The aim of this course is to give you an overview of the important goals, outcomes and management strategies up to 6 weeks following ACL reconstruction. It will not teach practical skills or lead to any clinical qualification. It is your responsibility to practice within your scope of practice within your country or state.
In this course you will be introduced to the nine phases of rehabilitation following ACL reconstruction, how to set realistic time frames, and when to move your patient to the following phase. You will also learn how to select appropriate exercise parameters for each phase.
The course discusses the final phases of rehabilitation before returning to sport and how to prepare athletes on high demanding sport-specific skills to prevent ACL-reinjury. It also takes into consideration the associated psychological factors and factors that predict outcomes after ACL-reconstruction.
This programme of courses and assignment will provide you with the foundational knowledge of ACL anatomy, injury and repair. It will cover rehabilitation planning through the different phases of ACL recovery up to full return to sport.
Dans ce module, nous en apprendrons davantage sur le processus détaillé d'adaptation afin d'assurer l'ajustement correct pour chaque utilisateur de fauteuil roulant. Une fois que la personne est correctement installée dans le fauteuil roulant, nous examinerons la formation des utilisateurs en termes de développement de compétences spécifiques adaptées à leurs besoins et à leur environnement et nous examinerons également l'importance de l'entretien régulier.
This course complements existing knowledge of ethical principles, values and frameworks to explore more specific methods and concepts of ethical decision-making in physiotherapy. It takes a deep dive into more defined situations where ethical dilemmas may occur and explores concepts to surmount these. There will be a strong element of analysing real life scenarios in the discussions, so be prepared to share your thoughts and experiences with others, this will allow us to explore our own professional values, to learn from and with others on this course.
Parkinson’s, as a condition, has an enormous impact on daily living. People with Parkinson’s will develop difficulties with walking, keeping their balance, and may have experienced, or be at risk of falling. For these individuals changing position is challenging, as is the maintenance of a good posture over the course of the disease process. Physiotherapists play a vital role in supporting people with Parkinson’s. In order to make the appropriate clinical decisions, a thorough assessment of the person's physical limitations should be undertaken. This course includes the primary elements of such an assessment, relevant outcome measures, a model for falls assessment and prediction and also important parts of the European Physiotherapy Guidelines for Parkinson’s Disease.
This course will cover the key definitions in physical activity, as well as the benefits, physiological adaptations, possible associated risks and global patterns of physical activity. It will not teach practical skills or lead to any clinical qualification. It is your responsibility to practice within your scope of practice within your country or state.
Blood Flow Restriction Therapy is a technique that uses a cuff to apply external pressure to a limb with the intention of occluding venous outflow whilst maintaining partial arterial inflow. The occluded limb is then exercised at a submaximal level. This low load exercise with blood flow restriction can increase muscle strength and size more effectively than low load exercises with no restriction. BFR can be very helpful in a clinical setting where patients cannot exercise at high intensity.
This course will provide you with a basic introduction to blood flow restriction therapy and its application in clinical practice.
Cervical arterial dysfunction (CAD) is term a used in physiotherapy to cover a variety of vascular pathologies which can cause restrictions in blood flow to the brain. When assessing and treating the cervical spine, it is vital to understand diseases of the blood vessels that can present with pain and also to be able to assess the level of risk of a patient experiencing an arterial flow restriction during a physiotherapy assessment or treatment. In this course you will learn from a topic specialists how to make safe clinical decisions that take into account these very serious issues and how the related framework for clinical practice is being updated in 2018.
Cailbhe Doherty will share his research on chronic ankle instability, then we will have a more in depth look into the development of chronic ankle instability, sensorimotor deficits linked to chronic ankle instability, risk prediction, and ways to prevent and manage it. This course will not teach practical skills or lead to any clinical qualification.
This course explores four most common causes of shoulder pain and impairment: rotator cuff / subacromial related, capsular related, glenohumeral instability, and acromioclavicular joint disease. Clinical reasoning skills to differentiate between these presentations will be covered, as well as understanding what affects prognosis including psychosocial factors that affect shoulder pain.
Making the correct diagnosis when tendons are involved is essential to correctly managing the condition. It is useful when clinically reasoning to understand the load and capacity dynamics of tendons. There are tensile, compressive and shearing loads that contribute to tendon pathology and, depending on the capacity of the tendon, these can cause different pathology within the tendons and surrounding structures. There are also key clinical signs and symptoms that can help you accurately diagnose tendinopathy. This course will cover the different types of load that can contribute to tendon pathology and give you some insights into how to clinically reason between various tendon pathologies.
The course will introduce clinical reflection for both the student and the clinician. The different types of reflection will be introduced as well as clinical reasoning and how it is different for the novice and experienced physiotherapist. Clinical reflection for portfolio writing and tips for developing reflection skills will be discussed.
Different Reflective Frameworks will be discussed with information on how and when to apply them for Clinical Reflection. Reflective writing and thinking will be explored for both the student and the practising Physical Therapist / Physiotherapist. Practical advice will be shared on how to undertake Critical Reflection in different situations.
Running injuries occur due to a number of intrinsic and extrinsic factors. Running biomechanics and kinematic patterns contribute to the way the body absorbs ground forces. Poor running form can significantly increase the size of these forces and result in damaging tissue and joint loading. Identifying the primary error in a runners biomechanics can help to develop a management plan to comprehensively address their symptoms.
In this course we explore Dysfunctional Breathing. It has been reported that around 10% of patients can exhibit hyperventilation syndrome, a condition at the extreme end of the dysfunctional breathing scale. However a much greater number of people have a more subtle, yet clinically significant, breathing pattern disorder. These breathing disorders can mimic many pain presentations including back and neck pain and so it is very important that we are aware of the potential for this to be a part of our clients presentation so that we can manage them effectively.
Ce module donne un aperçu des étapes de la fourniture d'un fauteuil roulant approprié, suivi d'une analyse plus détaillée du processus d'évaluation, de prescription et de préparation des fauteuils roulants.
For good ethical clinical decision making healthcare practitioners should utilise a knowledge of ethics that includes an understanding of the underlying basis for ethical principles such as respect for autonomy and justice, and an awareness of the influence one's personal beliefs and values might exert in the decision-making process.
