Differential Diagnosis of the Upper Quadrant On-Site Training
This course will combine an efficient examination process with evidence based screening principles in order to identify and sequence a custom treatment plan tailored to the dysfunction.
Direct access now demands that clinicians understand and master the art of differential diagnosis as it relates to both neuro-musculoskeletal dysfunctions and co-morbidities. Physical examination and treatment of the upper quadrant requires a thorough understanding of the pathomechanics of the shoulder complex, cervico-thoracic complex and upper ribs. Upper quadrant dysfunction in any of these specified regions can influence pain, posture and motion of the entire core and peripheral joints. Therefore, clinicians need to possess a solid skill set utilizing evidence-based examination, diagnosis and intervention strategies to manage both primary and secondary disorders in this region. This course will combine an efficient examination process with evidence based screening principles in order to identify and sequence a custom treatment plan tailored to the dysfunction. Hands on lab sessions will further facilitate proper examination and treatment interventions involving evidence based special testing, manual therapy and exercise prescription. Finally, case scenarios will be incorporated to pair clinical reasoning to situations that are encountered in the clinical setting.
Chris Fiander PT, DPT, OCS, CSCS is a clinician, researcher, author and educator within the Duke University Health System who currently serves as an active instructor within Duke University?s Doctorate of Physical Therapy program with teaching responsibilities in manual therapy, musculoskeletal evaluation, differential diagnosis, clinical reasoning and treatment. Additionally, he is an adjunct faculty member in Duke?s manual therapy fellowship program. Chris earned a Master of Physical Therapy Degree from Boston University Sargent College of Health and Rehabilitation Sciences and the Doctor of Physical Therapy Degree from Massachusetts General Hospital Institute of Health Professions. He is a board certified Orthopaedic Clinical Specialist through the American Physical Therapy Association. His clinical practice focuses on rehabilitation of the shoulder, spine and hip with special interests in manual therapy, functional training and pain management. Chris has contributed to multiple manual therapy texts and is an active reviewer for the Journal of Manual and Manipulative Therapy. He combines an eclectic clinical approach with academic experience in applying evidence based principles to the examination and management of musculoskeletal dysfunction.
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