When Orthopedics Rubs Elbows With Diagnostics: Assessment and Management of Elbow Pathology
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The elbow is a complex joint designed to withstand a variety of forces. Comprehensive knowledge of anatomy, thorough history, meticulous physical examination, and knowledge of alternative or confounding pathology are the keys to accurate diagnosis. Due to multifaceted anatomy of the region and broad differential diagnosis, it may be difficult to determine the exact underlying pathology based solely on the clinical exam. Physical therapists are highly qualified professionals who are trained to recognize signs and symptoms and use diagnostic tests like electromyography, nerve conduction studies, and ultrasound imaging to discover the impairment and guide patient management. Electromyography and nerve conduction studies are useful to localize and describe the lesion and understand the prognosis. Presenters will discuss the role of electrodiagnostic studies, the neuroanatomy and neuropathophysiology of the elbow, and how to integrate this knowledge to direct clinical interventions. Ultrasound imaging is a rapidly growing and popular point-of-care assessment tool which has its application in understanding structural perspective of neural and non-neural pathology. It can provide insight into anomalies or abnormalities of soft tissue and osseous structures in the joint. Attendees will learn about the role of ultrasound imaging in understanding elbow pathology.
Learning Objectives:
- Discuss evidence and importance of electrodiagnosis and ultrasound imaging as tools in clinical examination for the physical therapist treating elbow pathology.
- Demonstrate the findings of electrodiagnosis and ultrasound imaging with its clinical correlates.
- Integrate clinical relevance of both tools and their appropriate use with respect to the patient plan of care.
- Discuss how adding electrodiagnosis and ultrasound imaging can advance the knowledge of the problem and result in better patient management.
Mohini Rawat
PT, DPT, MS
Dr. Mohini Rawat is a Physical Therapist in private practice. She received her Doctorate in Physical Therapy from MGH institute of Health Professions in Boston and her Master in Biokinesiology degree from the University of Southern California. She is board certified in Clinical Electrophysiology and Orthopaedics by ABPTS. Dr. Rawat is registered in musculoskeletal sonography by APCA and is also an item writer for RMSK exam. She is a member of the Specialization Academy of Content Experts as an item writer for Clinical Electrophysiology Specialty. She is president of American Academy of Musculoskeletal Ultrasound. She is Fellowship director of the Musculoskeletal Ultrasound program at Hands-On Diagnostics. She is faculty for courses in musculoskeletal ultrasound and clinical electrophysiology in PT program in NYC area and other continuing education courses. She is chair of the Academy of Clinical Electrophysiology Wound Management Neuromusculoskeletal Special Interest Group and chair of the nominating committee of Imaging Special Interest Group of Academy of Orthopaedic Physical Therapy. She is editor of a textbook in musculoskeletal ultrasonography and has contributed chapters on imaging in other books. She has published articles and presented numerous musculoskeletal ultrasound courses, webinars and lectures in multiple professional conferences and organizations including an invited instructional course lecture at American institute of Ultrasound in Medicine and American Academy of Orthopaedic Surgeons annual meeting.
John Lugo
PT, DPT
John is a licensed physical therapist with nineteen years of experience performing electrodiagnostic studies. He achieved board certification from the American Board of Physical Therapy Specialties in 2010 as an Electrophysiological Clinical Specialist and has performed thousands of studies on patients with diverse neuromuscular pathologies in a variety of clinical settings. He has produced thirteen peer-reviewed scholarly articles and conference presentations related to his experience in clinical electrodiagnosis. He has held elected positions in the Academy of Clinical Electrophysiology and Wound Management and was appointed to the Specialization Academy of Content Experts. In addition, he has twelve years of experience as a faculty member in an entry-level physical therapy program and has served as a faculty member and mentor in an American Board of Physical Therapy Residency and Fellowship Education postgraduate program for nine years.
Course Instructions
- Click on the Contents tab to watch the course recording.
- Click the Take Quiz button to complete the assessment. Learners will have 3 attempts to pass and must answer at least 70% of questions correctly.
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