This programme of courses and assignment will provide a solid theoretical foundation of ethical principles combined with discussions and reflections of real scenarios that will be shared. It will explore different ethical practice frameworks and experiences from around the world and you will learn how to support sound arguments in the decision making process to justify your decisions. In learning how to apply these ethical reasoning theories and frameworks into your daily practice you may develop an inner roadmap to guide you and your patients safely through challenging situations considering rights and values of all concerned parties.
Evidence based practice (EBP) has now been a part of our profession for over 20 years. The term and methodology was conceived in 1992 and in more recent years has been challenged. It remains an important part of our practice and should be utilised on a daily basis. This is facilitated by the development of enabling tools however in many circumstances it remains difficult to implement due to barriers that continue to exist. One thing is for sure, we should all know about EBP, understand the concepts and appreciate these barriers and challenges. This course will guide you through the EBP process, directing you to many informative resources along the way.
The course starts by looking into private practice and palliative care. You will learn how to be culturally competent and also manage professional relationships. Finally considerations for telemedicine and sports medicine are explored. You will be able to apply the things learned on this course into any part of your professional life.
Fat Pad Syndrome or Hoffa’s disease is a common source of anterior knee pain. The infrapatellar fat pad has also been identified as a key component in knee osteoarthritis and inflammation. This course discusses the different roles of the fat pad and gives you practical techniques for accurate diagnosis and proper management for conditions relating to this structure.
This course introduces the foot and ankle complex for development of foundation knowledge that will enable you to effectively assess and treat foot and ankle conditions. Following an initial revision of the anatomy, structure and function of the foot and ankle we will explore common traumatic and pathological presentations in both the foot and ankle. This course will have a strong emphasis on differential diagnosis, to try and develop your clinical reasoning skills within this area.
Mental Health is every physiotherapist's / physical therapist's business. As a key component of the bio-psycho-socio model used to understand a patient's individual circumstances, Mental Health concerns in physical therapy are not just confined to those patients who have psychiatric diagnoses. Mental Health issues can accompany a broad range of different health conditions, such as diabetes, stroke, amputation, cancer, chronic pain or childhood disabilities. As a healthcare professional with a long term personal relationship with their client, a physiotherapist is in a unique position to be able to identify and address this aspect of their patients well being. This is leading to the growing use of physiotherapy approaches in the treatment of patients even with severe mental health problems worldwide.
In addition to having knowledge of ethical principles and an understanding of ones own moral values, the practice of physiotherapy is governed by various ethical frameworks such as laws, regulations, policies, and guidelines. It is important for physiotherapists to be familiar with these and to understand when each is applicable to a given practice setting and/or specific patient.
We have examined some of the biggest challenges to Global Health. Now we will take a look at Global Health Governance and examine Health Care Systems to understand their impact on Global Health Challenges. Finally we will review the historical development of Physiotherapy and consider the Role of the Physiotherapist in Global Health in the 21st Century.
Improving the health and quality of life of the people of the world is a high level aim identified by the WCPT for the profession of physical therapy / physiotherapy. The concept of Global Health provides the perspectives and tools necessary to ensure the activities of the profession are optimised in order to strive most effectively towards this goal. This comprehensive programme of online courses will examine the emergence of the global health discipline and explore how this perspective is relevant to the profession as a whole and is also relevant to each of us in our daily practice as individual clinicians.
This course will cover the concept of social determinants of health and inactivity. It will provide a global overview of physical activity and explore the differences seen between various population groups and also cover global strategies being used to improve these activity levels. It will not teach practical skills or lead to any clinical qualification. It is your responsibility to practice within your scope of practice within your country or state.
This course will cover the results from a recent gluteal tendinopathy study, pathoanatomy, clinical presentation, examination, load management, patient education and exercise for gluteal tendinopathy. It will not teach practical skills or lead to any clinical qualification.
Being physical therapists / physiotherapists or healthcare professionals, we are fortunate for the care and support we provide and the roles we play in helping others. But did you ever consider that your role as a physiotherapist may leave the patient with an unpleasant experience? Do you always put yourself in your patient’s shoes? Do you think you always know what's best for your patients? In this course you will learn about informed consent in light of ethical and moral practice. It will leave you reflecting on your clinical practice, how to include your patients in the decision-making process and how to respect their autonomy and dignity.
During this course we will come to understand what we need to consider as we prescribe exercise. Then we will consider adherence by looking at barriers to exercise and how we might motivate people to be more physically active. We are going to look at how we measure and quantify physical activity and learn how we can integrate physical activity into our clinical practice and encourage physical activity in larger populations at a community level. Lastly, we will also explore physical activity leadership and consider how we can all become physical activity leaders.
This course will explore the clinical presentation, causes, differential diagnosis, evaluation, examination and management of Internal Shoulder Impingement. It will not teach practical skills or lead to any clinical qualification.
Le cours fournira un cadre permettant d'intégrer les principes théoriques de la prestation de services en fauteuil roulant dans tous les contextes. Il présentera le rôle du fauteuil roulant dans la mobilité, explorera l'évaluation et les rôles de l'équipe multidisciplinaire dans la prestation de services en fauteuil roulant et fournir une compréhension théorique des techniques de gestion et des considérations cliniques connexes. Il n'enseignera pas de compétences pratiques et ne mènera à aucune qualification clinique. Le réseau mondial formé grâce à ce cours permettra le partage des connaissances et des expériences pour soutenir de bons soins de santé et une meilleure qualité de vie pour les personnes qui ont besoin d'un fauteuil roulant pour se déplacer dans le monde entier.
What is Global Health? What do we actually mean by the term, how do we measure it and why is it important. Is it even relevant for us as physiotherapists? Is it a new paradigm or is it just a current trend or fashion? We need to be able to answer these questions in order to understand and develop our role as physiotherapists within this area. This course will examine the emergence of the global health discipline, examine the ways in which global health can be measured and explore the determinants of health.
Neurology is an extensive topic with many different areas of specialism. This course will provide an overview of physical therapy / physiotherapy practice relating to neurology with many of the different areas touched upon. This topic aims to give you a deeper understanding of the anatomy, function, pathologies, assessment and treatment relating to the broad spectrum of neurology practice based on the latest evidence available.
