Sports Physical Therapy Clinical Rotation

Objectives

  1. Subjective evaluation
    • The intern will be able to state and recognize the common mechanisms of injury for an ACL tear, PCL tear, patellar fx, patellar dislocation, meniscus tear, anterior shoulder dislocation, rotator cuff impingement and strain, SLAP tear and ankle sprains.
    • The intern will be able to efficiently gather information that will directly aid in the physical examination and treatment plan.
    • The intern will ask appropriate follow up questions to the patient's responses from previous questions.
  2. Physical examination
    • The intern will accurately palpate and identify soft tissue and bony
      structures in the upper and lower extremities.
    • The intern will accurately test specific muscles by manual muscle testing and grade the test appropriately.
    • The intern will be proficient using special orthopedic tests, including lachman's, anterior and posterior drawer at the knee and ankle, pivot shift, McMurray's, patellar apprehension, fat pad impingement test, Noble compression test, collateral ligament testing at the knee and elbow, multiple rotator cuff impingement tests, ac joint tests, labral tests, and other joint play assessments in the peripheral joints.
    • The intern will demonstrate the ability to implement and interpret multiple functional tests for the initial evaluation of a patient and for evaluation of progress.
    • The intern will complete a comprehensive initial evaluation for multiple peripheral joint diagnoses and initiate treatment within 60 minutes.
  3. Synthesis
    • The intern will be able to generate a hypothesis driven evaluation to determine a treatment diagnosis along with causative factors.
    • The intern will be able to choose treatment interventions and strategies that are directly related to the causative factors identified.
    • The intern will be able to make the appropriate referral or professional communication if red flags or inconsistencies are found during the evaluation.
  4. Instrumented examination
    • The intern will correctly set up the KT1000 and perform the test within two millimeters of the CI's test.
    • The intern will explain the KT1000 test to a patient, including a discussion of what the results of that test indicate.
    • The intern will correctly perform a peripheral joint isokinetic test.
    • The intern will explain and discuss the results of an isokinetic test with a patient.
    • The intern will correctly use the single leg leg press test with a patient. He or she will also discuss the results of this test with the patient.
  5. Therapeutic rehabilitation
    • The intern will be able to discuss and describe the rehab a post-operative ACL patient from the first day to the return to sports. He or she will also demonstrate this, or parts of this dependent on the patient load.
    • The intern will state and recognize the precautions for some common post-operative patients, such as ACL reconstruction with various graft types, rotator cuff repairs, SLAP repairs and anterior shoulder reconstructions.
    • The intern will provide criterion based rehab progressions for multiple patient types. This includes the proper manipulation of planes of movement, muscle length, proprioceptive demand and type of muscle strength (concentric, isometric stabilitzation or eccentric).
  6. Communication
    • The intern will dictate initial evaluations that may be accurately interpreted by a variety of health professionals.
    • The intern will effectively maintain two way communication with a referring physician, while discussing the treatment plans of complex or unusual patients.
    • The intern will utilize PTAs in patient care (team approach), within legal and ethical guidelines.
  7. Professional behavior: The intern will follow the APTA's code of ethics at all times.