Musculoskeletal Essentials: Applying the Preferred Physical Therapist Practice Patterns

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Marilyn Moffat, Elaine Rosen, Sandra Rusnak-Smith
SLACK Incorporated, Jan 1, 2006 - Medical - 419 pages
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Musculoskeletal Essentials: Applying the Preferred Physical Therapist Practice PatternsSM answers the call to what today’s physical therapy students and clinicians are looking for when integrating the Guide to Physical Therapist Practice as it relates to the musculoskeletal system in clinical care.

As a part of Essentials in Physical Therapy led by Series Editor Dr. Marilyn Moffat, Musculoskeletal Essentials: Applying the Preferred Physical Therapist Practice PatternsSM is edited by Dr. Elaine Rosen and Dr. Sandra Rusnak-Smith in a user-friendly format that not only brings together the conceptual frameworks of the Guide language, but also parallels the patterns of the Guide.

In each case, where appropriate, a brief review of the pertinent anatomy, physiology, pathophysiology, imaging, and pharmacology is provided. Each pattern then details two to five diversified case studies coinciding with the Guide format. The physical therapist examination, including history, systems review, and specific tests and measures for each case, as well as evaluation, diagnosis, prognosis, plan of care, and evidence-based interventions are also addressed.

Sample Cases in Some of the Practice Patterns Include:
-Primary Prevention/Risk Reduction for Skeletal Demineralization: A post-menopausal female, previous smoker and non exerciser; a patient with osteopenia due to prolonged glucocorticoid steroid use; a marathon runner with osteopenia of the femoral necks
-Impaired Posture: A patient with impaired posture and radicular symptoms; a patient with excessive foot pronation causing pain up the chain, a patient with Scheuermann’s Disease
-Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Connective Tissue Dysfunction: A patient with complex regional pain syndrome of the foot/ankle; a patient with temporomandibular joint dysfunction; a patient with fibromyalgia syndrome
-Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Joint Arthroplasty: A patient with a hybrid total hip arthroplasty; a patient with bilateral total knee arthroplasties; a patient with a total shoulder arthroplasty; a patient with rheumatoid arthritis post MCP joint implant arthroplasties and arthrodesis of the PIP joints; a patient post ligament reconstruction tendon interpositional arthroplasty
-Impaired Joint Mobility, Motor Function, Muscle Performance, and Range of Motion Associated with Bony or Soft Tissue Surgery: A patient with dementia and a femur fracture; a patient 6 weeks post tibia and fibula fracture; a patient with a rotator cuff repair; a patient one week post ACL reconstruction
At long last, Dr. Marilyn Moffat, Dr. Elaine Rosen, and Dr. Sandra Rusnak-Smith have created a book that will integrate the parameters of the Guide as it relates to the musculoskeletal system, into the practice arena, that not only covers the material but also allows for a problem-solving approach to learning for educators and students.

 

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Contents

Chapter Two
23
Chapter Three
55
Chapter Four
101
Chapter Five
143
Chapter Six
173
Chapter Seven
217
Chapter Eight
241
Chapter Nine
315
Chapter Ten
353
Abbreviations
399
Lorna King MSc PT
423
Copyright

Common terms and phrases

About the author (2006)