Parkinson’s is a complex neurodegenerative condition that severely affects how people with this condition live life. It is estimated that seven to ten million people worldwide are living with Parkinson's. Physiotherapists have an integral role to play in the management of this condition working alongside other healthcare professionals. In this course you will learn about the clinical stages of Parkinson’s, criteria of diagnosis, associated symptoms and available treatment options.
Spinal Cord Injury refers to any damage to the spinal cord resulting from trauma, disease or degeneration with symptoms dependant on both the severity of injury and its location on the spinal cord. According to the World Health Organisation there is no reliable estimate of global prevalence of spinal cord injury, but it is estimated that annual global incidence varies from 40 to 80 cases per million population, which means between 250,000 to 500,000 people acquire a spinal cord injury every year. Approximately 90% of these cases occur as a result of traumatic causes, though the proportion of non-traumatic spinal cord injury appears to be growing. This course will focus on developing an understanding of spinal cord injury; what it is, what causes it, how often it occurs, what you might expect to see, the impacts it has on movement and what other associated conditions may occur. We need to be able to answer these questions in order to understand our role as physiotherapists in the management of spinal cord injury.
The knee is an enormous topic that we are unable to cover comprehensively in one course. This course will be a general introduction to develop an initial knowledge base that provides a good grounding to enable you to understand any knee condition that presents. We will be revising knee structure and function, exploring common conditions including paediatric conditions, consolidating assessment skills and also exploring current trends in prevention, management and rehabilitation of knee complaints. It is by no means an exhaustive exploration of the knee and we advise you to use it as a starting point for your understanding of treating knees.
Initially this course will explore the epidemiology of shoulder injuries globally and locally within your community allowing you to assess the impact of injuries to the shoulder in your individual context. This is followed by a review of shoulder structure and function which ensures a good foundation of knowledge for effective clinical reasoning. Age-related differences can have an impact on clinical reasoning, which will be explored in the paediatric and older populations. Finally the currently used classification systems for individuals with shoulder pain will be covered and how you might utilise these in your practice.
This course will focus on developing an understanding of Traumatic Brain Injury; what it is, what causes it, how often it occurs, what you might expect to see, the impacts it has on movement and function, and what other associated conditions may occur. We need to be able to answer these questions in order to understand our role as physiotherapists in the management of traumatic brain injury.
The course will provide a framework to develop theoretical principles for the management of wheelchair service delivery in all contexts. It will introduce the role of the wheelchair in mobility, explore assessment and the roles of the multidisciplinary team in wheelchair service delivery, as well as provide a theoretical understanding of management techniques and related clinical considerations. It will not teach practical skills or lead to any clinical qualification. The global network formed through this course will allow for shared knowledge and experiences to support good health care and a better quality of life for individuals who require the use of a wheelchair for mobility around the world.
This course will review the thought process when doing a knee assessment and provide you with useful tips to remember when evaluating a patient. It will also focus on how faulty hip and pelvis mechanics influence knee function under load. The course will not teach practical skills or lead to any clinical qualification.
Crepitus of the knee can be a very alarming symptom for people with knee problems and even those who have no other knee symptoms. It can provoke avoidance behaviours and anxiety responses because of lack of understanding of what the noise is and where it is coming from. Recent studies are showing that a lot of knee crepitus is actually physiological and does not have any impact on knee strength, function and pain. In this course, Claire Robertson explains exactly what crepitus is and how we should educate patients who have “noisy knees”
Coaching and mentoring are both collaborative processes that assist individuals in reaching their full potential. Coaching is generally a shorter term relationship focused on an individual achieving performance driven goals. Mentoring is often an ongoing relationship where a more experienced individual works with someone less experienced on personal and professional growth. Coaching and mentoring both play an important role in personal and professional development in healthcare. This course will equip you with insights and practical skills to develop your effectiveness as both a coach and mentor as part of your portfolio of leadership skills.
Communication is an essential skill. This is especially true in a healthcare setting where patient-centred communication is vital in comprehensive patient care. Not all healthcare practitioners are skilled communicators and this can lead to patient mistrust, incorrect diagnosis and inadequate treatment. This course defines the key elements of communication and explores the qualities of effective communication and explains some common obstacles to communication. Finally communication models such as the awareness wheel and ladder of inference are introduced as tools to improve communication.
Emotional Intelligence (EI) is the ability to recognise, understand and manage the emotions of oneself and of others. It is developed throughout life and can be learnt and improved on. Emotional intelligence has been shown to positively influence work performance, leadership, relationships, patient satisfaction and psychological health. A person’s EI can be assessed and areas of strength and weakness can be identified and worked on.
Change and transitions are a fact of life. They occur all the time and can evoke a range of emotions, from optimism and excitement to fear and anxiety. Change is an event whereas transition is the psychological process that occurs during a change. Healthcare is constantly facing change from the impact of technological advances such as electronic record-keeping, updated treatment protocols and updates to evidence-based practice. Whether you are in a small private practice or working for a large hospital organisation, managing and leading change, and more importantly the transitions involved in the change, is a vital skill. Various models have been created to help better manage and lead change and transition processes. This course will describe and define change and transition as well as differentiate between them. It will explore a variety of models of change and transition as well as a method for assessing change readiness. It will finally guide you through practical applications of the models focused around rehabilitation.
Personal values are broad goals that represent what is important to someone. Beliefs are thought constructs that people apply to themselves, others, the world or the future. Personal values and beliefs help to guide our behaviours and decisions we make. A person's beliefs can be positive or negative and true or untrue. When analysing beliefs by their polarity and accuracy one can see where improvements can be made in their lives. This can be done by reframing untrue beliefs and recognising negative, true beliefs as an opportunity to change.
A therapeutic alliance is the sense of collaboration, warmth, and support between the client and therapist. It is made up of the therapeutic relationship, collaborative goal setting and shared decision making. There is strong evidence to show that a robust therapeutic alliance has positive influences on patient satisfaction and outcomes in rehabilitation.
This course will enable you to understand what a therapeutic alliance is, and show you what you can do to help improve your therapeutic alliance with patients.
In this series of online courses explore the Rehab Leadership Framework with Jason Giesbrecht. This will allow you to develop an understanding of your own Personal Values And Beliefs and also Emotional Intelligence that will influence all aspects of your leadership effectiveness. Then the courses will review seven key aspects of leadership including Effective Communication, Leading Change and Managing Conflict offering practical approaches and tools to support your leadership activities.
