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Case Study Integration: Cervical – Foraminal Stenosis

Spine
Clinical Reasoning
13 hrs
Case Study Integration: Cervical – Foraminal Stenosis course thumbnail

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Instructors

Valerie Phelps, course instructor

Valerie Phelps

PT ScD OCS FAAOMPT

Graduated with a degree in physical therapy from the University of Minnesota in 1981. She was certified by the International Academy of Orthopedic Medicine, IAOM, in orthopedic manual therapy in 1989, and became an international instructor for the IAOM in 1994. Dr. Phelps became a Board-Certified Orthopedic Specialist, OCS, through the American Board of Physical Therapy Specialties in 2003. She is a Fellow with the American Academy of Orthopedic Manual Physical Therapists, FAAOMPT since 2004. She graduated with a terminal professional degree, a Doctor of Science, ScD, in Physical Therapy from Texas Tech University, Lubbock TX, in December 2011. Along with being the founder and current senior faculty of the IAOM-US, (www.iaom-us.com) she has lectured throughout the United States and Europe. Dr. Phelps has co-authored several books, book chapters, and numerous peer review journal articles. She is the founder of, and currently practices at, Advanced Physical Therapy (www.aptak.com) in Anchorage.

Kasey Miller, course instructor

Kasey Miller

DPT, FAAOMPT

Kasey received his DPT from Kansas University Medical Center in 2016. He has been faculty with the IAOM-US for 5 years and has been instrumental in developing online webinars as well as teaching throughout the United States. He became a Fellow of the American Academy of Orthopedic Manual Therapists in 2021. Kasey is the clinical director and a full-time clinician at Modern Physical Therapy in Kansas City, MO.

Jean-Michel Brismée, course instructor

Jean-Michel Brismée

PT ScD OCS FAAOMPT

Jean-Michel graduated in 1985 from the Catholic University of Louvain, Belgium. In 2000 Jean-Michel completed his IAOM-US certification in Diagnostics and Orthopaedic Manual Therapy. He completed a MS in Sports Medicine – Exercise Physiology from Texas Tech University. In 2003, Jean-Michel completed his ScD in Physical Therapy from TTUHSC. He is a Professor of the Doctor of Science (ScD) Program in Physical Therapy at TTUHSC. He is the director of the IAOM-US Fellowship Program, Editor-in-Chief of the Journal of Manual and Manipulative Therapy, and practices at University Medical Center in an outpatient orthopedic clinic in Lubbock, Texas. He is full time faculty in the Doctor of Science in Rehabilitation Sciences program at Texas Tech University in Lubbock Texas. Dr. Brismée has authored and co-authored research articles, book chapters, numerous international conference platform and poster presentations.

John Woolf, course instructor

John Woolf

PT MS ATC PhD COMT

John is a physical therapist and athletic trainer. He studied physical therapy at Northern Arizona University and soon after completing a Master’s degree in biomechanics and motor control at the University of Arizona. He was the Head Athletic Trainer and Director of Sports Medicine for the University of Arizona and then entered private practice at ProActive Physical Therapy in Tucson, AZ where he was the CEO of a 9-clinic organization. His content expertise is focused on the application of a biopsychosocial approach to healthcare. With courses integrating rehabilitation science with psychology and neuroscience, he provides healthcare providers with a deep and broad understanding of how patients and healthcare providers create a therapeutic alliance for better outcomes. He explores these topics with clients through a coaching and consulting company, Patient Success Systems, that provides healthcare providers and organizations with systems and specific training to improve outcomes through patient-provider relationship training, change language, and relationship-centered care. He has recently completed a Ph.D. in performance psychology at Grand Canyon University in Arizona. He has lectured as clinical faculty at the University of Arizona’s Surgical and Non-surgical Sports Medicine Fellowship Programs in the Department of Orthopedic Surgery and Integrative Medicine Program and served as clinical faculty in the AT Still University Orthopedic Physical Therapy Residency program.

Haley Main, course instructor

Haley Main

DPT OCS COMT GTS

Haley earned her Bachelor of Natural and Applied Sciences while excelling as an Academic All-American Cross-Country Athlete. She went on to get her Doctor of Physical Therapy at Harding University in Searcy, AR. Haley certified in Orthopedic Manual Therapist in the spine and extremities through the IAOM-US and is a Graston Technique Specialist (GTS). She has been faculty with the IAOM-US since 2018 and has been instrumental in developing online lectures for the IAOM NEXT series as well as teaching IAOM-US Hybrid courses throughout the United States. She is a full-time clinician and Director of Clinical Education at Searcy Physical Therapy in Arkansas.

