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New Criteria for Fibromyalgia Diagnosis

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New Criteria for Fibromyalgia Diagnosis
Fibromyalgia is such a pain in the neck. It’s also a pain in the butt. Okay, enough with the idioms. Fibromyalgia is a pain in the ENTIRE BODY.

Fibromyalgia affects 10 million people in the United States and is one of the most common pain conditions. It is characterized by widespread pain, fatigue, sleep problems, difficulty concentrating, and psychological symptoms.

Fibromyalgia is diagnosed based on symptom presentation. Traditionally, fibromyalgia was diagnosed using tender points. The clinician would firmly press on 18 areas of the body and if 11 out of 18 were painful, the clinician could confidently rule in fibromyalgia.

New Diagnostic Criteria was developed to help general practitioners and those who do not specialize in diagnosing somatic symptom disorders. The criteria is based on the patient’s report of symptoms including pain, fatigue, cognitive symptoms, and genitourinary symptoms. It is easy to complete in an evaluation with a patient or give to the patient to complete independently.

However, clinicians need to be careful utilizing the criteria independently. Fibromyalgia can easily be confused with other diagnoses such as Hypothyroidism, Rheumatoid Arthritis, Polymyalgia rheumatica, and Lyme disease. This is a great way to start a discussion with a patient if you suspect fibromyalgia, but ultimately, patients need to be referred to a Rheumatologist to rule out other diagnoses.

For more information, check out our course on Fibromyalgia, taught by Dr. Harold Rodner, MD:

Fibromyalgia Syndrome (FMS)


New Criteria: https://neuro.memorialhermann.org/uploadedFiles/_Library_Files/MNII/NewFibroCriteriaSurvey.pdf

Patients With Parkinson’s Need to HIT the Treadmill

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Patients With Parkinson’s Need to HIT the Treadmill

 

Patients with Parkinson’s Disease have another exercise to add to their laundry list:

High Intensity treadmill walking

A new study, published in JAMA in January, showed that patients in the early stages of Parkinson’s disease showed delayed disease progression when exercising at 80% to 95% maximum heart rate. When compared to a control group, participants in the exercise group showed slower score progression in the Unified Parkinson Disease Rating Scale (UPDRS).

Participants were studied over the course of 6 months and were divided into 3 groups:

  1. High-intensity treadmill exercise group (4 days per week, 80%-85% maximum heart rate [n = 43])
  2. Moderate-intensity treadmill exercise (4 days per week, 60%-65% maximum heart rate [n = 45])
  3. Wait-list control (n = 40)

 

The mean change in Unified Parkinson’s Disease Rating Scale motor score in the 1. high-intensity group was 0.3 (95% CI, −1.7 to 2.3) compared with 3.2 (95% CI, 1.4 to 5.1) in the usual care group (P = .03).

Clearly, high-intensity treadmill exercise is highly beneficial in delaying the progression in early PD. Along with the typical interventions of balance training, strengthening, and flexibility, we can help patients live their lives to the fullest in the midst of a new PD diagnosis.

The beauty of this finding is the simplicity of the intervention. You can walk anywhere- on a treadmill, track, in your home, or at the mall. Patients or caregivers can easily be taught how to monitor heart rate and walk as a part of their home program. If this is too tough for the patient, we can help him or her find the appropriate Borg Rating of Perceived Exertion rating and complete the walking program with the chosen RPE.

I’ve always found that the easier a home exercise program is to complete, the better compliance is…and what’s easier to do than walking?

 

For more information on Parkinson’s Disease, check out our PD Course: http://www.ptwebucation.com/courses/parkinsons-disease/

 

2017 Year End Address

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2018

2017 Year End Address
As we wrap up 2017, PTWebucation.com would like to thank you all for your continued support and patronage throughout the year. We have a lot to look forward to in 2017, including new courses, new presenters, and multiple expansions. We have had a wonderful year and would love to share some highlights with you. This year we have expanded our course offerings exponentially and added many esteemed, diverse presenters to our roster.