Ce cours vous donnera d'abord une compréhension plus approfondie de la neuroanatomie et de la neurophysiologie liées à l'AVC. Puis, en explorant l'épidémiologie et les facteurs de risque, nous parviendrons à comprendre la charge globale de l'AVC et les mesures de prévention auxquelles les kinésithérapeutes peuvent participer. L'évaluation est une compétence clé pour les kinésithérapeutes dans la prise en charge efficace des personnes ayant subi un AVC, nous prendrons en considération les échelles d'évaluation, les mesures des résultats et les rôles de l'équipe multidisciplinaire. Ensuite, sur la base des dernières données disponibles, nous explorerons différentes options de prise en charge pour la réadaptation des présentations aiguës et chroniques. Ce cours mettra fortement l'accent sur le diagnostic différentiel, afin de tester et développer vos capacités de raisonnement clinique dans ce domaine.
Low back pain is a very common health problem worldwide and a major cause of disability – affecting performance at work and general well-being. It affects people of all ages, from children to the elderly, and is a very frequent reason for consultations. The 2010 Global Burden of Disease Study estimated that low back pain is among the top 10 diseases and injuries that account for the highest number of DALYs worldwide. This course will explore low back pain and give you a background understanding to management strategies.
This course will give you an overview of the factors that influence outcomes in a patient with low back pain. Subjective and objective examination will be discussed as well as some treatment strategies. It will not teach practical skills or lead to any clinical qualification.
Parkinson’s is a complex disorder with a wide impact on quality of life. This often challenges the physiotherapist when designing an appropriate individualised management program. After learning about the assessment of Parkinson’s in the previous course you are now about to dive into an intervention framework that considers primary and secondary symptoms of Parkinson’s. Dr. Bhanu Ramaswamy, a physiotherapist consultant specializing in the treatment of older people with neurological conditions, will share with you the aims of physiotherapy when sharing the management of Parkinson’s, and practical intervention strategies to help individuals with the condition fulfil their maximum capabilities.
The course will provide you with practical advice on education, exercises, and treatment modalities for knee pain and will then focus on the specific evidence based treatment options for PFPS. It will not teach practical skills or lead to any clinical qualification.
Each time you work with an individual with spinal cord injury it is a unique experience depending on that individual’s presentation. You will use your knowledge and clinical reasoning skills to develop an individualised management plan specifically for that individual. As such we cannot prescribe to you specifically how to treat individuals with a spinal cord injury but you can use the resources below to inform your practice. We will examine different phases of management of individuals with spinal cord injury: acute, rehabilitation and long term management including best practice guidelines.
The World Disability report mentions that of 93 million children between 1-14 years present with a moderate to severe disability and 13 million with a severe disability. In low and middle-income countries, the literature reports a prevalence ranging from 0.4% to 12.7%. It also highlights that children in low and middle-income countries are exposed to multiple risks including poverty, malnutrition, poor health, and unstimulating environment, which can further impair their condition (WHO, 2011).
The ICRC Physical Rehabilitation Department is working in 30 countries in situations of conflict/post conflict and witnesses that the situation of children with Cerebral Palsy merits increased attention and care. Indeed, not only the prevalence is very high but those children and their families often don’t received basic minimal care, which ensures them an acceptable quality of life. For the families this adds an additional burden to an already challenging life (ICRC, Annual Report 2015).
Many professionals around the world neither benefit from any specialized training in paediatrics nor have access to the current literature. The ICRC Physical Rehabilitation Department have identified education in Cerebral Palsy as a priority. Through this course, the ICRC and Physiopedia aim to provide physiotherapists and other health related professionals free access to quality information on managing children with Cerebral Palsy, the ultimate goal being to increase theoretical knowledge as a basis for sound rehabilitation practice.
This course does not intend to discuss or debate on advanced theories, techniques or build on additional advances in research as there are many specialists around the world who already do a great job. The ultimate goal of this course is first of all to provide physiotherapists and other health professionals involved in the management of children with Cerebral Palsy around the world basic knowledge and references, which will further increase their knowledge and most probably their competencies. They will then be in the position to find, read, critically appraise and choose the references and techniques appropriate to their needs and context.
We also hope that the information shared will prevent physiotherapy interventions too far away from evidence based practice or even malpractice. Indeed, children with Cerebral Palsy should not cry during treatment, be systematically placed under electrophysical agents or benefit merely from passive or active range of movement. Mothers should not walk for hours to get the information and hope that their children will be “cured”.
Last but not least, we hope again to bridge the gap between professionals from low and high income countries and therefore enlarge the community of practice in the field of Cerebral Palsy for the benefit of all, children, families and professionals. For clinicians working in under resourced regions the magnitude of this problem is self evident, a paradigm shift in response to the need is essential to begin to give children with Cerebral Palsy a meaningful life.
“Children are a quality of life ... when our children are happy, then we are better as human beings." Whoopi Goldberg
The course will provide a framework to develop theoretical principles for the management of children with clubfoot relevant in all contexts. It will introduce the pathoanatomy, etiology and epidemiology underpinning idiopathic clubfoot, including: idiopathic in an infant, idiopathic clubfoot in the older child, relapse and atypical clubfoot. The course will explore assessment and the roles of the multidisciplinary team, as well as provide a theoretical understanding of management techniques and related clinical considerations. It will not teach practical skills or lead to any clinical qualification. The global network formed through this course will allow for shared knowledge and experiences to support good health care and a better quality of life for children with clubfoot around the world.
Tendinopathy is a common condition that we see regularly in the clinic. There is much research available on this topic and new knowledge emerging all the time. This programme of short courses from tendon pain specialist Ebonie Rio takes a specific look at clinical reasoning, tendon plasticity, assessment and rehabilitation.
So far we have covered what we mean by the term “Global Health”, how we measure it and why it is important. We have highlighted many of the challenges facing us and discussed the implications for us and discussed our role as physiotherapists. So, how will we meet future Global Health needs? What might global health needs be in the future. This course will consider the future of global health and examine how we as physiotherapists can continue to play a role in addressing these needs.