Jacqueline Doidge, course instructor

Jacqueline Doidge

PT

Jackie trained in Canada, Jackie has worked as a physical therapist for 46 years specializing in orthopaedics, chronic pain, manual therapies and since 2018, pelvic rehab. She lived in South Africa from 1983 to 1993, and began studying dry needling and medical acupuncture with Claire Waumsley in 1985. Jackie spent 5 years as a lecturer with the University of Cape Town teaching manual techniques, including trigger point therapy, to physiotherapy undergraduates. She has studied superficial dry needling under Dr. Peter Baldry and IMS with Dr. Chan Gunn. For the past 26 years, she has lived in Tucson, Arizona, and has helped to bring dry needling to a large hospital system there. She began bringing ODNS lecturers to teach dry needling courses in the US in 2013, and began teaching the ODNS courses in 2015. Since that time she has taught throughout the US, in Kenya, Oman, UAE, Romania and Bulgaria. ODNS partners with IAOM-US to present their courses in North America; Jackie is a faculty member with IAOM-US and has taken the lead in bringing dry needling to practitioners in the US

Brent Denny, course instructor

Brent Denny

PT ScD FAAOMPT

This this Brent Denny new bio: Brent earned his entry level Doctor of Physical Therapy (DPT) degree from Texas Tech Health Sciences Center (TTUHSC) in 2011. His primary practice included outpatient orthopedics in the Texas hill country from (2011-2021), New Hampshire (2022), and Alaska (2022). Within this timeframe he achieved certification in orthopedic manual therapy through the International Academy of Orthopaedic Medicine (IAOM-US) in upper spine (2014), lower spine (2015), lower extremity (2017), and upper extremity (2020). He Completed his fellowship in manual therapy through IAOM-US in 2021. He achieved his terminal Doctor of Science (ScD) in Physical Therapy in 2018 through TTUHSC. He joined the University of St. Augustine as core faculty the winter of 2022 and continues as adjunct faculty in the ScD program at TTUHSC. He instructs continuing education courses in sensorimotor control, differential diagnosis, and management courses with the IAOM-US.

Phillip S. Sizer Jr., course instructor

Phillip S. Sizer Jr.

PT PhD OCS FAAOMPT

Phil graduated in 1985 from the University of Texas, Medical Branch in Galveston TX. He received a MEd in exercise science from TTU in 1993. He earned his PhD with a motor control emphasis from Texas Tech University in 2002. For decades, Dr. Sizer served as a Senior Clinician in an orthopedic clinic, Program Director of the Doctor of Science Program in Physical Therapy, as well as the Director of the Clinical Musculoskeletal Research Laboratory, at TTUHSC. He is currently an Endowed Professor in Pain Science, TTUHSC President’s University Distinguished Professor, and the Associate Dean for Research for the School of Health Professions, as well as Senior Faculty in the ScD (PT), PhD (Rehabilitation Sciences) and Medical Pain Fellowship Programs at TTUHSC

Becky Sherwin, course instructor

Becky Sherwin

PT FAAOMPT

Becky graduated from Louisiana State University with a Masters in Physical Therapy in 1998. She completed her Spine Certification in 2012 and her Extremity Certification in 2017. She graduated May 2020 with a Doctor of Science in Physical Therapy from Texas Tech University in Lubbock Texas. Her dissertation on Evaluation and Management of Temporomandibular Disorders led to new courses and lectures offered by the IAOM-US. Until recently she was employed by Melanie Massey Physical Therapy and was Director of the Adult Clinic in West Monroe, LA. More recently she became a full-time clinician at NELA Rehabilitation in West Monroe, LA.

Description

13 Contact hours/ 1.3 CEU’s – Online Course This online self-paced course takes an in-depth look at a complex cervical case that involves lower cervical foraminal stenosis as a primary diagnosis and concordant painful temporomandibular dysfunction. The case examines advanced concepts in related anatomy and pathology, clinical testing, and comprehensive treatment approaches that address not only the pain generators but also numerous dysfunctions in the kinetic chain of the lower cervical spine: upper cervical and upper thoracic segments, upper ribs, and associated myofascial structures. Treatment strategies span soft tissue and joint mobilization, dry needling, sensorimotor control strategies and specific exercises, and communication for optimal compliance and outcomes. Special topic includes differential diagnosis of cervicogenic headache and temporomandibular dysfunction. Target Group: PT, PTA, OT, OTA, ATC Educational Level: Intermediate

Course outline PDF

Objectives

  • Analyze patient history, based on pathoanatomy and biomechanics of the cervical spine and temporomandibular joint, to formulate a working hypothesis of pathology prior to initiating the clinical examination.
  • Establish a sound clinical diagnosis for physical therapy by thorough interpretation of clinical examination findings.
  • Select specific clinical tests that are the most informative for diagnosis, causal factor, and perpetuator confirmation in a patient with primarily lower cervical stenosis symptoms.
  • Create a comprehensive plan of care that includes all the following: soft tissue and joint specific manual therapy, dry needling, and appropriate sensorimotor control strategies focused on control of cervical motion and load.
  • Prioritize selective functional testing that supports the specific exercise program prescribed for a patient with cervical stenosis and temporomandibular dysfunction.
  • Practice evidence-based psychosocial approaches, to engage and promote the patient-clinician relationship that leads to building rapport, optimal compliance, and better functional and clinical outcomes.
  • Examine a patient condition related to the various contributors to cervicogenic headache and outline a plan of care specific to the problem.
  • Apply a multifocal approach in treatment that includes recognition and treatment of contributing dysfunction from the kinetic chain, such as upper thoracic spine and ribs.

CEU Approval Notice: It is the learner's responsibility to confirm that this course meets the continuing education requirements of their state licensing board or professional association. Pre-approvals listed reflect the organizations that have reviewed and approved this activity; approval in your specific jurisdiction is not guaranteed.