New Courses:
Evidence Based Physical Therapy of the Lumbar Spine Assessment and Treatment; 4 Hours (.4 CEUs)
Physical Therapy of The Rotator Cuff Status Post Arthroscopic Surgery; 3 Hours (.3 CEUs)
An Evidence-Based Overview of Multiple Sclerosis; 3 Hours (.3 CEUs)
The Ever-evolving Joint: An Updated Guide to the Rehabilitation of Total Hip and Knee Arthroplasty; 4 Hours (.4 CEUs)
An Evidence-Based Overview of Parkinson’s Disease; 3 Hours (.3 CEUs)
Facilitation of Normal Gait: Using Manual Cues to Improve Stand and Swing Mechanics; 3 Hours (.3 CEUs)
Motor Control: Principles and Correctives; 3 Hours (.3 CEUs)
Introduction to Yoga: Incorporating Yoga into your Physical Therapy Practice; 3 Hours (.3 CEUs)
The New Physical Therapy and Occupational Therapy Evaluation & Re-Evaluation Codes; This is a Non-CEU Course that is free with your purchase of any bundle

New Presenters:
Comet Mekonen PT, DPT, OCS, ACSM CPT
He is the Presenter of PTWebucation.com’s two newest courses titled, “Physical Therapy of The Rotator Cuff Status Post Arthroscopic Surgery” and “Evidence Based Physical Therapy of the Lumbar Spine Assessment and Treatment.”
He is the Presenter of PTWebucation.com’s newest course titled, “Physical Therapy of The Rotator Cuff Status Post Arthroscopic Surgery.” He also has a few other courses in the works for PTWebucation.com that we are excited to bring you in the new year.
Dr. Mekonen graduated from the University of St. Augustine DPT program in 2014 with three years of clinical experience and garnered the Orthopedic Clinical Specialist Certification in 2017. He has a great deal of passion for orthopedics, teaching, and evidenced based clinical practice. He currently works for Sentara Rockingham Memorial Hospital as a physical therapist performing rehabilitation on orthopedic, neuromuscular, and vestibular patients. His clinical focus is on orthopedics, extremities and spine, and post-operative patients. This presenter has been an instructor in human anatomy as lab teaching assistant at the University of Alabama-Birmingham, and additionally as a clinical instructor having facilitated students at the University of Shenandoah. He has also been invited to present his theory report on lumbar spine pain at the Virginia Physical Therapy Association National Conference entitled, “Addressing chronic non-specific low back pain by addressing the nervous system primarily is key in regard to helping patients reduce their pain, and requires further specific research.”

Cynthia Watkins PT, DPT, CHT
Dr. Watkins is the Presenter in two of PTWebucation.com’s newest courses on the hand, titled “Common Hand Surgeries and Rehabilitation,” and “Hand Injuries in Sports.”
Cynthia is the Manager of Hand Therapy at the Rothman Institute in Philadelphia, PA. She completed her Masters in Physical Therapy at Thomas Jefferson University and received her DPT from Temple University. She has lectured at Temple University in the physical therapy and athletic training departments and also coordinates and lectures at the annual meeting of the Rothman Hand Conference. She has several peer reviewed journal and book publications. Cynthia has been working in hand therapy for over eighteen years.

Kailee Karst, PT, DPT, RYT-200
Dr. Karst is the Presenter in the new and very popular Yoga course, “Incorporating Yoga into your Physical Therapy Practice.” Kailee Karst is a physical therapist, practicing outpatient orthopedics in Charlottesville, Virginia. Kailee graduated with her Doctorate in Physical Therapy (DPT) from Virginia Commonwealth University. Prior to graduate school, she completed her yoga teacher training, and continued teaching throughout graduate school. Dr. Karst completed a Yoga for Safe Spinal Health, yoga therapy certification after her first year in PT school, and is passionate about combining all that she learned in school with the healing properties of a safe yoga practice. She enjoys teaching yoga teachers about safe teaching strategies and the anatomy and alignment of yoga poses, and is excited to teach physical therapists how yoga techniques can be used in their clinical practice. She has also seen great results incorporating aspects of yoga and mindfulness into her own physical therapy clinical practice.