An increasing body of evidence indicates that mental health issues are responsible for a large proportion of the burden of disability experienced by people across the world. As healthcare practitioners involved in ongoing close personal interaction with clients, physiotherapists need to be aware of the impact of mental health on the conditions experienced and on how their management can positively influence this aspect of their patient's well being. In this programme of courses we will explore a range of relevant topics and explore how physical therapists can tackle this important and complex issue.
This course will review the different models of foot function, clinically relevant tests for the ankle foot complex and the aims of management. It will not teach practical skills or lead to any clinical qualification
Motivational Interviewing is a communication style that facilitates behavioural change. In the physiotherapy setting patients will almost always need to commit to a form of change in their day to day actions, whether it is big or small. Understanding Motivational Interviewing (MI) and developing the communication skills and techniques that support this approach can help patients resolve any feelings of ambivalence to change as well as effectively bring about new behaviours.
This course explores Movement and the Movement System. The Movement System is an important concept for physical therapists to understand; particularly those who seek to achieve the full potential of their critically important role in supporting a healthy society. Movement is the action of an entire system and its component parts; these include muscular, skeletal, neurologic, cardiovascular, pulmonary, and metabolic components. This course will explore some of the basics of understanding movement and go on to explore the current thinking on Movement and the Movement System.
The deep and superficial muscles of the neck will be reviewed as well as how their function changes in the presence of pain. Assessment and rehabilitation strategies for the cervical flexor and extensor muscles will be discussed. This course will not lead to any clinical qualification and clinicians should only apply the mentioned management and assessment strategies if it falls within their scope of practice.
Initially this course will explore the epidemiology of neck pain globally and locally within your community allowing you to assess the impact of Neck pain in your individual context. This is followed by a review of neck structure and function which ensures a good foundation of knowledge for effective clinical reasoning. Assessment is a key skill for Physiotherapists and Physical Therapists to effectively manage individuals with Neck Pain, we will consider key assessment skills, specific techniques and appropriate outcome measures. Then, based on the latest evidence available, we will explore different management options for acute and chronic presentations. This course will have a strong emphasis on differential diagnosis, to try and develop your clinical reasoning skills within this area.
Considering the potential for postoperative complications, a small percentage of patients with ACL injuries might be suitable for non-operative management. An evidence-based set of screening tests can help us identify this group. Rehabilitation concepts are similar for both operative and nonoperative treatment of ACL injuries. However non-operative treatment is different with an increased emphasis on neuromuscular training to restore joint stability.
In the previous courses, you learned more about Parkinson's, assessment, and treatment. In this case study, Dr Bhanu Ramaswamy will share the assessment, treatment planning and post-treatment results of an example patient. This case study considers the application of two specific measures used to assess and then reviews the outcome of treatment in a person with Parkinson’s. A video allows you to compare your assessment and treatment ideas with notes made by Dr Ramaswamy. The Timed up and go test is validated for people with Parkinson’s, but the ‘Forward and backward walk test’ is a suggested measure given its functional use in treatment decision-making. A third tool, validated for use in Parkinson’s is suggested for you to use with any patients you have with Parkinson’s who are still ambulatory in the community.
Physiotherapists play a crucial role in the assessment, management and rehabilitation of the individual with Parkinson's Disease (PD). This programme of online courses will explore the latest evidence related to PD to assist you in clinical practice with outcome measures, assessment techniques, management approaches and examples through the use of case studies and a final assignment. Throughout these courses Dr Bhanu Ramaswamy will share practical advice that you can integrate into your clinical practice.
A typical case presentation of Parkinson’s may not always be straightforward. Your Parkinson's patient may come to your clinic with simple MSK symptoms asking for help. Your role is to assess your patient thoroughly with a solid base of understanding of Parkinson's to design an effective management programme. In this case study, you will get to learn from Dr Bhanu Ramaswamy on how to think when you are assessing and creating a treatment plan for a patient with Parkinson's.
The course will provide you with an overview of the pathology and different stages of tendinopathy. The clinical presentation, and the medical and physical therapy management of patellar tendinopathy will be discussed. It will not teach practical skills or lead to any clinical qualification.
The knee is a complex joint made up from many different anatomical structures. It is joint that is subject to large, dynamic forces over the course of our lives and can often be a cause of pain and disability. In this series of short courses, knee specialist Claire Robertson guides you through many of these conditions and the latest evidence based approaches to their management are identified and explained.
Patellofemoral osteoarthritis occurs in almost 25% of the general population. It is a significant contributor to pain and disability. Research and clinical practice often focuses on tibiofemoral osteoarthritis but the patellofemoral joint often develops osteoarthritis before the tibiofemoral joint. There are a variety of risk factors that contribute to patellofemoral osteoarthritis. Being able to recognise and specifically target these could potentially slow down the progression of the condition as well as effectively manage the symptoms associated with patellofemoral osteoarthritis. In this course, Claire Robertson presents the latest literature on patellofemoral osteoarthritis and the effective management of this condition.
The course will review different antidepressant medications and the physiological effects they have on the body, as well as how these affect physiotherapy exercise prescription. Practical advice will be provided on how to gather information about different medications, and how to relate any medication effects a patient may have to the rest of the interdisciplinary team. Note - this course will not teach practical skills or lead to any clinical qualification or prescription rights.
This course will review different pharmacological pain management drugs including their actions and side-effects. A topic expert will provide advice on the considering a patient’s pharmacological uses or needs during therapy. The course will not teach practical skills or lead to any clinical qualification or prescription rights.
Physical activity (PA) and exercise are increasingly being recognised as efficacious components of treatment for various mental health disorders. There is now increasing evidence supporting the inclusion of PA programs as an adjunct to treatment for various conditions for depression, schizophrenia, anxiety disorders, post-traumatic stress disorder and substance abuse. These research results support the inclusion of clinical PA programs within mental health treatment, facilitated by dedicated clinicians (exercise physiologists/physiotherapists) and there are now many examples of successful integration of clinical PA programs within mental health treatment facilities.
Physical inactivity has a major health effect worldwide. It has been identified as a leading risk factor for global mortality causing more than 5 million deaths globally per year. Of the deaths attributable to physical inactivity, 2.6 million are in low- and middle-income countries (LMICs). While physical inactivity is more prevalent in high- and middle-income countries, even in low-income countries it is among the top ten risk factors contributing to death.