Marilyn Moffat, PT, DPT, PhD, FAPTA, CSCS, a recognized leader in the United States and internationally, is a practitioner, a teacher, a consultant, a leader, and an author. She received her baccalaureate degree from Queens College and her physical therapy certificate and PhD degrees from New York University. She is a Full Professor of Physical Therapy at New York University, where she directs both the professional doctoral program (DPT) and the post-professional graduate master's degree program in pathokinesiology. She has been in private practice for more than 40 years and currently practices in the New York area. Dr. Moffat was one of the first individuals to speak and write about the need for a doctoral entry-level degree in physical therapy. Her first presentation on this topic was given to the Section for Education in 1977. Dr. Moffat completed a 6-year term as the President of the American Physical Therapy Association (APTA) in 1997. Prior to that she had served on the APTA Board of Directors for 6 years and also as President of the New York Physical Therapy Association for 4 years. During her term as President of the APTA, she played a major role in the development of the Association's Guide to Physical Therapist Practice and was project editor of the Second Edition of the Guide. Among her many publications is the American Physical Therapy Association's Book of Body Maintenance and Repair. As part of her commitment to research, Dr. Moffat serves as a member of the Board of Trustees of the Foundation for Physical Therapy, was a previous member of the Financial Advisory Committee, and has done major fundraising for them over the years. She is currently on the Executive Committee of the World Confederation for Physical Therapy (WCPT) as the North American/Caribbean Regional Representative, and she was a member of the WCPT Task Force to develop an international definition of physical therapy. She coordinated the efforts to develop international standards for physical therapist education and for physical therapy practice around the world. She has given more than 800 professional presentations throughout her practice lifetime, and she has taught and provided consultation services in Taiwan, Thailand, Burma, Vietnam, Panama City, Hong Kong, and Puerto Rico. Her diversified background is exemplified by the vast number of APTA and New York Physical Therapy Association committees and task forces on which she has served or chaired. She has served as Editor of Physical Therapy, the official publication of the Association. She was also instrumental in the early development of the TriAlliance of Rehabilitation Professionals, composed of the APTA, the American Occupational Therapy Association, and the American Speech-Language-Hearing Association. She has been an Associate of the Council of Public Representatives of the National Institutes of Health. Dr. Moffat is a Catherine Worthingham Fellow of the APTA. She has been the recipient of APTA's Marilyn Moffat Leadership Award; the WCPT's Mildred Elson Award for International Leadership; the APTA's Lucy Blair Service Award; the Robert G. Dicus Private Practice Section APTA Award for contributions to private practice; Outstanding Service Awards from the New York Physical Therapy Association and from the APTA; the Ambassador Award from the National Strength and Conditioning Association; the Howard A. Rusk Humanitarian Award from the World Rehabilitation Fund; the United Cerebral Palsy Citation for Service; the Sawadi Skulkai Lecture Award from Mahidol University in Bangkok, Thailand; New York University's Founders Day Award; the University of Florida's Barbara C. White Lecture Award; the Massachusetts General's Ionta Lecture Award; the Chartered Society of Physiotherapist's Alan Walker Memorial Lecture Award; the APTA Minority Affairs Diversity 2000 Award; and the Section of Health Policy's R. Charles Harker Policy Maker Award. In addition, the New York Physical Therapy Association also named its leadership award after her. She was the APTA's 2004 Mary McMillan Lecturer, the Association's highest award. Dr. Moffat has been listed in Who's Who in the East, Who's Who in American Women, Who's Who in America, Who's Who in Education, Who's Who in the World, and Who's Who in Medicine and Healthcare. She is also currently on the Board of Directors of the World Rehabilitation Fund and is a member of the Executive Committee. In addition to her professional associations, she was elected to be a member of Kappa Delta Pi and Pi Lambda Theta. Dr. Moffat has served on a Citizen's Advisory Council of the New York State Assembly Task Force on the Disabled, has been a member of the State Board for Physical Therapy in New York, has served as a consultant to the New York City Police Department, and has been a member of the Boards of Trustees of Children's Village and the Four Oaks Foundation. The Nassau County Fine Arts Museum, the Howard A. Rusk Rehabilitation Medicine Campaign Committee, Saint John's Church of Lattingtown, and the Nassau County American Red Cross have been the recipients of her volunteer services.

Elaine Rosen, PT, DHSc, OCS, FAAOMPT, received her BS in Physical Therapy from Hunter College in 1973, Master in Science in Work Physiology from Long Island University in 1977 and Doctor of Health Science in Orthopaedic Physical Therapy from the University of St. Augustine in 1998. Dr. Rosen is an associate professor at Hunter College Program in Physical Therapy in New York City. She is also a partner in Queens Physical Therapy Associates in Forest Hills, New York. She has been in practice for more than 30 years. Dr. Rosen served as Director of the Orthopaedic Section of the American Physical Therapy Association from 1994 through 1999. She has served in many other capacities on the state and local levels of the APTA. Dr. Rosen has authored Musculoskeletal Examination published by Blackwell Publishing in 1996 and 2002. She has also authored chapters and articles in other professional books and journals. Over her career she has given many professional presentations and has taught in Puerto Rico and Israel. She has served as a guest lecturer at New York University and Touro College. Dr. Rosen was the recipient of Distinguished Alumni Award, Hunter College, Schools of the Health Professions, April 22, 2004. She was awarded the 2003 James A. Gould Award for Excellence in Teaching Orthopaedic Physical Therapy given by the Orthopaedic Section of the APTA. She has been listed in Who's Who in American Women and Who's Who in Medicine and Healthcare.

Sandra Rusnak-Smith, PT, DHSc, OCS, received her Certificate in Physical Therapy from Hunter College in 1976, Master in Art from New York University in 1994, and Doctor of Health Science in Orthopaedic Physical Therapy from the University of St. Augustine in 2002. Dr. Rusnak-Smith has been an adjunct assistant professor at Hunter College, Touro College, Downstate, and Long Island University. She is also a partner in Queens Physical Therapy Associates in Forest Hills, New York. She has been in practice for more than 30 years. Dr. Rusnak-Smith has served in many capacities on the state and local levels of the APTA and has been the recipient of the Outstanding Service Award from New York Chapter. Dr. Rusnak-Smith has authored a chapter on the Thoracic Spine and published in the Journal of Orthopaedic and Sports Physical Therapy. Over her career she has given many professional presentations.

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