New Approvals
In addition to many new courses being approved individually in most states, PTWebucation.com proudly became a fully approved and accredited provider of PT and PTA CEUs in two new states, both California and Texas, as well as maintained our approved status in New York. All our courses are fully approved for credit in these states and most of our courses are approved in many others.

You Can Count on PTWebucation.com

We’ve added a counter to our website to track our progress for you and this year. We are ending 2017 strong with 13,035 CEU tests taken, 54 CEU course options, and 123 CEU hours approved.

counterPT Jobs Board
Again this year, our PT Jobs Board has grown as well. Here you can search for jobs and even apply for free. You are also able to post your PT and PTA jobs for only $99 for 90 days! PTWebucation.com’s free search is a great resource for physical therapists and physical therapy assistants seeking new jobs and employment opportunities: http://www.ptwebucation.com/jobs/.

Social Media

This year our PTWebucation.com social media sites continued to flourish with exciting information and great discounts. Please consider following us on our media sites for updates and giveaways, if you are not already:
Facebook: https://www.facebook.com/PTWebucation/
Twitter: https://twitter.com/PTWEBUCATION
Blog: http://www.ptwebucation.com/news/

Join Our Team
Join our online PT Presenter team! Are you a Physical Therapist? Do you love to teach? Do you have a specialty you love to talk about? Do you have a little extra time? Want to make some extra money? Then you might be ready to present a course for PTWebucation.com. If you can create a course concept, use a preformatted template to create the course, record video clips and a voice over PowerPoint presentation, then create the course test, and list reference materials, you might be our next Presenter! If you are interested in more information or discussing possible course concepts you might be interested in presenting for PTWebucation.com, please contact us at info@ptwebucation.com.

Thank you
PTWebucation.com would like to thank you for sharing another wonderful year full of exciting new courses, excellent new Presenters, and another year of the opportunity to bring quality and affordable PT/PTA CEUs to you in an easy online and accredited format. We have so much more to bring you in the new year including even more new courses and presenters, new approvals and expansions, and exciting announcements! But for now, let’s celebrate 2017 the best way we know: a discount for you! Just enter code “YearEnd” at check out to receive 15% off any course or bundle. We are looking forward to sharing an even more amazing 2018 with all of you! We wish you and your family a joyous and prosperous new year!

August Announcements: State Approvals and Lots of New Courses!

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August Announcements: State Approvals and Lots of New Courses!

Good Afternoon PTs and PTAs,

We have some very big and exciting news to share with you all. We are pleased to announce new state approvals and many new course releases.

PTWebucation.com is now an approved accredited provider in California, Texas, and we were recently re-approved in New York! That means all of our courses count for continuing education credits in those states (in addition to the many other states in which we’ve been previously been approved).

We are also delighted to announce many new courses and course writers are joining our very long list of excellent CEUs and Presenters. Here is the current list of courses we offer:

-Advanced Ethics for the Healthcare Professional
-An Evidence-Based Overview of Parkinson’s Disease
-Bed Rest
-Cervical Spine
“It’s A Pain In The Neck”
-Clinical Implications of the Physiological Changes of Aging: A Systems Review
-Concussion and Post-Concussion Syndrome: The Role of the Physical Therapist
-Demystifying the Pelvic Floor
-Diabetes
-Ergonomics: Value Added
-Ethics for the Healthcare Professional
-Evaluation, Treatment, and Return to Sport Strategies for the Long Distance Running Athlete
-Evidence Based Strategies for Managing Chronic LBP
-Facilitation of Normal Gait: Using Manual Cues to Improve Stand and Swing Mechanics
-Facilitating Normal Movement in Hemiplegia: An Introduction to Neurodevelopmental Technique (NDT)
-Fibromyalgia Syndrome (FMS): A Comprehensive Overview for Physical Therapists
-Functional Reporting: G Codes
-Getting a Handle on the Heel: A Clinical Approach to Treating Chronic Foot and Achilles Tendon Pain
-Hamstring Strains: Current Practice Standards of Diagnosis and Treatment
-Hand Surgeries and Rehab
-HIPAA
-Hypertension
-Introduction to Oncology Rehab; Safely and effectively working with the cancer patient
-Introduction to Yoga:
Incorporating Yoga into your
Physical Therapy Practice
-Medicare 101
-Motor Control: Principles and Correctives

