Evidence Based Practice (EBP): Translating Research into Orthopedic/Sports/Manual Physical Therapy Clinical Practice
9.30 AM-10.00 AM
Partecipants arrival & registration
10:00 AM-11:00 AM
Introduction to the course and to evidence based practice concepts, including a brief description of the context of how research is conducted and the steps leading to publication of a research article.
11:00 AM-11:50 AM
Diagnostic accuracy studies and interpretation of diagnostic accuracy statistics (eg, sensitivity, specificity, likelihood ratios, etc) – including the challenges related to interpretation/inclusion of medical imaging with the clinical examination
11:50 AM-12:00 AM
12:00 AM-1:30 PM
Description, demonstration, and interpretation of selected clinical diagnostic tests for the cervical spine, shoulder, and knee
1:30 PM-2:30 PM
2:30 PM-3:30 PM
Beyond diagnostic accuracy data – the challenges and various models of diagnosis in physical therapy
3:30 PM-4:30 PM
Concepts of diagnostic classification applied to the cervical spine, lumbar spine, and shoulder
4:30 PM-4:40 PM
4:40 PM-5:35 PM
Prognostic studies and types of prognostic information useful for clinical practice
5:35 PM-6:40 PM
Examples of prognostic information available in the literature with a focus on anterior cruciate ligament injury and re-injury prevention and prediction of recovery post whiplash injuries and low back pain
8:30 AM-9:30 AM
Hierarchy of evidence related to intervention studies, including concepts related to specific features of studies that are relevant for the clinician to interpret the outcomes (eg, controlled versus pragmatic clinical trials; control and comparison groups)
9:30 AM-10:30 AM
Clinically relevant interpretation of statistics related to intervention studies, including meta-analyses. This will include concepts of: statistical versus clinical significance; most relevant clinical outcome measures for the clinician; contrasting usefulness of clinical trials versus lab based research and their relative roles; how to control or interpret natural history and placebo in research and apply these factors to clinical decision making.
10:30 AM-10:40 AM
10:40 AM-12:00 AM
The evolution of treatment for patellofemoral pain from case reports, to lab based concepts and experiments to clinical trials
12:00 AM-01:00 PM
The treatment of lateral elbow pain (tennis elbow) as a model for understanding how to select treatment based on the evidence related to prognosis and treatment outcomes; and how clinical expertise complement the research evidence and contribute to the decision-making process
1:00 PM-2:00 PM
2:00 PM-3:30 PM
Consolidating the literature to provide a model of evaluation and treatment for the management of acute low back pain (part 1)
3:30 PM-3:40 PM
3:40 PM-4:30 PM
Consolidating the literature to provide a model of evaluation and treatment for the management of acute low back pain (part 2)
4:30 PM-5:30 PM
Consolidating the literature to provide a model of evaluation and treatment for the management of neck pain
Every year there is enormous growth in research relevant to orthopedic/sports/manual physical therapy practice. This large amount of valuable new information comes with some challenges, among them, understanding what the research means for clinical practice and how clinicians should use that information to provide optimal care to their patients. Therefore, the objective of this course is to provide clinicians with the necessary knowledge to understand and interpret research on orthopedic/sports/manual physical therapy in a manner that this knowledge can be applied in clinical practice. The course will cover 3 primary areas of evidence based practice: diagnosis, prognosis, and therapy.
This 2-day course will consist primarily of lecture presentations supplemented by live and/or video demonstrations of selected tests and treatment techniques. On the first day, the morning will focus on developing an understanding of the interpretation of the results of special tests used during the clinical examination. The theoretical information will be supplemented by the description and demonstration of a number of clinical tests and how the results of these selected tests should be interpreted for optimal use in clinical practice. Selected tests for the cervical spine, shoulder, and knee will be specifically discussed. The afternoon, will initially focus on concepts of diagnostic classification (sub-grouping) which will be followed by an in-depth presentation of information related to prognosis. The prognosis section of the day will explore available data related to prediction of recovery for conditions such as low back pain, whiplash, and hip osteoarthritis among others. Information relevant to prevention of initial and second anterior cruciate ligament injury will also be discussed.
The second day will start with presentations aimed at understanding general concepts of research related to intervention studies and the interpretation of statistical as well as clinical data. Finally, a major portion of the day will be devoted to consolidating the literature relevant to selected conditions such as patellofemoral pain, lateral elbow pain, low back pain, and neck pain to illustrate how the combination of evidence related to diagnosis, prognosis, and treatment may lead to an evidenced based approach to decision-making in orthopedic/sports/manual physical therapy practice.
Ultimately, the course will aim to provide the necessary tool to continue to learn from the literature in the future but also provide extensive clinical information that can be immediately applied to clinical practice.
Course learning objectives
After this course, participants shall be able to:
- Understand concepts related to diagnostic accuracy studies, and how to interpret data related to diagnostic accuracy of special tests
- Perform and interpret a number of special tests for the cervical spine, shoulder, and knee
- Understand how diagnostic tests are only one element of a clinically relevant physical therapy diagnosis
- Use prognostic data to assist in the management of selected physical therapy conditions
- Interpret results of intervention studies
- Consolidate information related to diagnosis, prognosis, and treatment to help in the decision-making process for selected conditions
Prof. Dr. Simoneau has lectured extensively around the world on orthopedic/sports physical therapy practice and various aspects of the research/publication process. Prof. Dr. Simoneau was the Editor-in-Chief of the Journal of Orthopaedic & Sports PhysicalTherapy (JOSPT) from 2002 to 2015, and currently continues to serve the Journal in his role of Interim Editor-in-Chief.
REGISTRATION for the course:
- Registration fee (early booking) € 385,00 + Iva - until February, 7th 2018
- Registration fee € 449,00 + Iva - starting from February, 8th 2018