Assessment-Treatment-Prevention

Cumulative/Degenerative Disorders of the Lower Limb

(Regional Application of the Duffy-Rath System©)

Brief Description of the Course:

The Duffy-Rath System© (DRS) is a unique approach to the assessment, treatment and prevention of musculoskeletal disorders (MSD) and disability. Developed in 1984 by Wayne and Jean Rath, the system is currently utilized at outpatient clinics and industrial sites across the United States and internationally. This workshop provides the clinician with a system to improve their effectiveness and efficiency in assessing and treating 5 common MSD affecting the lower extremity; all treatment strategies are oriented towards recovery of activity tolerance and long-term self-efficacy (i.e. secondary and tertiary prevention). The 5 MSDs are:

– Pelvic Girdle Pain Disorders
– Hip Joint Degenerative Disorders
– Knee Joint Degenerative Disorders
– Recurrent ankle sprains
– Plantar Fasciitis

This workshop has an online and a live component. The online component must be completed before attending the live workshop; this involves having to successfully complete an ‘open-book’ test. The live workshop is a 1-day format with a focus to treatment strategies, procedures and problem-solving techniques specific to the most common back pain diagnoses and relevant classification systems.

Pre-requisite to Registering for this Workshop: Evidence of successful completion of the online course entitled; “Introduction to the Duffy-Rath System©: Linking treatment and prevention for musculoskeletal self-efficacy” is required to register for this workshop.

Workshop Goal: Promote a systematic, prevention-oriented and non-operative approach to the treatment of 5 common repetitive strain disorders affecting the lower limb.

Workshop Instructional Objectives – upon completion of this activity, participants will be able to:
1. Perform the DRS examination for each musculoskeletal region of the lower limb.
2. Identify the distinguishing clinical characteristics required to diagnose the 5 MSD groups from stage 1 to stage 3 presentations.
3. Identify the indication for each of the 6 treatment strategies.
4. Perform manual and therapeutic techniques to achieve biomechanical control, restore ROM, normalize muscle contraction and/or restore function for the 5 MSD groups.
5. Identify the most common and relevant cautions and contraindications to physical therapy treatment of CTD/RSI of the lower limb.

Workshop Schedule:

Topic

Description
Online Registration and Orientation Participants register online and are directed to an orientation section that identifies the goals and objectives for the course, and the structure and process for completing the online component. The participant is then directed to the start of the course.
Introduction  Application of DRS axioms to assessment, treatment and prevention of cumulative disorders of the lower limb.
Epidemiology: lower limb MSDs Incidence, prevalence, risk factors (onset, occupational reporting and disability distinguished), natural history, socioeconomic impacts and the growing issue of iatrogenic disability.
Anatomy & Biomechanics Review of relevant lower limb anatomy, biomechanical and physiological responses to movement and loading under normal and pathological conditions.
Diagnostic Imaging & Testing Review of the diagnostic accuracy of x-rays, CT scans and MRI relevant to lower limb disorders; focused to shoulder impingement and CTS mostly.
History & Basic examination of the pelvis Identifies and reviews the basic history and examination utilized in the Duffy-Rath System© and the most common cumulative/degenerative disorders.
History & Basic examination elbow/proximal hip Identifies and reviews the basic history and examination utilized in the Duffy-Rath System© and the most common cumulative/degenerative disorders.
History & Basic examination knee Identifies and reviews the basic history and examination utilized in the Duffy-Rath System© and the most common cumulative/degenerative disorders.
History & Basic examination of the ankle/foot Identifies and reviews the basic history and examination utilized in the Duffy-Rath System© and the most common cumulative/degenerative disorders.
Test Open-book test; 25 questions – 80% passage required, multiple opportunities (i.e. as many as needed) provided.
Study Time 4 – 8 hours is expected to complete the online section of the course

 

Live Portion of Course
Time Regristration Brief Description
8:30 Registration & Continental Breakfast Participants sign-in and receive course materials.
9:00 Introduction & Online Review A brief lecture to review basic principles in the Duffy-Rath System© (DRS), identify the strengths and weaknesses of evidence-based practice, review guidelines and systematic reviews relevant to the 6  MSD.
9:15 Pelvic Girdle Pain Disorders Demonstrate and practice basic DRS examination; Identify and practice performing the most common treatment procedures used for the 3 stages of the most common disorders affecting the buttock region.
9:45 Shoulder Impingement Syndrome  Demonstrate and practice basic DRS examination and discuss common findings and stages of the various disorders.
10:30 Break
10:45 Hip Joint Degenerative Disorders Continue practicing the most common treatment procedures used for the 3 stages of hip joint degenerative disorders.
12:30 Lunch  30 minutes
1:00 Knee Joint Degenerative Disorders Demonstrate and practice basic DRS examination; Identify and practice performing the most common treatment procedures used for the 3 stages of knee joint degenerative disorders.
2:00 Recurrent ankle Sprains  Demonstrate and practice basic DRS examination; Identify and practice performing the most common treatment procedures used for recurrent ankle sprains and associated problems.
3:30 BREAK  15 minutes
3:45 Plantar Fasciitis Demonstrate and practice basic DRS examination; Identify and practice performing the most common treatment procedures used for the 3 stages of this syndrome.
4:45 Review & Summary  Summarize the online and live components; provide direction for further information and training.Certificates awarded after critique is submitted.
5:00 Conclusion Critiques completed, certificates awarded and participants sign-out.
8 hours – 1 hour 7.0 Contact Hours (Total 11 hours)