-Neurofacilitation of Transfers: Exploring pivot transfers and sit to/from stand using manual facilitation techniques
-Patellofemoral Pain: From Evidence Based Research to Clinical Relevance
-Physical Therapy Management of the TMJ: An Updated Evidence-Based Approach
-Scapular Dyskinesis
-Sports Injuries of the Hand
-Strength Training Principles For Geriatrics
-The ACL: Why the Therapist Makes All the Difference
-The ever evolving joint: An updated guide to the rehabilitation of total hip and knee arthroplasty
-Understanding Balance: Strategies to Improve Evaluation Skills and Functional Treatment Technique
-Vestibular Rehabilitation I
-Vestibular Rehabilitation II
-Wound Care Essentials For The Physical Therapist
-FREE with UNLIMITED PACKAGE: The New Physical Therapy Evaluation & Re-Evaluation Codes

We recently told you about the release of our Yoga course which has been very well received by our Physical Therapists and Physical Therapy Assistants. We also told you about two upcoming courses on Gait and Motor Control. We are pleased to announce that these courses have been released as well as two others, including a brand new four-hour course (.4 CEUs) on Arthroplasty titled, “The ever-evolving joint: An updated guide to the rehabilitation of total hip and knee arthroplasty.”

This course is designed for physical therapists of all experience levels who are interested in the latest evidence, trends, and surgical approaches for total hip and knee arthroplasties. Over the past 10 years, much progress has been made in the field, however the knowledge being disseminated to many PTs is several years behind the latest trends in the surgical world. We will review non-op and operative management, surgical decision making and techniques,  treatment options and pearls. We will also delve into the controversial world of return to sport post-operatively and of hip precautions, among other things.

Course link: http://www.ptwebucation.com/courses/arthroplasty/

 

Another course we are pleased to announce the recent release of is our Parkinson’s Disease course.

An Evidence-Based Overview of Parkinson’s Disease; 3 Hours (.3 CEUs)

This course will review the pathology, etiology and characteristics of Parkinson’s Disease. In addition, a thorough review of medication and surgical interventions will precede a comprehensive review of current evidence-based treatment techniques used in physical therapy.

Course link: http://www.ptwebucation.com/courses/parkinsons-disease/

 

The two courses previously listed as upcoming have been released and well-received so far!

Facilitation of Normal Gait: Using Manual Cues to Improve Stand and Swing Mechanics; 3 Hours (.3 CEUs)

This course will review common principles of gait including general characteristics, critical events for each phase, and weight shift considerations. In addition, the course will discuss the training of stance and swing mechanics with an emphasis on manual facilitation. Lastly, the course will review bracing considerations and selection of a least restrictive assistive device for the patient with neurological compromise

Course link: http://www.ptwebucation.com/courses/gait/

 

Motor Control: Principles and Correctives; 3 Hours (.3 CEUs)

This course will review common principles of motor control including theories, physiology, and training considerations. In addition, the course will discuss the causes of motor control dysfunction as well as ways to correct abnormal movement patterns. Lastly, an analysis of the squat and plank will help the learner identify common motor control dysfunctions and the correctives for each pattern.

Course link: http://www.ptwebucation.com/courses/motor-control/

 

And lastly, we are excited to share that we have two new Hand Rehabilitation courses coming up. The courses will both be part of the unlimited bundle, can be taken individually, or can be taken as part of the two-course hand bundle which will be released at the same time:

Sports Injuries of the Hand; 2 Hours (.2 CEUs)

This course will review mechanism of injury, characteristics and associated populations of common hand and wrist sports injuries. In addition, a comprehensive review of current evidence-based treatment techniques used in physical therapy will be discussed.