The global physical inactivity crisis, and the epidemic of life-style related diseases (non-communicable diseases or NCDs) has created an urgent need for health care professionals to develop effective approaches for including physical activity into patient interactions. Creating a more active population requires joined up thinking and action from many health care professionals and related stakeholders.
En 2017, Physiopedia, le Comité international de la Croix-Rouge (CICR) et l'Initiative mondiale Clubfoot (GCI) collaborent pour dispenser une formation en ligne gratuite intitulée "Pied Bot".
Le pied bot est une malformation complexe et congénitale du pied, également appelée "Pied Bot Varus Equin" (PBVE), causée par le développement anormal des os, des ligaments et des muscles du bébé pendant la grossesse. Dans le monde entier, 150 000 à 200 000 bébés naissent chaque année avec des pieds bots, dont environ 80 % dans les pays à faible et moyen revenus. Sans traitement, la malformation du pied bot entraîne une incapacité permanente, car l'individu atteint éprouve des douleurs et des difficultés à marcher. Les personnes dont les pieds bots ne sont pas traités éprouvent des difficultés à accéder à l'éducation, à l'emploi et sont victimes d'exclusion de la société. Cependant, la plupart des cas de pieds bots peuvent être traités avec succès par une équipe multidisciplinaire de travailleurs de la santé utilisant des méthodes pouvant inclure une combinaison d'étirements, de plâtres et d'attelles.
This course will explore the four indicators identified by research as reliable predictors of ultimate recovery from whiplash injury. Learn how to identify each of these factors during patient assessment and how to interpret these findings. In particular discover how these should influence your approach to clinical management during the acute and chronic phases of whiplash symptoms. Please note that this course will not teach practical skills or lead to a clinical qualification.
Dans ce module, nous en apprendrons davantage sur les services en fauteuil roulant, examinerons les différents modèles de prestation de services en fauteuil roulant et développerons une compréhension de la fourniture de fauteuils roulants dans votre région, pays ou district. Nous envisagerons également les prochaines étapes dans le développement de vos connaissances et de vos compétences en matière de fourniture de fauteuils roulants.
This course initially explores the key principles of exercise rehabilitation in relation to the physical stress theory, effects of loading, mobility and rigidity and the influence of pain. These are then discussed in relation to rehabilitation considerations which will ultimately enable us to understand loading in relation to the tissue and the individuals needs, and apply a series of loading experiences to an individual to achieve intended outcomes.
La paralysie cérébrale est l’un des troubles les plus courants du développement de l’enfant, avec une incidence de 2 à 2,5 pour 1 000 naissances vivantes. La pathologie a potentiellement un impact majeur sur la qualité de vie et l’implication dans la société de l'enfant atteint de paralysie cérébrale. La qualité de vie de la famille de l'enfant est également affectée, ce qui a des conséquences sur la capacité des parents de travailler, de se loger et de s'occuper d'un jeune enfant handicapé tout au long de leur enfance et jusqu'à l'âge adulte. La pathologie a également un impact majeur sur les services de santé, les services sociaux et l’éducation avec la survie croissante des enfants les plus gravement atteints.
Rebound Therapy is the therapeutic use of trampolines. It is used clinically to facilitate movement, improve balance, impact muscle tone, improve communication, promote relaxation as well as improve fitness and exercise capacity. It is a therapeutic intervention aimed at populations with special needs and can benefit a wide range of individuals including those with physical disabilities, learning difficulties, sensory impairments and those on the autistic spectrum. This course will focus on an introduction to Rebound Therapy; its indications; contraindications; safety considerations; measuring and recording progress as well as practical examples of Rebound Therapy for physically challenged patients with Cerebral Palsy and Profound and Multiple Learning Disabilities as well as able-bodied individuals with learning disabilities.
This course does not imply validation as a Rebound Therapy practitioner, but it does offer useful knowledge for the candidate to operate in an assistant capacity to a qualified Rebound Therapy practitioner. However there is a 30% discount on the full online distance learning Level 2 Rebound Therapy course to all who complete the Physiopedia course and wish to become a validated Rebound Therapy practitioner.
Running injuries occur due to a number of intrinsic and extrinsic factors and developing a comprehensive plan of care to rehabilitate a running injury can be a complicated process. A detailed assessment of the runner will help to identify the source of symptoms as well as any contributing factors involved. This will allow the therapist to develop an individualised plan of care that addresses the runners unique needs.
Are you aware of the implications of the fact that the muscles involved in respiration are also involved in core stability as well as other upper body movements and exercises. Research has demonstrated that exercising to increase the strength and endurance of the respiratory muscles can benefit back pain, balance and falls, artistic and athletic performance as well as address breathing difficulties caused by chronic conditions such as COPD and ageing.
This course will introduce you to the concept of Non-Communicable Diseases and will cover the role of physical activity in 5 diseases. It will not teach practical skills or lead to any clinical qualification. It is your responsibility to work within your scope of practice in your country or state.
Running is one of the most popular sports in the world due to its low cost and the low barriers to participation. It is an exercise that is also linked to weight management and improving cardiovascular capacity. However, about 93% of runners will experience MSK injuries associated with their participation in the activity. As physiotherapists, we can help our clients to identify the mechanical causes of injuries, guide them through the management process and hopefully help them to optimize their athletic potential while avoiding injury.
The course will cover sensorimotor function and impairment in patients with neck pain as well as differentiation, evaluation, and specific management. It will not teach practical skills or lead to any clinical qualification.
This course starts with a review of the principles of shoulder examination. Following this, there is a review of the evidence for orthopaedic special tests of the shoulder and explore when it is appropriate to use them. Next, the course covers shoulder pain and the importance of recognising the differences between acute and chronic pain, and the implications for assessment and management of the patient. Finally outcome measures and diagnostic imaging complete the assessment puzzle.
Shoulder pain is a common musculoskeletal condition that is is recognised as a disabling problem and can be associated with substantial economic burden. It has been reported as being the third most common musculoskeletal complaint presenting to physiotherapy. The pain and disability associated with shoulder pain can have a large impact on individuals and their families, communities, and healthcare systems affecting daily functioning and ability to work.
This course will explore how shoulder pain impacts on global health, review structure and function of the shoulder through the ages, delve into assessment and provide an evidence base for the therapeutic interventions for effective management of the individual with shoulder pain.
