (US Dept of Health and Human Services)
- PT on ICE (Inst. of Clinical Excellence) - Free Resources and Hump Day Hustling Listserve
- Dave Chase, Tom Emerick, Brian Klepper - CEO's Guide to Restoring the American Dream
- WSJ - Why American Spend So Much on Healthcare
- WSJ - Health-care spending vs. health
- Health Improvement Card
- The Difference Between Healthcare and Caring
DO YOU KNOW WHAT THE MOST COMMONLY USED 'OUTCOME MEASURES' ARE IN CLINICAL PRACTICE?
I AM STRUGGLING TO WRITE and Compose AT A 'DOCTORAL' LEVEL - HOW IMPORTANT IS THIS AND WHAT RESOURCES DO YOU HAVE?
Reading 'peer-reviewed' research is challenging - are there resources to help?
Additional Evidence to Inform clinical practice
Regional Considerations:
Upper Quarter (Shoulder, Elbow, Wrist and Hand)
Upper Quarter (Shoulder, Elbow, Wrist and Hand)
- NOI Notes - Frozen Shoulder
- Luks HJ - Frozen Shoulder: experts answer your most common questions
- Rayner & Smale - The Role of the Scapula in Shoulder Impingement Syndrome (SIS): Part 1 & Part 2
- Goom T. - Insertional Achilles Tendinopathy
- Bartold S. - Plantar Fasciitis: Part 1 & Part 2
- Rathleff MS et al - High-load strength training improves outcome in patients with PF: a RCT with 12 month follow up
- Jacobs DF and Silvernail JL - Therapist as operator or interaction? moving beyond the technique
- Sirur R et al - The Role of Theory in Increasing Adherence to Prescribed Practice
- Rayner & Smale - A Review of Red Flags
- Johnson C - A simple approach to running analysis for clinicians
- Lehman G - Don't freak out - treating pain with simple fundamentals
- Jam B. - A new paradigm in manual therapy - abandoning segmental motion palpation
- Griffin D - Pain in runners - why do I hurt?
- Dunn SL and Olmedo ML - Mechanotransduction: Relevance to Physical Therapist Practice - Understanding our ability to affect genetic expression through mechanical forces
I'm interested in becoming a physical therapist - what do I need to know?
Hall J. - What is a Physical Therapist
Therapeutic Exercise Resources
- Zeren PT & Performance (run by Chris Johnson) - YouTube Page (more videos)
- RunningMate KC (run by Nathan Carlson)
- Dan John
- Physio Praxis (run by Scot Morrison)
- Prehab guys
- The Movement Fix (run by Ryan DeBell)
- Cressey Performance (run by Eric Cressey)
- Fitness Pain Free (run by Dan Pope)
- Champion PT & Performance (run by Mike Reinold)
- Mike Boyle Strength & Conditioning (run by Mike Boyle)
- The Barbell Physio (run by Zach Long)
- John Rusin