 

Hand Surgeries and Rehab; 2 Hours (.2 CEUs)

This course will review the pathology, etiology and characteristics of Parkinson’s Disease. In addition, a thorough review of medication and surgical interventions will precede a comprehensive review of current evidence-based treatment techniques used in physical therapy.

 

If you are not doing so already, please consider following us on our social media sites for more frequent discounts, information, and updates:

Facebook: https://www.facebook.com/PTWebucation/
Twitter: https://twitter.com/PTWEBUCATION
PT Blog: http://www.ptwebucation.com/news/

Chronic Low Back Pain

Direct Access Physical Therapy Evidence Based Benefits

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Current evidence based research has supported the use of physical therapy direct access services in both reducing health care costs and providing quality care. Avoiding unnecessary physician and emergency room visits reduces costs for the patient and health care system. Also, physical therapy direct access services has been shown to be effective and less costly than first access physician care for musculoskeletal injuries.

As direct access in physical therapy continues there is more data to support its implementation on reducing health care costs. A study published in 2014, “Direct access compared with referred physical therapy episodes of care: a systematic review,” found fewer visits needed and less medication used in direct access cases (Ojha et al., 2014). Direct access is another way to reduce medication dependency among patients which continues to be a growing problem in this country with associated rising costs. In addition, Ojha et al. found increase patient compliance and satisfaction with treatment during direct access physical therapy versus physician referral (Ojha et al., 2014). If patients are satisfied with treatment, increase compliance will occur and better outcomes follow.

Another benefit to direct access physical therapy care is patient outcomes and quality of care. Some opposing the transition of these services argue that physical therapists do not have the background to safely treat without a physician’s referral; however, the data supports there is safe and effective treatment. A study published in 2015, “Physical therapists as primary practitioners in the emergency department: six-month prospective practice analysis,” found physical therapists utilized in the emergency department as first point medical providers were efficient in identifying red flags and low number of adverse incidents (de Gruchy et al., 2015). These results could easily translate to an outpatient physical therapy direct access patient evaluation setting.

Lastly, another recent study published in 2015, “DIAGNOSTIC IMAGING IN A DIRECT-ACCESS SPORTS PHYSICAL THERAPY CLINIC: A 2-YEAR RETROSPECTIVE PRACTICE ANALYSIS,” supports physical therapist skills as direct access providers (Crowell et al.., 2015). Physical therapists ordering musculoskeletal diagnostic imaging in a 2 year period appropriately ordered test over 80% of the time (Crowell et al., 2015). Over 55% of the cases in the study were acute cases (Crowell et al., 2015). Diagnosis by physical therapists were confirmed 64% of the time by diagnostic findings as well as 90% of the time with surgical findings (Crowell et al., 2015). This recent study makes a strong case for direct access physical therapy care allowing diagnostic imaging ordering.

References:
Crowell, M. S., Dedekam, E. A., Johnson, M. R., Dembowski, S. C., Westrick, R. B., & Goss, D. L. (2016). DIAGNOSTIC IMAGING IN A DIRECT-ACCESS SPORTS PHYSICAL THERAPY CLINIC: A 2-YEAR RETROSPECTIVE PRACTICE ANALYSIS. International journal of sports physical therapy, 11(5), 708.
de Gruchy, A., Granger, C., & Gorelik, A. (2015). Physical therapists as primary practitioners in the emergency department: six-month prospective practice analysis. Physical therapy, 95(9), 1207-1216.
Ojha, H. A., Snyder, R. S., & Davenport, T. E. (2014). Direct access compared with referred physical therapy episodes of care: a systematic review. Physical therapy, 94(1), 14-30.
Ojha, Heidi A.; Brandi, Jason A.; Finn, Kathryn M.; Wright, W. Geoffrey (2015). Cost Efficiency of Direct Access Physical Therapy for Temple University Employees with Musculoskeletal Injuries. Orthopaedic Physical Therapy Practice, 2015; 27(4): 228-233. (6p)

Bryan Rodner, PT
He attended Michigan State University and received a bachelor degree in Science with a major in Physiology. During his college experience at MSU, he found passion for physical therapy, which led him to complete his Masters degree in Physical Therapy at University of the Science in Philadelphia. Bryan has practiced outpatient physical therapy in center city, Philadelphia for over 14 years. PTWEBUCATION.com was founded in 2013 to create high quality evidence-based continuing education online for physical therapists in a convenient and affordable platform. In 2014 PTWEBUCATION.com expanded its resources to therapists online by adding a job posting platform. Providing an affordable option for companies to find the perfect hire and convenient continuing education.