Assessment is arguably one of the most important steps in the rehabilitation process, as it provides the information on which clinical reasoning will be based and upon which decision-making is reliant. The treatment efficacy is only as good as the assessment on which it is based and should be an ongoing and continuous process. This course will explore the assessment of Spinal Cord Injury in relation to the World Health Organisation (WHO) International Classification of Functioning, Disability and Health (ICF) and review the range of outcome measures available to utilise across neurological conditions.
Spinal Cord Injury refers to any damage to the Spinal Cord resulting from trauma, disease or degeneration with symptoms dependant on both the severity of injury and its location on the spinal cord. According to the World Health Organisation there is no reliable estimate of global prevalence of Spinal Cord Injury, but it is estimated that annual global incidence varies from 40 to 80 cases per million population, which means between 250,000 to 500,000 people acquire a Spinal Cord Injury every year. Approximately 90% of these cases occur as a result of traumatic causes, though the proportion of non-traumatic spinal cord injury appears to be growing.
Spinal Cord Injury is a complex pathology with many different clinical presentations. Best practice requires skills in assessment, treatment and rehabilitation when working with individuals with acute and chronic impairment as a result of a spinal cord injury. Spinal Cord Injury is a large topic area, and can be studied as an area of clinical specialism within Physiotherapy, therefore this programme of courses is by no means exhaustive. These courses will provide an overview of physiotherapy practice relating to Spinal Cord Injury to develop a foundation of knowledge that will enable you to assess and treat individuals with acute and chronic impairment as a result of Spinal Cord Injury. It will provide an understanding of the anatomy, structure, clinical presentation, assessment and management of spinal cord injury based on the latest evidence available.
Sport and Exercise Physiotherapy is now recognised as a specialist area with growing numbers of physiotherapists seeking to work in this diverse and exciting field. People are increasingly encouraged to undertake sport and exercise as part of a healthier lifestyle. Although this has a number of global health benefits, a related caveat is an increased risk of injury. Currently, sporting injuries commonly present to the health professional; these injuries present a unique challenge in terms of their aetiology, management and potential for recurrence.
The responsibility of the pitch-side medical team has never been higher. Sport related healthcare professionals are under more and more scrutiny in terms of skill maintenance and professional development. The pitch-side physiotherapist has a duty of care to the team, but also a responsibility to update and improve their skills. This course will provide an introduction to the management of pitch side trauma. Physiotherapists working within Sport need to respond appropriately to acute injury or illness in both training and competition contexts, and require specific qualifications relating to cardiopulmonary resuscitation and first responder skills.
Sport is an enormous topic that we are unable to cover comprehensively in one learn topic. This course will focus on developing an initial knowledge base by providing an overview of Sports Physiotherapy Practice based on the latest evidence available. We will be exploring the Role of the Sports Physiotherapist, investigating how we assess sport both on and off the field and also exploring current trends in prevention, management and rehabilitation of sports injuries. It is by no means an exhaustive exploration of Sports Physiotherapy and we advise you to use it as a starting point for your understanding of working within sport.
In 2008 with input from more than twenty-five wheelchair and rehabilitation experts the World Health Organisation (WHO) released guidelines on the provision of manual wheelchairs in less resourced settings. It outlines eight main steps that wheelchair service personnel need to carry out in order to provide a wheelchair. This course provides an overview of the steps to appropriate wheelchair provision followed by a more detailed review of the wheelchair assessment, prescription and preparation process.
The course will have a broad overview of Stratified Care for Low Back Pain and then have a deeper look at the Patient Prognosis Subgrouping with focus on the STarT Back Approach. The course will not teach practical skills or lead to any clinical qualification.
This course will first give you a deeper understanding of neuroanatomy and neuophysiology related to Stroke. Then by exploring epidemiology and risk factors we will come to understand the global burden of Stroke and prevention measures that Physiotherapists can get involved with. Assessment is a key skill for Physiotherapists in performing effective management of individuals following Stroke, we will consider assessment scales, outcome measures and the roles of the multi-disciplinary team. Then, based on the latest evidence available, we will explore different management options for rehabilitation of acute and chronic presentations. This course will have a strong emphasis on differential diagnosis, to try and develop your clinical reasoning skills within this area.
The subjective examination is the starting point in the assessment of any knee condition. Patellofemoral pain is an umbrella term encompassing a wide variety of etiologies. It is important to focus your investigation and a good subjective examination will help guide your physical examination. Asking key questions in your subjective examination helps to identify the root cause of pain and aggravating factors so as to ensure an efficient physical examination leading to appropriate management.
This course will describe the basic anatomy of the knee. It will provide an understanding of how the mechanism of injury can relate to various pathologies. It will identify key questions to ask in the subjective examination that will help to identify the cause of patellofemoral pain as well as explain the common causes of patellofemoral joint dysfunction and the likely presentation thereof.
This course will cover information on muscle reloading and strengthening for lower limb conditions, and provide an evidence based review on gluteus medius strengthening. It will not teach practical skills or lead to any clinical qualification.
Tendon dysfunction is one of the most common soft tissue injuries that we see in our clinics. It's not just related to sports injuries as many un-athletic and even sedentary people can experience tendon dysfunction. It's currently a hot topic of conversation among clinicians and experts online and so we have brought all the most up-to-date information together for you in this online course. This course will explore tendinopathy to give you a deeper understanding of the anatomy, function, pathologies, assessment and treatment based on the latest evidence available.
A thorough assessment is essential in the management of tendinopathy. In the assessment you will not only confirm the diagnosis of tendinopathy and exclude other differential diagnoses, but also determine any contributing and risk factors. The correct diagnosis is important because this will guide the best management approach, which is quite different in tendinopathy compared to other conditions. In this course Ebonie Rio reviews the assessment of lower limb tendinopathy. She explains some key questions to ask in the patient interview, gives insight into clinical reasoning around different diagnoses and provides ideas on how to perform a physical examination.
Lower limb tendinopathy can be very difficult to treat with multiple management strategies and theories suggested. At present, the strongest evidence supports the use of exercise as a management strategy, with tendon loading the only intervention that can change the strength and mechanical properties of a tendon. A 4-stage exercise based tendon rehabilitation programme has been proposed as an effective progressive loading intervention to manage tendinopathy. This programme also incorporates motor control retraining with tendon neuroplastic training. In this course, clinical specialist, Ebonie Rio discusses the fundamentals of rehabilitation and the 4 stage process of tendinopathy rehabilitation. She also briefly discusses the related management of sports players in-season and how to manage their expectations.
Tendons have an amazing ability to adapt to external load. These changes occur on a structural level within the tendon and can result in an increase in anteroposterior diameter. In tendinopathy, it appears that there are also unique changes in excitatory and inhibitory stimuli from the brain to the muscles. In this course, Ebonie Rio will help you understand why the thickening of tendons is actually a good thing. She will also explain the related changes that can occur in the brain and the effect this has on motor control.
Lateral elbow pain or "Tennis Elbow" is a common musculoskeletal condition. Clinicians are often challenged by the clinical assessment and subsequent diagnosis of this condition. This course takes you through the pathophysiological model of Tennis Elbow and explores its clinical presentation and the related evidence-based diagnostic tools.
Tennis Elbow (TE), also known as Lateral Epicondyle Tendinopathy, is a degenerative condition caused by overuse. Some people may present with bilateral pain when gripping which impacts their daily activities and functional tasks. Following on from the Tennis elbow assessment course where we explored the causes and physical examination of Tennis Elbow, in this course you will learn about the evidence-based management options for this condition and how to design a multimodal programme for your patients.
During this course we are going to continue the focus on long term or age related conditions and the role of physical activity but also have a look at some conditions that may only be temporary such as pre and post surgery and pregnancy.
After exploring evidence-based interventions for individuals with shoulder pain and the evidence for conservative physiotherapy management, the course delves into specific management approaches including the Shoulder Symptom Modification Procedure, therapeutic exercise and prescription considerations. To finish off there is the opportunity to discover clinical approaches to management of specific conditions including instability, adhesive capsulitis, rotator cuff related pain and subacromial pain syndrome.
Traumatic Brain Injury (TBI) is defined as a non-progressive injury to the brain which occurred as a result of trauma. It occurs when an external force impacts the brain, & is most often caused by a blow, bump, jolt or penetrating wound to the head. It has been estimated that traumatic brain injury affects over 54 to 60 million people annually leading to either hospitalisation or mortality with low and medium-income countries experiencing nearly three times more cases of traumatic brain injury than high-income countries. It is a complex pathology with many different clinical presentations and best practice requires skills in assessment, treatment and rehabilitation when working with individuals with acute and chronic impairment as a result of a traumatic brain injury.</p-
The 2019 MOOC (Massive Open Online Course) aims to provide a basic theoretical understanding of the management of traumatic brain injury in order to equip physiotherapists with sufficient knowledge to manage a person following a traumatic brain injury. This includes assessing impairments, activity limitations and participation restrictions, setting appropriate goals of treatment, formulating an evidence-based treatment plan, implementing treatment and evaluating its success.
This programme of four courses will involve around 4-6 hours of work each week (depending on your learning style). For each of the four courses, on passing the final quiz and completion of all of the required learning activities participants will receive a completion certificate as well as CPD points and any CEUs available.
Note - Completing the overall TBI course programme with the submission of a written assignment is optional.
More information about this programme of courses is available on the Introduction to Traumatic Brain Injury Course Physiopedia page.
This course will explore the algorithms and different treatment approaches that form part of the Treatment-Based Classification System and explore how to triage patients into these treatment/rehabilitation approaches. The course will not teach practical skills or lead to any clinical qualification.
"The key determinants of health of individuals and populations are the circumstances in which people are born, grow, live, work and age and these circumstances are affected by the social and economic environment.” Sir Michael Marmot, Chair of the Commission on Social Determinants of Health, World Health Organization, August 28, 2008. But what are the biggest Global Health Challenges affecting us? In this course we review emerging trends in global health and take the opportunity to examine in detail some of the major global health issues such as communicable disease, non-communicable disease and the impact of natural disaster and conflict on Global Health. You will also hear from fellow learners around the world about what the most prominent Global Health issues they are experiencing in their country.
Pain is a complex and extensive topic that applies to all physiotherapy and physical therapy practice. As physiotherapists and physical therapists we meet people who are in pain everyday, helping these people is what we do! Pain is an enormous topic that we are unable to cover in one course but as a very important part of our knowledge base this learn topic will provide an overview of current understanding of pain mechanisms and practice based on the latest evidence available. We'll be exploring what pain is, looking at chronic pain and the psychology of pain, investigating how we assess pain and also exploring current trends in pain management and rehabilitation. It is by no means an exhaustive exploration of pain and we advise you to use it as a starting point for your understanding of pain.
There is more to enabling someone with a wheelchair than simply providing a wheelchair. It must fit correctly and the user must have the skills to use and maintain this assistive device. In this course we will be learning more about the detailed fitting process to ensure the correct fit for each individual wheelchair user. Once we have the individual adequately set up in the wheelchair we will then consider user training in terms of development of specific skills relevant to their needs and environment and also review the importance of ongoing maintenance.
Wheelchair Services provide the framework for assessing individual user needs, assist in selecting an appropriate wheelchair, train users and caregivers, and provide ongoing support and referral to other services where appropriate. This course will consider Wheelchair Services, examine the different models for wheelchair service delivery and develop an understanding of wheelchair provision in your region, country, or district. It will also enable you to explore the next steps in further developing your skills and competence in wheelchair provision.
This programme of courses and assignment will provide a framework to develop theoretical principles for the management of wheelchair service delivery in all contexts. It will introduce the role of the wheelchair in mobility, explore assessment and the roles of the multidisciplinary team in wheelchair service delivery, as well as provide a theoretical understanding of management techniques and related clinical considerations. It will not teach practical skills or lead to any clinical qualification. The global network formed through this course will allow for shared knowledge and experiences to support good health care and a better quality of life for individuals who require the use of a wheelchair for mobility around the world.
The course will provide an overview of the following aspects of Whiplash Associated Disorders: Epidemiology/Etiology, Clinical Prediction Rule, Clinical Presentation, Classification, Differential Diagnosis, Diagnostic Procedures, Examination, and Management. Red flags with neck pain and principles for neck pain rehabilitation will also be discussed. This course will not teach practical skills or lead to any clinical qualification.