Physical Therapist Salaries are Highest in 5 States

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Employment of physical therapists is projected to grow 34 percent from 2014 to 2024, much faster than the average for all occupations. The median annual wage for physical therapists was $85,400 in May 2016.  Check out these top states for physical therapist salaries:

California 19,910 PTs

$45.84 Hourly Mean

$95,350 Salary

New York 16,390 PTs

$41.22 Hourly Mean

$85,730 Salary

Texas 14,910 PTs

$45.79 Hourly Mean

$95,240 Salary

Florida 12,480 PTs

$41.60 Hourly Mean

$86,520 Salary

Illinois 11,030 PTs

$43.45 Hourly Mean

$90,370 Salary

Reference:
https://www.bls.gov/oes/current/oes291123.htm

 

New Presenter Spotlight: Cynthia Watkins PT, DPT, CHT

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New Presenter Spotlight:

cynthia

We have two new upcoming courses on the Hand! Both will be presented by Cynthia Watkins PT, DPT, CHT.
Cynthia is the Manager of Hand Therapy at the Rothman Institute in Philadelphia, PA. She completed her Masters in Physical Therapy at Thomas Jefferson University and received her DPT from Temple University. She has lectured at Temple University in the physical therapy and athletic training departments and also coordinates and lectures at the annual meeting of the Rothman Hand Conference. She has several peer reviewed journal and book publications. Cynthia has been working in hand therapy for over eighteen years.

Please stay tuned to PTWebucation.com for the release of the following courses:
“Common Hand Surgeries and Rehabilitation,”
and
“Hand Injuries in Sports.”

New Course on Hip and Knee Replacements Coming Soon!

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THR Pic

PTWebucation.com is delighted to share a little bit of information about our upcoming course on Knee and Hip Replacements:

Course description:
This course is designed for physical therapists of all experience levels who are interested in the latest evidence, trends, and surgical approaches for total hip and knee arthroplasties. Over the past 10 years, much progress has been made in the field, however the knowledge being disseminated to many PTs is several years behind the latest trends in the surgical world. We will review non-op and operative management, surgical decision making and techniques, treatment options and pearls. We will also delve into the controversial world of return to sport post-operatively and of hip precautions, among other things.

Course Objectives:
•Review the evolution of the total knee and hip arthroplasty procedure and what this means for the world of rehab
•Review demographic information of lower extremity joint arthroplasties
•Discuss how rehabilitation care has evolved to meet the demands of our patients and health care payers
•Review the newest advances in research for treatment of total joint arthroplasties
•Review post operative precautions and discuss if they are necessary

Stay tuned for the release of this new course!

New Course on Parkinson’s Disease

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PTWebucation.com is pleased to announce the release of our newest course, “An Evidence-Based Overview of Parkinson’s Disease.”

PD Pic

This course will review the pathology, etiology and characteristics of Parkinson’s Disease. In addition, a thorough review of medication and surgical interventions will precede a comprehensive review of current evidence-based treatment techniques used in physical therapy.

For more information or to take the course please visit: http://www.ptwebucation.com/courses/parkinsons-disease/

To watch a video clip please visit: https://player.vimeo.com/video/215460186

Approved Provider in California

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PTWebucation.com is pleased to announce that we are now officially an Approved Provider for PT and PTA CEUs in the state of California! This means that all of our courses count for continuing education credit in this state! Sign up for your one year unlimited bundle today: http://www.ptwebucation.com/unlimited-courses/
image1

1 year unlimited access from your purchase date to all courses for $99!
Sign Up !